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精神科护士的同情心构建:话语分析。

Mental health nurses' constructions of compassion: A discourse analysis.

机构信息

Centre for Health Innovation, Leadership and Learning, Nottingham University Business School, University of Nottingham, Nottingham, UK.

School of Health Sciences, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK.

出版信息

Int J Ment Health Nurs. 2022 Oct;31(5):1186-1197. doi: 10.1111/inm.13026. Epub 2022 May 23.

DOI:10.1111/inm.13026
PMID:35607709
Abstract

Compassion is an important element of contemporary nursing work. Compassion has been recognized as necessary for improving health outcomes. However, very little is known about how compassion is understood in the mental health practice setting. We conducted interviews with seven mental health nurses to explore their perspectives on compassion and views on compassion policy. Analysis of the data revealed that compassion was identified and discussed as Compassion as part of the person (and the profession); Compassion: Fundamental to the nursing role; Barriers to compassion; Perspectives on compassion policy. In addition, findings demonstrated ethical constraints on compassion in the mental health context, as well as the administrative burden on nurses more broadly, which was also a reported barrier to compassion. Mental health nurses identified compassion as fundamental to their clinical practice, yet compassion was impeded owing to practical and emotional constraints upon nurses. System-wide action must be taken to increase and support the mental health nursing workforce to strengthen the practice of compassion. This will be fundamental to improving health outcomes that are claimed to be enhanced by compassion. This study is reported according to the COREQ guidelines.

摘要

共情是当代护理工作的一个重要组成部分。共情已被认为是改善健康结果所必需的。然而,对于共情在心理健康实践环境中是如何被理解的,我们知之甚少。我们对七名精神科护士进行了访谈,以探讨他们对共情的看法以及对共情政策的看法。数据分析显示,共情被确定并讨论为:作为人的一部分(和职业)的共情;共情:护理角色的基础;共情的障碍;共情政策的观点。此外,研究结果还表明,在心理健康环境中,共情受到伦理限制,以及对护士的行政负担,这也是报告的共情障碍。精神科护士认为共情是他们临床实践的基础,但由于护士在实践中受到实际和情感的限制,共情受到了阻碍。必须采取全系统行动来增加和支持精神科护理人员队伍,以加强共情实践。这对于提高据称通过共情来增强的健康结果至关重要。本研究按照 COREQ 指南进行报告。

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