Wallace Thérèse, O'Connell Shelley, Frisch Sara R
Psychiatry Outpatient Department, McGill University Health Centre, Montreal.
Community Ment Health J. 2005 Aug;41(4):481-96. doi: 10.1007/s10597-005-5086-7.
Little research can be found on nursing practice for populations needing non-traditional mental health care. A descriptive study was done with the nurses on the Community Link Service (CLS), an intensive psychiatric community follow-up program, to identify nursing interventions and the types of situations encountered. These nurses use the guiding principles of two current treatment modalities, Assertive Community Treatment and Clinical Case Management. The Nursing Interventions Classification System (NIC, McCloskey & Bulecheck, 2000) was used to code nursing interventions reported through interviews and critical incidents. The nursing interventions represented 93 interventions and included 400 different activities. The analysis showed that Case Management (79%) and Complex Relationship Building (71%) were their most common interventions followed by Medication Management (64%) and Surveillance (60%). Systems such as the NIC are useful tools, but they may not give a complete description of nursing practice in this setting.
关于为需要非传统心理健康护理的人群提供护理实践的研究很少。对社区联系服务（CLS）的护士进行了一项描述性研究，CLS是一个强化的精神病社区随访项目，目的是确定护理干预措施以及所遇到的情况类型。这些护士采用了两种当前治疗模式的指导原则，即积极社区治疗和临床病例管理。护理干预分类系统（NIC，麦克洛斯基和布勒切克，2000年）用于对通过访谈和关键事件报告的护理干预措施进行编码。护理干预措施包括93项干预措施，涵盖400项不同活动。分析表明，病例管理（79%）和复杂关系建立（71%）是他们最常见的干预措施，其次是药物管理（64%）和监测（60%）。像NIC这样的系统是有用的工具，但它们可能无法完整描述这种情况下的护理实践。
