Faculty of Health, Arts and Design, Department of Health Professions, School of Health Sciences, Swinburne University of Technology, Australia.
School of Health Sciences, RMIT University, Victoria, Australia.
Contemp Nurse. 2020 Apr-Jun;56(3):266-279. doi: 10.1080/10376178.2020.1841013. Epub 2020 Nov 19.
This paper reports on a qualitative study utilising in-depth interviews of sixteen Australian mental health nurses (MHNs) working in general practice. On 1st July 2015, the commonwealth government of Australia established 31 primary health networks (PHN) to increase the efficiency and effectiveness of medical services for people, particularly those at risk of poor health outcomes, and to improve coordination of care. This study explores the experiences of Australian MHNs working in general practice. Data were analysed using thematic analysis. Four themes emerged through the data analysis: (1) , (2) , (3) and and (4) . Study Participants identified many clinical opportunities working in primary practice and noted that the autonomy and flexibility of their role was quite different from other areas they had previously worked. They reported having more time to spend with the patients and being able to engage in health promotion. In order to make mental health care more accessible it is important to have a well-qualified workforce within primary health care (PHC) settings such as general practice. The participants of this study have identified ways they have been best utilised in the Primary Care workforce. They embrace the autonomy of the role and the ability to engage with consumers by providing clinical interventions that can assess and intervene with people experiencing mental illness.
本文报告了一项定性研究，该研究采用深入访谈的方式，对 16 名在普通诊所工作的澳大利亚精神科护士进行了访谈。2015 年 7 月 1 日，澳大利亚联邦政府成立了 31 个初级卫生网络（PHN），以提高医疗服务的效率和效益，特别是为那些有健康不良后果风险的人群，并改善护理协调。本研究探讨了在普通诊所工作的澳大利亚精神科护士的经验。使用主题分析对数据进行了分析。通过数据分析得出了四个主题：（1） ；（2） ；（3） ；和（4） 。研究参与者在初级实践中发现了许多临床机会，并指出他们角色的自主性和灵活性与他们以前工作的其他领域有很大不同。他们报告说有更多的时间与患者在一起，并能够进行健康促进。为了使精神卫生保健更容易获得，在初级卫生保健（PHC）环境中，如普通诊所，拥有一支合格的劳动力非常重要。本研究的参与者已经确定了他们在初级保健劳动力中被最佳利用的方式。他们接受角色的自主性，并能够通过提供可以评估和干预患有精神疾病的人的临床干预措施，与消费者接触。
