University of Auckland, Auckland, New Zealand.
Int J Ment Health Nurs. 2024 Feb;33(1):5-17. doi: 10.1111/inm.13218. Epub 2023 Aug 31.
Mental health nursing is a privilege and a rewarding profession. There has been a call for transformational change in mental health services to improve outcomes for the people of New Zealand, with mental health nurses integral to this. However, with predicted nursing shortages, high levels of burnout, and increasing demands in the workplace, an organizational focus on wellbeing for mental health nurses is needed to sustain the workforce, implement change and improve outcomes for people using mental health services. An integrative review of the literature was undertaken to explore how organizations can optimize mental health nurses' wellbeing in the workplace and to identify measures for organizations to support mental health nurses' wellbeing with a focus on New Zealand. Seven articles were included in this review after a search, data extraction and evaluation. Data were synthesized and categorized using thematic analysis. The findings indicate organizations can invest in several initiatives to enhance mental health nurses' wellbeing in the workplace. These include professional development, skills to build resilience, enabling time to reflect on practice, enhancing professional supervision, having the right managerial support and focusing on individual's strengths. Organizations need to prioritize mental health nurses' wellbeing by embedding the practical strategies this review identified and by addressing organizational barriers to wellbeing. Organizations should consider implementing multileveled organizational wellbeing initiatives to nurture and grow the New Zealand mental health nursing workforce which in turn will contribute to quality care and enable mental health nurses to have long meaningful careers. Time, investment and resources are essential for these initiatives to be effective.
心理健康护理是一项特权和有回报的职业。新西兰的精神卫生服务呼吁进行变革性的改变，以改善民众的结果，精神卫生护士是这方面的重要组成部分。然而，由于预计会出现护理人员短缺、高 burnout 率和工作场所需求不断增加，因此需要组织关注精神卫生护士的幸福感，以维持劳动力、实施变革和改善使用精神卫生服务的人的结果。对文献进行了综合回顾，以探讨组织如何优化精神卫生护士在工作场所的幸福感，并确定组织支持精神卫生护士幸福感的措施，重点是新西兰。经过搜索、数据提取和评估，共有 7 篇文章纳入了这篇综述。使用主题分析对数据进行了综合和分类。研究结果表明，组织可以投资于多项举措来提高精神卫生护士在工作场所的幸福感。这些举措包括专业发展、建立韧性的技能、为反思实践提供时间、加强专业监督、获得适当的管理支持以及关注个人优势。组织需要通过实施本综述中确定的实际策略，并解决幸福感方面的组织障碍，优先考虑精神卫生护士的幸福感。组织应考虑实施多层次的组织幸福感举措，培养和壮大新西兰精神卫生护理劳动力，这反过来将有助于提供高质量的护理，并使精神卫生护士能够拥有长期有意义的职业生涯。时间、投资和资源对于这些举措的有效性至关重要。
