University of Wollongong, Wollongong, New South Wales, Australia.
Southern Cross University, Lismore, Australia.
Int J Ment Health Nurs. 2018 Jun;27(3):1118-1126. doi: 10.1111/inm.12424. Epub 2017 Dec 26.
The failure of public mental services in Australia to provide care deemed culturally safe for Aboriginal and Torres Strait Islander people has persisted despite several national reports and policies that have attempted to promote positive service change. Nurses represent the largest professional group practising within these services. This article reports on a multisited ethnography of mental health nursing practice as it relates to this group of mental health service users. It explores the beliefs and ideas that nurses identified about public mental health services and the services they provided to Aboriginal and Torres Strait Islander people. During the fieldwork, mental health nurses described the constricting effect of the biomedical paradigm of mental illness on their abilities to provide authentic holistic care focused on social and emotional well-being. Despite being the most numerous professional group in mental health services, the speciality of mental health nursing appears unable to change this situation and in many cases maintain this status quo to the potential detriment of their Aboriginal and Torres Strait Islander service users.
尽管有几项国家报告和政策试图促进积极的服务变革，但澳大利亚公共精神卫生服务未能为原住民和托雷斯海峡岛民提供被认为具有文化安全性的护理，这一问题一直存在。护士是在这些服务中执业的最大专业群体之一。本文报告了一项针对精神健康护理实践的多地点民族志研究，重点是该群体的精神健康服务使用者。它探讨了护士对公共精神卫生服务及其为原住民和托雷斯海峡岛民提供的服务的信念和想法。在实地工作中，精神健康护士描述了精神疾病的生物医学范式对他们提供以社会和情感健康为重点的真实整体护理的能力的限制。尽管是精神卫生服务中人数最多的专业群体，但精神卫生护理专业似乎无法改变这种情况，在许多情况下，这种情况维持现状，这可能会对他们的原住民和托雷斯海峡岛民服务使用者造成潜在的伤害。
