Hawsawi Tahani, Appleton Jessica, Al-Adah Rawan, Al-Mutairy Abdulraheem, Sinclair Peter, Wilson Amanda
Faculty of Nursing, King Abdul-Aziz University, Jeddah, Saudi Arabia.
School of Nursing and Midwifery, Faculty of Health, University of Technology Sydney, Broadway, New South Wales, Australia.
Int J Ment Health Nurs. 2024 Aug;33(4):1013-1025. doi: 10.1111/inm.13304. Epub 2024 Feb 13.
In 2019, the World Health Organization urged a global shift towards recovery-focused practices in mental health care. In Western nations, this transition often prioritised individualism over collectivism. In contrast, collectivist societies prioritise recovery through community and social support. This study explored mental health recovery from the perspectives of consumers, carers and registered nurses in a mainly collectivist society (Saudi Arabia) using a qualitative exploratory descriptive design. Sixteen consumers, ten carers and eight registered nurses participated in online semi-structured interviews. Inductive thematic analysis was employed to analyse English-translated versions of the 34 interviews. Consolidated criteria for reporting qualitative studies 32-item checklist were used. The study found that recovery was perceived as a process of transforming towards living a meaningful life of goals and values supported by trusted people who share moments of comfort and empowerment. A unique finding was the 'bond of recovery' a collectivist value that aid consumers' community integration in society. Saudi consumers' experiences of recovery were similar to consumers' movement narratives of recovery. Future research should establish a recovery-focused educational program that incorporates our findings into a recovery-oriented approach. This will facilitate providing a collaborative care between consumers, carers and nurses that centres around consumers' recovery goals and values.
2019年，世界卫生组织敦促全球在精神卫生保健方面转向以康复为重点的做法。在西方国家，这种转变往往将个人主义置于集体主义之上。相比之下，集体主义社会则优先通过社区和社会支持来实现康复。本研究采用定性探索性描述设计，从一个主要为集体主义社会（沙特阿拉伯）的消费者、护理人员和注册护士的角度探讨了心理健康康复问题。16名消费者、10名护理人员和8名注册护士参与了在线半结构化访谈。采用归纳主题分析法对34次访谈的英文翻译版本进行分析。使用了报告定性研究的综合标准32项清单。研究发现，康复被视为一个朝着有意义的生活转变的过程，这种生活由目标和价值观支撑，得到那些能给予安慰和力量的值得信赖的人的支持。一个独特的发现是“康复纽带”，这是一种集体主义价值观，有助于消费者融入社会。沙特消费者的康复经历与消费者康复运动的叙述相似。未来的研究应建立一个以康复为重点的教育项目，将我们的研究结果纳入以康复为导向的方法中。这将有助于在消费者、护理人员和护士之间提供以消费者的康复目标和价值观为中心的协作式护理。
