"To be treated as a human': Using co-production to explore experts by experience involvement in mental health nursing education - The COMMUNE project

"To be treated as a human': Using co-production to explore experts by experience involvement in mental health nursing education - The COMMUNE project
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DOI:
10.1111/inm.12435
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发表时间:
2018-08-01
影响因子:
5.6
通讯作者:
Biering, Pall
Biering, Pall
中科院分区:
医学2区
文献类型:
--
作者:
Horgan, Aine;Manning, Fionnuala;Biering, Pall

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越来越多的专家根据个人经验或心理健康服务使用情况,参与护士的教育;然而,伴随的研究是有限的,并且主要集中于护士教育者和学生的意见。本研究的目的是了解那些有心理健康服务使用经验的人对心理健康护理教育的潜在贡献。该研究是国际 COMMUNE(心理健康护理教育联合制作)项目的一部分,该项目旨在为本科护理生开发和评估联合制作的心理健康内容。采用定性描述性设计,通过在欧洲和澳大利亚七个地点进行焦点小组访谈收集数据。经验丰富的专家(具有痛苦、服务使用和恢复经验的人)与护理学者合作共同制作了该项目。联合制作丰富了数据收集的过程,有利于从多个角度对数据进行分析。本文提出了两个主题。第一个重点是经验丰富的专家如何通过了解诊断标签背后人类固有的优势来增强学生对康复的理解。第二个强调了沟通和自我反思对个人价值观的重要性,学生可以与有生活经历的人一起探索自己对精神困扰的想法和感受。通过课堂经验与专家互动可以帮助在护理实习之前挑战污名化态度。这些发现可以通过增加对使用服务的人所重视的护理技能的关注来为国际护理课程提供信息。
Increasingly, experts as deemed by personal experience or mental health service use, are involved in the education of nurses; however, accompanying research is limited and focuses primarily on opinions of nurse educators and students. The aim of this study was to develop an understanding of the potential contribution to mental health nursing education by those with experience of mental health service use. The research was part of the international COMMUNE (Co-production of Mental Health Nursing Education) project, established to develop and evaluate co-produced mental health content for undergraduate nursing students. A qualitative descriptive design was adopted with data collected through focus group interviews in seven sites across Europe and Australia. Experts by experience (people with experience of distress, service use, and recovery) co-produced the project in partnership with nursing academics. Co-production enriched the process of data collection and facilitated the analysis of data from multiple perspectives. Two themes are presented in this paper. The first focuses on how experts by experience can enhance students' understanding of recovery by seeing the strengths inherent in the human' behind the diagnostic label. The second highlights the importance of communication and self-reflection on personal values, where students can explore their own thoughts and feelings about mental distress alongside those with lived experience. Interacting with experts by experience in the classroom can assist in challenging stigmatizing attitudes prior to nursing placements. These findings can be used to inform international nursing curricula by increasing the focus on nursing skills valued by those who use the services.