Grundy A C, Walker L, Meade O, Fraser C, Cree L, Bee P, Lovell K, Callaghan P
School of Health Sciences, University of Nottingham, Nottingham, UK.
Health Sciences Research, School of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK.
J Psychiatr Ment Health Nurs. 2017 Aug;24(6):358-366. doi: 10.1111/jpm.12378. Epub 2017 Apr 27.
WHAT IS KNOWN ON THE SUBJECT?: There is consistent evidence that service users and carers feel marginalized in the process of mental health care planning. Mental health professionals have identified ongoing training needs in relation to involving service users and carers in care planning. There is limited research on the acceptability of training packages for mental health professionals which involve service users and carers as co-facilitators. WHAT DOES THIS PAPER ADD TO EXISTING KNOWLEDGE?: A co-produced and co-delivered training package on service user- and carer-involved care planning was acceptable to mental health professionals. Aspects of the training that were particularly valued were the co-production model, small group discussion and the opportunity for reflective practice. The organizational context of care planning may need more consideration in future training models. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Mental health nurses using co-production models of delivering training to other mental health professionals can be confident that such initiatives will be warmly welcomed, acceptable and engaging. On the basis of the results reported here, we encourage mental health nurses to use co-production approaches more often. Further research will show how clinically effective this training is in improving outcomes for service users and carers.
Background There is limited evidence for the acceptability of training for mental health professionals on service user- and carer-involved care planning. Aim To investigate the acceptability of a co-delivered, two-day training intervention on service user- and carer-involved care planning. Methods Community mental health professionals were invited to complete the Training Acceptability Rating Scale post-training. Responses to the quantitative items were summarized using descriptive statistics (Miles, ), and qualitative responses were coded using content analysis (Weber, ). Results Of 350 trainees, 310 completed the questionnaire. The trainees rated the training favourably (median overall TARS scores = 56/63; median 'acceptability' score = 34/36; median 'perceived impact' score = 22/27). There were six qualitative themes: the value of the co-production model; time to reflect on practice; delivery preferences; comprehensiveness of content; need to consider organizational context; and emotional response. Discussion The training was found to be acceptable and comprehensive with participants valuing the co-production model. Individual differences were apparent in terms of delivery preferences and emotional reactions. There may be a need to further address the organizational context of care planning in future training. Implications for practice Mental health nurses should use co-production models of continuing professional development training that involve service users and carers as co-facilitators.
关于该主题已知的信息有哪些？：有一致的证据表明，服务使用者和护理人员在精神卫生保健规划过程中感到被边缘化。精神卫生专业人员已确定在让服务使用者和护理人员参与护理规划方面存在持续的培训需求。关于让服务使用者和护理人员作为共同促进者参与的精神卫生专业人员培训包的可接受性的研究有限。本文对现有知识有何补充？：一个关于服务使用者和护理人员参与护理规划的共同制作和共同交付的培训包为精神卫生专业人员所接受。培训中特别受重视的方面是共同制作模式、小组讨论和反思性实践的机会。在未来的培训模式中可能需要更多地考虑护理规划的组织背景。对实践有何影响？：使用共同制作模式向其他精神卫生专业人员提供培训的精神卫生护士可以确信，此类举措将受到热烈欢迎、可接受且具有吸引力。基于此处报告的结果，我们鼓励精神卫生护士更频繁地使用共同制作方法。进一步的研究将表明这种培训在改善服务使用者和护理人员的结果方面在临床上的效果如何。
背景 关于精神卫生专业人员在服务使用者和护理人员参与护理规划方面的培训的可接受性的证据有限。目的 调查一项关于服务使用者和护理人员参与护理规划的共同交付的为期两天的培训干预的可接受性。方法 邀请社区精神卫生专业人员在培训后完成培训可接受性评定量表。对定量项目的回答使用描述性统计进行总结（迈尔斯），定性回答使用内容分析进行编码（韦伯）。结果 在350名受训者中，310人完成了问卷。受训者对培训给予了好评（总体TARS分数中位数 = 56/63；“可接受性”分数中位数 = 34/36；“感知影响”分数中位数 = 22/27）。有六个定性主题：共同制作模式的价值；反思实践的时间；交付偏好；内容的全面性；需要考虑组织背景；以及情感反应。讨论 发现该培训是可接受且全面的，参与者重视共同制作模式。在交付偏好和情感反应方面个体差异明显。在未来的培训中可能需要进一步解决护理规划 的组织背景问题。对实践的影响 精神卫生护士应使用让服务使用者和护理人员作为共同促进者参与的持续专业发展培训的共同制作模式。
