Jones A
North-East Wales NHS Trust & Reader in Psychiatric Nursing, North-East Wales Institute, Wrexham, UK.
J Psychiatr Ment Health Nurs. 2006 Feb;13(1):3-11. doi: 10.1111/j.1365-2850.2006.00888.x.
The purpose of this study was to explore some of the issues for the implementation of supplementary prescribing for acute hospital care. The study design was the use of focus group methodology. In total, 19 nurses and 7 psychiatrists joined 1 of 6 focus groups held on the psychiatric unit. The data were analyzed using a modified grounded theory technique. In the study to be reported here, nurses and psychiatrists described the potential for different ways of working to emerge on acute psychiatric wards. Two major themes were identified: supplementary prescribing bringing about different ways of influencing decisions and controlling professional work; nurses and psychiatrists developing different types of relationships. Findings suggest an overall positive acceptance for supplementary prescribing, but for greater attention to be placed on the nature of relationships between nurses and psychiatrists. Implications for practice include the impact on new roles for nurses and psychiatrists and how this new form of relationship can best serve patients.
本研究的目的是探讨急性医院护理中实施补充处方的一些问题。研究设计采用焦点小组方法。共有19名护士和7名精神科医生参加了在精神科病房举行的6个焦点小组中的1个。数据采用改良的扎根理论技术进行分析。在本报告的研究中，护士和精神科医生描述了急性精神科病房出现不同工作方式的可能性。确定了两个主要主题：补充处方带来影响决策和控制专业工作的不同方式；护士和精神科医生发展不同类型的关系。研究结果表明对补充处方总体持积极接受态度，但需更多关注护士和精神科医生之间关系的性质。对实践的启示包括对护士和精神科医生新角色的影响，以及这种新的关系形式如何能最好地服务患者。
