在安大略省探索饮食障碍治疗的统治关系
Sarah Costantini1, Carla Rice2
1University of Guelph, Guelph, ON, Canada. scostant@uoguelph.ca.
Journal of eating disorders
|August 15, 2025
概括
饮食障碍 (ED) 治疗的临床医生面临着平衡协作护理与强制性指令的挑战. 这项研究强调了需要关系式方法,而不是在ED护理中的标准化,限制性模型.
科学领域:
- 健康和疾病的社会学
- 医疗保健服务研究 医疗服务研究
- 危急的公共卫生问题
背景情况:
- 饮食障碍 (ED) 治疗通常采用控制,指令模型,服务用户对此有负面的体验.
- 最近安大略省的质量标准旨在改革ED治疗,因为COVID-19后需求增加.
- 现有的ED治疗系统是紧张和资源不足的,需要检查护理实践.
研究的目的:
- 探索临床医生如何在ED治疗环境中提供护理.
- 了解影响临床医生的护理能力的组织,程序和演讲因素.
- 确定潜在的新途径,以更好地满足各种需求的ED治疗.
主要方法:
- 使用了机构民族学 (IE) 方法.
- 与六位不同的临床医生 (精神病医生,营养学家,心理学家,社会工作者,心理治疗师) 进行了深入采访.
- 对核心治疗指导文件进行了文字分析,随后进行了索引,映射和账户编写.
主要成果:
- 在临床医生对协作护理的渴望和对严格的,时间有限的治疗指令的要求之间存在着紧张关系.
- 标准化,基于证据的治疗模式可以导致护理的配额化和非正式的胁迫.
- "护理作为治疗"和"黄金标准"治疗话语影响临床医生的实践,特别是在不遵守期间.
结论:
- 这项研究是ED领域的第一个IE,独特地连接实践,文本和机构话语.
- 调查结果显示,需要在ED护理中从生物识别关注转向关联性.
- 开发替代护理途径对于解决服务用户多样性和ED治疗中的护理差距至关重要.
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