Harrison A, Zohhadi S
Avon & Wiltshire Mental Health Partnership NHS Trust, Bristol, UK.
J Psychiatr Ment Health Nurs. 2005 Aug;12(4):472-80. doi: 10.1111/j.1365-2850.2005.00868.x.
Recent policy initiatives within the United Kingdom have recognized that effective care for older people can only be achieved if health care staff are willing and skilled enough to address patient needs in a holistic way. The preliminary stages of the action research project described here focused on the perceptions of nursing staff regarding the factors that impacted on their ability to address mental health needs within a general hospital ward. A phenomenological approach allowed us to identify the experience of addressing mental health needs in this setting from the perspective of the research participants. A focus group was facilitated with nursing staff whose primary professional focus was the provision of physical health care within an older adult unit. Thematic content analysis was used to analyse the focus group data, and four key themes emerged, namely 'disruption', 'role conflict', 'professional resources' and 'professional distress'. These themes provide a focus for the ongoing development of the action research methods and will embed future work in the experience of those charged with ensuring that mental health care is a key element of their practice. This study highlights the urgent need for further work in this area, as we contend that it is only by addressing the professional needs of the staff concerned, that effective patient-centred care can be ensured.
英国近期的政策举措已经认识到，只有当医护人员愿意并有足够的技能以全面的方式满足患者需求时，才能实现对老年人的有效护理。此处描述的行动研究项目的初步阶段聚焦于护理人员对影响其在综合医院病房满足心理健康需求能力的因素的看法。一种现象学方法使我们能够从研究参与者的角度识别在这种环境中满足心理健康需求的经历。我们组织了一个焦点小组，小组成员是主要专注于在老年病房提供身体健康护理的护理人员。采用主题内容分析法对焦点小组数据进行分析，出现了四个关键主题，即“干扰”“角色冲突”“专业资源”和“职业困扰”。这些主题为行动研究方法的持续发展提供了重点，并将未来的工作植根于那些负责确保心理健康护理是其实践关键要素的人员的经历之中。本研究凸显了在这一领域开展进一步工作的迫切需求，因为我们认为只有满足相关工作人员的专业需求，才能确保以患者为中心的有效护理。
