University at Buffalo, School of Nursing, Main Street, Buffalo, NY, USA; University of New England, School of Health, Armidale, NSW, Australia.
Nurse Educ Pract. 2019 Jan;34:25-30. doi: 10.1016/j.nepr.2018.06.004. Epub 2018 Jun 9.
Student nurses maintain unfavorable views of people with mental health issues. Many continue to perpetuate common stereotypes, are fearful and believe people with mental health problems are in some way dangerous. The impact of placements greatly affects these views. A pre-post survey of 85 student nurses was conducted to establish the opinions and attitudes of student nurses regarding mental health. Groups were allocated to either community or hospital placements. Each group received the same educational preparation prior to placement. Both community and hospital placed students had improved clinical confidence when working with people experiencing mental health problems. Community placed students demonstrated greater positive attitudes towards people experiencing mental health issues across a number of domains. Students in hospital settings demonstrated more confidence when working with people with mental health issues yet had less attitudinal change about mental health. The approach taken by clinical facilitators also influenced student attitudes. It is suggested that offering community opportunities along with exposure to positive instructor beliefs about mental illness will both improve student attitudes prior to the completion of their nursing studies and may encourage entry into mental health as a nursing option post-education.
护生对心理健康问题患者持有负面看法。许多人继续存在常见的刻板印象，感到恐惧，并认为心理健康问题患者在某种程度上是危险的。实习经历对这些看法有很大影响。本研究对 85 名护生进行了一项前后测调查，以了解护生对心理健康的看法和态度。将学生分为社区或医院实习组。在实习前，两组都接受了相同的教育准备。在与经历心理健康问题的人一起工作时，社区实习组和医院实习组的学生都提高了临床信心。社区实习组在多个领域对经历心理健康问题的人表现出更积极的态度。在医院环境中工作的学生对心理健康问题的患者更有信心，但对心理健康的态度变化较小。临床指导者的方法也影响了学生的态度。建议在护理学习完成之前，提供社区机会和接触对精神疾病的积极教师信念，这将改善学生的态度，并可能鼓励他们在教育后选择从事心理健康护理。
