Mount Nittany Medical Center, State College, PA, USA.
J Psychiatr Ment Health Nurs. 2009 Dec;16(10):927-37. doi: 10.1111/j.1365-2850.2009.01501.x.
To provide efficient and effective inpatient mental health services, it is imperative to not only ascertain if service users are satisfied with the care received from nurses, but also the degree to which initial expectations are being met. Ten reports of primary research on service users' experiences, perceptions and expectations of inpatient mental health care were examined to understand what service users' expect of inpatient mental health care and the implications for nursing practice. The World Health Organization's description of responsiveness to service users' non-medical expectations of care was used as a framework for retrieving literature and organizing the research outcomes. Responsiveness includes seven categories of healthcare performance ranging from respect for the dignity of the person, to adequacy of amenities, and choice of provider. Service users expect to form interpersonal relationships with nurses; however, non-clinical responsibilities serve as barriers which consume considerable available nursing time that otherwise could be spent developing therapeutic relationships. In addition, inpatient programming ideas are identified for the provision of better services. Hospitals' expectations of mental health nurses will need to be reconsidered if these nurses are to provide the time and resources necessary to meet current service users' expectations.
为了提供高效、有效的住院精神卫生服务，不仅要确定服务使用者对护士所提供的护理是否满意，还要确定他们的初始期望得到了多大程度的满足。本文对十份关于服务使用者对住院精神卫生护理的体验、看法和期望的主要研究报告进行了审查，以了解服务使用者对住院精神卫生护理的期望，以及这对护理实践的影响。本文使用世界卫生组织对满足服务使用者非医疗护理期望的描述作为检索文献和组织研究结果的框架。响应性包括医疗保健绩效的七个类别，从尊重人的尊严到设施的充足性以及提供者的选择。服务使用者期望与护士建立人际关系；然而，非临床职责却成为障碍，消耗了相当多的护理时间，而这些时间本可以用于发展治疗关系。此外，本文还为提供更好的服务确定了住院计划的思路。如果精神科护士要提供满足当前服务使用者期望所需的时间和资源，那么医院对精神科护士的期望将需要重新考虑。
