Goulter N, Kavanagh D J, Gardner G
Metro North Mental Health Services, Royal Brisbane & Women's Hospital & Queensland University of Technology, Brisbane, QLD, Australia.
School of Psychology, Queensland University of Technology & Institute of Health and Biomedical Innovation, Brisbane, QLD, Australia.
J Psychiatr Ment Health Nurs. 2015 Aug;22(6):449-56. doi: 10.1111/jpm.12173. Epub 2015 May 4.
Recent evidence suggests that the interactional work of mental health nursing has been eroded and redirected to the task-based roles of medicine. This study utilized work sampling methodology to observe the proportion of time nurses working in a mental health setting spend in direct care, indirect care and service-related activities. Nurses spent 32% of their time in direct care, 52% in indirect care and 17% in service-related activities. Mental health nurses need to re-establish their therapeutic availability to maximize consumer experiences and outcomes.
The foundation of mental health nursing has historically been grounded in an interpersonal, person-centred process of health care, yet recent evidence suggests that the interactional work of mental health nursing is being eroded. Literature emphasizes the importance of person-centred care on consumer outcomes, a model reliant upon the intimate engagement of nurses and consumers. Yet, the arrival of medical interventions in psychiatry has diverted nursing work from the therapeutic nursing role to task-based roles delegated by medicine, distancing nurses from consumers. This study used work sampling methodology to observe the proportion of time nurses working in an inpatient mental health setting spend in the activities of direct care, indirect care and service-related activities. Nurses spent 32 of their time in direct care, 52% in indirect care and 17% in service-related activities. Mental health nurses need to re-establish their therapeutic availability to maximize consumer experiences and outcomes.
近期证据表明，心理健康护理的互动工作受到侵蚀，并被重新导向医学的基于任务的角色。本研究采用工作抽样方法，观察心理健康环境中护士在直接护理、间接护理和服务相关活动上花费的时间比例。护士将32%的时间用于直接护理，52%用于间接护理，17%用于服务相关活动。心理健康护士需要重新确立其治疗可用性，以最大限度地提升患者体验和治疗效果。
心理健康护理的基础历来建立在人际、以患者为中心的医疗过程中，但近期证据表明，心理健康护理的互动工作正在受到侵蚀。文献强调以患者为中心的护理对患者治疗效果的重要性，这一模式依赖于护士与患者的密切互动。然而，精神科医学干预的出现，已将护理工作从治疗性护理角色转向医学所赋予的基于任务的角色，使护士与患者的距离疏远。本研究采用工作抽样方法，观察住院心理健康环境中护士在直接护理、间接护理和服务相关活动上花费的时间比例。护士将32%的时间用于直接护理，52%用于间接护理，17%用于服务相关活动。心理健康护士需要重新确立其治疗可用性，以最大限度地提升患者体验和治疗效果。
