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向澳大利亚某地方卫生区域的精神健康护士介绍以解决问题为导向的简短治疗方法。

Introducing solution-focussed brief therapy to mental health nurses across a local health district in Australia.

机构信息

Sydney Local Health District, University of Sydney, Sydney, New South Wales, Australia.

Sydney Nursing School, University of Sydney, Sydney, New South Wales, Australia.

出版信息

Int J Ment Health Nurs. 2018 Apr;27(2):774-782. doi: 10.1111/inm.12364. Epub 2017 Jun 23.

Abstract

Solution-focussed brief therapy (SFBT) can be applied to effectively address a broad range of mental health-, alcohol-, and substance-related challenges. The compatibility that SFBT has with mental health nursing practice has been widely recognized. The aim of the present mixed-methods study was to introduce and evaluate the utility of SFBT principles, strategies, and techniques to the clinical work of mental health nurses from a local health district in Sydney, Australia. Following a 4-hour introductory SFBT workshop, participants were invited to complete a one-page evaluation and undertake a follow-up individual telephone interview with a research assistant. Participants (n = 65) were positive about the workshop content and recognized the potential benefits of SFBT in clinical practice. Interviewed participants (n = 14) were enthusiastic about SFBT. However, they also identified that using SFBT was challenging, particularly as the approach was considered different to current practices in mental health services. A lack of confidence with incorporating SFBT in their clinical work was also acknowledged, and participants expressed interest in additional training, including more time to practise SFBT strategies and techniques. Widespread training for mental health nurses in SFBT is indicated, including opportunities for supervision and to observe SFBT being employed by experienced clinicians.

摘要

以解决问题为导向的短期心理治疗(SFBT)可有效解决广泛的心理健康、酒精和物质相关问题。SFBT 与心理健康护理实践的兼容性已得到广泛认可。本混合方法研究的目的是向来自澳大利亚悉尼当地卫生区的心理健康护士介绍并评估 SFBT 原则、策略和技术在临床工作中的实用性。在参加了 4 小时的 SFBT 入门工作坊后,参与者被邀请填写一页评估表,并与研究助理进行后续的单独电话访谈。参与者(n=65)对工作坊内容持肯定态度,并认识到 SFBT 在临床实践中的潜在益处。接受访谈的参与者(n=14)对 SFBT 很感兴趣。然而,他们也认为使用 SFBT 具有挑战性,特别是因为该方法被认为与心理健康服务中的当前做法不同。参与者还承认,他们对将 SFBT 纳入临床工作缺乏信心,并表示有兴趣接受额外的培训,包括更多时间练习 SFBT 策略和技巧。需要对心理健康护士进行广泛的 SFBT 培训,包括提供监督和观察有经验的临床医生使用 SFBT 的机会。

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