School of Nursing, Faculty of Health Sciences, North West University, Mahikeng 2735, South Africa.
Int J Environ Res Public Health. 2023 Jan 18;20(3):1725. doi: 10.3390/ijerph20031725.
Psychiatric nurses have a specialized body of knowledge and skills in providing care to persons with mental health challenges. The literature provides scanty evidence on child psychiatric nursing practices. This paper explored the successes of psychiatric nurses in caring for children with mental health problems using appreciative inquiry (AI).
A qualitative exploratory and descriptive design was used to allow for new ideas that can fundamentally reshape the practice of child psychiatric nursing. Purposive sampling was used to select psychiatric nurses caring for children with mental health problems. Focus groups were used to generate data.
The results indicate both positive and negative prospects for psychiatric nursing practice. The positive possibilities included commitment, passion and dedication of staff to the children. The negative aspects that need urgent attention include lack of specific, integrated child mental health within the mental health care services, shortage of resources and not-fit-for purpose infrastructure.
Appreciative inquiry verified the commitment of psychiatric nurses in caring for children with mental health problems and the potential for dedicated child psychiatric institutions in realizing the needs of such children. The needs of children with mental health problems must be addressed through positive care in the health system.
精神科护士在为心理健康挑战人群提供护理方面拥有专业的知识和技能。文献中关于儿童精神科护理实践的证据很少。本文使用欣赏式探询（Appreciative Inquiry，AI）探讨了精神科护士在照顾有心理健康问题的儿童方面取得的成功。
采用定性探索性和描述性设计，允许提出可以从根本上重塑儿童精神科护理实践的新想法。采用目的性抽样选择照顾有心理健康问题儿童的精神科护士。使用焦点小组来生成数据。
结果表明了精神科护理实践的积极和消极方面。积极的方面包括工作人员对儿童的承诺、热情和奉献精神。需要紧急关注的负面方面包括精神卫生保健服务中缺乏具体的、综合的儿童心理健康服务、资源短缺以及基础设施不适合用途。
欣赏式探询证实了精神科护士在照顾有心理健康问题的儿童方面的承诺，以及专门的儿童精神科机构在满足这些儿童需求方面的潜力。必须通过卫生系统中的积极护理来满足有心理健康问题的儿童的需求。
