Kenny Amanda, Allenby Ann
La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia.
Mt Alexander Hospital, Castlemaine, Victoria, Australia.
Nurs Health Sci. 2013 Jun;15(2):194-200. doi: 10.1111/nhs.12014. Epub 2012 Dec 4.
This study in Victoria, Australia examined issues that rural nurses face in the provision of psychosocial care. Researchers, across a diversity of fields, have argued that psychosocial care is inadequate. Current knowledge of psychosocial care in rural areas is limited, despite the centrality of nurses in the provision of this care. Using an interpretive descriptive design, four focus groups were conducted with 22 nurses from five rural hospitals. Thematic analysis resulted in the emergence of five organising themes that impact on the provision of psychosocial care: constructive relationships, professional isolation, multiskilling expectations, client interaction, and competing demands. The global theme, "Managing multiple roles, demands and relationships" reflected the notion that the provision of psychosocial care is impacted on by the multiple roles and tasks that rural nurses undertake and the impact of contextual and interpersonal relationships. Strategies are needed to support nurses in their role and while clinical supervision has been identified as potentially useful, attention must be given to strong leadership, the development of a positive culture, recognition of the centrality of client care, and evidence-based education.
这项在澳大利亚维多利亚州开展的研究，调查了乡村护士在提供心理社会护理时所面临的问题。来自不同领域的研究人员认为，心理社会护理存在不足。尽管护士在提供此类护理方面起着核心作用，但目前关于农村地区心理社会护理的知识有限。本研究采用解释性描述设计，对来自五家乡村医院的22名护士进行了四个焦点小组访谈。主题分析得出了影响心理社会护理提供的五个组织主题：建设性关系、职业孤立、多技能期望、与客户互动以及相互竞争的需求。总体主题“管理多重角色、需求和关系”反映了这样一种观念，即心理社会护理的提供受到乡村护士所承担的多重角色和任务的影响，以及情境和人际关系的影响。需要采取策略来支持护士履行其职责，虽然临床督导已被认为可能有用，但必须重视强有力的领导、积极文化的发展、对客户护理核心地位的认可以及基于证据的教育。
