护理管理人员对导致精神病医院虐待的因素的看法:反思性的专题分析
Kei Matoba1, So Yayama1, Taiki Teshima1
1Faculty of Nursing, Kansai Medical University, Hirakata, Osaka, Japan.
International journal of nursing studies advances
|September 22, 2025
概括
精神病学护理管理人员确定了系统性,个人和环境因素,这些因素导致日本精神病医院的住院病人遭受虐待. 调查结果强调需要改进政策和护士经理发展,以提高患者安全和护理.
科学领域:
- 精神病学是一个精神病学.
- 护理管理 护理管理
- 医疗保健的质量 医疗保健的质量
背景情况:
- 有证据表明,强迫和虐待发生在精神病医院.
- 日本精神病医疗保健系统的监护方法和长期住院护理可能会增加滥用风险.
- 对虐待动态和精神病机构医院文化/管理的作用的研究是有限的.
研究的目的:
- 调查精神病学护理管理人员关于导致住院虐待的因素的经验.
- 从管理角度探讨精神病医院虐待的系统性,个人和环境因素.
主要方法:
- 一个多站点,现象学,定性,描述性的研究.
- 半结构面试与日本四家医院的18名护士经理进行.
- 使用反射性主题分析来确定与滥用贡献者相关的主题和子主题.
主要成果:
- 六个关键主题出现了,详细介绍了系统性挑战 (例如,财务,人员),组织文化问题 (例如,孤立性,过时的做法),功能障碍的团队动态,患者护士关系不对称性,复杂的疾病因素滥用检测,以及护士之间的专业身份脆弱.
- 参与者确定了导致住院虐待的结构性,文化和人际关系因素.
结论:
- 护士经理在识别导致住院虐待的因素方面至关重要.
- 研究结果强调,需要制定支持以患者为中心的护理政策,并赋予护士管理人员以促进更安全的精神病学环境的权力.
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