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DOI: 10.1055/s-2004-813749
© Georg Thieme Verlag KG Stuttgart · New York
Wozu werden Pflegefachkräfte in der Psychiatrie gebraucht?
Entwicklung einer Theorie der pflegerischen Praxis Wir bedanken uns herzlich für die Unterstützung durch alle an der Studie beteiligten Personen. Diese Studie wurde finanziell durch das Northern and Yorkshire Research and Development Committee, NHS Executive, England, unterstützt.Publikationsverlauf
Publikationsdatum:
01. Dezember 2004 (online)
![](https://www.thieme-connect.de/media/psychpflege/200406/lookinside/thumbnails/10.1055-s-2004-813749-1.jpg)
Aktuelle Entwicklungen im Gesundheitswesen haben zu einer Überprüfung des Status von psychiatrischen Pflegefachkräften geführt. Bisher wurde aber nur unzureichend untersucht, wozu psychiatrische Pflege innerhalb eines multiprofessionellen Teams überhaupt „gebraucht” wird. Mittels einer angepassten Grounded Theory Methodologie wurde eine Theorie geringer Reichweite entwickelt, basierend auf den Aussagen von Patienten, ihren Angehörigen und Psychiatriefachkräften aus sechs Einrichtungen in England, Irland und Nordirland: Es sollte die Frage beantwortet werden, wozu psychiatrische Pflege gebraucht wird. Als Ergebnis wurde Übereinstimmung zwischen Patienten und Fachkräften festgestellt, dass die grundlegende Eigenschaft von Pflege (die Kernkategorie) aus einem Komplex von Beziehungen besteht: „Dich kennen - mich kennen”. Innerhalb dieses Komplexes können oder müssen Pflegende zwischen drei verschiedenen Domänen der Beziehungsgestaltung wechseln: gewöhnliches Ich (GI), Pseudogewöhnliches oder Artifizielles Ich (PGAI) und Professionelles Ich (PI). Vier interne Dimensionen unterscheiden diese Domänen: Genauigkeit des Kennens, Macht, Gebrauch von Zeit und Gebrauch von Übersetzung. Die dargestellte Theorie wird im Kontext des wachsenden Nutzer-(Verbaucher-)Einflusses und der Technologisierung im Gesundheitswesen diskutiert.
Literatur
- 1 Altschul A. Patient-Nurse Interaction. A Study of Interaction in Acute Psychiatric Wards. Edinburgh; Churchill Livingstone 1972
- 2 Altschul A. A personal view of psychiatric nursing. Tilley S The Mental Health Nurse: views of practice and education Oxford; Blackwell Science 1997
- 3 Audit C ommission. The Virtue of Patients Making Best Use of Ward Nursing Resources. London; HMSO 1991
- 4 Barker P. Towards a meta-theory of psychiatric nursing. Mental Health Practice. 1997; 1 18-21
- 5 Barker P. The future of the Theory of Interpersonal Relations? A personal reflection on Peplau’s legacy. Journal of Psychiatric and Mental Health Nursing. 1998; 5 213-220
- 6 Barker P. The Philosophy and Practice of Psychiatric Nursing. Edinburgh; Harcourt Brace 1999
- 7 Barker P, Jackson S, Stevenson C. The Need for Psychiatric Nursing. Report to the Northern and Yorkshire Regional Research Committee. Newcastle; University of Newcastle 1999
- 8 Barker P, Jackson S, Stevenson C. The Need for Psychiatric Nursing: Towards a Multidimensional Theory of Nursing. Nursing Inquiry. 1999; 6 104-112
- 9 Barker P, Manos E, Novak V. et al .The wounded healer and the myth of mental well-being: Ethical issues concerning the mental health status of psychiatric nurses. Barker P, Davidson B Psychiatric Nursing: Ethical Series London; Arnold 1998
- 10 Barker P. Behaviour Therapy Nursing. London; Croom Helm 1982
