加纳社区精神科护士应对耻辱感的复原力策略的生活经历：一项诠释现象学研究
Lived experiences of Ghanaian community psychiatric nurses resilience strategies in combating stigma: an interpretive phenomenology.
作者信息
Buertey Abigail Ansere, Puplampu Gideon Lawer, Ani-Amponsah Mary, Ibrahim Jibril Mohammad Amin, Attiogbe Alexander
机构信息
Department of Mental Health, School of Nursing and Midwifery, University of Ghana, Legon, Accra, Ghana.
Department of mental health, School of Nursing, College of Health Sciences, University of Ghana, P.O. Box LG 43, Legon, Accra, Ghana.
出版信息
BMC Nurs. 2025 Feb 17;24(1):182. doi: 10.1186/s12912-025-02818-2.
BACKGROUND
Community Psychiatric Nurses (CPNs) deliver healthcare services to people with mental illness, offering in-home, personalized care. However, stigma surrounding mental illness in both rural and urban communities complicates service delivery. Stigma refers to a social construct involving the devaluation and discrimination against individuals based on perceived undesirable characteristics or attributes. This study aimed to explore how community psychiatric nurses employ resilience strategies to combat stigma.
METHODS
This study used an interpretive phenomenological framework to examine community psychiatric nurses' experiences with stigma. Participants were purposefully sampled, and interviews were audio-taped and manually transcribed. Thematic analysis was conducted, achieving data saturation by the 12th participant, ensuring comprehensive coverage of recurring themes and patterns without new information emerging.
RESULTS
The CPNs employ a variety of resilience strategies to manage the stigma they encounter in their professional lives. Many CPNs choose to avoid situations or individuals that perpetuate stigma. This passive approach allows them to shield themselves from negative interactions and comments, creating a buffer against the emotional toll of stigma. In contrast to avoidance, some nurses adopt a proactive stance by directly addressing and challenging stigma when they encounter it. This approach not only empowers them but also serves to educate others about the realities of their profession. The CPNs often find solace and strength in discussions with their peers. These supportive conversations provide a safe space for sharing experiences. The CPN actively engage in public education efforts to raise awareness and reduce stigma within their communities.
CONCLUSION
The findings indicate a complex interplay between resilience strategies and the professional experiences of CPNs, suggesting that targeted interventions could enhance their resilience and effectiveness in combating stigma.
背景
社区精神科护士（CPNs）为患有精神疾病的人提供医疗服务，提供居家的个性化护理。然而，农村和城市社区中围绕精神疾病的污名化使服务提供变得复杂。污名是指一种社会建构，涉及基于被认为不良的特征或属性对个人进行贬低和歧视。本研究旨在探讨社区精神科护士如何运用复原力策略来对抗污名。
方法
本研究采用解释性现象学框架来审视社区精神科护士的污名经历。有目的地选取参与者，访谈进行录音并手动转录。进行了主题分析，在第12位参与者时达到数据饱和，确保在没有新信息出现的情况下全面涵盖反复出现的主题和模式。
结果
社区精神科护士运用多种复原力策略来应对他们在职业生涯中遇到的污名。许多社区精神科护士选择避免那些使污名持续存在的情况或个人。这种被动的方法使他们能够保护自己免受负面互动和评论的影响，为污名带来的情感伤害创造一个缓冲。与回避不同，一些护士采取积极主动的立场，在遇到污名时直接面对并挑战它。这种方法不仅赋予他们力量，还能教育他人了解他们职业的实际情况。社区精神科护士经常在与同行的讨论中找到慰藉和力量。这些支持性的对话提供了一个分享经历的安全空间。社区精神科护士积极参与公共教育活动，以提高社区内的认识并减少污名。
结论
研究结果表明复原力策略与社区精神科护士的职业经历之间存在复杂的相互作用，这表明有针对性的干预措施可以增强他们对抗污名的复原力和有效性。
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