Galatea Care Programme for Sick Health Professionals, Galatea Clinic, Galatea Foundation, Barcelona, Spain.
Department of Psychiatry, Mental Health and Addiction Research Group, Vall d'Hebron Institut de Recerca (VHIR), Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.
J Adv Nurs. 2022 Sep;78(9):2807-2814. doi: 10.1111/jan.15189. Epub 2022 Feb 17.
Nursing is a stressful and emotionally demanding profession. To date, few mental health treatment interventions have been developed for them worldwide. This study aims to explore referral trends in nurses with mental disorders admitted to a pioneer specialized mental health programme in Europe from 2000 to 2019.
A retrospective observational study of 1297 medical e-records of nurses with mental health disorders admitted to the Galatea Care Programme in Barcelona was conducted.
Three periods were analysed: 2000-2006, 2007-2012 and 2013-2019. Socio-demographic and clinical variables were compared. Diagnoses followed Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) criteria.
Gender and age at referral did not change over time. Self-referrals grew from 85.1% in the first period to 95.3% in the last period; inpatient admissions decreased from 24.1% to 18.2%, although this was not significant; nurses were less frequently on sick leave on admission over time (59.1% vs. 45.7%); they were more likely to have a temporary contract in the second period (9.5% vs. 4.8% and 4%) and prevalence of main diagnosis changed with a considerable decrease in affective and substance use disorders after 2006 and a progressive increase in adjustment disorders during the whole period.
Free, voluntary, highly confidential programmes for nurses with mental disorders may enhance voluntary and earlier help seeking. These findings can be considered when implementing specialized interventions for them in other settings. WHAT PROBLEM DID THE STUDY ADDRESS?: Nursing is a stressful and emotionally demanding profession. To date, few specialized mental health services have been developed for them worldwide. This study aims to explore referral trends in nurses with mental disorders admitted to a pioneer programme in Europe, the Galatea Care Programme in Barcelona, from 2000 to 2019. WHAT WERE THE MAIN FINDINGS?: The number of referrals to the programme grew especially after the first 7-year period. Admissions were more likely to be voluntary during the last period. Prevalence of substance use disorders at admission dropped steadily while prevalence of adjustment disorders progressively increased over the two decades. Nurses were also less likely to be on sick leave at admission. WHERE AND ON WHOM WILL THE RESEARCH HAVE IMPACT?: Free, voluntary, highly confidential programmes for nurses with mental disorders may enhance voluntary and earlier help seeking. These findings can be considered when implementing specialized interventions for them in other settings.
护理是一项压力大、情感要求高的职业。迄今为止，全球范围内为护士开发的心理健康治疗干预措施很少。本研究旨在探讨 2000 年至 2019 年期间，欧洲一个先驱专门心理健康项目中患有精神障碍的护士的转诊趋势。
对巴塞罗那 Galatea 护理项目收治的 1297 名患有精神健康障碍的护士的医疗电子病历进行了回顾性观察研究。
分析了三个时期：2000-2006 年、2007-2012 年和 2013-2019 年。比较了社会人口统计学和临床变量。诊断遵循《精神障碍诊断与统计手册》（DSM-IV-TR）标准。
性别和转诊时的年龄随时间推移没有变化。自我转诊比例从第一个时期的 85.1%上升到最后一个时期的 95.3%；住院人数从 24.1%下降到 18.2%，尽管这并不显著；随着时间的推移，护士入院时的病假比例下降（59.1%对 45.7%）；他们在第二个时期更有可能签订临时合同（9.5%对 4.8%和 4%），主要诊断的患病率发生变化，2006 年后情感和物质使用障碍显著减少，整个时期调整障碍逐渐增加。
为患有精神障碍的护士提供免费、自愿、高度保密的项目，可能会增强他们自愿和早期寻求帮助的意愿。在其他环境中为他们实施专门干预措施时，可以考虑这些发现。
这项研究解决了什么问题？护理是一项压力大、情感要求高的职业。迄今为止，全球范围内为护士开发的专门心理健康服务很少。本研究旨在探讨 2000 年至 2019 年期间，欧洲巴塞罗那 Galatea 护理项目中患有精神障碍的护士的转诊趋势。
主要发现是什么？该项目的转诊人数在最初的 7 年期间增长尤其明显。在最后一个时期，入院治疗更有可能是自愿的。入院时物质使用障碍的患病率稳步下降，而调整障碍的患病率在过去二十年中逐渐增加。护士入院时请病假的可能性也较低。
这些研究结果将对谁和在哪里产生影响？为患有精神障碍的护士提供免费、自愿、高度保密的项目，可能会增强他们自愿和早期寻求帮助的意愿。在其他环境中为他们实施专门干预措施时，可以考虑这些发现。
