Children's Autism Services of Edmonton, Edmonton, AB, Canada.
Department of Occupational Therapy, Faculty of Rehabilitation Medicine, University of Alberta, 2-30 Corbett Hall, Edmonton, AB, T6G2G4, Canada.
Psychiatr Q. 2020 Dec;91(4):1103-1119. doi: 10.1007/s11126-020-09809-3.
Individuals with mental illnesses are often stigmatized by healthcare professionals and students, shaping the quality of care that such clients receive. This study examines the knowledge, attitudes, and behavioural responses of healthcare professionals and students toward individuals with mental illnesses. The seven-phase meta-ethnography was utilized to complete this study: getting started, deciding relevance, reading the studies, determining how the studies are related, translating the studies into one another, synthesizing translations, and expressing the synthesis. The meta-synthesis yielded five core themes. Two themes described insight into positive and negative perceptions and behaviours of healthcare professionals and students toward individuals with mental illnesses. Three themes addressed the factors, including insufficiencies in the healthcare system, contact experiences, and other biological and social influences, that impact the perceptions and behaviours. Understanding these humiliating perceptions and behaviours and the factors that shape them is the first step toward diminishing mental health stigma in the healthcare system.
精神疾病患者经常受到医疗保健专业人员和学生的污名化，影响了这些患者接受的医疗质量。本研究考察了医疗保健专业人员和学生对精神疾病患者的知识、态度和行为反应。本研究采用七阶段元民族志法完成：开始、决定相关性、阅读研究、确定研究之间的关系、将研究相互翻译、综合翻译和表达综合。元综合产生了五个核心主题。两个主题描述了对医疗保健专业人员和学生对精神疾病患者的积极和消极看法和行为的洞察。三个主题涉及影响看法和行为的因素，包括医疗保健系统中的不足、接触经验以及其他生物和社会影响。了解这些羞辱性的看法和行为以及形成这些看法和行为的因素是减少医疗保健系统中精神健康污名化的第一步。
