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):258-266. doi: 10.1111/inm.12316. Epub 2017 Feb 3.
How mental health nursing is differentiated from other disciplines and professions, and what special contribution mental health nurses make to health services, is a question at the heart of contemporary practice. One of the significant challenges for mental health nurses is identifying, developing and advancing those aspects of their practice that they consider differentiate them in the multi-disciplinary mental health care team and to articulate clearly what a mental health nurse is and does. This paper draws on data from interviews with 36 mental health nurses in Australia who identified their practice as autonomous. Participants were asked the question, "What's special about mental health nursing?" Constructivist grounded theory techniques were applied to the research process. Findings were formulated and expressed as the 'Ten P's of the professional profile that is mental health nursing', which are 'present', 'personal', 'participant partnering', 'professional', 'phenomenological', 'pragmatic', 'power-sharing', 'psycho-therapeutic', 'proud' and 'profound'. The combined elements of the findings present a theoretical construct of mental health nursing practice as something distinctive and special. It provides a model and exemplar for contemporary practice in mental health nursing, embracing the role of mental health nurses in the health care workforce as being well placed as providers of productive and effective care.
精神科护理如何与其他学科和专业区分开来，以及精神科护士对卫生服务做出了哪些特殊贡献，这是当代实践的核心问题。对于精神科护士来说，其中一个重大挑战是确定、发展和推进他们认为使他们在多学科精神卫生保健团队中与众不同的实践方面，并清楚地阐明精神科护士的工作内容和性质。本文借鉴了来自澳大利亚 36 名自认为自主执业的精神科护士的访谈数据。受访者被问到一个问题：“精神科护理有什么特别之处？”研究过程中应用了建构主义扎根理论技术。研究结果被表述为“精神科护理专业特征的十个 P”，即“在场”、“个人”、“参与者合作”、“专业”、“现象学”、“务实”、“权力共享”、“心理治疗”、“自豪”和“深刻”。研究结果的综合要素呈现了精神科护理实践的理论建构，认为这是独特而特别的。它为精神科护理的当代实践提供了一个模型和范例，承认精神科护士在医疗保健劳动力中的作用，是提供富有成效和有效的护理的合适人选。
