Riches Simon, Iannelli Hannah, Reynolds Lisa, Fisher Helen L, Cross Sean, Attoe Chris
King's College London, Department of Psychology, Institute of Psychiatry, Psychology & Neuroscience, SE5 8AF, London, UK.
King's College London, Social, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, London, SE5 8AF, UK.
Adv Simul (Lond). 2022 Jul 19;7(1):19. doi: 10.1186/s41077-022-00217-0.
Mental health service users report that staff empathy is key to developing positive therapeutic relationships but promoting empathy in staff training is challenging. Staff may struggle to maintain their compassion, particularly in challenging settings, and have limited clinical confidence when treating conditions of which they lack subjective understanding. Novel interventions are required to address these needs.
Virtual reality-based simulation training has been shown to be an effective training modality for healthcare professionals; it has the potential to deliver crucial empathy-building learning for frontline mental health staff due to its capacity to increase staff understanding of service users' experiences. Virtual reality and simulation technology take interactivity and experiential learning to a level beyond which we have seen in teaching and training before. Subjective understanding is elicited because this is a technology for enhanced experiential learning, which in turn fosters greater empathy and compassion. Increased empathy in the workforce is likely to yield significant benefits for service users. Greater empathy in nursing is linked with reduced restrictive practices and reduced conflict between staff and service users. Restrictive practices, including restraint and seclusion, are widely used in mental health settings within the UK, and are an aspect of mental health nursing that is at odds with the therapeutic role of nursing. Despite these innovative developments, there are challenges ahead. Many nurses feel that complete eradication of restrictive practices is impossible and that barriers include a limitation of resources, communication, management, and lack of education. There is a need to make simulation training economically viable so that it can be upscaled and widely available. Therefore, greater investment and resources are needed to bring this innovative training to the wider workforce to support staff and to realise the benefits for service users.
Virtual reality-based training has great potential for mental health staff, which could have important consequences in terms of improved staff empathy and reductions in harmful restrictive practices. Further research and funding for such training is necessary so that it can be more widely available.
心理健康服务使用者报告称,工作人员的同理心是建立积极治疗关系的关键,但在工作人员培训中促进同理心具有挑战性。工作人员可能难以保持同情心,尤其是在具有挑战性的环境中,并且在治疗他们缺乏主观理解的病症时临床信心有限。需要新的干预措施来满足这些需求。
基于虚拟现实的模拟培训已被证明是医疗保健专业人员的一种有效培训方式;由于其能够增强工作人员对服务使用者经历的理解,它有潜力为一线心理健康工作人员提供至关重要的同理心培养学习。虚拟现实和模拟技术将互动性和体验式学习提升到了我们以前在教学和培训中未曾见过的水平。由于这是一种用于增强体验式学习的技术,从而激发了更强的同理心和同情心,因此能引发主观理解。工作人员同理心的增强可能会给服务使用者带来显著益处。护理工作中更强的同理心与减少限制性措施以及减少工作人员与服务使用者之间的冲突有关。包括约束和隔离在内的限制性措施在英国的心理健康环境中广泛使用,并且是心理健康护理中与护理治疗作用相悖的一个方面。尽管有这些创新发展,但仍面临挑战。许多护士认为完全消除限制性措施是不可能的,障碍包括资源有限、沟通、管理以及缺乏教育。有必要使模拟培训在经济上可行,以便能够扩大规模并广泛提供。因此,需要更多的投资和资源,将这种创新培训推广到更广泛的工作人员群体,以支持工作人员并实现对服务使用者的益处。
基于虚拟现实的培训对心理健康工作人员具有巨大潜力,这在提高工作人员同理心和减少有害的限制性措施方面可能会产生重要影响。对此类培训进行进一步研究和提供资金是必要的,以便它能够更广泛地提供。