记录耻辱:一项描述性的定性研究精神病学紧急情况的攻击性事件的笔记
Arianne Imbeault1,2, Vincent Billé3,4, Guyane Lessard3,4
1Psychology Department, Université de Montréal, Montréal, Québec, Canada.
Issues in mental health nursing
|June 11, 2025
概括
在精神病紧急情况中的临床笔记可以使患者的耻辱感永存. 这项研究发现,记录实践需要进行制度变革,以获得更加以人为中心,以创伤为基础的护理.
科学领域:
- 精神病学是一个精神病学.
- 心理健康研究 心理健康研究
- 卫生社会学 卫生社会学
背景情况:
- 临床笔记可以无意中加强耻辱和权力不平衡.
- 在精神卫生机构记录的攻击事件可能反映工作场所的文化,使负面看法延续.
研究的目的:
- 探索接受护理的个体在精神病紧急情况中的侵略事件后在临床笔记中是如何表示的.
- 确定有助于患者耻辱化的记录实践.
主要方法:
- 追溯的描述性定性设计.
- 从加拿大精神病医疗急救服务 (2012-2019) 108份临床笔记进行主题分析.
- 在耻辱概念化理论的指导下.
主要成果:
- 出现了四个主题:个人污名化,层次性身份,结构性污名化和富有同情心的方法.
- 记录实践可以塑造患者的污名化和社会隔离.
- 证据表明,在一些文献中,人们正在转向更加富有同情心的方法.
结论:
- 需要进行制度变革,以获得细微,反思性和创伤信息的文档.
- 建议对创伤信息,恢复导向和基于人权的文档进行培训.
- 未来的研究应该检查机构实践和培训对患者结果的影响.
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