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When health care workers experience mental ill health: Institutional practices of silence

机译:当医护人员遇到精神疾病时:保持沉默的机构做法

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Based on findings from an institutional ethnography in a large mental health organization, we explore how institutional forces shape the experiences of health care workers with mental health issues. We interviewed 20 employees about their personal experiences with mental health issues and work and 12 workplace stakeholders about their interactions with workers who had mental health issues. We also reviewed organizational texts related to health, illness, and productivity. In analyzing transcripts and texts, silence emerged as a core underlying process characterizing individual and organizational responses to employees with mental health issues. Silence was an active practice that took many forms; it was pervasive, complex, and at times, paradoxical. It served many functions for workers and the organization. We discuss the theoretical and practical implications of the findings for workers with mental health issues.
机译:基于大型精神卫生组织中一项民族志研究的发现,我们探讨了制度力量如何塑造患有精神卫生问题的医护人员的经历。我们采访了20名员工,了解他们在心理健康问题和工作方面的个人经历,并采访了12位工作场所利益相关者,了解他们与有心理健康问题的工人之间的互动。我们还审查了有关健康,疾病和生产力的组织文本。在分析笔录和文本时,沉默已成为表征个人和组织对员工心理健康问题的反应的核心基础过程。沉默是一种积极的行为,有多种形式。它无处不在,复杂,有时甚至是自相矛盾的。它为工人和组织提供了许多功能。我们讨论了研究结果对精神健康工作者的理论和实践意义。

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