Empowerment: A Contemporary Approach to Community Mental Health Nursing Practice

Abstract

Traditional healthcare practices are not fully efficient; thus, it can be said that individuals with chronic mental disorders living within society can benefit from implementation of new approaches such as empowerment. This approach is defined as the process in which an individual with a mental disorder gains knowledge, skills and attitudes enabling him to adapt to relationships in “normal” life so as to eliminate the inevitability of compulsory hospitalizations. With the empowerment approach, it becomes clear that new fields of creativity and different fields of power can be discovered in these individuals. The article aims to discuss this process.

Keywords

• Empowerment,community mental health

Güçlendirme (Empowerment): Toplum Ruh Sağlığı Hemşireliği Uygulamaları için Güncel bir Yaklaşım

Abstract

Geleneksel tedavi ve bakım uygulamalarının yeterince işlevsel olmadığı durumlarda, hemşirenin güçlendirme gibi yeni yaklaşımları uygulamalarına taşımaları toplumda yaşayan kronik ruhsal bozukluğu olan bireyler için kazanç olacağını söylemek hiçte yanlış olmaz. Yaklaşım, ruhsal bozukluğu olan bireyin zorunlu hastane yatışlarının kaçınılmazlığını ortadan kaldırmak “normal” yaşamdaki ilişkilerine yeniden uyum sağlamasını sağlayacak bilgi, beceri ve tutumları kazandığı süreç olarak tanımlanır. Güçlendirme yaklaşımıyla söz konusu bireylerde yeni yaratıcılık alanlarıyla birlikte farklı güç alanlarının keşfedileceği açıktır. Bu makalede bu sürecin tartışılması amaçlanmıştır.

