Mental Health Research, Sydney Local Health District, Concord Centre for Mental Health, Concord, New South Wales, Australia.
Int J Ment Health Nurs. 2019 Feb;28(1):105-116. doi: 10.1111/inm.12497. Epub 2018 Jun 13.
Recovery-oriented mental health care requires active involvement of service users in the evaluation of care. While experience of care surveys is routinely given out upon discharge, capturing the depth and detail of service users' experiences in such a way to meaningfully improve services may require more in-depth and targeted approaches. This study aimed to gather voluntary and involuntary service users' experiences of care during hospitalization in two acute adult mental health inpatient units, through the collaborative completion of a purpose designed tool. The purpose of the study was to examine broad experiences of care and to identify the utility of proactive approaches to ongoing service evaluation. Overall, 67 participants were interviewed. Findings highlight the complexity of experiences of care including how an admission can seemingly facilitate clinical recovery while not being recovery-oriented. The findings also detail areas for improvement in the way that care is delivered and evaluated. The implications are particularly pertinent for mental health nurses to consider how, within the existing constraints of their roles, they can provide therapeutic care to all service users.
康复导向的精神卫生保健需要服务使用者积极参与护理评估。虽然在出院时通常会进行护理体验调查，但为了有意义地改善服务，以更深入和有针对性的方式来捕捉服务使用者的体验深度和细节可能是必要的。本研究旨在通过合作完成专门设计的工具，收集两名急性成年精神科住院患者中自愿和非自愿服务使用者的住院期间护理体验。研究目的是检查护理的广泛体验，并确定主动进行持续服务评估的方法的效用。总体上，对 67 名参与者进行了访谈。研究结果强调了护理体验的复杂性，包括入院如何在不注重康复的情况下似乎促进临床康复。研究结果还详细说明了提供护理和评估的改进领域。这些结果对于精神科护士来说尤其重要，他们需要考虑在其角色的现有限制内，如何为所有服务使用者提供治疗性护理。
