"困难"患者:法医医院环境中的纪律权力和护理实践
Jim A Johansson1, Cindy Peternelj-Taylor2
1College of Health Sciences, Faculty of Nursing, Edmonton Clinic Academy Building, University of Alberta, Edmonton, Alberta, Canada.
Nursing inquiry
|February 27, 2025
概括
法医护士面临着管理反社会人格障碍 (ASPD) 患者的挑战. 策略包括在严格的医院环境中平衡严格规则与治疗灵活性.
科学领域:
- 法医心理健康护理 医疗法医心理健康护理
- 精神病学护理 精神病学护理
- 刑事司法 心理健康 心理健康
背景情况:
- 法医精神卫生机构为刑事司法系统中精神病患者提供服务.
- 反社会人格障碍 (ASPD) 为护士带来了独特的挑战,经常被认为是难以治疗的.
- 加拿大的高安全法医医院收容患者,其中许多患者患有精神障碍,但也有ASPD的子集.
研究的目的:
- 批判性地检查诊断为ASPD的患者的法医心理健康护理实践.
- 探索护士在与这种患者群体合作时所面临的挑战和策略.
- 通过米歇尔·福柯的纪律权力概念的理论镜头来分析护理实践.
主要方法:
- 使用话语分析方法学的定性研究.
- 检查加拿大一家高度安全的法医医院的护理实践.
- 分析参与护士对挑战和策略的描述.
主要成果:
- 法医医院环境作为一个有纪律的空间,不断地观察病人并试图实现正常化.
- 患有ASPD的患者经常违反规则,造成护理人员的丧.
- 在严格遵守规则和灵活的方法之间出现了紧张关系,以改善护士-病人关系.
结论:
- 与ASPD患者的护理实践包括在纪律环境中导航.
- 策略必须平衡遵守规则与治疗灵活性,以改善患者关系.
- 为了有效的护理,需要在纪律秩序内外提出实践建议.
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