Pumahara Consultants, Pegasus, New Zealand.
School of Nursing and Midwifery, The University of Queensland, Brisbane, Queensland, Australia.
Int J Ment Health Nurs. 2017 Dec;26(6):629-638. doi: 10.1111/inm.12291. Epub 2016 Dec 29.
This paper presents findings from a study exploring the nurses' experience of caring for adults with intellectual disability and mental health issues in inpatient settings. Semi structured interviews were undertaken with 13 nurses from various regions of New Zealand. Methods suggested by an Appreciative Inquiry methodology were used to explore the nurses' positive experiences of their role. Interviews were transcribed and analysed using open coding and Leximancer (an online data mining tool) analysis to identify dominant themes in the discourse. Analysis revealed themes around 'Contextualising behaviour', 'Communication', 'Confidence to care' and 'Time'. Participants reflected upon their experiences offering personal interpretations in identifying the aspects of nursing that mattered and that worked. What is shown is that nurses were able to describe a range of creative and adaptive ways of nursing in responding to numerous complex factors they faced in their roles. This suggests a strong foundation on which to advance nursing care in this field.
本文介绍了一项研究的结果,该研究探讨了护士在住院环境中照顾患有智力残疾和精神健康问题的成年人的经验。对来自新西兰不同地区的 13 名护士进行了半结构化访谈。采用欣赏式探询方法建议的方法来探索护士对其角色的积极体验。使用开放式编码和 Leximancer(一种在线数据挖掘工具)分析对访谈进行了转录和分析,以确定话语中的主要主题。分析揭示了围绕“情境化行为”、“沟通”、“护理信心”和“时间”的主题。参与者反思了他们的经验,通过个人解释确定了护理中重要和有效的方面。研究表明,护士能够描述一系列富有创意和适应性的护理方式,以应对他们在工作中面临的众多复杂因素。这表明在这一领域推进护理工作有坚实的基础。