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精神科护理与压力:保持平衡。

Mental health nursing and stress: maintaining balance.

机构信息

Griffith University School of Nursing and Midwifery, Griffith Health, Gold Coast, Queensland, Australia.

出版信息

Int J Ment Health Nurs. 2011 Apr;20(2):77-85. doi: 10.1111/j.1447-0349.2010.00715.x.

DOI:10.1111/j.1447-0349.2010.00715.x
PMID:21371222
Abstract

The recruitment and retention of mental health nurses within acute inpatient mental health facilities continues to be an ongoing issue. Literature and current research highlight an environment fraught with pressure and stress, identifying several key factors contributing to job dissatisfaction. These factors include greater patient acuity, unpredictable and challenging workspaces, violence, increased paperwork, and reduced managerial support. This qualitative, critical, feminist exploration investigated the lived experiences of 13 female mental health nurses working in inpatient services. They were asked about their practice and perceptions of workplace culture, and they shared their thoughts on stress management and professional well-being. Positive workplace practice was highlighted, and the participants revealed an environment they were proud to be a part of. Individual interviews, focus groups, and reflective practice were all used to collect data. The findings from the investigation unanimously support current literature that clearly confirms mental health nursing to be stressful. Interestingly, however, the findings also clearly identified that the way in which the nurse participants managed their stress was intrinsically linked to their job satisfaction. The major theme identified throughout the present study revealed that the female participants' ability to manage an at times complex workspace through the notions of teamwork, diversity, and creativity. All of the participants considered these elements as significant to providing a high standard in patient care. This research might provide an opportunity for others to view mental health nursing from a different perspective, and through the lived experiences of the participants, embrace the positive and rewarding aspects of the role.

摘要

精神科住院病房的精神科护士的招聘和留用仍然是一个持续存在的问题。文献和当前的研究强调了一个充满压力和紧张的环境,并确定了导致工作不满的几个关键因素。这些因素包括更高的患者病情严重程度、不可预测和具有挑战性的工作场所、暴力、增加的文书工作以及减少的管理支持。本研究采用定性、批判、女性主义方法,调查了 13 名在住院服务中工作的女性精神科护士的生活经历。他们被问及他们的实践和对工作场所文化的看法,并分享了他们对压力管理和专业幸福感的想法。强调了积极的工作实践,参与者揭示了一个他们引以为豪的环境。个体访谈、焦点小组和反思性实践都被用来收集数据。调查结果一致支持当前文献,清楚地证实精神科护理工作压力很大。然而,有趣的是,调查结果还清楚地表明,护士参与者管理压力的方式与其工作满意度密切相关。整个研究中确定的主要主题表明,女性参与者通过团队合作、多样性和创造力的概念来管理有时复杂的工作场所的能力。所有参与者都认为这些因素对提供高标准的患者护理至关重要。这项研究可能为其他人提供了一个从不同角度看待精神科护理的机会,并通过参与者的生活经历,接受该角色的积极和有益方面。

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