Psychiatric staff report that the use of coercion towards patients in psychiatric care engenders feelings of discomfort and conflicts. The aim of this study was to describe psychiatric nurses' experiences of participating in reflection groups focused on the use of coercion, in relation to their views regarding systematic clinical supervision and staff support. Twenty-one nurses who had participated in reflection groups were interviewed retrospectively. The structured interview focused on: (i) their views of clinical supervision and support in general; (ii) their views of clinical supervision and support specifically concerning the use of coercion; and (iii) their experiences of participating in groups reflecting the use of coercion. Nurses were largely positive about participating in reflection groups, as expressed in the subthemes: having time for reflection; being confirmed; gaining new perspectives; sharing fellowship with colleagues; and relating more effectively to patients. Complications concerning participation in the reflection groups and other forms of clinical supervision as reported by nurses were: providing time for participation; having a common aim; being vulnerable in difficult situations; and assuming that the need for supervision and support could indicate that they were not coping with their job.

译文

精神科工作人员报告说,在精神科护理中对患者使用胁迫会引起不适和冲突的感觉。这项研究的目的是描述精神科护士参加针对强迫使用的反思小组的经历,以及他们对系统的临床监督和人员支持的看法。回顾性采访了参加反思小组的21名护士。结构化访谈的重点是 :( i) 他们对临床监督和总体支持的看法; (ii) 他们对临床监督和支持的看法,特别是关于强制使用的意见; (iii) 他们参加反映强制使用的小组的经验。正如子主题所表达的那样,护士对参加反思小组持积极态度: 有时间反思; 被确认; 获得新观点; 与同事分享奖学金; 并更有效地与患者联系。护士报告的参与反思小组和其他形式的临床监督的并发症是: 提供参与时间; 有共同的目标; 在困难的情况下脆弱; 并假设需要监督和支持可能表明他们没有应付自己的工作。

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