Journal of Mental Health and Addiction Nursing最新文献

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Use of Standardized Patients in Mental Health Simulation 标准化患者在心理健康模拟中的应用

Journal of Mental Health and Addiction Nursing Pub Date : 2020-09-19 DOI: 10.22374/JMHAN.V4I1.43

Amber J Irwin, C. Colella

引用次数: 0

Harm Reduction, Stigma and the Problem of Low Compassion Satisfaction: 减少伤害、污名化与低同情满意度问题

Journal of Mental Health and Addiction Nursing Pub Date : 2019-07-16 DOI: 10.22374/JMHAN.V3I1.37

S. Knaak, R. Christie, S. Mercer, H. Stuart

{"title":"Harm Reduction, Stigma and the Problem of Low Compassion Satisfaction:","authors":"S. Knaak, R. Christie, S. Mercer, H. Stuart","doi":"10.22374/JMHAN.V3I1.37","DOIUrl":"https://doi.org/10.22374/JMHAN.V3I1.37","url":null,"abstract":"Background & Objective: Canada is in the midst of an opioid crisis. Given the sheer magnitude of the crisis and escalating death toll, the mobilization of harm reduction interventions is an important priority. Currently, little is known about the role played by stigmatization, particularly in terms of how this may impact the endorsement and uptake of harm reduction strategies and initiatives among front-line providers. \u0000Materials & Methods: Opening Minds, the anti-stigma initiative of the Mental Health Commission of Canada, undertook a one-and-a-half-year research project to understand the qualities, characteristics, sources, consequences, and solutions to the problem of stigmatization on the front-lines of the opioid crisis. A qualitative key informant design was selected. Participants included various first responder and health provider groups, people with lived experience of opioid or other drug use, and people in key policy or programming roles. Eight focus groups were held across Canada, and 15 one-on-one key informant interviews were completed. \u0000Results: Analysis of focus group and key informant interviews revealed three main ways in which stigma shows up on the front lines of the opioid crisis among providers. These themes coalesced around a central main problem, that of low compassion satisfaction. Suggestions for how these concerns can be addressed were also identified. \u0000Conclusion: The findings from this research revealed several key ways that stigma ‘shows up’ in the experiences and perceptions of front-line providers and provide several promising avenues for combatting stigmatization related to opioid use and harm reduction. An important avenue for future research is to develop and elaborate on the theoretical connections between the concepts of stigmatization and compassion satisfaction as a way to better understanding the problem of stigmatization in helping environments.","PeriodicalId":129214,"journal":{"name":"Journal of Mental Health and Addiction Nursing","volume":"120 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133690172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 19

Sowing a Seed of Safety: Providing Culturally Safe Care in Acute Care Settings for People who use Drugs 播下安全的种子:在急症护理环境中为吸毒者提供文化上安全的护理

Journal of Mental Health and Addiction Nursing Pub Date : 2019-05-31 DOI: 10.22374/JMHAN.V3I1.33

J. McCall, B. Pauly

{"title":"Sowing a Seed of Safety: Providing Culturally Safe Care in Acute Care Settings for People who use Drugs","authors":"J. McCall, B. Pauly","doi":"10.22374/JMHAN.V3I1.33","DOIUrl":"https://doi.org/10.22374/JMHAN.V3I1.33","url":null,"abstract":"This paper reviews the concept of cultural safety from the perspective of people who use illicit drugs and nurses in a hospital setting. \u0000 \u0000Background \u0000Illicit drug use is often highly stigmatized and people who use illicit drugs often report negative healthcare experiences contributing to inequities in health and access to healthcare. Registered nurses play a key role in the delivery of healthcare when people who use drugs are hospitalized but often face difficulties in the provision of care. We explored understandings and meanings of cultural safety in healthcare as an approach to mitigate stigma and to promote health equity. \u0000 \u0000Design and Methods \u0000Within an overall participatory approach to the research, we employed a qualitative ethnographic approach undertaking 275 hours of participant observation and conducting 34 open-ended interviews with 15 patients and 19 nurses on two acute care hospital units in 2012 and 2013. Result/Findings: Culturally safe care requires recognizing stereotypes and power imbalances; prioritizing trust and building relationships as important outcomes; giving patients space and time; and addressing conflicting organizational values and policies. \u0000 \u0000Conclusions \u0000Providing culturally safe care requires organizational culture shifts that recognize the importance of historical, societal, and political forces that influence the way in which illicit drug use and people who use illicit drugs are constructed in society. \u0000 \u0000 ","PeriodicalId":129214,"journal":{"name":"Journal of Mental Health and Addiction Nursing","volume":"11 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116863860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15