护士对躯体护理住院患者精神共病筛查及相关身心咨询服务的体验——一项定性研究
Nurses' experiences of a screening and associated psychosomatic consultation service for mental comorbidities in somatic care inpatients - a qualitative study.
作者信息
Braunschneider Lea-Elena, Seiderer Johannes, Loeper Siobhan, Löwe Bernd, Kohlmann Sebastian
机构信息
Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
出版信息
Front Psychiatry. 2023 Jun 2;14:1148142. doi: 10.3389/fpsyt.2023.1148142. eCollection 2023.
BACKGROUND
Screening for mental comorbidities and related liaison service can reduce hospital length of stay in somatic hospital care. To develop, test and sustain such health care services, stakeholder feedback is required. One of the most important stakeholders in general hospital care and health care processes are nurses.
AIM
The aim of this study is to explore nurses' experiencess on standardized nurse-led screening for mental comorbidities and associated psychosomatic consultation service in routine somatic inpatient care.
METHOD
Semi-structured qualitative interviews were conducted with 18 nurses that were involved in a nurse-led screening service for mental comorbidities on internal medicine or dermatological wards. Data were analyzed using thematic analysis.
RESULTS
Eight thematic groups were developed. On the one hand, participants reported benefits of screening: mental health education, general mental health awareness, holistic treatment approach, opportunity to build rapport with patients and reduction in workload. On the other hand, possible psychological effects of the intervention, reasons why patients may not want to be referred and application requirements to facilitate delivery were identified. None of the nurses opposed screening and associated psychosomatic consultation service.
CONCLUSION
All nurses endorsed the screening intervention and considered it meaningful. Nurses particularly emphasized the potential for holistic patient care and nurses' improved skills and competencies, but partly critizised current application requirements.
RELEVANCE TO CLINICAL PRACTICE
This study adds on existent evidence on nurse-led screening for mental comorbidities and associated psychosomatic consultation service by emphasizing its potential to improve both patient care as well as nurses' perceived self-efficacy and job satisfaction. To take full advantage of this potential, however, usability improvements, regular supervision, and ongoing training for nurses need to be considered.
背景
筛查精神共病及相关联络服务可缩短综合医院躯体疾病护理的住院时间。为了开发、测试和维持此类医疗服务，需要利益相关者的反馈。综合医院护理和医疗过程中最重要的利益相关者之一是护士。
目的
本研究旨在探讨护士在常规躯体住院护理中对由护士主导的精神共病标准化筛查及相关心身咨询服务的体验。
方法
对18名参与内科或皮肤科病房护士主导的精神共病筛查服务的护士进行了半结构化定性访谈。采用主题分析法对数据进行分析。
结果
形成了八个主题组。一方面，参与者报告了筛查的益处：心理健康教育、总体心理健康意识、整体治疗方法、与患者建立融洽关系的机会以及工作量的减少。另一方面，确定了干预可能产生的心理影响、患者可能不愿被转诊的原因以及便于实施的应用要求。没有护士反对筛查及相关的心身咨询服务。
结论
所有护士都认可筛查干预并认为其有意义。护士特别强调了整体患者护理的潜力以及护士技能和能力的提高，但部分人批评了当前的应用要求。
与临床实践的相关性
本研究通过强调护士主导的精神共病筛查及相关心身咨询服务在改善患者护理以及护士自我效能感和工作满意度方面的潜力，补充了现有证据。然而，为了充分利用这一潜力，需要考虑改进可用性、定期监督以及对护士进行持续培训。
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