- 11 Barker P, Whitehill I. The craft of care: Towards collaborative caring in psychiatric nursing. Tilley S The Mental Health Nurse: Views of Practice and Education Oxford; Blackwell Science 1997
- 12 Beresford P, Campbell P. Disabled people, service users, user involvement and representation. Disability and Society. 1994; 9 315-325
- 13 Bibbles R, Roebuck J B. The meditation movement: Symbolic interactionism and synchronicity. Denzin NK Symbolic Interaction: an Annual Compilation of Research. Vol. 1 Greenwich, Conneticut; JAI Press Inc 1978: 205-240
- 14 Bowers L. Ethnomethodology II: A study of the community psychiatric nurse in the patient"s home. International Journal of Nursing Studies. 1992; 29 69-79
- 15 Boyd W. Report of the Confidential Inquiry Into Homicides and Suicides by Mentally III People. London; Royal College of Psychiatrists 1996
- 16 Brandon D. Zen and the Art of Helping. London; Routledge and Kegan Faul 1976
- 17 Brandon D. The Trick of Being Ordinary. London; Macmillan/Mind Publications 1982
- 18 Carkhuff R, Berenson B. Beyond Counselling and Therapy. New York; Holt 1967
- 19 Chamberlin J. On Our Own: Patient Controlled Alternatives to the Mental Health System. New York; McGraw-HiIl 1976
- 20 Coleman R. The Politics of the Illness Model of Voices. Recording of the Conference: ‘The Construction of Psychiatric Authority’ June 20 - 21 Longhirst Hall, Northumberland, England. Newcastle; Department of Psychiatry, University of Newcastle 1996
- 21 Cormack D FS. Psychiatric Nursing Described. London; Royal College of Nursing 1983
- 22 Dawson J P. Schizophrenia and genetics: a review and critique for the psychiatric nurse. Journal of Psychiatric and Mental Health Nursing. 1998; 5 299-308
- 23 DoH .Working for Patients. London; HMSO 1989
- 24 DoH .The Allitt inquiry: Report of the Independent-Inquiry Relating to the Deaths and Injuries on the Children"s Ward at Grantham and Kesteven General Hospital During the Period February to April 1991 (the Clothier Report). London; HMSO 1994
- 25 Erlandson D A, Harris E L, Skipper B L. et al .Doing Naturalistic Inquiry: a Guide to Methods. London; Sage 1993
- 26 Evans F. B. Harry Stack Sullivan: Interpersonal Theory and Psychotherapy. London; Routledge 1996
- 27 Fagin L. Paranoia in institutional life: Death throes of the asylum. Berke JH, Pierides S, Sabbadini A et al Even Paranoids Have Enemies: New Perspectives on Paranoia and Persecution. London: Routledge 1998
- 28 Flanagan J C. The critical incident technique. Psychological Bulletin. 1954; 51 334-358
- 29 Glaser B G, Strauss A L. The Discovery of Grounded Theory. New York; Aldine Publishing Co 1967
- 30 Holyoake D. Favourite patients: exploring labelling in inpatient culture. Nursing Standard. 1999; 13 44-47
- 31 Jackson S, Stevenson C. The gift of time from the friendly professional. Nursing Standard. 1998; 12 31-33
- 32 Jackson S, Walker L, Barker. et al . Perceptions of the psychiatric nurse"s role: a pilot study. Nursing Standard. 1997; 12 35-38
- 33 Jones A, Norman I N. Managed mental health care: problems and possibilities. Journal of Psychiatric and Mental Health Nursing. 1998; 5 21-31
- 34 Kirby C, Slevin O. A new curriculum for care. Slevin O, Buckingham M Project 2000: The Teachers Speak-Innovation in the New Curriculum Edinburgh Campion Press 1992
- 35 Kitzinger J. The methodology of focus groups: The importance of interaction between research participants. Sociology of Health and Illness. 1994; 16 1
