Olasoji Michael, Plummer Virginia, Shanti Michelle, Reed Fiona, Cross Wendy
School of Health Professions, Swinburne University of Technology, Melbourne, Victoria, Australia.
School of Nursing and Midwifery, Monash University, Frankston, Victoria, Australia.
Int J Ment Health Nurs. 2020 Oct;29(5):786-795. doi: 10.1111/inm.12709. Epub 2020 Feb 25.
The involvement of consumers in handover with nurses has been identified as reducing miscommunication between transitions in care and associated with reduction in adverse events in generalist nursing settings. The notion of having consumers present in nursing handover on acute mental health inpatient unit remains a relatively new concept. Central to recovery-focused mental health care is the consumer's active participation in the delivery of their care. The aim of this study was to explore the views of consumers with a mental illness about their experiences of being involved in nursing handover on acute mental health inpatient unit post-implementation of a new nursing handover involving consumers. Using an exploratory descriptive qualitative design, participants (N = 10) were recruited using purposive convenience sampling. Semi-structured interviews were undertaken, and the data were thematically analysed. Participants' principal diagnoses were schizophrenia (n = 2), schizoaffective disorder (n = 3), bipolar affective disorder (n = 2), borderline personality disorder (n = 1), and depression (n = 2). Three themes were generated from the interviews: (i) Knowing who, (ii) Shared decision-making, with subthemes: my voice was heard and not just a meet and greet, and (iii) Having time and space. The delivery of mental health care needs to put the consumer at the centre of such care regardless of the setting. In line with recovery-focused principles, the consumer's active involvement in the crucial activity of nursing handover on acute mental health inpatient unit is very important. The study has implications for ensuring consumer voices are heard in all aspects of their care delivery.
消费者参与护士交接班已被认定为可减少护理转接过程中的沟通失误,并与综合护理环境中不良事件的减少相关。在急性精神科住院病房的护理交接班中有消费者在场这一概念仍然是一个相对较新的理念。以康复为重点的精神卫生护理的核心是消费者积极参与自身护理的提供。本研究的目的是探讨患有精神疾病的消费者对于在实施一项涉及消费者的新护理交接班后,他们在急性精神科住院病房参与护理交接班经历的看法。采用探索性描述性定性设计,通过目的便利抽样招募了参与者(N = 10)。进行了半结构化访谈,并对数据进行了主题分析。参与者的主要诊断包括精神分裂症(n = 2)、分裂情感性障碍(n = 3)、双相情感障碍(n = 2)、边缘性人格障碍(n = 1)和抑郁症(n = 2)。访谈产生了三个主题:(i)知道是谁,(ii)共同决策,子主题为:我的声音被听到且不仅仅是见面打招呼,以及(iii)有时间和空间。无论在何种环境下,精神卫生护理的提供都需要将消费者置于此类护理的中心。根据以康复为重点的原则,消费者积极参与急性精神科住院病房护理交接班这一关键活动非常重要。该研究对于确保在消费者护理提供的各个方面都能听到他们的声音具有启示意义。