School of Psychological Sciences, University of Manchester, Manchester, UK.
J Ment Health. 2012 Oct;21(5):478-84. doi: 10.3109/09638237.2012.705920.
Ensuring good quality staff and patient relationships are key goals of long-stay inpatient services. It is therefore essential that staff have a good understanding of patients' needs and how to work with the challenges that can present in these environments.
We evaluated the feasibility and acceptability of a workshop to help psychiatric staff with challenging behaviours.
We used a quasi experimental design with assessments carried out at baseline and post intervention. We provided the training to staff on one low secure psychiatric unit and recorded the uptake of outcome assessments and the workshop itself. We assessed staff-patient relationships, burnout and ward atmosphere and staff also completed satisfaction questionnaires.
Sixty-six percent of staff (n = 25) who were eligible to participate in the project completed initial outcome measures, but only 42% (n = 16) attended the workshop and only 34% (n = 13) completed follow-up measures. The workshop had no predicted effects on any of the outcomes assessed, but staff satisfaction with the training was generally positive.
Building up positive relationships with staff, addressing negative expectations and seeking support from all levels of management are essential in terms of reducing barriers to training in psychiatric settings.
确保良好的员工和患者关系是长期住院服务的关键目标。因此，员工必须充分了解患者的需求以及如何应对这些环境中可能出现的挑战。
我们评估了一个帮助精神科工作人员应对挑战性行为的工作坊的可行性和可接受性。
我们使用了准实验设计，在基线和干预后进行评估。我们在一个低安全等级的精神科病房为员工提供培训，并记录了结果评估和工作坊本身的参与情况。我们评估了员工与患者的关系、倦怠和病房氛围，员工还完成了满意度问卷。
有 66%（n=25）符合参与项目条件的员工完成了初始结果测量，但只有 42%（n=16）参加了工作坊，只有 34%（n=13）完成了随访测量。该工作坊对评估的任何结果都没有预期的影响，但员工对培训的满意度普遍较高。
在精神科环境中，建立与员工的积极关系、解决负面期望以及从各级管理层寻求支持，对于减少培训障碍至关重要。
