aDepartment Public Health, Section of Nursing Science, Aarhus University, Aarhus, Denmark.
Diakonissestiftelsen Nursing School, Frederiksberg, Copenhagen, Denmark.
Issues Ment Health Nurs. 2023 Mar;44(3):200-208. doi: 10.1080/01612840.2023.2186716. Epub 2023 Mar 20.
In several Western countries, mental health professionals work in accordance with the principles of recovery-oriented practices, but there is little research into what opportunities there are for fostering recovery-oriented practices in mental health settings. To investigate how central elements of recovery-oriented practices are reflected in health professionals experiences of care and treatment in mental health. Four focus group interviews with nurses and other health professionals are conducted and analysed using manifest content analysis to carry out a low-level analysis of the participants' experiences in mental healthcare. The study was designed in accordance with the ethical principles of the Helsinki Declaration (1) and Danish law (2). The participants gave informed consent after verbal and written information. The main theme, 'recovery-oriented practices framed within institutional structural conditions', was based on three subthemes: 1) users need help to find meaning during hospitalisation and find hope, 2) health professionals experience it as an obligation that users achieve personal recovery, and 3) user perspectives versus the mental health practices' structural logic. This study sheds light on health professionals experiences with a recovery-oriented practice. The health professionals believe in this as a positive approach and see it as an important obligation to help the user find their own aims and hopes. On the other hand, it can be difficult to work in recovery-oriented practices. It requires an active commitment from users; for many, this can be difficult to live up to.
在一些西方国家，精神卫生专业人员遵循以康复为导向的实践原则，但对于在精神卫生环境中培养以康复为导向的实践的机会，研究甚少。本研究旨在调查以康复为导向的实践的核心要素如何反映在精神卫生保健中护理和治疗的健康专业人员的经验中。对护士和其他卫生专业人员进行了 4 次焦点小组访谈，并使用明显内容分析进行分析，对参与者在精神保健中的经验进行了低层次分析。该研究是根据《赫尔辛基宣言》（1）和丹麦法律（2）的伦理原则设计的。参与者在口头和书面信息后表示同意。主要主题是“以机构结构条件为框架的以康复为导向的实践”，基于三个子主题：1）使用者在住院期间需要帮助找到意义并找到希望，2）卫生专业人员认为这是使用者实现个人康复的义务，以及 3）使用者的观点与精神卫生实践的结构逻辑。本研究揭示了健康专业人员在以康复为导向的实践方面的经验。卫生专业人员相信这是一种积极的方法，并认为帮助使用者找到自己的目标和希望是一项重要的义务。另一方面，以康复为导向的实践可能很难实施。这需要使用者的积极承诺；对许多人来说，这可能很难实现。
