习惯性暴力:检查长期住院护理工作者对非自愿治疗的观点
MacGregor Goodman1, Laura M Funk2, Rachel V Herron3
1School of Social Work, York University, Toronto, Ontario, Canada.
The Gerontologist
|September 19, 2025
概括
长期住院护理 (LTRC) 的医疗保健工作者在提供非自愿治疗时面临着困境. 工人安全问题和感知到的必要性影响决策,影响居民的自主权和尊严.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健管理的管理
- 卫生社会学 卫生社会学
背景情况:
- 长期住院护理 (LTRC) 的非自愿治疗可能会伤害住院居民和工作人员.
- 了解员工对提供针对居民拒绝的护理的看法至关重要.
研究的目的:
- 探索员工如何以及何时提供非自愿治疗.
- 检查影响员工接受或拒绝非自愿治疗的因素.
主要方法:
- 用加拿大LTRC设施的采访和观察进行定性研究设计.
- 由福考尔德的权力和结构性暴力概念指导的解释性编码.
主要成果:
- 关于潜在的工人伤害的信念影响了对非自愿治疗的接受/拒绝.
- 工作人员对诸如身体限制居民等做法表示怀疑.
- 工人受伤的风险和对责备的恐惧塑造了对非自愿治疗的决定.
结论:
- 工作人员的叙述揭示了LTRC缺乏人际和组织安全.
- 非自愿的治疗做法可能会破坏居民的自主权和尊严.
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