Higgins R, Hurst K, Wistow G
Nuffield Institute for Health, University of Leeds, England.
J Adv Nurs. 1999 Jan;29(1):52-63. doi: 10.1046/j.1365-2648.1999.00863.x.
Political and managerial attention has focused on the consequences of the failure of community services to provide effective care to a small number of people with severe mental illness. However, the nature and value of care in hospitals have received less scrutiny. This paper addresses deficiencies in our knowledge about nursing care in acute psychiatric wards. It reports the findings from a recently completed study for the United Kingdom Department of Health. Four key developments are identified which, together, pose significant problems for nursing in acute wards: the increasingly diverse patient mix in wards; the volume of administrative duties performed by nurses; the weakness of multidisciplinary team working; and inappropriate education. In conclusion, the challenges for managers and clinicians responsible for local policy and practice and, by extension, those at the centre responsible for such services, are examined.
政治和管理层面的关注聚焦于社区服务未能为少数重症精神疾病患者提供有效护理所产生的后果。然而，医院护理的性质和价值却较少受到审视。本文探讨了我们在急性精神科病房护理知识方面的不足。它报告了一项最近为英国卫生部完成的研究结果。确定了四个关键发展趋势，这些趋势加在一起给急性病房的护理工作带来了重大问题：病房中患者组合日益多样化；护士承担的行政职责量；多学科团队协作的薄弱；以及不适当的教育。最后，研究探讨了负责地方政策和实践的管理人员和临床医生所面临的挑战，进而也探讨了负责此类服务的中央层面人员所面临的挑战。
