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精神卫生专业护理学生对精神科护士角色的认知。

Mental health student nurses' perception of the role of the mental health nurse.

作者信息

Rungapadiachy D M, Madill A, Gough B

机构信息

School of Healthcare, University of Leeds, Leeds, UK.

出版信息

J Psychiatr Ment Health Nurs. 2004 Dec;11(6):714-24. doi: 10.1111/j.1365-2850.2004.00793.x.

Abstract

Clear role definition is essential for directing the focus of nurse education and several studies have attempted to define the role of the mental health nurse (MHN). These, however, came to the conclusion that mental health nursing was difficult to articulate. The aim of this study was to understand how, during their transition to first level registration, mental health student nurses (MHSNs) perceived the role of the MHN. Semi-structured interviews were conducted with 14 MHSNs during the last 6 months of their transition to MHN. Transcripts were analysed using a qualitative approach based on grounded theory. Six key themes were identified, five of which were defined mental health nursing roles. The sixth theme related to non-therapeutic intervention on the part of some MHNs. Several areas of concern were identified. First, MHSNs expected to conduct more psychologically based interventions than were achievable in practice. Second, emphasis on drug administration can lead to a conflict of interest in the nurses' advocacy role with patients. Third, MHSNs sometimes observed poor role models in their placements, which could have a negative impact on the way in which future MHNs view the role of the MHN.

摘要

明确的角色定义对于指导护士教育的重点至关重要,并且有几项研究试图界定精神科护士(MHN)的角色。然而,这些研究得出的结论是,精神科护理难以清晰表述。本研究的目的是了解精神科护生(MHSN)在向一级注册过渡期间如何看待精神科护士的角色。在14名精神科护生向精神科护士过渡的最后6个月期间,对他们进行了半结构式访谈。采用基于扎根理论的定性方法对访谈记录进行了分析。确定了六个关键主题,其中五个主题界定了精神科护理角色。第六个主题涉及一些精神科护士的非治疗性干预。确定了几个令人担忧的领域。首先,精神科护生期望进行比实际可行的更多基于心理的干预。其次,强调药物管理可能导致护士在为患者代言角色方面存在利益冲突。第三,精神科护生有时在实习中看到不良榜样,这可能会对未来精神科护士看待精神科护士角色的方式产生负面影响。

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