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首页> 外文期刊>Mental health and social inclusion >The development of recovery based nursing in a high-security hospital: nurturance and safe spaces in a dangerous world?
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The development of recovery based nursing in a high-security hospital: nurturance and safe spaces in a dangerous world?

机译：高安全性医院中基于恢复的护理的发展：危险世界中的养育和安全空间？

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The purpose of this paper is to derive from an on-going, innovative, project to explore the concept, and application, of "recovery" in the care and clinical management of patients detained in one UK high-security hospital. Design/methodology/approach - Utilising a qualitative, action research, methodology the aim was to involve forensic mental health nurses in a collaborative, client-centred approach to identification and resolution of dilemmas in the process of planning care for offender-patients. Findings - In this context the authors identify constraints and contradictions involved in employing recovery principles in institutions critics refer to as part of the disciplinary apparatus of psychiatric and social control; where the taken for granted lives, and relations, of an incarcerated population are measured by the calendar, not the clock. Research limitations/implications - Protective practices remain highly relevant in high-secure practice. Safety, an important value for all can by and large be achieved through recovery approaches. The humanistic elements of recovery can offer up safe and useful methods of deploying the mental health nurse on the ward. Many nurses have the prerequisite approach but there remains a wide scope to enhance those skills. Many see the approach as axiomatic though nurse education often prepares nurses with a biomedical view of the ward. Practical implications - Currently, philosophical tenets of recovery are enshrined in contemporary health policy and professional directives but, as yet, have not been translated into high-secure settings. Drawing on preliminary findings, attention is given to the value of socially situated approaches in challenging historic dominance of a medical model. Social implications - It is concluded that recovery could be a forerunner of reforms necessary for the continued relevance of high-secure care into the twenty-first century. Originality/value - This research is located in high-secure setting. The social situation is marked by the extent of the isolation involved. A value is in this situation. First it is akin to the isolation of the tribe utilised by many anthropologists for their ability to adopt the "social laboratory" status to test out theories of behaviour in industrial society. The authors urge others to utilise this research in this way. Second, the situation represents the locus of so many of societies dilemmas, paradoxes and fears that moral issues morph from what is the mundane in wider society. In this way humanistic approaches are tested via action research with nurses in some rigouous ways.
机译：本文的目的是通过一个正在进行的创新项目来探索“恢复”在英国一家高安全性医院中被关押的患者的护理和临床管理中的概念和应用。设计/方法/方法-利用定性的，行动研究的方法，其目的是让法医精神卫生护士以协作，以客户为中心的方式，在规划和规划罪犯患者的过程中，以客户为中心，以识别和解决难题。调查结果-在这种情况下，作者确定了在机构批评家中采用康复原则所涉及的限制和矛盾，批评家将其视为精神病学和社会控制的纪律手段的一部分;被拘留者的理所当然的生活和关系，是通过日历而非时钟来衡量的。研究的局限性/意义-保护性实践在高安全性实践中仍然具有高度的相关性。安全，对所有人来说都是重要的价值，可以通过恢复方法来实现。康复的人文元素可以提供在病房中部署精神保健护士的安全和有用的方法。许多护士都有先决条件，但仍有很大的空间可以提高这些技能。尽管护士教育经常使护士从病房的生物医学角度出发，但许多人还是认为这种方法是公理的。实际意义-当前，恢复的哲学宗旨已被纳入当代卫生政策和专业指示中，但至今尚未转化为高度安全的环境。利用初步的发现，关注社会定位方法在挑战医学模型的历史主导地位方面的价值。社会影响-结论是，恢复可能是改革的先驱，而改革对于使高安全性护理持续适用于二十一世纪是必要的。创意/价值-这项研究位于高安全性的环境中。社会状况的特征在于所涉及的孤立程度。在这种情况下有一个值。首先，这类似于许多人类学家所采用的部落的隔离，因为他们能够采用“社会实验室”身份来检验工业社会的行为理论。作者敦促其他人以这种方式利用这项研究。第二，这种情况代表了许多社会困境，悖论和恐惧的根源，道德问题从更广泛的社会的平凡中演变而来。通过这种方式，通过与护士的严密行动研究，对人文主义方法进行了测试。

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