Dergi Ara >>
Yıl:1988; Cilt: 6; Sayı: 23>> Özet
TAM METİN
Türk Psikoloji Dergisi; 1988;6(23):39-47
Psikiyatrik Servis Ortamlarında Farklı Değerlendirme Yaklaşımlarının İlişkisi
P Uçman
Hacettepe Üniversitesi, Ankara
Psikiyatri servis ortamlarının değerlendirilmesi, tedavi programlarının işleyişi açısından önemli bir geribildirim kaynağı oluştururlar. Ancak servislerin değerlendirilmesinde, tedavi ortamlarının çok boyutlu niteliği çoğu kez ele alınmamaktadır. Bu noktadan hareketle araştırmamızda üç ayrı değerlendirme yaklaşımı (personel tutumları, sosyal ortam boyutları ve servis kuralları) birlikte kullanılarak daha bütünsel bir servis ortam değerlendirmesi elde edilmeye çalışılmıştır. Ankara’daki üç hastanenin altı yataklı psikiyatri servisindeki psikiyatri personeli ve hastaları örneklemimizi oluşturmuştur. Basit regresyon analizleri, psikiyatri elemanlarının tutumlarından hastaların bireysel gelişimlerini yordamanın bir dereceye kadar olası olduğunu, daha güçlü bir yordamın ise servislerin sistem olarak işleyişleri (system maintenance) boyutunda belirlendiğini göstermiştir. Ancak servis personel tutumları servis içi hasta personel etkileşimlerinin türü ve şiddetli açısından yordayıcı olmamıştır. Ayrıca bulgular, psikiyatri servislerinde hastalara tanınan yetişkin sorumluluğu düzeyi arttıkça servisiçi ilişkilerin, grup bütünlüğünün zenginleştiğini ve taburculuğa hazırlığın arttığını göstermiştir.

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