A grounded theory model for reducing stigma in health professionals in Canada
A grounded theory model for reducing stigma in health professionals in Canada
复制标题
DOI：
10.1111/acps.12612
复制
发表时间：
2016-08-01
影响因子：
6.7
通讯作者：
Patten, S.
中科院分区：
文献类型：
--
作者：
Knaak, S.;Patten, S.
目的：加拿大精神卫生委员会是作为改善精神卫生系统的全国催化剂而成立的。其举措之一是“开放思想”，其任务是减少与心理健康有关的污名。本文报道了一项定性研究的结果，反污名干预医疗服务提供者，其中包括一个过程模型，阐明关键阶段和战略，实施成功的antistigma programmes.Method：本研究采用了扎根理论方法。数据收集包括与方案利益攸关方进行深入访谈、直接观察方案、审查方案文件以及方案参与者的质量反馈。通过常数比较法进行分析。产生了一个模型，直观地呈现关键findings.Results：23个深入的访谈进行了代表18个不同的方案。直接观察了8个方案，审查了48份方案文件，并审查了1 812名方案参与者的数据。该分析导致了一个四阶段的过程模型，实施成功的反污名化计划，针对医疗服务提供者，告知基本的社会过程“针对医疗服务提供者的根源stigma.Conclusion：通过这项研究开发的过程模型可以作为一种工具，以帮助指导反污名化计划在医疗环境中的发展和实施。
Objective: The Mental Health Commission of Canada was formed as a national catalyst for improving the mental health system. One of its initiatives is Opening Minds (OM), whose mandate is to reduce mental health-related stigma. This article reports findings from a qualitative study on antistigma interventions for healthcare providers, which includes a process model articulating key stages and strategies for implementing successful antistigma programmes.Method: The study employed a grounded theory methodology. Data collection involved in-depth interviews with programme stakeholders, direct observation of programmes, a review of programme documents, and qualitative feedback from programme participants. Analysis proceeded via the constant comparison method. A model was generated to visually present key findings.Results: Twenty-three in-depth interviews were conducted representing 18 different programmes. Eight programmes were observed directly, 48 programme documents were reviewed, and data from 1812 programme participants were reviewed. The analysis led to a four-stage process model for implementing successful antistigma programmes targeting healthcare providers, informed by the basic social process 'targeting the roots of healthcare provider stigma'.Conclusion: The process model developed through this research may function as a tool to help guide the development and implementation of antistigma programmes in healthcare contexts.