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首页> 外文期刊>Social science and medicine >Rethinking nurses' observations: psychiatric nursing skills and invisibility in an acute inpatient setting.
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Rethinking nurses' observations: psychiatric nursing skills and invisibility in an acute inpatient setting.

机译：重新思考护士的观察结果：急性住院患者的精神病学护理技巧和隐形性。

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摘要

In sociological, managerial and clinical investigations of psychiatric nursing, the skills of observing patients are compared unfavourably with nurses' ability to listen, to interview and to engage with patients. This paper examines how nurses in an acute psychiatry unit used observation as a significant part of their everyday assessments of patients, through a working shift. We argue that the knowledge generated in observations is essential to the nurses' gaze in this setting. Based on an ethnographic study of the assessment practices of 11 psychiatric nurses and the first author in an Australian hospital setting, we found that nurses' observations of patients were rich in situated assessment detail and a powerful strategy for producing civil conduct among patients. In particular, we noted how nurses deliberately obscured their practice of observation, in order not to provoke patients. While such discreet practice is productive for everyday clinical work, the invisibility of nursing observations undermines the status of acute inpatient psychiatric nurses. Devaluing of tacit practice may encourage experienced nurses to leave inpatient units, at a time when hospitals struggle to address nursing shortages worldwide. We recommend instead that the productive value of diverse and situated practices be investigated and articulated.
机译：在精神病学护理的社会学，管理学和临床研究中，将观察患者的技能与护士的聆听，访谈和与患者交往的能力进行了比较。本文研究了急性精神病科护士通过轮班工作如何将观察作为患者日常评估的重要部分。我们认为，在这种情况下，观察中产生的知识对于护士的凝视至关重要。基于对11位精神科护士的评估实践的民族志研究，以及澳大利亚医院环境中的第一位作者，我们发现护士对患者的观察丰富了各种评估细节，并且是在患者之间产生民事行为的有效策略。特别是，我们注意到护士如何故意遮掩观察行为，以免招惹患者。尽管这种谨慎的做法对日常临床工作很有用，但护理观察的隐蔽性却破坏了急性住院精神病护士的地位。在医院努力解决世界范围内护理短缺的时候，默契做法的贬值可能会鼓励经验丰富的护士离开住院部门。相反，我们建议调查并阐明各种实践的生产价值。

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