Jacobs Eve P, Mkhize Sipho W
School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa.
Health SA. 2021 Nov 8;26:1646. doi: 10.4102/hsag.v26i0.1646. eCollection 2021.
The attitudes of advanced psychiatric nurses significantly contribute to the management, treatment plan and care of the mental healthcare users, and resultantly affects the quality and standards of mental healthcare. Considering these effects, it is imperative to understand how the attitudes of advanced psychiatric nurses are perceived by other multidisciplinary team members.
To describe the perceptions of the multidisciplinary team members regarding advanced psychiatric nurses' attitudes in clinical practice.
Three mental health institutions were utilised to obtain the perceptions related to the attitudes displayed by advanced psychiatric nurses in the clinical environment.
A qualitative research descriptive approach was adopted to obtain in-depth descriptions of the attitudes portrayed by advanced psychiatric nurses. Eight purposefully sampled multidisciplinary team members were interviewed to obtain information. Data were analysed using Colaizzi's method.
Themes and sub-themes emerged. Mental healthcare providers exhibited both negative and positive attitudes towards mental health patients. By perception, unfavorable attitudes hindered effective communication and psychosocial rehabilitation programs for mental health patients. Positivity enhanced feedback during ward rounds and during clinical meetings.
Despite the positive impact advanced psychiatric nurses have on mental health care, views regarding mental health patients remain negative. It is recommended that advanced psychiatric nursing education curriculum address negative attitudes, views, and stereotypes. Mental healthcare users need to be provided with psychosocial rehabilitation programs and activities that address advance psychiatric nurses' lack of initiatives.
A clear set of principles and protocols underpins the collaborative effort among multidisciplinary teams in mental health care.
高级精神科护士的态度对精神卫生保健使用者的管理、治疗计划和护理有着重大影响，进而影响精神卫生保健的质量和标准。考虑到这些影响，了解多学科团队其他成员如何看待高级精神科护士的态度至关重要。
描述多学科团队成员对高级精神科护士在临床实践中态度的看法。
利用三家精神卫生机构来获取与高级精神科护士在临床环境中所表现出的态度相关的看法。
采用定性研究描述方法来深入描述高级精神科护士所表现出的态度。对八名经过有目的抽样的多学科团队成员进行访谈以获取信息。使用柯莱齐方法对数据进行分析。
出现了主题和子主题。精神卫生保健提供者对精神卫生患者表现出积极和消极两种态度。据认为，不利态度阻碍了精神卫生患者的有效沟通和心理社会康复计划。积极态度增强了查房和临床会议期间的反馈。
尽管高级精神科护士对精神卫生保健有积极影响，但对精神卫生患者的看法仍然消极。建议高级精神科护理教育课程解决消极态度、观点和刻板印象问题。需要为精神卫生保健使用者提供心理社会康复计划和活动，以解决高级精神科护士缺乏主动性的问题。
一套明确的原则和协议支撑着精神卫生保健多学科团队之间的协作努力。
