当精神病医疗服务成为等候室时:患者和护士经历的非自愿承诺和治疗的情境分析
Pierre Pariseau-Legault1, David Pelosse1, Emmanuelle Bernheim2
1Université du Québec en Outaouais, Saint-Jerome, QC, Canada.
Clinical nursing research
|March 12, 2025
概括
精神病护士经常使用非自愿的承诺和治疗方法,将护理限制在药物治疗和法律遵守上. 这项研究揭示了这种强制性做法如何对患者和护士产生负面影响,突出了对不体面护理的抵抗力.
科学领域:
- 精神病学护理 精神病学护理
- 医疗保健中的人权.
- 心理健康中的强制性实践
背景情况:
- 文献表明,护士参与非自愿的承诺和治疗.
- 强制性做法引发了关于人权和对患者和工作人员的负面影响的担忧.
- 现有的知识缺乏关于这些实践在精神病护理中的特点和影响的细节.
研究的目的:
- 探索非自愿承诺和治疗期间护理护理的特点.
- 了解影响精神病护理强制实践的因素.
- 调查患者和护士对非自愿精神病治疗的经验.
主要方法:
- 定性情形分析. 定性情形分析.
- 与10名护士和11名患者进行半结构面试.
- 基于理论的数据分析方法,包括编码,常数比较和关系映射.
主要成果:
- 出现了四个概念类别:"精神病学作为等待室"",护士作为下属"",除了药物之外没有别的东西"和"抵制不体面的护理".
- 精神病学护理实践似乎局限于施加强制力量,主要是通过强制药物管理.
- 患者的痛苦往往被忽视为遵守法律程序,导致被遗弃的感觉和负面后果.
结论:
- 强迫性承诺和治疗中的临床问题与护理的概念有关,通常仅限于强制措施.
- 精神护理专注于强制权力,忽视了患者的痛苦和人权.
- 患者拒绝护理可能代表对生物医学精神病学暴力的抵抗,而不是拒绝帮助.
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