School of Nursing, Midwifery and Physiotherapy, University of Nottingham, Nottingham, UK.
J Psychiatr Ment Health Nurs. 2012 Jun;19(5):455-65. doi: 10.1111/j.1365-2850.2011.01841.x. Epub 2011 Nov 22.
This study is an evaluation of the implementation of the Chief Nursing Officer for England's Review of mental health nursing in mental health trusts (MHTs). The authors employed instrumental case studies in six MHTs. The results showed evidence of acceptance of the Review and some evidence of subsequent actions to implement the Review recommendations, but these were not widespread. A lack of an evidence-based implementation plan hampered the implementation as did an apparent lack of strategic nursing leadership in many MHTs. In conclusion, the vision for mental health nursing reported in the Chief Nursing Officer Review prompted various changes, directly and indirectly, among mental health nurses and the development of areas of good practice in education, practice and leadership. The positive changes evident in some areas may become widespread by a systematic policy implementation plan from the centre, supported by local leadership in practice.
本研究评估了英格兰首席护理官对精神卫生信托机构（MHT）精神卫生护理审查的实施情况。作者在六家 MHT 中采用了工具案例研究。结果表明，对审查的接受程度有证据支持，并且有一些证据表明随后采取了行动来实施审查建议，但这些建议并未广泛实施。缺乏基于证据的实施计划以及许多 MHT 中明显缺乏战略护理领导力阻碍了实施。总之，首席护理官审查报告中对精神卫生护理的愿景促使精神卫生护士直接和间接地进行了各种变革，并在教育、实践和领导力方面发展了良好实践领域。通过中央制定系统的政策实施计划，并由实践中的地方领导提供支持，一些领域中明显的积极变革可能会得到广泛推广。
