Delaney Kathleen R
Department of Community, Systems and Mental Health, Rush College of Nursing, Chicago, Illinois.
J Child Adolesc Psychiatr Nurs. 2017 Nov;30(4):201-208. doi: 10.1111/jcap.12204.
In 1992, a paper published in the Journal of Child and Adolescent Psychiatric Nursing detailed the work of psychiatric nursing staff on inpatient child/adolescent psychiatric units. The paper was organized around five therapeutic processes seen to organize nursing interventions into the essential functions of a therapeutic milieu. This paper updates that scheme as well as the nursing interventions that operationalize these therapeutic processes. The model is now organized according to four therapeutic categories: Safety, Structure, Support, and Self-Management. Each of these categories is explained and updated with recent nursing literature and psychiatric inpatient research. The support category highlights recent qualitative research focused on adolescents' perceptions of their psychiatric hospitalization experience. Recommendations for future directions for nursing milieu practice are suggested.
1992年，一篇发表在《儿童与青少年精神科护理杂志》上的论文详细阐述了精神科护理人员在儿童/青少年精神科住院病房的工作。该论文围绕五个治疗过程展开，这些过程被视为将护理干预组织成治疗环境的基本功能。本文更新了该方案以及实施这些治疗过程的护理干预措施。现在该模型根据四个治疗类别进行组织：安全、结构、支持和自我管理。每个类别都结合近期的护理文献和精神科住院研究进行了解释和更新。支持类别突出了近期关注青少年对其精神科住院经历看法的定性研究。文中还提出了对护理环境实践未来方向的建议。
