Mason Tom, King Lisa, Dulson Julie
Mental Health & Learning Disabilities, University of Chester, Parkgate Road, Chester CH1 4BJ, UK.
Int J Ment Health Nurs. 2009 Jun;18(3):216-24. doi: 10.1111/j.1447-0349.2009.00601.x.
The aim of this study was to identify if differences in perceptions of the role of forensic psychiatric nurses exist across the three levels of secure psychiatric provision: high, medium, and low. Any differences may reflect the type of clinical conditions found in different levels of security provision. An information-gathering schedule containing a validated 7-point Likert scale was distributed to 1200 forensic psychiatric nurses across the UK in 2005. A response rate of 34.6 was achieved, with 122 from high-security, 159 from medium-security, and 135 from low-security services. Differences in perceptions regarding role constructs were found across all three levels, with numerous differences being statistically significant using analysis of variance. The main implications are in relation to the development of skills and competencies, which should target specific clinical conditions in relation to effective interventions, the development of a specialist education and training curriculum focused on treatment outcomes, and the need for further research to draw together theory and practice. Finally, creative policy initiatives should be developed to cross-fertilize the levels of security provision in order that staff may acquire and deliver experiences in high-, medium-, and low-security psychiatric services.
本研究的目的是确定在安全型精神科护理的三个级别（高、中、低）中，法医精神病护士对自身角色的认知是否存在差异。任何差异都可能反映出不同安全级别护理中所存在的临床状况类型。2005年，一份包含经过验证的7点李克特量表的信息收集问卷被分发给了全英国1200名法医精神病护士。问卷回收率为34.6%，其中来自高度安全护理机构的有122人，来自中度安全护理机构的有159人，来自低度安全护理机构的有135人。在所有三个级别中，均发现了对角色构成的认知差异，通过方差分析发现，许多差异具有统计学意义。主要影响涉及技能和能力的发展，这应针对与有效干预相关的特定临床状况、制定侧重于治疗结果的专业教育和培训课程，以及需要进一步开展研究以整合理论与实践。最后，应制定创新性政策举措，促进不同安全级别护理之间的相互交流，以便工作人员能够在高、中、低安全级别的精神科服务中积累并提供经验。
