Kornaros Katarina, Zwedberg Sofia, Nissen Eva, Salomonsson Björn
1Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
2Sophiahemmet Högskola, Stockholm, Sweden.
BMC Nurs. 2018 Sep 21;17:42. doi: 10.1186/s12912-018-0311-1. eCollection 2018.
There is a considerable prevalence of and an increasing attention to emotional problems in families with infants. Yet, knowledge is scant of how to create efficient and accessible mental health services for this population. The study qualitatively explored public health nurses' conceptions of a clinical project, in which psychotherapists provided short-term consultations and supervisions for nurses at Child Health Centres in Stockholm.
In-depth interviews with fifteen nurses. The guideline of the interviews contained open-ended questions that were analysed applying a hermeneutical approach.
Four main themes crystallized; The nurses' conceptions of their psychosocial work, Trespassing on another professional role, Interprofessional collaboration at the Child Health Centre, and The nurses' conceptions of the psychotherapist's function. In a second step, an analysis that clustered the nurses' attitudes towards handling mental health problems yielded one last theme with three "Ideal types"; nurses who expressed "I don't want to", "I want to but I cannot", and "I want to and I can" (take care of families' emotional problems at the CHC).
The nurses appreciated the easy referral and accessibility to the psychotherapists, and the possibilities of learning more about perinatal mental illness and parent-infant interactions. For a successful cooperation with the nurses, the therapist should be a team member, be transparent about his/her work, and give feedback about cases in treatment. The study also shows how the organization needs to clarify its guidelines and competence to improve psychological child health care. The paper suggests improvements for an integrated perinatal mental health care.
在有婴儿的家庭中，情感问题相当普遍且日益受到关注。然而，对于如何为这一人群创建高效且可及的心理健康服务，了解却很少。本研究定性地探讨了公共卫生护士对一个临床项目的看法，在该项目中，心理治疗师为斯德哥尔摩儿童健康中心的护士提供短期咨询和督导。
对15名护士进行深入访谈。访谈指南包含开放式问题，采用诠释学方法进行分析。
形成了四个主要主题；护士对其心理社会工作的看法、越界进入另一个专业角色、儿童健康中心的跨专业协作以及护士对心理治疗师职能的看法。第二步，对护士处理心理健康问题的态度进行聚类分析，得出最后一个主题及三种“理想类型”；表示“我不想”、“我想但我不能”以及“我想且我能”（在儿童健康中心处理家庭情感问题）的护士。
护士们赞赏能轻松转诊至心理治疗师处以及可及性，还有更多了解围产期精神疾病和母婴互动的可能性。为了与护士成功合作，治疗师应成为团队成员，工作透明，并对治疗中的病例提供反馈。该研究还表明组织需要明确其指导方针和能力，以改善儿童心理保健。本文提出了综合围产期心理健康护理的改进建议。
