测量急性心理健康住院环境中的治疗参与度：服务使用者和心理健康护士的观点。
Measuring therapeutic engagement in acute mental health inpatient environments: the perspectives of service users and mental health nurses.
机构信息
Kingston University and St George's, University of London, Faculty of Health, Social Care and Education, St George's Campus, 6th Floor Hunter Wing, Cranmer Terrace, London, SW17 0RE, UK.
University of Salford, School of Health and Society, Salford, Greater Manchester, M6 6PU, UK.
出版信息
BMC Psychiatry. 2021 Nov 8;21(1):547. doi: 10.1186/s12888-021-03561-z.
BACKGROUND
A key component of caring for service users (SUs) in acute mental health inpatient environments is Therapeutic Engagement (TE). To that end, the Therapeutic Engagement Questionnaire (TEQ) was developed and validated. The TEQ measures TE between SUs and registered mental health nurses (RMHNs) from the perspective of both parties and can quantify and recognise how nurses engage with SUs and monitor this activity as well as its enhancement of SU care and recovery. The aim of this study was to explore the views of SUs and RMHNs in relation to the TEQ and how it could be adopted into clinical practice within an acute inpatient environment.
METHODS
As part of the validation stage of the development of the TEQ, the views of 628 SUs and 543 RMHNs were collected using a qualitative approach by way of free text at the end of the questionnaire. Two questions required free text response: - 'what do you think of the TEQ?', and 'how can it be utilised?'
RESULTS
Following thematic analysis, it was found that both sets of participants stated that such a tool could be utilised to improve the service, could help nurses with reflective practice, be utilised as part of clinical supervision and to aid nurses' professional development. The nurse participants also stated that such a tool would help track SU participation and enablement in their care. Furthermore, the nurses noted that the tool would help to reinforce the core 'caring' value of nursing and the overall goal of recovery. The SUs added that the TEQ would recognise the work of mental health nurses and provide them with a clear opportunity to express their views in relation to nursing staff.
CONCLUSIONS
Therapeutic engagement (TE) has been identified as part of the repertoire of mental health nursing and both groups of participants identified how a tool to assess this construct may be utilised in day-to-day clinical practice to the benefit of each group.
背景
在急性心理健康住院环境中照顾服务使用者 (SU) 的一个关键组成部分是治疗性参与 (TE)。为此，开发并验证了治疗性参与问卷 (TEQ)。TEQ 从双方的角度衡量 SU 和注册心理健康护士 (RMHN) 之间的治疗性参与，并可以量化和识别护士如何与 SU 接触并监测这种活动及其对 SU 护理和康复的增强。本研究的目的是探讨 SU 和 RMHN 对 TEQ 的看法，以及如何将其纳入急性住院环境中的临床实践。
方法
作为 TEQ 开发验证阶段的一部分，通过问卷结束时的自由文本，使用定性方法收集了 628 名 SU 和 543 名 RMHN 的意见。两个问题需要自由文本回答：- “你对 TEQ 有什么看法？”和“它如何被利用？”
结果
经过主题分析，发现两组参与者都表示，这样的工具可以用来改善服务，可以帮助护士进行反思实践，可以作为临床监督的一部分，并有助于护士的专业发展。护士参与者还表示，这样的工具将有助于跟踪 SU 在护理中的参与和赋权。此外，护士们指出，该工具将有助于加强护理的核心“关怀”价值和整体康复目标。SU 补充说，TEQ 将认可心理健康护士的工作，并为他们提供一个明确的机会，就护理人员表达他们的意见。
结论
治疗性参与 (TE) 已被确定为心理健康护理的一部分，两组参与者都确定了如何在日常临床实践中利用评估这一结构的工具，使双方都受益。
Zotero 插件