Tofthagen Randi, Talseth Anne-Grethe, Fagerström Lisbeth
Lovisenberg Diaconal University College, Oslo, Norway ; The Department of Health and Care Sciences, Faculty of Health Sciences, University of Tromsø, The Artic University of Norway, Norway.
The Department of Health and Care Sciences, Faculty of Health Sciences, University of Tromsø, The Artic University of Norway, Norway.
Nurs Res Pract. 2014;2014:905741. doi: 10.1155/2014/905741. Epub 2014 Nov 13.
The aim of this study was to explore mental health nurses' experiences of caring for inpatients who self-harm during an acute phase. The setting was four psychiatric clinics in Norway. Fifteen mental health nurses (MHNs) were recruited. Semistructured interviews comprised the method for data collection, with content analysis used for data analysis. Two main categories emerged: challenging and collaborative nurse-patient relationship and promoting well-being through nursing interventions. The underlying meaning of the main categories was interpreted and formulated as a latent theme: promoting person-centered care to patients suffering from self-harm. How MHNs promote care for self-harm patients can be described as a person-centered nursing process. MHNs, through the creation of a collaborative nurse-patient relationship, reflect upon nursing interventions and seek to understand each unique patient. The implication for clinical practice is that MHNs are in a position where they can promote patients' recovery processes, by offering patients alternative activities and by working in partnership with patients to promote their individual strengths and life knowledge. MHNs strive to help patients find new ways of living with their problems. The actual study highlighted that MHNs use different methods and strategies when promoting the well-being of self-harm patients.
本研究的目的是探讨心理健康护士在急性期护理自残住院患者的经历。研究地点为挪威的四家精神科诊所。招募了15名心理健康护士(MHNs)。采用半结构化访谈进行数据收集,并运用内容分析法进行数据分析。出现了两个主要类别:具有挑战性的和协作性的护患关系,以及通过护理干预促进福祉。对主要类别的潜在含义进行了解释,并提炼为一个潜在主题:为自残患者提供以患者为中心的护理。心理健康护士促进对自残患者护理的方式可描述为一个以患者为中心的护理过程。心理健康护士通过建立协作性的护患关系,反思护理干预措施,并努力了解每一位独特的患者。对临床实践的启示是,心理健康护士能够通过为患者提供替代活动,并与患者合作以提升其个人优势和生活知识,来促进患者的康复进程。心理健康护士努力帮助患者找到应对自身问题的新的生活方式。实际研究表明,心理健康护士在促进自残患者的福祉时会使用不同的方法和策略。