The Secret History method and the development of an ethos of care: Preparing the maternity environment for integrating mental health care in South Africa
The Secret History method and the development of an ethos of care: Preparing the maternity environment for integrating mental health care in South Africa
复制标题
DOI：
10.1177/1363461519844640
复制
发表时间：
2020-02-01
影响因子：
2.5
通讯作者：
Cooper, Sara
中科院分区：
文献类型：
--
作者：
Honikman, Simone;Field, Sally;Cooper, Sara
与许多中低收入国家一样，南非正在通过任务转移方法将精神卫生服务纳入常规初级卫生保健（PHC），以缩小治疗覆盖率的差距。然而，人们担心，这种做法将加剧目前在该国初级保健中普遍存在的护士虐待病人的现象。为了解决这一问题，围产期心理健康项目开发了其秘史方法，这是一种重要的教学干预措施，适用于在产科环境中工作的护理人员。本文介绍了该方法的理论基础和实际应用中的护士。该方法借鉴了奥古斯托·博阿尔的《被压迫者剧院》，与南非传统的护理培训相反，为护士创造了一个空间，让他们询问和重新想象护患关系。通过向护士介绍移情护理的反意识形态，该方法旨在为心理健康任务转移举措准备产妇环境，并确保这些举措更加民主，反应灵敏和人性化。
South Africa, like many low-and-middle-income countries, is integrating mental health services into routine Primary Health Care (PHC) through a task-shifting approach to reduce the gaps in treatment coverage. There is concern, however, that this approach will exacerbate nurses' abuse of patients currently common within PHC in the country. To address this concern, the Perinatal Mental Health Project developed its Secret History method, a critical pedagogical intervention for care-providers working within maternity settings. This article describes the method's theoretical underpinnings and practical application amongst nurses. Drawing on Augusto Boal's Theatre of the Oppressed and contrary to traditional nursing training in South Africa, the method creates a space for nurses to interrogate and reimagine nurse-patient relations. By introducing nurses to a counter ideology of empathic care, the method seeks to prepare the maternity environment for mental health task-shifting initiatives and ensure these initiatives are more democratic, responsive and humane.