Department of Public Health, Nursing, Aarhus University, Aarhus, Denmark.
Psychiatric Research Unit, Central Denmark Region, Herning, Denmark.
Scand J Caring Sci. 2022 Dec;36(4):1241-1250. doi: 10.1111/scs.13097. Epub 2022 Jun 10.
During the last decades, a recovery-based approach has called for a change in mental health care services. Several programmes have been presented, and the need to develop student and professional competences in education and clinical practice has been documented.
The aim of this study was to explore how psychiatric care is understood seen from a student perspective (nursing students, masters nurses and a master in applied philosophy) with focus on their personal competences and the educational interventions empowering processes for users' personal and social recovery.
A qualitative design with a phenomenological-hermeneutic approach based on the French philosopher Paul Ricoeur's theory of interpretation. Data were collected through semi-structured interviews.
All interviewees expressed that both theoretically and clinically students did not experience a recovery-oriented approach empowering users' personal and social recovery process. On the contrary, they experienced that both education and practice were dominated by a biomedical approach providing clinical recovery. However, several students were aware of their need of developing personal and relational competences to be able to support the users' personal and social recovery journey. The students expressed that there is a need for educational processes targeting personal competences in 'becoming a professional' supporting 'presentness and awareness' and thereby the development of relational abilities and the courage to engage. The results relate to two nursing schools and two universities.
A biomedical approach dominates and makes it difficult to develop students' personal competences during education in practice and theory vital to the development of personal and social recovery-oriented practices. It is recommended that educators-in practice and in school-accentuate presentness, awareness and creativity as crucial relational capabilities and incorporate this in their teaching and supervision method, supporting the education and formation of the students' (and teachers' and supervisors') personal development processes.
在过去的几十年中,一种基于康复的方法呼吁改变精神卫生保健服务。已经提出了几个方案,并且已经记录了在教育和临床实践中发展学生和专业人员能力的必要性。
本研究旨在探讨从学生的角度(护理学生,硕士护士和应用哲学硕士)理解精神病护理的方式,重点关注他们的个人能力以及增强用户个人和社会康复的赋能过程的教育干预措施。
一种基于法国哲学家保罗·里克尔(Paul Ricoeur)解释理论的定性设计,具有现象学-解释学方法。通过半结构化访谈收集数据。
所有受访者都表示,从理论和临床角度来看,学生都没有体验到以康复为导向的方法,从而增强了用户的个人和社会康复过程。相反,他们的经验是,教育和实践都以生物医学方法为主,为临床康复提供服务。但是,许多学生都意识到自己需要发展个人和关系能力,以支持用户的个人和社会康复之旅。学生们表示,需要针对“成为专业人员”的个人能力进行教育过程,以支持“当下意识”和关系能力的发展,并培养参与的勇气。研究结果涉及两所护理学校和两所大学。
生物医学方法占主导地位,这使得在实践和理论教育中难以发展学生的个人能力,而这些能力对于发展以个人和社会康复为导向的实践至关重要。建议教育者(在实践中和在学校)强调当下意识和创造力作为至关重要的关系能力,并将其纳入教学和监督方法中,以支持学生(以及教师和主管)的个人发展过程的教育和形成。