Grant Anne, Reupert Andrea
Queen's University Belfast, Northern Ireland
Monash University, Melbourne, Victoria, Australia.
J Fam Nurs. 2016 May;22(2):199-223. doi: 10.1177/1074840716643770. Epub 2016 Apr 18.
Government policy and organizational factors influence family-focused practice (FFP) in adult mental health services. However, how these aspects shape psychiatric nurses' practice with parents who have mental illness, their dependent children, and families is less well understood. Drawing on the findings of a qualitative study, this article explores the way in which Irish policy and organizational factors might influence psychiatric nurses' FFP, and whether (and how) FFP might be further promoted. A purposive sample of 14 psychiatric nurses from eight mental health services completed semi-structured interviews. The analysis was inductive and presented as thematic networks. Both groups described how policies and organizational culture enabled and/or hindered FFP, with differences between community and acute participants seen. This study indicates a need for policies and organizational supports, including child and family skills training, to promote a whole family approach in adult mental health services.
政府政策和组织因素会影响成人心理健康服务中的家庭聚焦式实践（FFP）。然而，这些方面如何塑造精神科护士对患有精神疾病的父母、其受抚养子女及家庭的护理实践，目前还不太清楚。基于一项定性研究的结果，本文探讨了爱尔兰的政策和组织因素可能影响精神科护士家庭聚焦式实践的方式，以及家庭聚焦式实践是否（以及如何）能够得到进一步推广。来自八个心理健康服务机构的14名精神科护士组成的目的抽样样本完成了半结构化访谈。分析采用归纳法，并以主题网络形式呈现。两组人员都描述了政策和组织文化如何促进和/或阻碍家庭聚焦式实践，社区参与者和急症参与者之间存在差异。这项研究表明，需要出台政策并提供组织支持，包括儿童和家庭技能培训，以在成人心理健康服务中推广全家庭护理方法。
