Bailey S R
Deakin University, Victoria, Australia.
Aust J Adv Nurs. 1998 Mar-May;15(3):8-14.
The aim of this study was to uncover factors that influenced the attitudes of doctors' and nurses' towards psychiatric patients in the intensive care setting. In-depth interviews were undertaken with experienced intensive care nurses and doctors, which were subsequently analysed via an analytic induction method. The consistent themes that emerged were perceptions about the perceived paradox of treating patients who wish to die, the lack of positive reinforcement gained from caring for psychiatric patients, lack of institutional support, and a belief that present educational preparation is inadequate. The results suggest that perceptions about the purpose of intensive care units, and about the appropriateness of caring for psychiatric patients in this setting may be based on unquestioned assumptions and prejudices that are related to a deficit in knowledge and prevailing social stigma. Recommendations arising from this study are that communication channels between psychiatric units and intensive care units should be developed as a matter of priority. Furthermore, educational programs for intensive care doctors and nurses are required in order to enhance psychiatric patient care.
本研究的目的是揭示在重症监护环境中影响医生和护士对精神科患者态度的因素。对经验丰富的重症监护护士和医生进行了深入访谈，随后通过分析归纳法进行分析。出现的一致主题包括对治疗希望死亡患者的认知悖论、照顾精神科患者缺乏积极强化、缺乏机构支持以及认为目前的教育准备不足。结果表明，对重症监护病房目的的认知以及在此环境中照顾精神科患者的适当性可能基于未经质疑的假设和偏见，这些与知识缺陷和普遍的社会耻辱感有关。本研究提出的建议是，应优先建立精神科病房和重症监护病房之间的沟通渠道。此外，需要为重症监护医生和护士开展教育项目，以加强对精神科患者的护理。
