McAllister Margaret, Moyle Wendy
School of Health and Sport Sciences, Faculty of Science, Health and Education, University of the Sunshine Coast, Maroochydore, Queensland, Australia.
Int J Ment Health Nurs. 2008 Feb;17(1):18-26. doi: 10.1111/j.1447-0349.2007.00507.x.
This qualitative study that took place in 2006 in a publicly funded Queensland psychiatric hospital explored nursing models of care from multiple points of view. Eleven participants were interviewed. Two were post-acute consumers, three were nurse unit managers, one was an enrolled nurse, and the remaining five were registered nurses. Even though participants valued an approach that was different to a medical model, in the absence of an explicit nursing approach, the predominantly illness-care culture led nurses to resort to problem-focused care. Relying on implicit models of care created inconsistencies and precluded the nursing strategies from being systematically evaluated, revised, or extended. Various changes were identified and included the desire for further consultation and staff development so that an explicit model of care could be introduced and evaluated.
这项定性研究于2006年在昆士兰州一家公立精神病医院开展，从多个角度探讨了护理模式。研究采访了11名参与者。其中两名是急性病康复期患者，三名是护士单元经理，一名是注册护士，其余五名是登记护士。尽管参与者重视一种不同于医疗模式的方法，但在缺乏明确护理方法的情况下，以疾病护理为主导的文化导致护士采用以问题为导向的护理方式。依赖隐性护理模式造成了不一致性，使护理策略无法得到系统评估、修订或扩展。研究确定了各种变革，包括进一步协商和员工发展的需求，以便引入并评估明确的护理模式。
