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这是谁的故事?心理健康消费者及护理者对护理者参与研究的看法。

Whose story is it? Mental health consumer and carer views on carer participation in research.

作者信息

Morse Alyssa R, Forbes Owen, Jones Bethany A, Gulliver Amelia, Banfield Michelle

机构信息

ACACIA: The ACT Consumer and Carer Mental Health Research Unit, Centre for Mental Health Research, Research School of Population Health, The Australian National University, Canberra, Australian Capital Territory, Australia.

出版信息

Health Expect. 2021 May;24 Suppl 1(Suppl 1):3-9. doi: 10.1111/hex.12954. Epub 2019 Aug 28.

Abstract

BACKGROUND

Mental health carers contribute a unique set of perspectives and lived experiences to research; however, national research ethics guidelines do not specifically address the issues that affect informal carers as participants.

OBJECTIVE

This study sought to explore Australian mental health consumer and carer views on the ethical conduct of research involving mental health carers.

DESIGN

A public forum (n = 14; consumer = 5, carer = 9) and a subsequent series of interviews (n = 10; consumer = 5, carer = 4, both = 1) were conducted to investigate consumer and carer views on mental health research ethics. Data collection and analysis drew strongly on methodological features of grounded theory.

RESULTS

Conducting research involving carers and consumer-carer relationships raises potential concerns related to story ownership. Lived experience stories have shared and separate elements; thus, it is important to consider potential risks to the privacy of non-participants and of social harm to participants' relationships when conducting research in this space. These risks could be minimized and managed through communication between researchers and participants, and within relationships.

CONCLUSIONS

When conducting research involving carers and consumer-carer relationships, researchers may need to facilitate the negotiation of information-sharing boundaries within relationships and the safe and confidential telling of shared stories.

摘要

背景

心理健康护理者为研究贡献了一系列独特的观点和生活经历;然而,国家研究伦理准则并未专门涉及影响非正式护理者作为参与者的问题。

目的

本研究旨在探讨澳大利亚心理健康消费者和护理者对涉及心理健康护理者的研究伦理行为的看法。

设计

举办了一次公开论坛(n = 14;消费者 = 5,护理者 = 9),随后进行了一系列访谈(n = 10;消费者 = 5,护理者 = 4,两者兼具 = 1),以调查消费者和护理者对心理健康研究伦理的看法。数据收集和分析在很大程度上借鉴了扎根理论的方法特点。

结果

开展涉及护理者以及消费者与护理者关系的研究引发了与故事所有权相关的潜在问题。生活经历故事有共同和不同的元素;因此,在这一领域开展研究时,考虑对非参与者隐私的潜在风险以及对参与者关系的社会危害非常重要。通过研究人员与参与者之间以及关系内部的沟通,可以将这些风险降至最低并加以管理。

结论

在开展涉及护理者以及消费者与护理者关系的研究时,研究人员可能需要促进在关系内协商信息共享界限,并安全、保密地讲述共同的故事。

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Physical health and mental illness: listening to the voice of carers.身体健康与精神疾病:倾听护理人员的声音。
J Ment Health. 2017 Apr;26(2):127-133. doi: 10.3109/09638237.2016.1167854. Epub 2016 Apr 22.
7
Addressing risks to advance mental health research.解决推进心理健康研究的风险。
JAMA Psychiatry. 2013 Dec;70(12):1363-71. doi: 10.1001/jamapsychiatry.2013.2105.

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