Department of Neuroscience, Uppsala University, Uppsala, Sweden.
Centre for Clinical Research, Dalarna, Falun, Sweden.
Int J Ment Health Nurs. 2018 Oct;27(5):1401-1410. doi: 10.1111/inm.12439. Epub 2018 Feb 15.
A promising intervention in mental health in-patient care is behavioural activation (BA). Interventions based on BA can be used by mental health nurses and other staff members. The aim of this study was to evaluate patients' and staff members' experiences of a nursing staff-led behavioural group intervention in mental health in-patient care. The intervention was implemented at three adult acute general mental health in-patient wards in a public hospital setting in Sweden. A self-administrated questionnaire, completed by 84 patients and 34 nurses and nurse assistants, was administered, and nonparametric data analysed using descriptive statistics. Our findings revealed that both patients and nursing staff ranked nursing care and care environment as important aspects in the recovery process. Patients and staff members reported overall positive experiences of the group sessions. Patients with higher frequencies of attendance and patients satisfied with overall care had a more positive attitude towards the intervention. A more positive experience of being a group leader was reported by staff members who had been leading groups more than ten times. The most common impeding factor during implementation, reported by staff members, was a negative attitude to change. Conducive factors were having support from a psychologist and the perception that patients were showing interest. These positive experiences reported by patients and nursing staff, combined with previous research in this field, are taking us one step further in evaluating group sessions based on BA as a meaningful nursing intervention in mental health in-patient care.
在精神科住院患者护理中，一种有前景的干预措施是行为激活（BA）。基于 BA 的干预措施可以由精神科护士和其他工作人员使用。本研究的目的是评估患者和工作人员对精神科住院患者护理中由护理人员主导的行为小组干预的体验。该干预措施在瑞典一家公立医院的三个成人急性普通精神科住院病房实施。通过自我管理问卷，对 84 名患者和 34 名护士和护士助理进行了调查，并使用描述性统计对非参数数据进行了分析。我们的研究结果表明，患者和护理人员都将护理和护理环境视为康复过程中的重要方面。患者和工作人员对小组会议的总体体验均为积极。参加次数较多且对整体护理满意的患者对干预措施的态度更为积极。领导小组次数超过十次的工作人员报告说，他们作为小组组长的体验更为积极。工作人员报告的实施过程中最常见的阻碍因素是对变革的消极态度。有利因素是得到心理学家的支持以及患者表现出兴趣的看法。患者和护理人员报告的这些积极体验，结合该领域的先前研究，使我们在评估基于 BA 的小组会议作为精神科住院患者护理中有意义的护理干预措施方面又迈进了一步。
