School of Nursing and Midwifery, University of Newcastle, University Drive, Callaghan, New South Wales, Australia.
The University of Melbourne, Melbourne, Victoria, Australia.
Int J Ment Health Nurs. 2019 Aug;28(4):950-959. doi: 10.1111/inm.12596. Epub 2019 Apr 5.
Holistic and person-centred nursing care is commonly regarded as fundamental to nursing practice. These approaches are complementary to recovery which is rapidly becoming the preferred mode of practice within mental health. The willingness and ability of nurses to adopt recovery-oriented practice is essential to services realizing recovery goals. Involving consumers (referred herein as Experts by Experience) in mental health nursing education has demonstrated positive impact on the skills and attitudes of nursing students. A qualitative exploratory research project was undertaken to examine the perspectives of undergraduate nursing students to Expert by Experience-led teaching as part of a co-produced learning module developed through an international study. Focus groups were held with students at each site. Data were analysed thematically. Understanding the person behind the diagnosis was a major theme, including subthemes: person-centred care/seeing the whole person; getting to know the person, understanding, listening; and challenging the medical model, embracing recovery. Participants described recognizing consumers as far more than their psychiatric diagnoses, and the importance of person-centred care and recovery-oriented practice. Understanding the individuality of consumers, their needs and goals, is crucial in mental health and all areas of nursing practice. These findings suggest that recovery, taught by Experts by Experience, is effective and impactful on students' approach to practice. Further research addressing the impact of Experts by Experience is crucial to enhance our understanding of ways to facilitate the development of recovery-oriented practice in mental health and holistic and person-centred practice in all areas of health care.
整体和以患者为中心的护理被普遍认为是护理实践的基础。这些方法与康复相辅相成,而康复正在迅速成为精神健康领域首选的实践模式。护士愿意并能够采用以康复为导向的实践对于服务实现康复目标至关重要。让(本文中称为有经验的专家)消费者参与精神健康护理教育已被证明对护理学生的技能和态度产生积极影响。一项定性探索性研究项目,旨在考察本科护理学生对以有经验的专家为主导的教学的看法,该教学是通过国际研究共同制作的学习模块的一部分。在每个地点都举行了学生焦点小组。数据进行了主题分析。理解诊断背后的人是一个主要主题,包括以下子主题:以患者为中心的护理/了解整个人;了解患者、理解、倾听;挑战医学模式,接受康复。参与者描述了将消费者视为不仅仅是他们的精神科诊断,以及以患者为中心的护理和以康复为导向的实践的重要性。了解消费者的个性、他们的需求和目标,在精神健康和护理实践的所有领域都至关重要。这些发现表明,由有经验的专家教授的康复对学生的实践方法是有效且有影响力的。进一步研究有经验的专家的影响对于增强我们对促进精神健康中以康复为导向的实践和所有医疗保健领域中整体和以患者为中心的实践发展的理解至关重要。