Keywords

• Güçlendirme,toplum ruh sağlığı

References

1. Ensari, H (2011) Koruyucu psikiyatri açısından bolu toplum ruh sağlığı merkezi rehabilitasyon çalışmaları. Türkiye Klinikleri Journal of Psychiatry Special Topics, 4(4):86-93.Bilge A, Mermer G, Çam MO, Çetinkaya A, Erdoğan E, Üçkuyu N (2016) Türkiye’deki toplum ruh sağlığı merkezlerinin 2013-2015 yıllarının profili. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi, 2(2):1-5.Zwemer W (2003). Die Aufgabe der Pflege in der gemeindenahen Psychiatrie. Psych Pflege2, 9: 123–129.Lenz A (2009) Empowerment– eine Perspektive für die psychosoziale Praxis. PID 4/2009 · 10. Jahrgang · DOI http://dx.doi.org/10.1055/s-0029-1223390.Kilian R (2008) Lebensqualität und Empowerment in der psychiatrischen Versorgung. In: Soziologie sozialer Probleme und sozialerKontrolle; Realitäten, Repräsentationen und Politik. VS Verlag für Sozialwissenschaften/GWV Fachverlage GmbH, Wiesbaden, P 314-333.Empowerment, (2018) https://ceviri.yandex.com.tr/?lang=en-tr&text=empower. Ulaşım tarihini 11.02.2018.Winterberg W, Needham I (2010) Empowerment und Forensik – Wunschtraum oder Wirklichkeit? Sicherheitsanforderungen vs. Eigenverantwortung. Psych Pflege, 16: 184-18.Rappaport J (1985) Ein Plädoyer für die Widersprüchlichkeit. Ein sozial politisches Konzept des ,empowerments’ anstelle präventiver Ansätze. Verhaltenstherapie und psychosoziale Praxis, 17: 257–278.Skelton R (1994) Nursing and empowerment: concepts and strategie. ]ournal of Advanced Nursing, 19, 415-423.Roberts J K (1999) Patient empowerment in the United Satets: a critical commentary. Health Exceptations, 2;82-92. Fries JF, Vickery DM (1990) Take Care of Yourself: the Healtrac Guide to Medical Care. Reading (MA): Addison-Wesley Publishing Company.Reiser SJ (1993) The Era of the patient: using the illness experinece in shaping the missions of health care. Journal of the American Medical Association, 269:1012-1017. Pitschel-Walz G, Rummel-Kluge C, ·Froböse T, ·  Beitinger R · Stiegler M · Bäuml J ·  Kissling W (2012) Steigerung des „empowerment“  bei Angehörigen von  schizophren Erkrankte. Ergebnisse eines psychoedukativen  Gruppenprogramms unter  naturalistischen Bedingungen. Psychotherapeut, 57:313–318 DOI 10.1007/s00278-012-0924-xStark, W. (1993) Die Menschen stärken. Empowerment als eine neue Sicht auf klassische Themen von Sozialpolitik und sozialer Arbeit. Blätter der Wohlfahrtspflege, 2/93;41-44.Vossebrecher D, Jeschke K (2007) Empowerment zwischen Vision für die Praxis und theoretischer Diffusion. Forum Kritische Psychologie. 51; 53-66.Nelson, G. & Prilleltensky, I. (2005) Community psychology. In pursuit of liberation and well-being. New York: Palgrave Macmillan.Theunissen, G (2001) Die Independent Living Bewegung. EmpowermentBewegungen machen mobil (I). Behinderte in Familie, Schule und Gesellschaft, 3/4;13-20 [Wiederveröffentlichung im Internet bei: bidok Volltextbibliothek, Stand 25.02.2005; URL: http://bidok.uibk.ac.at/library/beh3-401-theunissen-independent.rtf.html, (19.06.2006)]Tuncay T (2009) Genç Kanser Hastalarının Hastalık Anlatılarının Güçlendirme Yaklaşımı Temelinde Analizi. Toplum ve Sosyal Hizmet, 20(2), 69-87.Herriger N (2002) Empowerment - Brückenschläge zur Gesundheitsförderung. in: Loseblattwerk "Gesundheit: Strukturen und Arbeitsfelder". Ergänzungslieferung 4, Neuwied: Luchterhand-Verlag, 1-24. http://www.empowerment.de/empowerment.de/files/Materialie-2-Empowerment-Brueckenschlaege-zur-Gesundheitsfoerderung.pdf Ulaşım 20.07.2019).Herriger N (2006) Stichwort Empowerment. in: Deutscher Verein für öffentliche und private Fürsorge (Hg.): Fachlexikon der sozialen Arbeit. 6. Auflage, Berlin.Zimmerman MA (1990) Taking aim on empowerment research: On the distinction between individual and psychological conceptions. American Journal of community psychology, 18(1): 169-177.Hemşirelik Yönetmeliği (2011). https ://www.hemsire.com/images/upload/Hemsirelik_Yonetmeligi.pdf (Ulaşım tarihi 18.07.2019).Lenz A (2011) Aktivierung personaler Ressourcen. In: Lenz A, Hrsg. Empowerment. Handbuch für die ressourcenorientierte Praxis. Tübingen: dgvt Verlag; 211.Bell E (2017) Selbstbestimmt handeln. PPH 2017; 23: 232–235. DOI 10.1055/s-0043-115445.Lenz A (2002) Empowerment und Ressourcenaktivierung. In: Lenz A, Stark W, Hrsg. Empowerment. Neue Perspektiven für psychosoziale Praxis und Organisation. Tübingen: dgvt-Verlag, 13–5.Reichardt C, Gastmeier P (2013) „Patient Empowerment“ Wie viel können Patienten zu einer verbesserten Compliance des Personals beitragen? Krankenhaushygiene, 8: 159.Amering M, Schmolke M (2007) Recovery. Das Ende der Unheilbarkeit. Psychiatrie-Verlag, BonnBock T(2012) Krankheitsverständnis zwischen Stigmatisierung und Empowerment. Schweizer archiv für neurologie und psychiatrie, 163(4):138–44.A. Nygårdh, K. Wikby, D. Malm, G. Ahlstrom (2011) Empowerment in outpatient care for patients with chronic kidney disease – from the family member’s perspective, BMC Nurs. 10 ; 21–29, doi:http://dx.doi.org/10.1186/1472-6955-10-21.Quindel, R. & Pankofer, S. (2000) Chancen, Risiken und Nebenwirkungen von Empowerment – Die Frage nach der Macht. In: Miller, T. & Pankofer, S. (Hg.). Empowerment konkret. Handlungsentwürfe und Reflexionen aus der psychosozialen Praxis (S. 33-44). Stuttgart: Lucuis & LuciusKnuf A, Osterfeld, M, Seibert, U (2007) Selbstbefähigung fördern. Empowerment und psychiatrische Arbeit. 