School of Nursing and Midwifery, La Trobe University, Melbourne, VIC 3086, Australia.
Victorian Tuberculosis Program, Melbourne Health, Melbourne, VIC 3000, Australia.
Int J Environ Res Public Health. 2022 Sep 2;19(17):11001. doi: 10.3390/ijerph191711001.
Service users' views and expectations of mental health nurses in a UK context were previously reviewed in 2008. The aim of this systematic review is to extend previous research by reviewing international research and work published after the original review. Five databases were searched for studies of any design, published since 2008, that addressed service user and carer views and expectations of mental health nurses. Two reviewers independently completed title and abstract, full-text screening and data extraction. A narrative synthesis was undertaken. We included 49 studies. Most included studies (n = 39, 80%) were qualitative. The importance of the therapeutic relationship and service users being supported in their personal recovery by mental health nurses were core themes identified across included studies. Service users frequently expressed concern about the quality of the therapeutic relationship and indicated that nurses lacked time to spend with them. Carers reported that their concerns were not taken seriously and were often excluded from the care of their relatives. Our critical appraisal identified important sources of bias in included studies. The findings of our review are broadly consistent with previous reviews however the importance of adopting a recovery approach has emerged as a new focus.
2008 年曾对英国背景下的精神健康护士的服务使用者的观点和期望进行了审查。本系统评价的目的是通过对原始评价后发表的国际研究和工作进行审查，从而扩展以前的研究。在五项数据库中搜索了自 2008 年以来发表的任何设计的研究，以解决服务使用者和照顾者对精神健康护士的看法和期望。两名审查员独立完成标题和摘要、全文筛选和数据提取。进行了叙述性综合。我们共纳入了 49 项研究。大多数纳入的研究（n = 39，80%）是定性的。贯穿所有纳入研究的核心主题是治疗关系的重要性和精神健康护士对服务使用者个人康复的支持。服务使用者经常对治疗关系的质量表示关注，并表示护士没有时间与他们在一起。照顾者报告说，他们的担忧没有得到认真对待，而且他们经常被排除在亲人的护理之外。我们的批判性评估确定了纳入研究中的重要偏倚来源。本综述的结果与以前的综述基本一致，但采用康复方法的重要性已成为一个新的焦点。
