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[精神科医生对生活经历的运用:一项质性实证探索]

[The use of lived experiences among psychiatrists: a qualitative empirical exploration].

作者信息

Karbouniaris S, Boomsma-van Holten M, Oostindiër A, Prins-Aardema C C, Raats P C C, Weerman A, Wilken J P, Abma T A

出版信息

Tijdschr Psychiatr. 2024;66(3):144-150.

PMID:38650511
Abstract

BACKGROUND

Psychiatrists generally make little use of lived experiences in addition to clinical and scientific knowledge, even while its use may make services more humane.

AIM

This study aims to explore psychiatrists’ lived experience perspectives and their considerations when integrating the personal into the professional domain.

METHODS

As part of a qualitative participatory research approach, peer supervision sessions were followed for 2 years and additional interviews and a focus group were organised which were then analysed thematically.

RESULTS

The participating psychiatrists had three main considerations for using their own experiences in clinical practice: personal, professional and clinical relevance. We identified 11 facilitating and 9 hindering factors in working with lived experiences related to clinical practice. In addition to the high workload and responsibility as a practitioner, a barrier is the lack of experience and recognition of this as a type of knowledge within the profession, including misconceptions about possible harmful effects. Facilitating factors included the opportunity to share with peers, a warm working relationship with patients and being able to create openness and destigmatisation among colleagues.

CONCLUSION

Psychiatrists appreciated the integration of lived experiences into the professional domain, even though still in its infancy. The peer supervision setting in this study was experienced as a safe space to share personal experiences with vulnerability and explore how they can harness lived experiences in the work context.

摘要

背景

精神科医生除临床和科学知识外,通常很少利用生活经历,即便利用这些经历可能会使服务更具人文关怀。

目的

本研究旨在探讨精神科医生的生活经历观点以及他们在将个人经历融入专业领域时的考量。

方法

作为定性参与式研究方法的一部分,对同伴督导会议进行了为期两年的跟踪,并组织了额外的访谈和焦点小组,然后进行主题分析。

结果

参与研究的精神科医生在临床实践中运用自身经历主要有三个考量因素:个人因素、专业因素和临床相关性。我们确定了与临床实践相关的11个促进因素和9个阻碍因素。除了从业者工作量大、责任重之外,一个障碍是缺乏相关经验以及该专业对其作为一种知识类型的认可,包括对可能有害影响的误解。促进因素包括与同行分享的机会、与患者建立的温暖工作关系以及能够在同事中营造开放氛围并消除污名化。

结论

精神科医生认可将生活经历融入专业领域,尽管这仍处于起步阶段。本研究中的同伴督导环境被视为一个安全的空间,可以分享带有脆弱性的个人经历,并探索如何在工作环境中利用生活经历。

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