[心理健康与人权:专业人员在西班牙马德里接受机械约束使用培训的经验]。

IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Luis Nocete Navarro, Víctor López de Loma Osorio, María Fe Bravo Ortiz, Alberto Fernández Liria
{"title":"[心理健康与人权:专业人员在西班牙马德里接受机械约束使用培训的经验]。","authors":"Luis Nocete Navarro,&nbsp;Víctor López de Loma Osorio,&nbsp;María Fe Bravo Ortiz,&nbsp;Alberto Fernández Liria","doi":"10.18294/sc.2021.3045","DOIUrl":null,"url":null,"abstract":"<p><p>Mechanical restraint is a coercive procedure in psychiatry, which despite being permitted in Spain, raises significant ethical conflicts. Several studies argue that non-clinical factors - such as professionals' experiences and contextual influences - may play a more important role than clinical factors (diagnosis or symptoms) in determining how these measures are employed. The aim of this study is to understand how the experiences of mental health professionals in training relate to the use of mechanical restraints in Madrid's mental health network. Qualitative phenomenological research was conducted through focus groups in 2017. Interviews were transcribed for discussion and thematic analysis with Atlas.ti. Descriptive results suggest that these measures generate emotional distress and conflict with their role as caregivers. Our findings shed light on different factors related to their experiences and contexts that are important in understanding the use of mechanical restraint, as well as the contradictions of care in clinical practice.</p>","PeriodicalId":44640,"journal":{"name":"Salud Colectiva","volume":"17 ","pages":"e3045"},"PeriodicalIF":0.6000,"publicationDate":"2021-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"[Mental health and human rights: The experience of professionals in training with the use of mechanical restraints in Madrid, Spain].\",\"authors\":\"Luis Nocete Navarro,&nbsp;Víctor López de Loma Osorio,&nbsp;María Fe Bravo Ortiz,&nbsp;Alberto Fernández Liria\",\"doi\":\"10.18294/sc.2021.3045\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Mechanical restraint is a coercive procedure in psychiatry, which despite being permitted in Spain, raises significant ethical conflicts. Several studies argue that non-clinical factors - such as professionals' experiences and contextual influences - may play a more important role than clinical factors (diagnosis or symptoms) in determining how these measures are employed. The aim of this study is to understand how the experiences of mental health professionals in training relate to the use of mechanical restraints in Madrid's mental health network. Qualitative phenomenological research was conducted through focus groups in 2017. Interviews were transcribed for discussion and thematic analysis with Atlas.ti. Descriptive results suggest that these measures generate emotional distress and conflict with their role as caregivers. Our findings shed light on different factors related to their experiences and contexts that are important in understanding the use of mechanical restraint, as well as the contradictions of care in clinical practice.</p>\",\"PeriodicalId\":44640,\"journal\":{\"name\":\"Salud Colectiva\",\"volume\":\"17 \",\"pages\":\"e3045\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2021-03-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Salud Colectiva\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.18294/sc.2021.3045\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Salud Colectiva","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.18294/sc.2021.3045","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 1

摘要

在精神病学中,机械约束是一种强制性程序,尽管在西班牙是允许的,但它引发了重大的伦理冲突。一些研究认为,在决定如何使用这些措施方面,非临床因素——如专业人员的经验和环境影响——可能比临床因素(诊断或症状)发挥更重要的作用。本研究的目的是了解心理健康专业人员在培训中的经验与马德里心理健康网络中使用机械约束的关系。2017年通过焦点小组进行了定性现象学研究。采访记录下来,供Atlas.ti进行讨论和专题分析。描述性结果表明,这些措施产生情绪困扰和冲突与他们作为照顾者的角色。我们的研究结果揭示了与他们的经历和背景相关的不同因素,这些因素对于理解机械约束的使用以及临床实践中护理的矛盾都很重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Mental health and human rights: The experience of professionals in training with the use of mechanical restraints in Madrid, Spain].

Mechanical restraint is a coercive procedure in psychiatry, which despite being permitted in Spain, raises significant ethical conflicts. Several studies argue that non-clinical factors - such as professionals' experiences and contextual influences - may play a more important role than clinical factors (diagnosis or symptoms) in determining how these measures are employed. The aim of this study is to understand how the experiences of mental health professionals in training relate to the use of mechanical restraints in Madrid's mental health network. Qualitative phenomenological research was conducted through focus groups in 2017. Interviews were transcribed for discussion and thematic analysis with Atlas.ti. Descriptive results suggest that these measures generate emotional distress and conflict with their role as caregivers. Our findings shed light on different factors related to their experiences and contexts that are important in understanding the use of mechanical restraint, as well as the contradictions of care in clinical practice.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Salud Colectiva
Salud Colectiva PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.40
自引率
0.00%
发文量
23
审稿时长
26 weeks
期刊介绍: Salud Colectiva publica análisis y resultados de investigaciones, debates entre diferentes autores, artículos de opinión, conferencias, documentos y reseñas históricas, en español, que problematicen el campo de la Salud Colectiva desde diferentes disciplinas y saberes.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信