Hammarström Lars, Hellzén Ove, Devik Siri Andreassen
Department of Nursing Science, Mid-Sweden University, 851 70 Sundsvall, Sweden.
Centre for Care Research, Mid-Norway, Faculty of Nursing and Health Sciences, Nord University, 7800 Namsos, Norway.
Healthcare (Basel). 2023 Nov 2;11(21):2890. doi: 10.3390/healthcare11212890.
The aim of this study was to describe the phenomenon of "fleeing the encounter when facing resistance" as experienced by carers working in forensic inpatient care. Qualitative analysis, namely reflective lifeworld research, was used to analyze data from open-ended questions with nine carers from a Swedish regional forensic clinic. The data revealed three meaning constituents that describe the phenomenon: shielding oneself from coming to harm or harming the other, finding one's emotional balance or being exposed, and offering the patient emotional space and finding patience. The carers described their approaches in the encounters with the patients as alternating between primitive instincts and expectant empathy in order to gain control and deal with the interaction for their own part, for that of the patient, and for that of their colleagues. The phenomenon of fleeing the encounter when facing resistance was intertwined with carers' self-perception as professional carers. Negative encounters with patients evoked feelings of shame and self-blame. A carer is a key person tasked with shaping the care relationship, which requires an attitude on the part of the carer that recognizes not only the patient's lifeworld but also their own.
本研究的目的是描述在法医住院护理机构工作的护理人员所经历的“面对阻力时逃避接触”现象。采用定性分析方法，即反思性生活世界研究，对来自瑞典一家地区法医诊所的九名护理人员开放式问题的数据进行分析。数据揭示了描述该现象的三个意义构成要素：保护自己免受伤害或不伤害他人、找到自己的情绪平衡或暴露自己、为患者提供情感空间并保持耐心。护理人员将他们在与患者接触时的方法描述为在原始本能和期待性同理心之间交替，以便为自己、患者和同事获得控制权并处理互动。面对阻力时逃避接触的现象与护理人员作为专业护理人员的自我认知交织在一起。与患者的负面接触会引发羞耻感和自责感。护理人员是塑造护理关系的关键人物，这要求护理人员不仅要认识到患者的生活世界，也要认识到自己的生活世界。
