School of Nursing, College of Medicine, Chang Gung University, Tao-Yuan City, Taiwan, Republic of China.
Department of Psychiatry, Chang Gung Memorial Hospital, Tao-Yuan City, Taiwan, Republic of China.
Int J Ment Health Nurs. 2023 Oct;32(5):1429-1438. doi: 10.1111/inm.13187. Epub 2023 Jun 18.
Family involvement in mental healthcare is a key ingredient in the recovery of patients with mental illness. Research on the attitudes of mental health nurses regarding family involvement in mental healthcare remains limited. This study aimed to examine factors that affect the attitudes of mental health nurses towards the importance of family involvement in mental health nursing care. A descriptive, correlational study with a cross-sectional design was conducted with 162 mental health nurses at two psychiatric hospitals in Taiwan. Descriptive statistics, independent t-tests, one-way analysis of variance, and stepwise multiple linear regression analyses were applied to analyse data. Mental health nurses generally demonstrated positive attitudes towards incorporating families into nursing care. Older age, more clinical experiences in mental healthcare, and workplace (such as working in chronic psychiatric inpatient wards) were found to be key factors for mental health nurses' attitudes. Particularly, greater competence in working with families and job satisfaction were the most significant factors associated with positive attitudes of mental health nurses towards involving families as important in nursing care. Insight into correlates of mental health nurses' attitudes towards the importance of focusing on families in care is pivotal for targeted interventions to improve nurses' attitudes towards families and, thus, implement family engagement in mental healthcare practices.
家庭参与精神卫生保健是精神疾病患者康复的关键因素。关于精神科护士对家庭参与精神卫生保健的态度的研究仍然有限。本研究旨在探讨影响精神科护士对家庭参与精神卫生护理重要性的态度的因素。本研究采用描述性、相关性的横断研究设计，在台湾的两家精神病院招募了 162 名精神科护士。采用描述性统计、独立 t 检验、单因素方差分析和逐步多元线性回归分析来分析数据。精神科护士普遍对将家庭纳入护理持积极态度。研究发现，年龄较大、精神卫生保健方面的临床经验较多、工作场所（如在慢性精神病住院病房工作）是精神科护士态度的关键因素。与精神科护士对家庭参与护理的重要性持积极态度相关的最重要因素是与家庭合作的能力更强和工作满意度更高。了解精神科护士对关注家庭在护理中的重要性的态度的相关性对于有针对性地干预措施至关重要，这些措施可以改善护士对家庭的态度，从而在精神卫生保健实践中实施家庭参与。
