Fakhoury W K, Wright D
Unit for Social and Community Psychiatry, St Bartholomew's and The Royal London Medical School, England.
J Adv Nurs. 2000 Oct;32(4):871-80.
This paper reports on a cross-sectional survey investigating communication and information needs of community psychiatric nurses attached to community mental health teams in the United Kingdom. Community psychiatric nurses' access to and communication with other professionals was also assessed. In total, 200 teams were randomly sampled UK-wide, and postal questionnaires were sent to community psychiatric nurses attached to these teams; 110 questionnaires were completed and returned (55% response rate). Spearman's rho, Pearson's correlation and the chi-square test were used in bivariate analyses and multiple logistic regression in multivariate analysis. Participants reported to be mainly in contact with psychiatrists (71%) and other community psychiatric nurses (52%). Eighty-four per cent and 91% reported psychiatrists and community psychiatric nurses, respectively, to be quite/extremely helpful when consulted; the proportions were lower for general practitioners and counsellors/therapists (32% and 31%, respectively). All reported lack of time and 84% reported communication problems with other professionals as barriers to their work. Although 70% reported having the necessary training/skills for managing severe cases, 76% indicated they had information needs. Being a long-serving community psychiatric nurse (OR = 4.51, 95% CI = 1.06-19.20), perceiving the discussion of cases with other professionals as less helpful (OR = 4.82, 95% CI = 1.16-20.01), being mainly in contact with other CPNs (OR= 6.72, 95% CI= 1.21-37.15), reporting not having the necessary training/skills (OR = 7.78, 95% CI = 1.37-44.25), and wanting information on mental health law (OR= 12.27, 95% CI = 1.75-86.36) were significant predictors of having information needs. This survey provided valuable information on problems facing these nurses and highlighted the need for training and for easier access to and increased communication with other professionals.
本文报告了一项横断面调查，该调查旨在研究英国社区精神卫生团队中社区精神科护士的沟通及信息需求。同时，也评估了社区精神科护士与其他专业人员的接触及沟通情况。在全英国范围内，总共随机抽取了200个团队，并向隶属于这些团队的社区精神科护士发送了邮政问卷；共110份问卷被填写并返还（回复率为55%）。双变量分析采用斯皮尔曼等级相关系数、皮尔逊相关系数和卡方检验，多变量分析采用多元逻辑回归。参与者报告称主要与精神科医生（71%）和其他社区精神科护士（52%）有接触。分别有84%和91%的参与者报告称，在咨询时精神科医生和社区精神科护士非常/极其有帮助；全科医生和咨询师/治疗师的比例则较低（分别为32%和31%）。所有参与者都表示缺乏时间，84%的参与者报告称与其他专业人员的沟通问题是其工作的障碍。尽管70%的参与者报告称具备管理重症病例所需的培训/技能，但76%的人表示他们有信息需求。成为长期服务的社区精神科护士（比值比=4.51，95%置信区间=1.06 - 19.20）、认为与其他专业人员讨论病例帮助较小（比值比=4.82，95%置信区间=1.16 - 20.01）、主要与其他社区精神科护士接触（比值比=6.72，95%置信区间=1.21 - 37.15）、报告称不具备所需的培训/技能（比值比=7.78，95%置信区间=1.37 - 44.25）以及希望获取心理健康法律方面的信息（比值比=12.27，95%置信区间=1.75 - 86.36）是有信息需求的显著预测因素。这项调查提供了有关这些护士所面临问题的宝贵信息，并突出了培训以及与其他专业人员更便捷接触和加强沟通的必要性。
