McLaughlin C
QUB School of Nursing and Midwifery, Multidisciplinary Education Centre, Altnagelvin Area Hospital, Derry, Northern Ireland, BT47 1SB, UK.
J Adv Nurs. 1999 May;29(5):1042-51. doi: 10.1046/j.1365-2648.1999.01000.x.
This study explores psychiatric nurses' and patients' opinions regarding the care provided for in-patients who were admitted following: (i) depression as a result of psychosocial difficulty, (ii) suicidal ideation, or (iii) an overt suicidal behaviour. It also explores how care for such patients could be improved. A total of 20 psychiatric nurses and 17 in-patients were interviewed. The results show that nurses and patients believe that communicating with patients about their difficulties is the most important skill in psychiatric nursing. Most nurses were disappointed with the limited time they had available to communicate with patients and they were constructively critical of their pre-registration training in communication skills. Patients suggested that nurses should spend more time in helping to problem-solve their difficulties. Both nurses and patients suggest that situational factors impinge on the time available for psychotherapeutic care. Findings have implications for pre- and post-registration education and practice. Responses from both cohorts suggest how care could be improved.
（i）因社会心理困难导致的抑郁症患者，（ii）有自杀意念的患者，或（iii）有明显自杀行为的患者。研究还探讨了如何改善对此类患者的护理。总共采访了20名精神科护士和17名住院患者。结果表明，护士和患者都认为，在精神科护理中，与患者就其困难进行沟通是最重要的技能。大多数护士对与患者沟通的可用时间有限感到失望，他们对自己在沟通技能方面的注册前培训提出了建设性的批评。患者建议护士应花更多时间帮助他们解决困难。护士和患者都表示，情境因素会影响心理治疗护理的可用时间。研究结果对注册前和注册后的教育及实践具有启示意义。两个群体的反馈表明了如何改善护理。
