Coimbra Nursing School, Portugal.
Arch Psychiatr Nurs. 2011 Oct;25(5):329-38. doi: 10.1016/j.apnu.2011.03.005.
Mental and behavioral disorders are common, affecting more than 25% of all people at some time during their lives. Mental disorders and their burden on society have increased dramatically. This scenario can be an opportunity for psychiatric/mental health (P/MH) nurses. Some literature shows gratifying experiences of care delivered by P/MH nurses, but that can also be a threat if, in a world with an economic dominance such as ours, we are not able to clarify our identity and effectiveness. One implication of this is that we need to identify the contribution of nursing to patient outcomes through nurses' independent, dependent, and interdependent roles. The authors stressed the importance of improving our accountability and fighting against invisibility to policy makers to prioritize the nurse-client relationship and identify our effectiveness. Based on some literature, the authors argue that clinical nurse specialists are in a better position than nurse practitioners to produce nursing-sensitive outcomes.
精神和行为障碍很常见，一生中有超过 25%的人会在某个时候受到影响。精神障碍及其给社会带来的负担急剧增加。这种情况可能是精神科/心理健康护士的机会。一些文献显示了精神科/心理健康护士提供的护理令人满意的经验，但如果在我们这样一个经济占主导地位的世界里，我们无法明确自己的身份和有效性，这也可能是一种威胁。这意味着我们需要通过护士的独立、从属和相互依赖角色来确定护理对患者结果的贡献。作者强调了提高我们对政策制定者的责任意识和反对隐形性的重要性，以使护士与患者的关系得到优先重视，并确定我们的有效性。基于一些文献，作者认为临床护理专家比执业护师更能产生护理敏感的结果。
