帮助心理健康问题者的信心和动机：一项关于完成心理健康急救 (MHFA) 培训的护理学生的研究的经验。
Confidence and motivation to help those with a mental health problem: experiences from a study of nursing students completing mental health first aid (MHFA) training.
机构信息
Collaboration for Evidence, Research and Impact in Public Health, School of Public Health, Faculty of Health Sciences, Curtin University, GPO Box U1987, Perth, 6845, Western Australia.
出版信息
BMC Med Educ. 2020 Mar 6;20(1):69. doi: 10.1186/s12909-020-1983-2.
BACKGROUND
Those studying nursing are at greater risk for developing mental health problems than other tertiary students. Mental Health First Aid (MHFA) training may assist students to support peers and build mental health literacy. Understanding motivation to participate in training can identify factors influencing uptake and completion. This paper explores motivators for university nursing students to participate in MHFA training and uses previous experience and confidence in assisting someone with a mental health problem to triangulate data.
METHOD
A randomised controlled trial was employed to measure the impact of the course for nursing students at a large Western Australian university. An online survey was administered prior to MHFA training with undergraduate nursing students (n = 140). Thematic analysis of open-ended questions explores motivators to participate and help provided to an individual. Baseline frequencies describe demographics, confidence in helping and exposure to someone with a mental health problem. A Chi Square test compared confidence in helping and exposure to someone with a mental health problem.
RESULTS
More than half of participants reported contact with individuals experiencing mental health problems (55%; n = 77); approximately a third (35.8%) reported limited confidence to assist. Those in previous contact with someone with a mental health problem (71.5%; n = 55) were significantly more likely to feel confident in helping (p = 0.044). Mental health literacy, helping others, career and experiences were described as training motivators.
CONCLUSION
Exploiting motivators, both intrinsic and extrinsic may increase MHFA training uptake and completion. Tertiary institutions would benefit from policy to embed MHFA training into nursing degrees. The training may have utility for university degrees more broadly.
TRIAL REGISTRATION
Australian New Zealand Clinical Trials Registry; ACTRN12614000861651. Registered 11 August 2014 (retrospectively registered).
背景
与其他大学生相比，学习护理的学生更容易出现心理健康问题。心理健康急救（MHFA）培训可能有助于学生支持同龄人并提高心理健康素养。了解参与培训的动机可以确定影响参与和完成的因素。本文探讨了大学生参加 MHFA 培训的动机，并使用之前的经验和帮助有心理健康问题的人的信心来对数据进行三角测量。
方法
采用随机对照试验，对西澳大利亚一所大型大学的护理学生进行了课程评估。在 MHFA 培训前，对本科护理学生（n=140）进行了在线调查。对开放式问题的主题分析探讨了参与和帮助个人的动机。基线频率描述了人口统计学、帮助他人的信心和接触过心理健康问题的人的情况。卡方检验比较了帮助他人的信心和接触过心理健康问题的人。
结果
超过一半的参与者报告与经历心理健康问题的个人有过接触（55%；n=77）；约三分之一（35.8%）报告帮助他人的信心有限。与有心理健康问题的人有过接触的人（71.5%；n=55）更有可能感到有信心提供帮助（p=0.044）。心理健康素养、帮助他人、职业和经验被描述为培训动机。
结论
利用内在和外在的动机都可能会增加 MHFA 培训的参与度和完成率。高等教育机构将受益于将 MHFA 培训纳入护理学位的政策。该培训可能对更广泛的大学学位具有实用性。
试验注册
澳大利亚和新西兰临床试验注册中心；ACTRN12614000861651。于 2014 年 8 月 11 日注册（追溯性注册）。
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