Hurley John, Browne Graeme, Lakeman Richard, Angking DoRhen, Cashin Andrew
School of Health and Human Sciences, Southern Cross University, Coffs Harbour, New South Wales, Australia.
Int J Ment Health Nurs. 2014 Feb;23(1):17-23. doi: 10.1111/inm.12020. Epub 2013 Mar 27.
The Mental Health Nurse Incentive Program (MHNIP) is a Commonwealth Government funded scheme that supports people living with a mental illness. Despite its significance, the program has received little attention from researchers nor critical discussion within the published work. This paper first critically examines the MHNIP from the contexts of identities, autonomy, and capabilities of mental health nurses (MHN) and then reports on findings from a qualitative study that explored the experiences of staff working in the MHNIP. Key findings from this qualitative study include four main themes indicating that both the program and the nurses working within it are addressing the unmet needs of people living with a mental illness. They achieve these ends by adopting holistic and consumer-centred approaches and by providing a wide range of therapeutic interventions. As well, the MHN in this study valued the freedom and autonomy of their practice outside public health services and the respect received from colleagues working in other disciplines. Findings suggest that MHN within the study were experienced as having autonomous identities and roles that may be in contrast to the restrictive understandings of MHN capability within the program's funding rules.
心理健康护士激励计划（MHNIP）是一项由英联邦政府资助的计划，旨在支持患有精神疾病的人群。尽管该计划意义重大，但很少受到研究人员的关注，在已发表的作品中也缺乏批判性讨论。本文首先从心理健康护士（MHN）的身份、自主性和能力等方面对MHNIP进行批判性审视，然后报告一项定性研究的结果，该研究探讨了在MHNIP工作的人员的经历。这项定性研究的主要发现包括四个主要主题，表明该计划以及在其中工作的护士都在满足患有精神疾病的人群尚未得到满足的需求。他们通过采用整体和以消费者为中心的方法以及提供广泛的治疗干预措施来实现这些目标。此外，本研究中的心理健康护士重视他们在公共卫生服务之外的实践自由和自主性，以及从其他学科的同事那里获得的尊重。研究结果表明，研究中的心理健康护士具有自主的身份和角色，这可能与该计划资助规则中对心理健康护士能力的限制性理解形成对比。
