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这有点像监狱,但又不完全像:原住民女性在急性精神科住院病房的经历。

It's a little bit like prison, but not that much: Aboriginal women's experiences of an acute mental health inpatient unit.

机构信息

Charles Darwin University, Darwin, Northern Territory, Australia.

Top End Mental Health & AOD Services, Darwin, Northern Territory, Australia.

出版信息

Int J Ment Health Nurs. 2021 Aug;30(4):917-930. doi: 10.1111/inm.12843. Epub 2021 Feb 25.

DOI:10.1111/inm.12843
PMID:33630404
Abstract

This research aimed to gain an understanding of the acute mental health inpatient experience as described by Aboriginal women during admission. It recorded for the first time the words of Aboriginal women within the inpatient unit, including their perceptions of factors which may promote or impede a culturally safe environment. Eleven Aboriginal women inpatients gave interviews before discharge from the inpatient unit. Five Aboriginal Reference Group (ARG) members with experience of the inpatient unit also gave interviews, adding 'insider-outsider' perspectives. Interviews were recorded, transcribed, entered into NVivo software, and analysed inductively to raise codes and develop themes. Five interconnecting themes emerged: Social Context: life experience preceding, shaping, and following admission; Connection: with kin, community, and culture. Control: self-determination, legally and physically curtailed; Caring: actions promoting reconnection and self-determination; Communication: conveying caring and supporting agency, reconnection, and return to community. Findings reflected inpatient issues reported in previous studies, adding insights into the cultural concerns of Aboriginal women and offering practical clinical implications for culturally secure service delivery in an inpatient setting. Existing literature offered a basis for developing the model offered here for transcultural interaction for recovery in an inpatient setting. Attention to these findings can enhance Aboriginal women's inpatient experience and promote further research. The article complies with the COREQ-32 checklist for describing qualitative studies.

摘要

本研究旨在了解原住民女性在住院期间对急性心理健康住院体验的描述。这是首次记录原住民女性在住院病房内的言语,包括她们对促进或阻碍文化安全环境的因素的看法。11 名原住民住院女性在出院前接受了访谈。5 名具有住院病房经验的原住民参考组 (ARG) 成员也接受了访谈,提供了“局内人-局外人”的观点。访谈进行了录音、转录、输入 NVivo 软件,并进行了归纳分析,以提出代码并开发主题。出现了五个相互关联的主题:社会背景:入院前、入院期间和出院后的生活经历;联系:与亲属、社区和文化的联系。控制:自我决定,法律和身体上受到限制;关怀:促进重新联系和自我决定的行动;沟通:传达关怀和支持机构、重新联系和返回社区。研究结果反映了先前研究报告的住院问题,增加了对原住民女性文化关注的深入了解,并为住院环境中提供文化安全服务提供了实际的临床意义。现有文献为这里提出的跨文化互动康复模式提供了基础。关注这些发现可以改善原住民女性的住院体验,并促进进一步的研究。这篇文章符合 COREQ-32 清单,用于描述定性研究。

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