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“相互参与康复”。护士对患者参与精神科护理的体验的诠释学探索。

" Being mutually involved in recovery". A hermeneutic exploration of nurses' experiences of patient participation in psychiatric care.

机构信息

School of Health, Care and Social Welfare, Mälardalen University Sweden, Västerås, Sweden.

Department of Health and Care Sciences, UiT/The Arctic University of Norway, Tromsø, Norway.

出版信息

Int J Qual Stud Health Well-being. 2021 Dec;16(1):2001893. doi: 10.1080/17482631.2021.2001893.

DOI:10.1080/17482631.2021.2001893
PMID:34823447
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8843384/
Abstract

PURPOSE

This study aims at exploring how psychiatric nurses' experiences of patient participation could be understood from a caring science perspective.

METHODS

The design was inspired by clinical application research., which is a hermeneutic approach developed within caring science research. . In this study data were co-created during four reflective group dialogues where five participants' experiences of patient participation were reflected on in the light of caring science theory and research. The transcribed dialogues were subjected to a thematic, hermeneutic interpretation.

RESULTS

The interpretation gave rise to three themes; giving room for the patient to find his/her own pathway, strengthening personhood, and being in a balanced communion. From these themes an underlying pattern of the meaning of participation as being mutually involved in the patients' process of recovery arose.

CONCLUSION

From a caring science perspective the meaning of psychiatric nurses experiences of patient participation could be understood as an interpersonal process reflecting the reciprocity in human relationships. This means a shift in understanding of patient participation from procedures related to the planning of nursing care, to understanding participation as a process focusing on the mutual involvement of patients and nurses in the patients' process of recovery.

摘要

目的

本研究旨在从关爱科学的角度探讨精神科护士对患者参与的体验。

方法

设计灵感来自临床应用研究,这是关爱科学研究中发展起来的一种诠释学方法。在这项研究中,数据是在四次反思性小组对话中共同创建的,其中五名参与者根据关爱科学理论和研究反思了他们对患者参与的体验。转录的对话进行了主题式、诠释学解释。

结果

解释产生了三个主题:为患者找到自己的道路留出空间、增强个性和保持平衡的交流。这些主题中出现了参与作为相互参与患者康复过程的意义的潜在模式。

结论

从关爱科学的角度来看,精神科护士对患者参与的体验的意义可以理解为一种人际过程,反映了人际关系中的互惠性。这意味着对患者参与的理解从与护理计划相关的程序转变为将参与理解为一个关注患者和护士在患者康复过程中相互参与的过程。

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Issues Ment Health Nurs. 2021 Apr;42(4):307-316. doi: 10.1080/01612840.2020.1793246. Epub 2020 Aug 13.
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'We try' - how nurses work with patient participation in forensic psychiatric care.“我们尽力”——护士如何在法医精神病学护理中与患者共同参与。
Scand J Caring Sci. 2020 Sep;34(3):690-697. doi: 10.1111/scs.12773. Epub 2019 Nov 21.
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Brief admission (BA) for patients with emotional instability and self-harm: nurses' perspectives - person-centred care in clinical practice.简要入院(BA)治疗情绪不稳定和自残的患者:护士的观点 - 以患者为中心的临床护理。
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