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治疗关系中的缺失:一名精神科护士接受精神保健的生活体验叙事。

All I missed in the therapeutic relationship: The lived experience narrative of a mental health nurse receiving mental healthcare.

机构信息

European University of Valencia, Valencia, Spain.

Conselleria de Sanitat Pública i Universal, Valencia, Spain.

出版信息

J Psychiatr Ment Health Nurs. 2023 Aug;30(4):595-599. doi: 10.1111/jpm.12906. Epub 2023 Feb 17.

Abstract

UNLABELLED

WHAT IS KNOWN ON THE SUBJECT?: The therapeutic relationship is crucial for mental health practice, especially to practice that is recovery-orientated. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: This lived experience suggests that mental health professionals can be a long way from knowing the service users' feelings and their precise needs. The narrative reveals how mental health professionals maintain stereotypes and prejudices against people with mental health conditions and how these are reflected in their practice through lack of respect and users' dignity. WHAT ARE THE IMPLICATIONS FOR MENTAL HEALTH NURSING?: This lived experience narrative highlights the need to humanize care.

ABSTRACT

INTRODUCTION: The therapeutic relationship is not always functional in clinical practice due to various factors, such as lack of time, lack of job motivation, exhaustion and rejection towards the person cared for.

AIM

The aim of this study is to illustrate to professionals the needs of the persons they care for and how they see the world.

METHOD

The aim was achieved through the development of a lived experience narrative.

RESULTS

This lived experience narrative describes the experience of a mental health nurse since her first psychotic symptoms and her perceptions of the therapeutic relationship with mental health staff in her trajectory from the first psychiatric appointment until her last contact with the community mental health services.

DISCUSSION

This narrative suggests that mental health professionals are sometimes far from discovering what service users are feeling and their precise needs. This highlights the need to humanize mental healthcare.

摘要

摘要:引言:由于各种因素,如缺乏时间、缺乏工作动力、对护理对象的疲惫和反感等,治疗关系在临床实践中并不总是有效的。目的:本研究旨在向专业人员阐明他们所照顾的人的需求以及他们如何看待世界。方法:通过发展生活体验式叙述来实现这一目标。结果:本生活体验式叙述描述了一名精神科护士从出现首次精神病症状到最后一次与社区精神卫生服务机构接触期间,与精神卫生工作人员的治疗关系的体验,以及她对这种关系的看法。讨论:这种叙述表明,精神科专业人员有时很难发现服务对象的感受和他们的准确需求。这凸显了人性化精神卫生保健的必要性。

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