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急诊护士对照顾精神病患者行为的看法:二次分析。

Emergency department nurses' perceptions of caring behaviors toward individuals with mental illness: A secondary analysis.

机构信息

Adelphi University, College of Nursing and Public Health, One South Street, Garden City, NY 11530, USA; Yale University School of Nursing, 400 West Campus Drive, Orange, CT 06477, USA.

出版信息

Int Emerg Nurs. 2023 May;68:101271. doi: 10.1016/j.ienj.2023.101271. Epub 2023 Mar 30.

Abstract

AIM

The aim of this study was to determine emergency department (ED) nurses' caring behaviors toward individuals with mental illness; and the influence of stigma on their caring behaviors.

METHOD

This is a secondary analysis of a cross-sectional study with (n = 813) ED nurses working in the United States from March 2021 to April 2021. The Caring Behaviors Inventory-24 item (CBI-24) and the Mental Illness: Clinicians' Attitudes Scale-4 (MICA v4) were used to collect data.

RESULTS

The mean CBI-24 score was 4.6 (SD = 0.8).The MICA v4 had an overall sum of 53.4 (SD = 9.2). Caring behaviors and stigma were found to have significant weak inverse relationship (r = - 0.23, p <.001). Age and level of education had a significant inverse relationship with caring behaviors (r = - 0.12; r = -. 19, p <.01 respectively).

CONCLUSION

The results of this study may contribute to the quality, equity, and safety of the emergency nursing care of individuals with mental illness, thereby improving health outcomes. It is recommended that the diversity of nurses and the characteristics of the ED be taken into consideration when designing trainings, providing leadership support, and managing resources to support the care of individuals with mental illness.

摘要

目的

本研究旨在确定急诊科(ED)护士对精神病患者的关怀行为;以及污名对其关怀行为的影响。

方法

这是一项在美国于 2021 年 3 月至 2021 年 4 月期间进行的横断面研究的二次分析,共纳入 813 名在美国工作的 ED 护士。使用关怀行为量表-24 项(CBI-24)和精神疾病:临床医生态度量表-4 版(MICA v4)收集数据。

结果

CBI-24 的平均得分为 4.6(SD=0.8)。MICA v4 的总分为 53.4(SD=9.2)。关怀行为和污名之间存在显著的弱负相关(r=-0.23,p<.001)。年龄和教育程度与关怀行为呈显著负相关(r=-0.12;r=-.19,p<.01)。

结论

本研究结果可能有助于提高精神病患者急诊护理的质量、公平性和安全性,从而改善健康结局。建议在设计培训、提供领导力支持和管理资源时,考虑护士的多样性和 ED 的特点,以支持对精神病患者的护理。

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