School of Nursing and Midwifery, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Skin Wounds and Trauma Research Centre, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
J Psychiatr Ment Health Nurs. 2022 Jun;29(3):395-407. doi: 10.1111/jpm.12829. Epub 2022 Apr 8.
WHAT IS KNOWN ON THE SUBJECT?: There is no qualitative systematic review of nurses' perceptions of their interactions with people hearing voices. There are some studies exploring the interventions provided by community psychiatric nurses to people hearing voices; these give a sense of what interactions may contain. WHAT THE PAPER ADDS TO THE EXISTING KNOWLEDGE?: Nurses across both community and inpatient mental healthcare settings feel uncertain about how to interact with people hearing voices, sometimes feeling like they can do little to help. Their interactions are affected by the workplace culture, education and training and concern for their own safety. Nurses rely on a therapeutic relationship for all interactions. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: This is an under investigated area of mental healthcare. None the less this qualitative systematic review highlights that nurses are unclear about how to interact with service users hearing voices with the resultant outcome that service users in great distress may only be receiving minimal benefit from their interactions with the nurses caring for them. ABSTRACT: Aims and Objectives The aim of this qualitative systematic review and thematic analysis was to identify and synthesize results from studies that explored psychiatric nurses' perceptions of their interactions with service users experiencing auditory hallucinations (hearing voices). Method Qualitative systematic review and thematic analysis. Results Five studies that met the inclusion criteria were identified. Nurses reported that they felt uncertain about what to do for service users hearing voices, struggled to have interactions with voice hearers, but greatly valued the therapeutic relationship with service users. Nurses also reported that they required more education and training on how to interact effectively with people hearing voices. Finally, various workplace challenges were identified as an important factor mediating nurse interaction with service users hearing voices. Discussion Existing evidence shows that nurses lack clarity about how they can interact effectively and in a way that helps service users who are hearing voices. Significant barriers that they must overcome in order to be more certain of their role in caring for people hearing voices are difficult to engage service users and workplace challenges that were not conducive to helpful interactions and conversations. Implications for Practice Nurses caring for people hearing voices require more and better education and training with a view to them becoming more confident and competent when interacting with this service user group. Furthermore, healthy workplace cultures and maintaining a safe environment are necessary for effective caring interactions with people hearing voices.
本研究旨在通过定性系统综述和主题分析，确定并综合探讨精神科护士对与经历幻听（听到声音）的服务使用者进行互动的看法的研究结果。
定性系统综述和主题分析。
确定了符合纳入标准的五项研究。护士报告说，他们对如何为听到声音的服务使用者做些什么感到不确定，与声音使用者互动困难，但非常重视与服务使用者的治疗关系。护士还报告说，他们需要更多关于如何与听到声音的人有效互动的教育和培训。最后，确定了各种工作场所挑战是影响护士与听到声音的服务使用者互动的重要因素。
现有证据表明，护士对于如何进行有效互动以及以帮助听到声音的服务使用者的方式进行互动缺乏明确性。他们必须克服一些重大障碍，才能更确定自己在照顾听到声音的人群方面的角色，例如难以与服务使用者接触，以及工作场所的挑战不利于进行有帮助的互动和对话。
照顾听到声音的人的护士需要更多更好的教育和培训，以提高他们与这群服务使用者互动时的信心和能力。此外，健康的工作场所文化和保持安全的环境对于与听到声音的人进行有效的关怀互动是必要的。
