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探索在护理教育中作为消费者教育者的益处和挑战:范围综述。

Exploring the benefits and challenges of being a consumer educator in nursing education: A scoping review.

机构信息

University of Wollongong, Wollongong, New South Wales, Australia.

Illawarra Health and Medical Research Institute (IHMRI), Wollongong, Australia.

出版信息

J Psychiatr Ment Health Nurs. 2023 Aug;30(4):679-698. doi: 10.1111/jpm.12909. Epub 2023 Feb 21.

DOI:10.1111/jpm.12909
PMID:36734153
Abstract

WHAT IS KNOWN ON THE SUBJECT?: The mental health needs of individuals are increasing following the COVID-19 pandemic, with a need to focus on the education of nurses to be equipped to respond. Stigma around mental health still exists for nursing students, with the implementation of mental health education by an individual with lived experience having a known positive effect on stigmatizing attitudes. Research on consumer involvement in nursing education identifies that the consumer role is often varied and casual, with no existing review on the consumer experience. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: The study emphasizes the importance of consumer involvement in nursing education. Alongside the literature focussing on the student benefits, this review highlights both the benefits of being an educator, and the challenges of being an educator from the consumer's perspective. WHAT ARE THE IMPLICATIONS FOR PRACTICE: The knowledge around the consumer perspective mapped in this review has the potential to impact and transform education protocols for consumer involvement in education. This can maximize on the meaningful contribution that lived experience has within mental health nursing education. This review enforces the need for an awareness of the challenges consumers face in their role as an educator, and highlights the need for further understanding of how to overcome these challenges. There is also an opportunity to capitalize on the benefits identified by consumers in their role within nursing education and sharing their lived experience. ABSTRACT: Introduction While the mental health needs of populations are increasing, the targeted training of mental health professionals, specifically nurses, is required. Stigma surrounding mental health from nursing students exists, highlighting educational gaps. To address this, the involvement of consumers in undergraduate education has resulted in a positive effect on the stigmatizing attitudes of nursing students. There is still a limited understanding, however, of the consumers experience in this process. Aim To explore the experiences of individuals living with mental illness in educating nursing students. Methods The Joanna Brigg's Institute's (JBI) methodology for scoping reviews was used to search CINAHL, Medline, PsychInfo, Web of Science and Scopus including grey literature. The eligibility criteria for participants included individuals (a) diagnosed with a mental illness; (b) over 18 years of age; and (c) who participated in the educating of nursing students surrounding mental health in any context. Articles were only considered that were in the English language, and no time constraint was enforced during the search strategy for article selection. The search yielded 2640 results, of which 26 articles were included. Results Results found two prominent categories, including both benefits and challenges of being the educator from the consumer perspective. The benefits included: (a) the person behind the diagnosis; (b) reciprocal relationships; (c) positive effects on well-being; (d) unique contribution; and (e) purpose in storytelling. Challenges identified included: (a) vulnerability; (b) voyeuristic; (c) lack of preparation; (d) negative effects on well-being; (e) support; (f) not a real consumer; (g) variation of involvement; and (h) acknowledging consumer perspective. Discussion As consumer-led education for mental health nursing curriculum becomes mandated, amplifying the voice of the consumer in nursing education is crucial. While the benefits and challenges voiced by consumers in their involvement in mental health nursing education have been outlined here, further knowledge focussed on the consumer's experience as an educator outside the classroom setting, and in clinical practicum, alongside consumer involvement in specialized mental health education sessions, could aid in transforming consumer involvement. Implications for practice This review offers an incentive for nurse educators to capitalize on the benefits of educating for consumers to promote a meaningful contribution, while also practicing with an awareness of voiced challenges.

摘要

已知信息

在 COVID-19 大流行之后,个人的心理健康需求正在增加,需要关注护士的教育,使他们有能力做出回应。护理学生对心理健康仍然存在污名化,个人具有生活经验的心理健康教育对歧视态度有积极影响。关于消费者参与护理教育的研究表明,消费者的角色通常是多样和随意的,没有关于消费者体验的现有审查。本文的新增内容:该研究强调了消费者参与护理教育的重要性。除了关注学生受益的文献外,本综述还从消费者的角度突出了作为教育者的好处以及作为教育者的挑战。对实践的影响:本综述中映射的消费者观点知识有可能影响和改变教育协议,以实现消费者在教育中的有意义贡献。这可以最大限度地发挥生活经验在心理健康护理教育中的重要作用。本综述强调了需要意识到消费者在其作为教育者的角色中面临的挑战,并强调了需要进一步了解如何克服这些挑战。还有机会利用消费者在护理教育中的角色中确定的好处,并分享他们的生活经验。摘要:介绍随着人口心理健康需求的增加,需要对心理健康专业人员,特别是护士进行有针对性的培训。护理学生对心理健康存在污名化,这突出了教育方面的差距。为了解决这个问题,消费者参与本科教育对护理学生的歧视态度产生了积极影响。然而,对于消费者在这一过程中的体验,人们仍然知之甚少。目的:探索患有精神疾病的个人在教育护理学生方面的经验。方法:采用乔安娜·布里格斯研究所(JBI)的范围综述方法,在 CINAHL、Medline、PsychInfo、Web of Science 和 Scopus 中搜索包括灰色文献在内的文献。参与者的入选标准包括:(a)被诊断患有精神疾病;(b)年龄在 18 岁以上;(c)在任何背景下参与教育护理学生有关心理健康的内容。仅考虑英语的文章,在选择文章的搜索策略中没有施加时间限制。搜索结果产生了 2640 个结果,其中有 26 篇文章被纳入。结果:结果发现了两个突出的类别,包括从消费者角度出发作为教育者的好处和挑战。好处包括:(a)诊断背后的人;(b)互惠关系;(c)对幸福感的积极影响;(d)独特的贡献;和(e)讲故事的目的。确定的挑战包括:(a)脆弱性;(b)窥探;(c)缺乏准备;(d)对幸福感的负面影响;(e)支持;(f)不是真正的消费者;(g)参与度的变化;和(h)承认消费者的观点。讨论:随着消费者主导的心理健康护理课程教育成为强制性要求,扩大护理教育中消费者的声音至关重要。虽然消费者在参与心理健康护理教育中的好处和挑战已经在这里概述,但进一步了解消费者作为教育者在课堂设置之外的经验,以及在临床实习中,以及消费者参与专门的心理健康教育课程,将有助于转变消费者的参与。对实践的影响:本综述为护理教育者提供了一个机会,可以利用教育消费者的好处,促进有意义的贡献,同时在实践中意识到所提出的挑战。

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