Tema Tebogo, Poggenpoel Marie, Myburgh Chris
Department of Nursing, University of Johannesburg.
Curationis. 2018 Jun 13;41(1):e1-e8. doi: 10.4102/curationis.v41i1.1844.
Hostile behaviour by mental health care users (MHCUs) is prevalent in forensic units in South Africa, and this causes service providers distress and burnout. Psychiatric nurses (PNs) find it difficult to render quality care to MHCUs who are threatening them and also challenging their authority in a forensic unit. Forensic mental health care practitioners may be challenged to engage authentically with MHCUs who constitute a risk to their personal safety or who have committed acts the practitioner finds morally disturbing. There is a need to facilitate the mental health of PNs in a forensic unit to manage hostile behaviour constructively.
The objective of this article is to describe the process that was followed in developing, implementing and evaluating a model that could be used as a framework of reference to facilitate the mental health of PNs in a forensic unit to manage hostile behaviour constructively.
A theory-generative, qualitative, exploratory descriptive and contextual study design was used to develop the model. The steps of the process entailed the identification of the central concept, the definition of the central concept and other essential criteria and the classification of the central and related concepts. The model was then described and evaluated.
The central concept was identified as the 'facilitation of empowerment of PNs to manage hostility in a constructive manner', defined, classified and then described and evaluated.
The model as framework of reference could assist PNs in managing hostility in a forensic unit constructively.
在南非的法医部门，精神卫生保健使用者（MHCUs）的敌对行为很普遍，这给服务提供者带来了困扰和职业倦怠。精神科护士（PNs）发现，很难为那些威胁他们且挑战他们在法医部门权威的MHCUs提供优质护理。法医精神卫生保健从业者可能会面临挑战，难以与那些对他们的人身安全构成风险或实施了让从业者在道德上感到不安行为的MHCUs进行真诚互动。有必要促进法医部门精神科护士的心理健康，以便建设性地应对敌对行为。
本文的目的是描述一个模型的开发、实施和评估过程，该模型可作为一个参考框架，以促进法医部门精神科护士的心理健康，从而建设性地应对敌对行为。
采用理论生成性、定性、探索性描述性和情境性研究设计来开发该模型。该过程的步骤包括确定核心概念、定义核心概念和其他基本标准，以及对核心概念和相关概念进行分类。然后对该模型进行描述和评估。
核心概念被确定为“促进精神科护士增强权能，以建设性方式应对敌意”，并进行了定义、分类，然后进行了描述和评估。
作为参考框架的该模型可帮助精神科护士在法医部门建设性地应对敌意。