5. Überarbeitete Auflage. Bonn, Psychiatrie-Verlag.Chavasse J.M. (1992) New dimensions of empowerment in nursing - and challenges (guest editorial). journal of Advanced Nursing 7(1), 1-2.Robson G. (1987) Nagging: models of advocacy. In Power in Strange Places: User Empowerment in Mental Health Services (Barker I. & Peck E. eds), Good Practices in Mental Health, London.Grawe K (1998) Psychologische Psychotherapie. Göttingen: Hogrefe.Knuf A, Seibert U (2000) Selbstbefähigung fördern, Empowerment und psychiatrische Arbeit. Psychiatrie, Bonn.World Health Organization (1998) Health Promotion Glossary. Geneva: World Health Organization.Chamberlin, J. (1999) A Working Definition of Empowerment. Psychiatric Rehabilitation Journal, 20: 43-46.Finggeld D (2004) Empowerment of Individuals With Enduring Mental Health Problems: Results From Concept Analyses and Qualitative Investigations. Advances in Nursing Science. Nursing Care Management, 27(1):44-52.Çam M, Külliğ D, Kaçmaz DE (2019) Psikiyatride Vaka Yönetimi. Psikiyatride Güncel Yaklaşımlar-Current Approaches in Psychiatry, 11(2):214-222 doi: 10.18863/pgy.414600Sambale M (2015) Empowerment statt Krankenversorgung. Stärkung der Prävention und des Case Management im Strukturwandel des Gesundheitssystems. Hannover: Schlütersche; 2005: 11fRandall JR, Vokey S, Loewen H, Martens PJ, Brownell M, Katz A et al. (2015) A systematic review of the effect of early interventions for psychosis on the usage of inpatient services. Schizophr Bull, 41:1379-1386.Şahin Ş, Elboğa G (2019). Toplum ruh sağlığı merkezinden yararlanan hastaların yaşam kalitesi, tıbbi tedaviye uyumu, içgörü ve işlevsellikleri. Cukurova Medical Journal, 44(2):431-438.Bag B (2012) Toplum Ruh Sağlığı Merkezlerinde Hemşirenin Rolü: İngiltere Örneği. Psikiyatride Güncel Yaklaşımlar-Current Approaches in Psychiatry, 4(4):465-485 doi:10.5455/cap.20120428.Chamberlin J (1997) A workıng definition of empowerment. Psychiatric Rehabilitation Journal. Spring, 20;4. Boevink W (2007) Überleben, Lebenskunst und Wissen zum Weitergeben. Recovery, Empowerment und Erfahrungswissen. In: Lehmann P, Stasny P (Hrsg.). Statt Psychiatrie Band 2. Antipsychiatrieverlag, 107–118.Lauber C, Rössler W (2004) Empowerment: Selbstbestimmung oder Hilfe zur Selbsthilfe. In: Rössler W (2004). Psychiatrische Rehabilitation. Springer, Berlin/Heidelberg.American Psychiatric Association (2000) Practice guideline for the treatment of patients with major depressive disorder. American Journal of Psychiatry 157:4.Corrigan W P (2002) Empowerment and serious mental illness: treatment partnerships and community opportunities.Feste C, Anderson M (1995). Empowerment: from philosophy to practice. Patient Education and Counseling, 26;139- 144.Taylor SM, Dear MJ (1980) Scaling community attitudes toward the mentally ill. Schizophrenia Bulletin 7:225–240.Brockington IF, Hall P, Levings J, et al. (1993) The community’s tolerance of the mentally ill. British Journal of Psychiatry 192:93–99.Wahl OF(1995) Media Madness: Public Images of Mental Illness. New Brunswick, NJ, Rutgers University Press.Üstün B, İnan SF (2018) Psikiyatri Hemşireliği Uygulamasına Bir Örnek: Damgalamayla Mücadele Eğitim Programı. Hemşirelikte Eğitim Ve Araştırma Dergisi, 15 (2): 131-135.Çam O, Bilge A (2013) Türkiye’de ruhsal hastalığa/hastaya yönelik inanç, tutum ve damgalama süreci: sistematik derleme. Psikiyatri Hemşireliği Dergisi, 4(2):91-101. doi: 10.5505/phd.2013.92300Corrigan PW (1998) The impact of stigma on severe mental illness. Cognitive and Behavioral Practice 5:201–222.Müller-Commichau W. (2005) Fühlen lernen 15 oder Emotionale Kompetenz als Schlüsselqualifikation. Matthias Grünewald. Kistner W (1997) Der Pflegeprozess in der Psychiatrie – Beziehungsgestaltung und Problemlsung in der psychiatrischen Pflege. Stuttgart: Gustav-Fischer-Verlag, 84.Newman M. (2003) A world of no boundaries. Advances in Nursing Science 26, 240–245.Fırıncıoğulları S (2016). Sosyal Bilimler Ve Hermeneutik Üzerine Kısa Bir Değerlendirme. Sosyoloji Dergisi, 33: 37-48.Organization WH (2001) The World Health Report 2001: Mental health: new understanding, new hope. World Health Organization.Hansson, L., Jormfeldt, H., Svedberg, P., & Svensson, B. (2011) Mental health professionals’ attitudes towards people with mental illness*Do they differ from attitudes held by people with mental illness? International Journal of Social Psychiatry, 59(1), 48-54.