McCann Terence V, Clark Eileen, Baird John, Lu Sai
School of Nursing and Midwifery, Victoria University, Melbourne, Victoria, Australia.
Nurs Health Sci. 2008 Jun;10(2):78-84. doi: 10.1111/j.1442-2018.2008.00388.x.
The purpose of this study was to assess mental health clinicians' attitudes about mental health consumer participation in inpatient psychiatric units. A cross-sectional survey design was used with a non-probability sample of 47 clinicians in the psychiatric units of a large Australian hospital. The results showed that gender, length of time as a clinician, and how long the staff worked in the units influenced their attitudes about consumer involvement. Females were more likely than males to support consumer participation in management and consumer consultants. Less experienced staff showed greater support than more experienced staff for mental health consumer involvement in treatment-related matters and consumer consultants in units. New staff members were more likely to register agreement-to-uncertainty regarding consumer involvement in treatment-related issues, whereas established staff members were more likely to record uncertainty about this issue. The findings showed that although reports and policies promoted participation, some clinicians were reluctant to accept consumer and consultant involvement.
本研究的目的是评估心理健康临床医生对精神疾病住院患者参与住院精神科病房事务的态度。采用横断面调查设计,对澳大利亚一家大型医院精神科病房的47名临床医生进行了非概率抽样。结果表明,性别、临床医生工作时长以及工作人员在病房的工作时长会影响他们对患者参与的态度。女性比男性更支持患者参与管理和担任患者顾问。经验不足的工作人员比经验丰富的工作人员更支持精神疾病患者参与治疗相关事务以及在病房担任患者顾问。新员工在患者参与治疗相关问题上更倾向于表示同意到不确定的态度,而老员工则更倾向于表示对此问题不确定。研究结果表明,尽管报告和政策提倡参与,但一些临床医生仍不愿接受患者和顾问的参与。