O'Brien Louise, Cole Rose
University of Western Sydney, School of Nursing, Family and Community Health, Parramatta Campus, Penrith DC, New South Wales, Australia.
Int J Ment Health Nurs. 2003 Sep;12(3):165-76. doi: 10.1046/j.1440-0979.2003.t01-1-00286.x.
Close-observation areas in Australian inpatient psychiatric units are locked areas usually within an open ward. Despite patient acuity, and the inherent difficulties in this area, little has been written that addresses either the processes or goals of containing patients, the role of nurses, or the skills involved. This paper examines the literature related to close-observation areas and argues that they are highly demanding of expert psychiatric nursing skills. Nurses need to advocate for humane, well-resourced areas, staffed with highly skilled nurses in order to fulfil the obligations of the national nursing and mental health service standards and to reduce the deleterious effects of hospitalization on patients.
澳大利亚住院精神科病房的密切观察区是通常位于开放式病房内的封闭区域。尽管患者病情严重，且该区域存在内在困难，但针对控制患者的流程或目标、护士的角色或所涉及的技能，相关著述甚少。本文审视了与密切观察区相关的文献，并认为这些区域对专业精神科护理技能要求极高。护士需要倡导设立人性化、资源充足的区域，配备高技能护士，以履行国家护理和心理健康服务标准的义务，并减少住院对患者的有害影响。
