管理不可预测的事情 - - 心理健康风险管理中的权力和知识论述
Marion C A Bakke1, Frans Fluttert1,2,3, Truls I Juritzen4
1Oslo University Hospital, Oslo, Norway.
Nursing inquiry
|May 15, 2025
概括
本研究分析了患者参与和赋权如何与心理健康护理中的风险管理相互作用. 它揭示了安全协议中的科学和赋权话语之间的复杂权力动态.
科学领域:
- 心理健康护理 心理健康护理
- 风险管理策略 风险管理策略
- 话语分析 话语分析
背景情况:
- 心理健康中的安全和风险是复杂的,涉及风险管理,患者参与和赋权.
- 现有的风险管理策略可能无法充分整合患者的观点.
- 了解围绕安全协议的言论对于有效的心理健康护理至关重要.
研究的目的:
- 在早期识别方法 (ERM) 协议中分析患者参与和风险/安全管理的讨论.
- 在心理健康风险管理中探索科学医学和赋权话语之间的权力动态.
- 提供关于这些话语如何塑造心理健康护理实践的见解.
主要方法:
- 灵感来自于米歇尔·福柯的话语理论.
- 利用霍尔的六个元素进行话语分析.
- 分析了早期识别方法 (ERM) 风险管理策略的协议.
主要成果:
- ERM协议的权威是基于科学医学和赋权/患者参与话语.
- 这些话语表现出复杂的权力动态,有时是互补的,有时是冲突的.
- 确定了风险管理,患者赋权和科学权威之间的相互作用.
结论:
- 对于话语,权力和知识的福柯尔德式分析提高了对风险管理中的权力动态的认识.
- 获得的见解可以通过批判性地检查安全和风险表达来重新构建心理健康护理实践.
- 这项研究强调了需要了解专家和以患者为中心的心理健康话语之间的复杂关系.
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