- 36 Kotowicz Z. RD Laing and the Paths of Anti-Psychiatry. London; Routledge 1998
- 37 Latimer J. Writing patients: Writing nursing: The social construction of nursing assessment of the elderly patient on an acute medical unit. PhD Thesis: Edinburgh; University of Edinburgh 1994
- 38 Lego S. Psychiatric Nursing: a Comprehensive Textbook. New York; Lippincott 1996
- 39 Lindlof T R. Qualitative Communication Research Methods. London; Sage Publications 1995
- 40 Mackay L. Conflicts in Care: Medicine and Nursing. London; Chapman & Hall 1993
- 41 McKenna H P. Nursing Theories and Models. London; Routledge 1997
- 42 Menzies I. The Functioning of Social Systems as a defence against Anxiety: A Report on a Study of the Nursing Service of a General Hospital. London; Tavistock Publications 1960
- 43 Michael S. Invisible skills. Journal of Psychiatric and Mental Health Nursing. 1994; 1 56-57
- 44 Morgan D L. Focus Groups as Qualitative Research. London; Sage 1988
- 45 Moyle W. On Being Nurtured While Depressed. PhD Thesis: Queensland, AustraIia; Queensland University of Technology 1997
- 46 Nolan P. The History of British Mental Health Nursing. London; Chapman & Hall 1993
- 47 Onions C T. The Shorter Oxford English Dictionary. London; OUP 1962
- 48 Parse R R, Coyne A B, Smith M J. Nursing Research: Qualitative Methods. Maryland; Brady, Bowie 1985
- 49 Peplau H E. Interpersonal Relations in Nursing. New York; Putnam 1952
- 50 Peplau H E. Interpersonal constructs for nursing practice. Nurse Education Today. 1987; 7 201-208
- 51 Podvoll E. The Seduction of Madness: a Compassionate Approach to Recovery from Psychosis at Home. Century London
- 52 Ramos M C. The nurse-patient relationship: Theme and variation. Journal of Advanced Nursing. 1992; 17 496-506
- 53 Reynolds W R. A Study of the Effects of an Empathy Education Programme on Registered Nurses’ Empathy. PhD Thesis, Milton Keynes; Open University 1998
- 54 Robinette A. PCLN’s: Who are they? How can they help you?. American Journal of Nursing. 1996; 96 48-50
- 55 Sainsbury C entre for Mental Health. Pulling together: the future roles and training of mental health staff. London; SCMH 1997
- 56 Stockwell F. The Unpopular Patient. London; Royal College of Nursing 1976
- 57 Strang J. The Emotional Labour of Nursing. London; Macmillan Press 1982
- 58 Taylor B J. Being Human: Ordinariness in Nursing. Melbourne; Churchill Livingstone 1994
- 59 Tracy M A. Nursing: an Art and a Science. St. Louis; CV Mosby 1938
- 60 Travelbee J. Intervention in Psychiatric Nursing: Process in the One-to-One Relationship. Philadelphia; FA Davis and Co 1969
- 61 Walker L, Barker P. The required role of the CPN: Uniformity or Flexibility?. Clinical Effectiveness in Nursing. 1998; 2 21-27
- 62 Watts D, Morgan G. Malignant alienation. Dangers for the patients who are hard to like. British Journal of Psychiatry. 1994; 164 11-15
1 Angesichts der Vorbehalte, die Altschul [1] gegen den Begriff „mental health nursing” äußert, wird im englischen Original durchgängig der Begriff „psychiatric nursing” verwendet.
2 In Anerkennung der in großem Maß persönlichen und individuellen Auswirkungen psychischer Erkrankungen wird im Text der Begriff „Person” verwendet, statt der eher technischen Begriffe Klient, Patient oder Nutzer
Prof. P. Barker
Department of Psychiatry, University of Newcastle, Royal Victoria Infirmary
Newcastle Upon Tyne NE1 4LP
UK