Nursing Department, Faculty of Health and Caring Professions, University of West Attica, Athens, Greece.
Nursing Department, School of Health Sciences, University of Thessaly, Larissa, Greece.
Adv Exp Med Biol. 2021;1337:99-106. doi: 10.1007/978-3-030-78771-4_12.
Social distancing and the recent lockdown due to COVID-19 have increased the feeling of disconnection, isolation, and suffering in vulnerable individuals and have brought forward questions regarding locked acute care psychiatric units that cannot be answered by the literature. In Greece, there is no available research on how locked ward environments are perceived and experienced by mental health professionals. The aim of the present study is to illuminate nursing care providers' perceptions of psychiatric care in units with locked doors. Fifteen nursing care providers were interviewed and inductive content analysis was employed to explore their experiences of working in locked psychiatric acute care units. Negative and positive feelings about door locking did not appear to match the specific system of practice. Some participants described how locked doors influenced their professional role by placing emphasis on control rather than care while others regarded locked doors as a symbolic way of therapeutic boundary setting. Participants had positive experiences when they perceived their working environment as caring. The therapeutic benefits of locked doors were prominent when locked doors were perceived as "invisible."
社交隔离和最近因 COVID-19 而实施的封锁措施增加了弱势群体的脱节感、孤立感和痛苦感，也提出了一些关于无法通过文献回答的锁定急性护理精神病病房的问题。在希腊，没有关于精神卫生专业人员如何看待和体验上锁病房环境的可用研究。本研究的目的是阐明护理人员对带锁门的精神病急性护理单元的护理看法。对 15 名护理人员进行了访谈，并采用归纳内容分析法来探讨他们在带锁的精神科急性护理单元工作的经验。对门锁的负面和正面感受似乎与特定的实践系统不匹配。一些参与者描述了锁门如何通过强调控制而不是护理来影响他们的职业角色，而另一些参与者则认为锁门是一种象征性的治疗边界设置方式。当参与者认为他们的工作环境充满关怀时，他们会有积极的体验。当他们认为锁门是“隐形的”时，锁门的治疗益处就会很明显。
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