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精神科护士对患者参与护理交接班的态度:教育实施前后的比较。

Mental health nurses' attitudes towards consumer involvement in nursing handover pre and post an educational implementation.

机构信息

Faculty of Health, Arts and Design Swinburne University of Technology, Hawthorn, Victoria, Australia.

School of Nursing and Healthcare Professions, Federation University, Mount Helen, Victoria , Australia.

出版信息

Int J Ment Health Nurs. 2019 Oct;28(5):1195-1205. doi: 10.1111/inm.12631. Epub 2019 Jul 19.

Abstract

Involving mental health consumers in nursing handover is a recent introduction to practise in acute mental health units. However, implementation must recognize that mental health care is complex and the approach needs to include recovery-focused philosophies of practice. Evidence shows that nurses and other health professionals consider poor handover practices may be the source of adverse events; however, the views of mental health nurses about involving consumers in nursing handover have not been previously reported. The aim of this study was to identify nurses' attitudes towards consumer involvement in handover and to measure the effect of a training programme upon these attitudes. A single-group pre-post-test intervention study was undertaken. The study was conducted on the adult acute mental health inpatient unit of a major metropolitan hospital in Victoria, Australia, 2016-2017. Questionnaires were developed to capture the views of the nurses about proposed changes in the afternoon nursing handover process. A questionnaire was administered before and after the training intervention, an innovative, multi-media education handover package. We found that training had a significant influence on mental health nurses' attitudes towards involving consumers in the handover. Therapeutic engagement improved following training and miscommunication reduced when all players are informed and have the opportunity to engage with the information. This study has demonstrated that well-planned education can influence nurses' attitudes about involving consumers in the nursing handover processes.

摘要

让心理健康服务使用者参与护理交接班是在急性心理健康病房中实施的一项新举措。然而,在实施过程中必须认识到,精神卫生保健工作是复杂的,这种方法需要包含以康复为重点的实践理念。有证据表明,护士和其他卫生专业人员认为交接班实践不佳可能是不良事件的根源;然而,关于让精神科护士参与护理交接班的观点之前尚未报道过。本研究旨在确定护士对让消费者参与护理交接班的态度,并衡量培训方案对这些态度的影响。采用了单组前后测试干预研究。该研究于 2016-2017 年在澳大利亚维多利亚州一家主要大都市医院的成人急性心理健康住院病房进行。问卷用于收集护士对下午护理交接班流程中拟议变更的意见。在培训干预之前和之后,即创新的多媒体教育交接班包,都进行了问卷调查。我们发现,培训对心理健康护士让消费者参与交接班的态度有显著影响。培训后治疗性互动有所改善,当所有参与者都了解情况并有机会参与信息交流时,沟通不畅的情况减少。这项研究表明,精心规划的教育可以影响护士对让消费者参与护理交接班过程的态度。

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