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比工厂工作更令人满足:基于印刷媒体档案对心理健康护理的分析

More Satisfying Than Factory Work: An Analysis of Mental Health Nursing Using a Print Media Archive.

作者信息

Molloy Luke, Lakeman Richard, Walker Kim

机构信息

a The University of Tasmania , School of Health Sciences , Darlinghurst , New South Wales , Australia.

b Queensland Health , Brisbane , Queensland , Australia.

出版信息

Issues Ment Health Nurs. 2016 Aug;37(8):550-555. doi: 10.1080/01612840.2016.1189634. Epub 2016 Jun 20.

Abstract

The move towards comprehensive nurse training in Australia thirty years ago continues to trouble many of its mental health nurses. It has been viewed as a failure by many and the profession has been judged by some commentators to have lost its preparedness for specialist care. Discourse put forward to support this negative evaluation usually centres on the recruitment of mental health nurses and a limited interest among student nurses to undertake mental health nursing because of their negative opinions towards it. Emerging from a larger ethnographic research project focused on mental health nursing practice in Australia, this article presents an analysis of the profession's current circumstances using historical print media. As we move further from the era of direct entry, specialist training, the article notes the development of assumptions within the profession. These include the idea that mental health nurses received better training in direct entry, specialist programs, and therefore were better prepared for their specialist roles. The article puts forward a critique that challenges this. The article argues the most profound change faced by the profession is the erosion of the mental health nursing identity in Australia. The loss of the stand-alone hospital system, direct entry specialist training, and specialist professional registration have left mental health nursing with a growing uncertainty about itself as the profession evolves into its (mostly) post-mental institution world. At a time when the specialty of mental health nursing is experiencing serious staff shortages throughout the developed world, the article points to the importance of using historical sources to contextualize our present circumstances.

摘要

三十年前澳大利亚迈向全面护士培训的举措,至今仍困扰着许多心理健康护士。许多人认为这是一次失败,一些评论家判定该行业已失去提供专科护理的能力。支持这种负面评价的论述通常集中在心理健康护士的招募上,以及由于学生护士对心理健康护理持负面看法,他们对从事心理健康护理的兴趣有限。本文源自一个更大的民族志研究项目,该项目聚焦于澳大利亚的心理健康护理实践,运用历史印刷媒体对该行业的当前状况进行了分析。随着我们进一步远离直接入职、专科培训的时代,本文指出了该行业内一些观念的发展。这些观念包括,心理健康护士在直接入职、专科项目中接受了更好的培训,因此为其专科角色做了更好的准备。本文提出了一种批判,对这一观点提出了质疑。文章认为,该行业面临的最深刻变化是澳大利亚心理健康护理身份的侵蚀。独立医院系统的消失、直接入职专科培训以及专科职业注册的缺失,使得随着心理健康护理行业向(大多为)后精神病院时代发展,其自身的不确定性日益增加。在心理健康护理专科在整个发达国家都面临严重人员短缺之际,本文指出利用历史资料来理解我们当前状况的重要性。

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