Hallberg Patrick, Graneheim Ulla Hällgren, Olsson-Tall Maivor
Department of Health Care Sciences, University West, Trollhättan, Sweden.
Department of Nursing, Umeå University, Umeå, Sweden.
Int J Ment Health Nurs. 2025 Feb;34(1):e13504. doi: 10.1111/inm.13504.
To meet the aim of synthesising research on nurses' experiences of promoting personal recovery within psychiatric inpatient care, meta ethnography according to Noblit and Hare has been chosen as the method, which is a qualitative review of scientific literature that results in a synthesis. The focus is on interpretation and is expressed to be able to reduce a story, but at the same time keep what is unique using metaphors. Nine articles formed the basis of the synthesis. The analysis resulted in two levels of synthesis. The first level involved the translation of metaphors into one another, which proceeded in two directions, described as two principal headings. The second level produced five overarching metaphors. The first principal heading is that 'erected walls in psychiatric inpatient care impedes personal recovery.' It encompasses the overarching metaphors 'cultivating in exhausted soil' and 'nurses are gatekeeping watchdogs'. The second principal heading is 'torn-down walls in psychiatric inpatient care enable personal recovery'. It encompasses the overarching metaphors 'disarming and de-escalating', 'facing suffering together reveals treasures' and 'elevating the competent partner promotes recovery'. Conclusively, if the nurse is to be able to promote personal recovery in psychiatric inpatient care, bridges of cooperation and consensus need to be built to other professions in care. Otherwise, the obstacles to promoting personal recovery will be far too hard to overcome.
为实现综合有关护士在精神科住院护理中促进个人康复经历的研究这一目标，我们选择了诺布利特和黑尔提出的元民族志方法，这是一种对科学文献的定性综述，旨在进行综合分析。重点在于解读，其目的是能够提炼一个故事，同时用隐喻保留其独特之处。九篇文章构成了综合分析的基础。分析产生了两个层次的综合。第一个层次涉及隐喻之间的相互转换，从两个方向进行，被描述为两个主要标题。第二个层次产生了五个总体隐喻。第一个主要标题是“精神科住院护理中竖起的围墙阻碍个人康复”。它包含“在贫瘠土壤中耕耘”和“护士是把关的看门狗”这两个总体隐喻。第二个主要标题是“精神科住院护理中拆除的围墙促进个人康复”。它包含“解除武装与缓和局势”、“共同面对痛苦揭示宝藏”和“提升有能力的伙伴促进康复”这几个总体隐喻。总之，如果护士要在精神科住院护理中促进个人康复，就需要与护理中的其他专业建立合作与共识的桥梁。否则，促进个人康复的障碍将极难克服。
