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在瑞典心理健康背景下担任朋辈支持工作者的经验和挑战——一项访谈研究。

Experiences and Challenges in the Role as Peer Support Workers in a Swedish Mental Health Context - An Interview Study.

机构信息

Department of Psychosis Care, Region Skåne, Malmö, Sweden.

Forensic Psychiatry, Psykiatri Skane, Hässleholm, Sweden.

出版信息

Issues Ment Health Nurs. 2022 Apr;43(4):344-355. doi: 10.1080/01612840.2021.1978596. Epub 2021 Sep 27.

Abstract

The focus on recovery within psychiatric care is increasing, where peer support may play a pivotal role. Previous research shows both mixed and promising results in terms of beneficial outcomes for patients and peer support workers (PSW). The study's aim was to investigate PSW' experiences of their professional role and associated relationships with healthcare staff and patients. Semi-structured in-depth interviews were conducted with 10 PSW. Data was analyzed with content analysis. Three themes were constructed; "Experience of stigma", "Authenticity and balance in the patient relationship" and "Opportunities and setbacks in the team". Challenges included stigmatization, loyalty conflicts, lack of a clear job description and feelings of insecurity and disinterest among other staff. However, the peer support role was perceived as deeply meaningful. The peer support role comes with challenges and opportunities for the PSW, and potentially for the patients and the surrounding work team. Further research is needed to illuminate the value of peer support for patients, PSW and healthcare staff, and potential barriers and facilitators to the integration of peer support within psychiatric care.Supplemental data for this article is available online at https://doi.org/10.1080/01612840.2021.1978596 .

摘要

精神科护理越来越注重康复,同伴支持可能发挥关键作用。先前的研究表明,同伴支持对患者和同伴支持工作者(PSW)都有有益的结果,其结果好坏参半。本研究旨在调查 PSW 对其专业角色的体验,以及与医护人员和患者相关的关系。采用半结构式深入访谈对 10 名 PSW 进行了访谈。采用内容分析法对数据进行分析。构建了三个主题:“污名化的体验”、“在医患关系中的真实性和平衡”和“团队中的机遇和挫折”。挑战包括污名化、忠诚冲突、缺乏明确的工作描述以及其他工作人员的不安全感和不感兴趣等感觉。然而,同伴支持角色被认为具有深刻的意义。同伴支持角色给 PSW 带来了挑战和机遇,也可能给患者和周围的工作团队带来了挑战和机遇。需要进一步的研究来阐明同伴支持对患者、PSW 和医护人员的价值,以及同伴支持在精神科护理中整合的潜在障碍和促进因素。本文的补充数据可在 https://doi.org/10.1080/01612840.2021.1978596 在线获取。

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