Faculty of Health, School of Health Sciences, Nursing and Midwifery, University of Tasmania, Hobart, Tasmania, Australia.
Mental Health Nursing University of South Australia, Adelaide, South Australia, Australia.
Int J Ment Health Nurs. 2018 Feb;27(1):267-275. doi: 10.1111/inm.12317. Epub 2017 Feb 3.
In the context of an enduring debate about the distinct identity of mental health nursing, this qualitative study explored the nature, scope and consequences of mental health nursing practice. Data for interpretation were generated through interviews with 36 mental health nurses, five of their clients and one health care colleague, each of whom were asked to speak in as much detail as possible about what they believe is special about mental health nursing and what had influenced them to arrive at this understanding. Using a constructivist grounded theory approach, the study generated a substantive theory of recovery-focused mental health nursing expressed as 'Being in the here and now, side by side, co-constructing care'. The study revealed that the distinct nature and identity of mental health nursing provides the foundation that primes and drives practice scope and consequences. Conceptual interpretations of the data emphasized the mental health nursing perspective of care as an acquired lens founded in nursing as a profession and enhanced by the relational interplay between the nurse and the client that facilitates the nurse to adopt recovery-focused practices. This theoretical construct holds the potential to be the mediating connection between client and mental health nurse. By situating mental health nursing and its central role in practice as something co-constructed, findings from this study can be expanded beyond the Australian context, particularly in terms of mental health nursing's distinct professional identity and practice.
在关于心理健康护理独特身份的持久争论中，这项定性研究探讨了心理健康护理实践的性质、范围和后果。解释数据是通过对 36 名心理健康护士、他们的 5 名客户和 1 名医疗保健同事进行访谈生成的，要求每位受访者尽可能详细地讲述他们认为心理健康护理有何特别之处，以及是什么影响了他们对此的理解。本研究采用建构主义扎根理论方法，生成了以“在此刻，并肩，共同构建护理”为表述的以康复为重点的心理健康护理的实质性理论。该研究表明，心理健康护理的独特性质和特征为实践范围和后果提供了基础，推动了实践范围和后果。对数据的概念解释强调了护理视角的护理作为一种职业护理所获得的视角，并通过护士和客户之间的关系相互作用得到增强，这有助于护士采用以康复为重点的实践。这个理论结构有可能成为客户和心理健康护士之间的中介联系。通过将心理健康护理及其在实践中的核心作用视为共同构建的事物，本研究的结果可以扩展到澳大利亚以外的地区，特别是在心理健康护理独特的专业身份和实践方面。
