Nardella Natalie, Hooper Suzie, Lau Rosalind, Hutchinson Anastasia
Epworth Rehabilitation and Mental Health, Epworth HealthCare, Melbourne, Victoria, Australia.
School of Nursing and Midwifery, Centre for Quality and Patient Safety Research Epworth/Deakin Partnership, Faculty of Health, Deakin University, Geelong, Victoria, Australia.
Int J Ment Health Nurs. 2021 Oct;30(5):1170-1182. doi: 10.1111/inm.12868. Epub 2021 Apr 13.
Recovery-oriented principles have progressively been accepted as a standard of mental health practice in many countries, including Australia. A private mental health Clinic in Melbourne, Australia, is dedicated to embedding the principles of recovery-oriented practice into care by (i) providing recovery education and training for their staff and (ii) co-designing resources with consumers to promote active consumer engagement and participation. The purpose of this study was to evaluate the impact of these initiatives on staff knowledge and provision of recovery-oriented care in acute care. Two groups of study participants were recruited: the first group completed the staff training programme introducing the concept of recovery-oriented practice, and the second group was a convenience sample of nurses recruited 12 months later working on the acute inpatient wards at the study site. Nurses completed Recovery Knowledge Inventory (RKI) and Recovery Self-Assessment (RSA-Provider) surveys and participated in a focus group discussion. The three major themes identified from the focus group discussion were as follows: (i) nurses' understanding of personal recovery-orientated practice, (ii) how to embed personal recovery-oriented care into practice, and (iii) barriers to consumer participation in recovery-oriented activities in acute care. There were significant differences between the two groups on the RKI subscale scores of 'Expectations regarding recovery' and the 'Roles of self-definition and peers in recovery' and 'Life goals' and 'Choice' factors on the RSA subscale scores. There were some gaps in the nurses' knowledge and implementation of personal recovery-oriented concepts, highlighting the need for further training and cultural change.
以康复为导向的原则已逐渐在包括澳大利亚在内的许多国家被接受为心理健康实践的标准。澳大利亚墨尔本的一家私立心理健康诊所致力于通过以下方式将以康复为导向的实践原则融入护理中：（i）为其员工提供康复教育和培训；（ii）与消费者共同设计资源，以促进消费者积极参与。本研究的目的是评估这些举措对急性护理中员工知识和以康复为导向的护理提供的影响。招募了两组研究参与者：第一组完成了介绍以康复为导向的实践概念的员工培训计划，第二组是12个月后在研究地点的急性住院病房工作的护士的便利样本。护士们完成了康复知识量表（RKI）和康复自我评估（RSA-提供者）调查，并参加了焦点小组讨论。从焦点小组讨论中确定的三个主要主题如下：（i）护士对个人以康复为导向的实践的理解；（ii）如何将个人以康复为导向的护理融入实践；（iii）急性护理中消费者参与以康复为导向的活动的障碍。两组在RKI子量表中“对康复的期望”以及RSA子量表分数中的“自我定义和同伴在康复中的作用”以及“生活目标”和“选择”因素方面存在显著差异。护士在个人以康复为导向的概念的知识和实施方面存在一些差距，这突出了进一步培训和文化变革的必要性。
