School of Nursing, Midwifery, and Paramedicine, Australian Catholic University, Melbourne, Victoria, Australia.
NorthWestern Mental Health, Melbourne Health, Melbourne, Victoria, Australia.
Int J Ment Health Nurs. 2018 Apr;27(2):727-736. doi: 10.1111/inm.12359. Epub 2017 Jul 18.
Facilitating parent-child and family connections during parental hospitalization provides important opportunities for mental health services to support individual and family recovery. Nurses are often the primary point of contact for families in the inpatient context. They play an integral role in the care provision of consumers and families and in supporting consumers' recovery. The aim of the present qualitative study was to explore nurses' practice with families in inpatient mental health settings in the context of designated family rooms. Three themes were derived from the thematic analysis of semistructured interviews with 20 nurses from four mental health inpatient units. Nurses experienced tensions within their roles in balancing safety and risk, a lack of confidence in family-focused practices in relation to role expectations, and challenges in juggling nursing care ideals with the contemporary realities of inpatient practice. A family-centred relational recovery approach is recommended for mental health services, which is underpinned by family-focused policies and processes, and supported at an organizational, managerial, and local-unit level. At an individual level, nurses need professional development on the models of care they practice in, explicit role clarity on their practice with families, and education on evidence-based brief family interventions.
在父母住院期间促进亲子和家庭联系，为精神卫生服务提供了支持个人和家庭康复的重要机会。护士通常是住院环境中家庭的主要联系人。他们在为消费者和家庭提供护理以及支持消费者康复方面发挥着不可或缺的作用。本定性研究的目的是探讨护士在指定家庭病房的精神科住院环境中与家庭合作的实践。对来自四个精神科住院病房的 20 名护士的半结构化访谈进行主题分析后，得出了三个主题。护士在平衡安全与风险、对与角色期望相关的以家庭为中心的实践缺乏信心以及在护理理想与住院实践的当代现实之间进行权衡方面，感受到了角色内的紧张。建议精神卫生服务采用以家庭为中心的关系康复方法，该方法以以家庭为重点的政策和流程为基础，并得到组织、管理和本地单位层面的支持。在个人层面上，护士需要在他们所实践的护理模式方面接受专业发展，对他们与家庭合作的实践有明确的角色认识，并接受基于证据的简短家庭干预措施的教育。
