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心理健康护理教学中的生活体验:恐惧与权力问题。

Lived experience in teaching mental health nursing: issues of fear and power.

机构信息

Research Centre for Nursing and Midwifery Practice, University of Canberra, Faculty and Health, and ACT Health, Australia.

出版信息

Int J Ment Health Nurs. 2015 Feb;24(1):19-27. doi: 10.1111/inm.12091. Epub 2014 Nov 3.

DOI:10.1111/inm.12091
PMID:25366907
Abstract

Australian mental health policy clearly articulates recovery focus as the underpinning of mental health services. Barriers to achieving a recovery focus are identified in the literature, with negative attitudes of health professionals receiving particular attention. The involvement of people with lived experience of significant mental health challenges and mental health service use is essential to enhancing more positive attitudes. Lived-experience involvement in the education of nurses is evident; however, it is generally limited and implemented on an ad hoc basis. Overall, there is a paucity of literature on this topic. A qualitative exploratory study was undertaken to elicit the views and perceptions of nurse academics and lived-experience educators about the inclusion of lived experience in mental health nursing education. One major theme to emerge from the research was issues of fear and power, which included three subthemes: facing fear, demystifying mental illness, and issues of power. Lived-experience involvement has an important role to play in the education of nurses in addressing fear and demystifying the experience of mental illness. The power that lived-experience educators exercised in their roles varied considerably, and for many, was limited. Therefore, the effectiveness of lived-experience involvement requires a more equitable distribution of power.

摘要

澳大利亚的心理健康政策明确将康复焦点作为心理健康服务的基础。文献中确定了实现康复焦点的障碍,特别关注卫生专业人员的负面态度。让有过严重心理健康挑战和使用心理健康服务经历的人参与其中,对于增强更积极的态度至关重要。在护士教育中,有过实际经验的人参与其中是显而易见的;然而,这种参与通常是有限的,并且是临时的。总的来说,关于这个主题的文献很少。本研究采用定性探索性研究,了解护士学者和有过实际经验的教育者对将实际经验纳入心理健康护理教育的看法和看法。研究中出现的一个主要主题是恐惧和权力问题,其中包括三个子主题:面对恐惧、揭开精神疾病的神秘面纱和权力问题。有过实际经验的人参与在教育护士方面可以发挥重要作用,可以帮助他们消除对精神疾病的恐惧和神秘感。有过实际经验的教育者在其角色中行使的权力差异很大,对许多人来说,这种权力是有限的。因此,需要更公平地分配权力,以提高有过实际经验的人参与的效果。

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