Department of Nursing, Mid Sweden University, Sundsvall, Sweden.
Faculty of Nursing and Health Sciences, Nord University, Namsos, Norway.
Int J Qual Stud Health Well-being. 2022 Dec;17(1):2094088. doi: 10.1080/17482631.2022.2094088.
This study aimed to illuminate the essential meanings of carers' lived experience of regulating themselves when caring for patients with mental illnesses in forensic inpatient care.
Qualitative analysis was used to analyse data from narrative interviews with open-ended questions conducted with nine carers, which were analysed using a phenomenological-hermeneutic approach.
Findings revealed three themes, "preserving oneself as a carer," "building an alliance with the patient" and "maintaining stability in the community." Carers not only regulated emotions related to patients but also the ward to facilitate a caring climate. For carers, encounters with patients meant facing expressions of suffering that evoked unwanted emotions. Regulating one's emotions also meant being emotionally touched and facing one's vulnerability.
Regulating oneself was a strategy used by carers to get closer to the patient and establishing a trusting relationship. Regulating oneself meant becoming aware of one's shortcomings, not projecting them onto others, which may impair establishing relationships with patients and fulfilling the aim and caring task of forensic psychiatry. This study stresses the importance of carers being guided to manage their conflicting emotions and vulnerabilities and finding courage and an approach that allows a permissive climate of self-reflection.
本研究旨在阐明照料者在法医住院患者护理中自我调节的基本意义。
采用定性分析方法，对 9 名照料者进行了开放式叙事访谈，采用现象学-解释学方法进行了数据分析。
研究结果揭示了三个主题，即“保持自己作为照料者的身份”、“与患者建立联盟”和“在社区中保持稳定”。照料者不仅调节与患者相关的情绪，还调节病房以促进关怀氛围。对照料者来说，与患者的接触意味着面对痛苦的表达，引起不必要的情绪。调节自己的情绪也意味着被情感触动，面对自己的脆弱。
自我调节是照料者接近患者和建立信任关系的一种策略。自我调节意味着意识到自己的缺点，而不是将其投射到他人身上，这可能会损害与患者建立关系和履行法医精神病学的目标和护理任务。这项研究强调了指导照料者管理其冲突情绪和脆弱性并找到勇气和方法，以允许自我反思的宽容氛围的重要性。
