Jackson Haley, Wray Jane, Gardiner Eric, Flanagan Tracy
Research Nurse, Humber Teaching NHS Foundation Trust, UK.
Director of Research, Department of Nursing, University of Hull, UK.
J Res Nurs. 2019 Aug;24(5):330-341. doi: 10.1177/1744987119851533. Epub 2019 Aug 8.
Involving carers is a key priority in mental health services. Carers report the sharing of service users' safety information by mental health nurses is problematic and seldom takes place.
The impact of an intervention on consensus between nurses and carers on perceptions of risk was investigated.
Carer-nurse risk consensus scores were measured pre- and post-introduction of a structured dialogue (paired -test/ANOVA). Carer experience with involvement was surveyed pre-test () and compared with the post-test intervention group () (chi-square tests of linear-by-linear association).
Consensus and perceptions regarding type and severity of risk did not change significantly for carers or nurses after engaging in a structured dialogue. Statistically significant differences were found with carers reporting higher levels of satisfaction with services in four out of six areas surveyed.
Findings provide support for increasing carer contribution to discussions regarding risk. Further work to embed carer involvement in clinical practice is warranted.
让护理人员参与是精神卫生服务的一项关键优先事项。护理人员报告称，精神科护士分享服务使用者的安全信息存在问题，且很少发生。
调查一项干预措施对护士与护理人员在风险认知上达成共识的影响。
在引入结构化对话之前和之后测量护理人员与护士的风险共识得分（配对t检验/方差分析）。在测试前调查护理人员的参与经历（n = ），并与测试后干预组（n = ）进行比较（线性趋势卡方检验）。
在进行结构化对话后，护理人员和护士在风险类型和严重程度方面的共识及认知没有显著变化。在六个调查领域中的四个领域，护理人员对服务的满意度较高，差异具有统计学意义。
研究结果支持增加护理人员对风险讨论的贡献。有必要进一步开展工作，将护理人员的参与纳入临床实践。
