Brimblecombe Neil, Tingle Alison, Tunmore Robert, Murrells Trevor
National Institute of Mental Health in England, Wellington House, London, UK.
Int J Nurs Stud. 2007 Mar;44(3):339-48. doi: 10.1016/j.ijnurstu.2006.07.021. Epub 2006 Sep 26.
A national consultation exercise was held as part of a review of mental health nursing in England.
To gather views as to how best to develop mental health nursing to support a holistic approach to care, taking into account psychological, physical social and spiritual needs.
National open consultation by email over a 3-month period.
326 written replies were received. The largest group of responses was from National Health Service (NHS) organisations (n=92, 28.2%); 69.9% of responses were from groups or organisations (n=225).
A consultation document was devised by a national reference group, including four questions relating to the development of practice in the four domains of: psychological, physical, social and spiritual care.
The majority of responses supported mental health nurses (MHNs) providing psychological therapies (n=271, 95.1%). To support this happening, responders most frequently described a need for appropriate specialist training post-registration (n=114). To improve physical well-being of service users, the most frequent suggestion was that MHNs should promote healthy lifestyles, e.g. by encouraging physical activity and advising on ways to reduce illicit drug, alcohol and tobacco use (n=152). Responders most frequently cited the need for MHNs to understand resources to support social inclusion (n=110), e.g. knowing how to access local resources, benefits, housing and employment advice. MHNs were most frequently seen as requiring appropriate training to help them support spiritual/religious needs (n=96).
The consultation was successful in obtaining views, in particular, of organisations and groups. These subsequently influenced national recommendations made by the Chief Nursing Officer's Review of Mental Health Nursing.
作为对英格兰心理健康护理审查的一部分，开展了一次全国性咨询活动。
考虑到心理、身体、社会和精神需求，收集关于如何最好地发展心理健康护理以支持整体护理方法的意见。
为期3个月的通过电子邮件进行的全国公开咨询。
收到326份书面回复。最大的回复群体来自国民保健服务（NHS）组织（n = 92，28.2%）；69.9%的回复来自团体或组织（n = 225）。
一个全国参考小组设计了一份咨询文件，包括与心理、身体、社会和精神护理四个领域的实践发展相关的四个问题。
大多数回复支持心理健康护士（MHNs）提供心理治疗（n = 271，95.1%）。为支持这一情况发生，回复者最常提到注册后需要进行适当的专科培训（n = 114）。为改善服务使用者的身体健康，最常见的建议是心理健康护士应促进健康的生活方式，例如通过鼓励体育活动以及就减少非法药物、酒精和烟草使用的方法提供建议（n = 152）。回复者最常提到心理健康护士需要了解支持社会融入的资源（n = 110），例如知道如何获取当地资源、福利、住房和就业建议。心理健康护士最常被认为需要适当培训以帮助他们支持精神/宗教需求（n = 96）。
这次咨询成功获取了意见，特别是组织和团体的意见。这些意见随后影响了首席护理官对心理健康护理审查提出的国家建议。
