Alfred Mental and Addiction Health, Melbourne, VIC, Australia.
Centre for Forensic Behavioural Science, Swinburne University of Technology, Melbourne, VIC, Australia.
Issues Ment Health Nurs. 2021 Sep;42(9):836-844. doi: 10.1080/01612840.2020.1871133. Epub 2021 Feb 4.
Nursing is the single largest professional group within both hospital and community mental health care services, however the role of mental health nurses in under-defined. The nursing workforce is also coming under increasing pressure from internal and external requirements, and nurses themselves are on the frontline of providing patient care in what can be a risky and unpredictable workplace environment. This project explored via interview the ways in which mental health nurses experience and reflect on their personal and professional feelings of nursing success. Participants were 19 nurses who were employed in a range of bed-based and community mental health services in inner south eastern Melbourne. This study complies with the Consolidated Criteria for Reporting Qualitative Research (COREQ). The findings of the project align with existing evidence from the literature. Factors which helped mental health nurses feel successful included: therapeutic success; good teamwork; targeted education; and feedback. Barriers to success included: patients/clients do not engage or recover; poor communication amongst staff; lack of psychological safety in the workplace; and lack of respect from management. Nurses in community settings were more able than nurses in bed-based settings to: make effective use of clinical supervision; make use of targeted training and educational offerings; and practice therapeutically and holistically. Project results offer an opportunity to understand nurses' motivations and reward systems. Better understanding of these issues can improve the way mental health care services manage their workforce planning, maintain staff personal wellbeing, increase staff retention and ultimately improve patient/client care.
护理是医院和社区精神卫生保健服务中最大的专业群体之一，但精神科护士的角色却没有明确定义。护理人员也面临着来自内部和外部要求的越来越大的压力，护士本身就在可能充满风险和不可预测的工作环境中处于提供患者护理的第一线。本项目通过访谈探索了精神科护士如何体验和反思他们个人和专业的护理成功感。参与者是 19 名在墨尔本东南部内城区的一系列床位和社区精神卫生服务机构工作的护士。本研究符合定性研究报告的统一标准（COREQ）。该项目的结果与文献中的现有证据一致。帮助精神科护士感到成功的因素包括：治疗成功；良好的团队合作；有针对性的教育；和反馈。成功的障碍包括：患者/客户不参与或康复；员工之间沟通不畅；工作场所缺乏心理安全感；以及管理层缺乏尊重。与床位设置的护士相比，社区环境中的护士更能够：有效地利用临床监督；利用有针对性的培训和教育产品；进行治疗性和整体性实践。项目结果提供了一个了解护士的动机和奖励系统的机会。更好地了解这些问题可以改善精神卫生保健服务管理其劳动力规划、维持员工个人幸福感、提高员工留用率，并最终改善患者/客户的护理。
