对员工关于精神科护士（注册精神科护士）在重症监护病房影响的观点进行的主题分析。
A thematic analysis of staff perspectives on the impact of a mental health nurse (RMN) in a critical care unit.
作者信息
Hill Charlotte, Sims Sarah, Ap Robert Magdalena, Collier Sarah
机构信息
Swansea Bay University Health Board, Swansea, UK.
Liaison Psychiatry, Swansea Bay University Health Board, Swansea, UK.
出版信息
J Intensive Care Soc. 2023 Aug;24(3):292-298. doi: 10.1177/17511437221116474. Epub 2022 Aug 10.
BACKGROUND
Recent guidelines in the UK have shaped Critical Care Units (CCUs) to bring the mental health needs of patients, and staff wellbeing to the forefront of service provision. A health board based in NHS Wales has trialled the secondment of a Mental Health Nurse (RMN) within a CCU to help service provision adhere to such guidelines.
METHODS
Critical care staff were invited to attend focus groups to share their experiences of how the RMN influenced service provision.
RESULTS
Thematic analysis identified five main themes; including 'smoother care pathways', 'a holistic approach to care', 'co-production', 'knowledge and confidence' and 'staff wellbeing'. Each of these themes reflected how the RMN had both direct and indirect benefits on patient and staff wellbeing.
CONCLUSION
This qualitative exploration suggests that staff perceived value in the role of the RMN for both staff and patient outcomes, although further measures were considered necessary to improve staff-wellbeing within a critical care environment. This service evaluation supports recommendations for commissioning a RMN permanently in a CCU.
背景
英国最近的指南促使重症监护病房（CCU）将患者的心理健康需求以及工作人员的福祉置于服务提供的首要位置。威尔士国民保健服务体系（NHS）旗下的一个健康委员会在一家CCU内试行借调一名精神科护士（注册精神科护士），以帮助服务提供遵循此类指南。
方法
邀请重症监护工作人员参加焦点小组，分享他们对注册精神科护士如何影响服务提供的体验。
结果
主题分析确定了五个主要主题，包括“更顺畅的护理路径”“整体护理方法”“共同生产”“知识与信心”以及“工作人员福祉”。这些主题均反映出注册精神科护士对患者和工作人员的福祉产生了直接和间接的益处。
结论
这项定性研究表明，工作人员认为注册精神科护士的角色对工作人员和患者的结局都具有价值，不过仍需采取进一步措施来改善重症监护环境中的工作人员福祉。这项服务评估支持在CCU永久聘用一名注册精神科护士的建议。
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