Allen Diane E, de Nesnera Alexander, Cummings Kathleen, Darling Frank E
New Hampshire Hospital, Concord, NH 03301, USA.
J Psychosoc Nurs Ment Health Serv. 2011 Jan;49(1):45-9. doi: 10.3928/02793695-20101202-01. Epub 2010 Dec 22.
Direct care staff struggle with the decision of when to physically intervene with patients. There is a widely held belief that they are expected to place themselves in danger of harm to prevent patients from hurting themselves or others. In this acute mental health care setting, an educational program was developed, using principles of adult and transformational learning, to dispel the idea that getting hurt is part of the job. The Staying Safe program strongly discourages staff from physically intervening alone and promotes staff getting enough help and having a plan. Staff are encouraged to interact with patients in helpful ways and to respond to patient requests in ways that do not increase frustration or evoke anger. There has been a positive response to the training program, evidenced by changes in the way staff think about their jobs and a reduction in the number of assaults and injuries to staff.
直接护理人员在决定何时对患者进行身体干预时感到很纠结。人们普遍认为，他们应该让自己处于受伤害的危险中，以防止患者伤害自己或他人。在这种急性精神卫生保健环境中，利用成人学习和变革性学习的原则开发了一个教育项目，以消除受伤是工作一部分的观念。“安全保障”项目强烈不鼓励工作人员单独进行身体干预，并促进工作人员获得足够的帮助并制定计划。鼓励工作人员以有益的方式与患者互动，并以不会增加患者挫败感或引发愤怒的方式回应患者的请求。培训项目得到了积极的回应，工作人员对工作的看法发生了变化，工作人员遭受攻击和受伤的次数有所减少，这些都证明了这一点。
