护士在法医和非法医环境中使用胁迫的经验:一个持续的比较分析
Etienne Paradis-Gagné1, David Pelosse2, Pierre Pariseau-Legault3
1Université de Montréal, Faculty of Nursing, Montréal, Québec, Canada.
Journal of psychiatric and mental health nursing
|February 24, 2025
概括
在精神卫生机构的护士在使用强制措施时面临着道德困境. 一种富有同情心,以宣传为重点的方法可以帮助预防胁迫和改善患者护理.
科学领域:
- 精神病学护理 精神病学护理
- 心理健康护理 心理健康护理
- 法医精神病学 法医精神病学
背景情况:
- 强制措施 (隔离,束,非自愿照顾) 在精神病学和法医环境中越来越多地使用.
- 这些措施对患有精神疾病的个人和护理人员产生了负面影响.
研究的目的:
- 为了比较护士对法医与一般精神病治疗中的强制措施的看法.
- 探索应用胁迫的伦理挑战和影响因素.
主要方法:
- 使用接地理论的定性方法.
- 数据分析的常数比较方法.数据分析的常数比较方法.
- 个人采访18名护士 (9名来自一般精神病学,9名来自法医精神病学).
主要成果:
- 确定了四个关键类别:理解胁迫,使用它的理由,保持信任,以及控制文化的影响.
- 在这两种情况下,护士都面临着与胁迫有关的重大道德困境.
- 诸如风险管理和父权主义文化等因素影响了强制的应用.
结论:
- 在强制性精神病学环境中的护士面临着伦理挑战,受到风险管理文化等因素的影响.
- 倡导和同情的护理对于防止强制措施至关重要.
- 强调精神病护理的护理和控制的双重性,以及需要进行批判性反思.
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