College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
School of Health, Medical and Applied Sciences, Central Queensland University, Norman Gardens, Queensland, Australia.
Int J Ment Health Nurs. 2018 Dec;27(6):1729-1741. doi: 10.1111/inm.12477. Epub 2018 May 15.
Nursing students, regardless of setting, require skills in working with people with mental health issues. One way to provide students with learning opportunities within the context of limited undergraduate mental health content and lack of mental health placements is through employment as assistants in nursing (AIN). The purpose of the study was to investigate the use of AINs employed in an emergency department in South Australia to supervise (continuous observation) mental health consumers on inpatient treatment orders. Twenty-four participants took part in the study, with AINs (n = 8, all studying in an undergraduate nursing programme), nurse managers (n = 5), and nurses (n = 11) participating in semi-structured interviews. Data were analysed using thematic analysis. Themes focused on (i) the AIN role, their practice, boundaries or restrictions of their role, and the image consumers have of AINs; (ii) learning through experience, where the AIN role was a practical opportunity to learn and apply knowledge obtained through university studies; and (iii) support, which focused on how AINs worked with nursing staff as part of the healthcare team. Overall, participants believed that AINs played an important role in the ED in supervising consumers on involuntary mental health treatment orders, where their unique role was seen to facilitate more positive consumer experiences. The AIN role is one way for nursing students to develop skills in working with people with mental health issues.
护理专业的学生无论在何种环境下，都需要掌握与心理健康问题患者合作的技能。在本科心理健康内容有限且缺乏心理健康实习岗位的情况下，为学生提供学习机会的一种方法是雇佣助理护士（AIN）。本研究旨在调查在南澳大利亚的一家急诊科中使用 AIN 来监督（持续观察）有住院治疗医嘱的心理健康患者的情况。共有 24 名参与者参与了这项研究，其中包括 8 名 AIN（均在本科护理课程学习）、5 名护士经理和 11 名护士，他们参加了半结构化访谈。数据采用主题分析进行分析。主题集中在（i）AIN 的角色、他们的实践、角色的界限或限制以及消费者对 AIN 的看法；（ii）通过经验学习，AIN 角色是一个实践机会，可以学习和应用通过大学学习获得的知识；以及（iii）支持，重点关注 AIN 如何作为医疗团队的一部分与护理人员合作。总体而言，参与者认为 AIN 在急诊科监督非自愿心理健康治疗医嘱的患者方面发挥了重要作用，他们独特的角色被认为有助于患者获得更积极的体验。AIN 角色是护理学生发展与心理健康问题患者合作技能的一种方式。
