Department of Nursing Science, Utrecht University, The Netherlands.
Arch Psychiatr Nurs. 2010 Aug;24(4):266-74. doi: 10.1016/j.apnu.2009.09.002. Epub 2009 Nov 12.
Improvement of the interaction between forensic mental health nurses and patients may lead to a reduction of inpatient violence. The concept under study is detached concern, which refers to nurses' skills to neutralize the emotional appeal of patients by a balanced attitude between objectivity and emotional involvement. The Patient Contact Questionnaire (PCQ) aims at measuring the degree of concern of nurses for their patients.
The PCQ was applied in a pretest-posttest design, evaluating the effects of the Early Recognition Method (ERM). This method aims at the prevention of inpatient violence in forensic psychiatry. Subjects were 116 forensic mental heath nurses working on 16 wards of a large Dutch forensic hospital. First, the baseline scores were compared to scores reported in an earlier study conducted in general psychiatry. Second, pretest-posttest comparisons were carried out for all nurses, and for subgroups of nurses with regard to gender, educational level, years of working experience, and patient population. Third, pretest-posttest comparisons were made on the PCQ item level.
The baseline scores of male nurses indicated significantly higher levels of concern than those of female nurses. In addition, more experienced nurses scored significantly higher with regard to concern than less experienced nurses. When comparing the scores before and after applying ERM, no significant differences were found. However, the sores of female nurses showed a tendency toward more concern after implementation of ERM.
Detached concern may be a meaningful concept in forensic mental health nursing in measuring nurses' concern for their patients. Levels of detached concern did not change significantly after application of ERM. However, the application of the PCQ could contribute to a better understanding of the interaction between nurses and their patients.
改善法医精神病护士与患者之间的互动关系可能会减少住院暴力。本研究的概念是分离关注，它指的是护士通过在客观性和情感投入之间保持平衡的态度来中和患者情感诉求的技能。患者接触问卷（PCQ）旨在衡量护士对患者关注的程度。
PCQ 采用预测试后测试设计，评估早期识别方法（ERM）的效果。该方法旨在预防法医精神病学中的住院暴力。受试者为 116 名在荷兰一家大型法医医院 16 个病房工作的法医心理健康护士。首先，将基线分数与在一般精神病学中进行的早期研究报告的分数进行比较。其次，对所有护士进行预测试后测试比较，并根据护士的性别、教育水平、工作经验年限和患者人群进行分组比较。第三，对 PCQ 项目进行预测试后测试比较。
男性护士的基线得分表明他们的关注程度明显高于女性护士。此外，经验丰富的护士在关注程度上的得分明显高于经验不足的护士。在比较应用 ERM 前后的分数时，没有发现显著差异。然而，女性护士的分数在实施 ERM 后表现出更关注的趋势。
在法医精神病护理中，分离关注可能是衡量护士对患者关注程度的一个有意义的概念。应用 ERM 后，分离关注的水平没有显著变化。然而，应用 PCQ 可以帮助更好地理解护士与患者之间的互动。
