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基层医疗中心工作的精神科护士:全科医生的看法。

Mental health nurses working in primary care: Perceptions of general practitioners.

机构信息

The Park, Centre for Mental Health, University of Queensland, Richlands, QLD 4077, Australia.

出版信息

Int J Ment Health Nurs. 2013 Oct;22(5):377-83. doi: 10.1111/j.1447-0349.2012.00884.x. Epub 2012 Oct 1.

DOI:10.1111/j.1447-0349.2012.00884.x
PMID:23020105
Abstract

The Mental Health Nurse Incentive Program (MHNIP) was established across Australia during 2007. Under the guidelines for the program, mental health nurses work in partnership with general practitioners (GPs) to assist in the assessment and treatment of those with more severe mental health problems. This paper provides insights, from the perspective of GPs, on the qualities required of mental health nurses seeking employment in the primary care setting. A descriptive, exploratory approach was employed to isolate relevant themes. Discussion groups were conducted with 25 GPs involved with the Mental Health Nurse Incentive Program. These discussion groups were audio-taped, transcribed, and analyzed using content analysis. Five overarching thematic clusters emerged from the data: (i) 'fitting in'; (ii) knowledge; (iii) skills; (iv) supporting GPs; and (v) educating GPs. While GPs recognize the valuable contribution that mental health nurses can make in the treatment of those with mental health problems, this appears to be dependent on the knowledge and skills of the nurses involved and their ability to engage with GPs. Ongoing education and other practical interventions are required to ensure that GPs are better informed about the initiative.

摘要

心理健康护士激励计划(MHNIP)于 2007 年在澳大利亚全面推行。根据该计划的指导方针,心理健康护士与全科医生(GP)合作,协助评估和治疗那些有更严重心理健康问题的人。本文从全科医生的角度,提供了对在初级保健环境中寻求就业的心理健康护士所需素质的见解。本研究采用描述性、探索性方法来分离相关主题。与心理健康护士激励计划相关的 25 名全科医生参加了讨论小组。这些讨论小组被录音、转录,并使用内容分析法进行分析。从数据中得出了五个总体主题集群:(i)“融入”;(ii)知识;(iii)技能;(iv)支持全科医生;(v)教育全科医生。虽然全科医生认识到心理健康护士在治疗心理健康问题患者方面可以做出有价值的贡献,但这似乎取决于相关护士的知识和技能,以及他们与全科医生合作的能力。需要开展持续的教育和其他实际干预措施,以确保全科医生更好地了解该计划。

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