Wozu werden Pflegefachkräfte in der Psychiatrie gebraucht?

P. Barker; S. Jackson; C. Stevenson

doi:10.1055/s-2004-813749

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PPH 2004; 10(6): 327-335
DOI: 10.1055/s-2004-813749

Pflegeforschung

Wozu werden Pflegefachkräfte in der Psychiatrie gebraucht?

Entwicklung einer Theorie der pflegerischen PraxisP. Barker¹ , S. Jackson¹ , C. Stevenson¹

¹Der Artikel ist zuerst erschienen im „Journal of Psychiatric and Mental Health Nursing” 1999; 6: 273 - 282. Der Abdruck erfolgt mit freundlicher Genehmigung des Verlages Blackwell Science Ltd. Übersetzung aus dem Englischen: Thomas Fischer

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.

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Publication History

Publication Date:
01 December 2004 (online)

Abstract
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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

Google Scholar
2 Altschul A. A personal view of psychiatric nursing. Tilley S The Mental Health Nurse: views of practice and education Oxford; Blackwell Science 1997

Google Scholar
3 Audit C ommission. The Virtue of Patients Making Best Use of Ward Nursing Resources. London; HMSO 1991

Google Scholar
4 Barker P. Towards a meta-theory of psychiatric nursing. Mental Health Practice. 1997; 1 18-21

Google Scholar
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

Crossref Google Scholar
6 Barker P. The Philosophy and Practice of Psychiatric Nursing. Edinburgh; Harcourt Brace 1999

Google Scholar
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

Google Scholar
8 Barker P, Jackson S, Stevenson C. The Need for Psychiatric Nursing: Towards a Multidimensional Theory of Nursing. Nursing Inquiry. 1999; 6 104-112

Google Scholar
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

Google Scholar
10 Barker P. Behaviour Therapy Nursing. London; Croom Helm 1982

Google Scholar
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

Google Scholar
12 Beresford P, Campbell P. Disabled people, service users, user involvement and representation. Disability and Society. 1994; 9 315-325

Google Scholar
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

Google Scholar
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

Crossref Google Scholar
15 Boyd W. Report of the Confidential Inquiry Into Homicides and Suicides by Mentally III People. London; Royal College of Psychiatrists 1996

Google Scholar
16 Brandon D. Zen and the Art of Helping. London; Routledge and Kegan Faul 1976

Google Scholar
17 Brandon D. The Trick of Being Ordinary. London; Macmillan/Mind Publications 1982

Google Scholar
18 Carkhuff R, Berenson B. Beyond Counselling and Therapy. New York; Holt 1967

Google Scholar
19 Chamberlin J. On Our Own: Patient Controlled Alternatives to the Mental Health System. New York; McGraw-HiIl 1976

Google Scholar
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

Google Scholar
21 Cormack D FS. Psychiatric Nursing Described. London; Royal College of Nursing 1983

Google Scholar
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

Crossref Google Scholar
23 DoH .Working for Patients. London; HMSO 1989

Google Scholar
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

Google Scholar
25 Erlandson D A, Harris E L, Skipper B L. et al .Doing Naturalistic Inquiry: a Guide to Methods. London; Sage 1993

Google Scholar
26 Evans F. B. Harry Stack Sullivan: Interpersonal Theory and Psychotherapy. London; Routledge 1996

Google Scholar
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

Google Scholar
28 Flanagan J C. The critical incident technique. Psychological Bulletin. 1954; 51 334-358

Google Scholar
29 Glaser B G, Strauss A L. The Discovery of Grounded Theory. New York; Aldine Publishing Co 1967

Google Scholar
30 Holyoake D. Favourite patients: exploring labelling in inpatient culture. Nursing Standard. 1999; 13 44-47

Google Scholar
31 Jackson S, Stevenson C. The gift of time from the friendly professional. Nursing Standard. 1998; 12 31-33

Google Scholar
32 Jackson S, Walker L, Barker. et al . Perceptions of the psychiatric nurse"s role: a pilot study. Nursing Standard. 1997; 12 35-38

Google Scholar
33 Jones A, Norman I N. Managed mental health care: problems and possibilities. Journal of Psychiatric and Mental Health Nursing. 1998; 5 21-31

Crossref Google Scholar
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

Google Scholar
35 Kitzinger J. The methodology of focus groups: The importance of interaction between research participants. Sociology of Health and Illness. 1994; 16 1

Google Scholar
36 Kotowicz Z. RD Laing and the Paths of Anti-Psychiatry. London; Routledge 1998

Google Scholar
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

Google Scholar
38 Lego S. Psychiatric Nursing: a Comprehensive Textbook. New York; Lippincott 1996

Google Scholar
39 Lindlof T R. Qualitative Communication Research Methods. London; Sage Publications 1995

Google Scholar
40 Mackay L. Conflicts in Care: Medicine and Nursing. London; Chapman & Hall 1993

Google Scholar
41 McKenna H P. Nursing Theories and Models. London; Routledge 1997

Google Scholar
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

Google Scholar
43 Michael S. Invisible skills. Journal of Psychiatric and Mental Health Nursing. 1994; 1 56-57

Google Scholar
44 Morgan D L. Focus Groups as Qualitative Research. London; Sage 1988

Google Scholar
45 Moyle W. On Being Nurtured While Depressed. PhD Thesis: Queensland, AustraIia; Queensland University of Technology 1997

Google Scholar
46 Nolan P. The History of British Mental Health Nursing. London; Chapman & Hall 1993

Google Scholar
47 Onions C T. The Shorter Oxford English Dictionary. London; OUP 1962

Google Scholar
48 Parse R R, Coyne A B, Smith M J. Nursing Research: Qualitative Methods. Maryland; Brady, Bowie 1985

Google Scholar
49 Peplau H E. Interpersonal Relations in Nursing. New York; Putnam 1952

Google Scholar
50 Peplau H E. Interpersonal constructs for nursing practice. Nurse Education Today. 1987; 7 201-208

Crossref Google Scholar
51 Podvoll E. The Seduction of Madness: a Compassionate Approach to Recovery from Psychosis at Home. Century London

Google Scholar
52 Ramos M C. The nurse-patient relationship: Theme and variation. Journal of Advanced Nursing. 1992; 17 496-506

Google Scholar
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

Google Scholar
54 Robinette A. PCLN’s: Who are they? How can they help you?. American Journal of Nursing. 1996; 96 48-50

Google Scholar
55 Sainsbury C entre for Mental Health. Pulling together: the future roles and training of mental health staff. London; SCMH 1997

Google Scholar
56 Stockwell F. The Unpopular Patient. London; Royal College of Nursing 1976

Google Scholar
57 Strang J. The Emotional Labour of Nursing. London; Macmillan Press 1982

Google Scholar
58 Taylor B J. Being Human: Ordinariness in Nursing. Melbourne; Churchill Livingstone 1994

Google Scholar
59 Tracy M A. Nursing: an Art and a Science. St. Louis; CV Mosby 1938

Google Scholar
60 Travelbee J. Intervention in Psychiatric Nursing: Process in the One-to-One Relationship. Philadelphia; FA Davis and Co 1969

Google Scholar
61 Walker L, Barker P. The required role of the CPN: Uniformity or Flexibility?. Clinical Effectiveness in Nursing. 1998; 2 21-27

Google Scholar
62 Watts D, Morgan G. Malignant alienation. Dangers for the patients who are hard to like. British Journal of Psychiatry. 1994; 164 11-15

Google Scholar

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