精神科护士对患有精神疾病者的社会表征：一个充满矛盾的故事。
Mental Health Nurses' Social Representations of People Who Experience Mental Illness: A Story of Paradoxes.
作者信息
Kallai Delphine, März Virginie, de Timary Philippe, De Mol Jan
机构信息
UCLouvain, Louvain-la-Neuve, Walloon Brabant, Belgium.
UCLouvain, Woluwé-Saint-Lambert, Belgium.
出版信息
Glob Qual Nurs Res. 2023 Oct 26;10:23333936231203818. doi: 10.1177/23333936231203818. eCollection 2023 Jan-Dec.
Public representations of people who experience mental illness (PEMI) have been well documented within the stigma literature. However, studies about mental health nurses' representations of PEMI are still scarce and characterized by contradictions. Using the theoretical concept of social representation instead of stigma, the current study aims to explore and understand mental health nurses' social representations of PEMI. Qualitative research was conducted based on 13 semi-structured interviews with nurses from two psychiatric units in general hospitals. Data were analyzed using interpretative phenomenological analysis. Results showed that nurses' social representations were characterized by paradoxes. They explicitly displayed positive social representations, while nuancing them from an implicit point of view. The nurses wanted to work toward a destigmatizing voice for PEMI while nuancing their assertions to sound honest and accurate, which led them to a state of cognitive dissonance.
在关于污名的文献中，对患有精神疾病者（PEMI）的公众形象已有详尽记载。然而，关于心理健康护士对PEMI的形象认知的研究仍然匮乏，且存在矛盾之处。本研究运用社会表征这一理论概念而非污名概念，旨在探索并理解心理健康护士对PEMI的社会表征。基于对综合医院两个精神科病房护士进行的13次半结构化访谈开展了定性研究。采用解释现象学分析方法对数据进行分析。结果显示，护士的社会表征具有自相矛盾的特点。他们明确展现出积极的社会表征，同时又从隐含的角度对其进行细微调整。护士们希望为PEMI争取一种消除污名的声音，同时对自己的断言进行细微调整以使表述显得诚实准确，这使他们陷入了认知失调的状态。
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