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“在我所在之处与我相遇”:精神健康服务使用者对精神健康护士理想素质的看法。

'Meet Me Where I Am': Mental health service users' perspectives on the desirable qualities of a mental health nurse.

机构信息

School of Nursing and Midwifery, ENGAGE: Interdisciplinary Clinical Mental health Research Network, University College Cork, Cork, Ireland.

School of Nursing and Midwifery, University College Cork, Cork, Ireland.

出版信息

Int J Ment Health Nurs. 2021 Feb;30(1):136-147. doi: 10.1111/inm.12768. Epub 2020 Aug 17.

Abstract

Nurses play a central role in the delivery of quality mental health services. Desired qualities of a mental health nurse, in particular therapeutic relationships, have been described in the literature, primarily reflecting the nursing paradigm. Service users' perspectives must be more fully understood to reflect contemporary mental health policy and to recognize their position at the centre of mental health service delivery and to directly influence and contribute their perspectives and experiences to mental health nursing education. A qualitative exploratory research project was undertaken to inform and enhance understanding of what service users see as the desired qualities of a mental health nurse. The project was co-produced by service users as experts by experience, and mental health nurse academics to ensure the service user perspective was privileged. This international project conducted in Europe and Australia included a series of focus groups with service users (n = 50). Data were analysed thematically. Being with me was a major theme identified and reflected the sub-themes: respect towards service users as persons; empathy, compassion and effective communication; understanding service users; knowledge of services; and fostering hope and believing that recovery is possible. These qualities specifically reflecting the service user perspective must be central to mental health nursing curricula to facilitate the development of holistic care and recovery-oriented practice. These findings were utilized to directly inform development of a co-produced mental health nursing learning module, to maximize genuine service user involvement, and to fully realize the benefits of service user led education for undergraduate nursing students.

摘要

护士在提供优质精神卫生服务方面发挥着核心作用。在文献中描述了精神科护士的理想素质,特别是治疗性关系,主要反映了护理模式。为了反映当代精神卫生政策,并认识到他们在精神卫生服务提供中的中心地位,直接影响和贡献他们的观点和经验,必须更全面地了解服务使用者的观点。开展了一个定性探索性研究项目,以告知并增强对服务使用者认为精神科护士理想素质的理解。该项目由服务使用者作为有经验的专家以及精神科护士学者共同开展,以确保服务使用者的观点得到重视。这个在欧洲和澳大利亚进行的国际项目包括与服务使用者(n=50)进行的一系列焦点小组。数据进行了主题分析。“与我在一起”是确定的一个主要主题,反映了以下子主题:尊重服务使用者作为人的尊严;同理心、同情心和有效沟通;理解服务使用者;了解服务;以及培养希望并相信康复是可能的。这些特别反映服务使用者观点的素质必须成为精神科护理课程的核心,以促进整体护理和以康复为导向的实践的发展。这些发现被直接用于告知共同制作的精神科护理学习模块的开发,以最大限度地实现真正的服务使用者参与,并充分实现服务使用者主导的教育对本科护理学生的好处。

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