Departament d'Infermeria, Grup de Recerca Avançada en Infermeria, Facultat d'Infermeria, Universitat Rovira i Virgili, Tarragona, Spain.
Departament d'Infermeria, Grup de Recerca GAP, Hospital Universitari Institut Pere Mata, CIBERSAM, Universitat Rovira i Virgili, Tarragona, Spain.
J Psychiatr Ment Health Nurs. 2024 Oct;31(5):916-926. doi: 10.1111/jpm.13041. Epub 2024 Mar 13.
Adult psychiatric services typically focus on the mental health needs of the client but they do not support his or her parenting role. Many authors highlight the importance of a non-judgmental approach when providing support and care to clients with mental illness who are parents. Assessments frequently focus on the negative aspects while the strengths of these families were often overlooked. There is a lack of scientific literature exploring nurses' experiences when caring for parents with mental illness and their families.
Trust is the basis that helps clients to be open to receiving care and answering parenting-related questions. Therefore, without adequate professional-client trust, some care and interventions addressed to parents with mental illness could be poorly received by the client. Tronto's phases of care facilitated the collection of data and exploration of mental health nurses' experiences of care.
Mental health nurses should be aware of the potential needs of these families, as described in the scientific literature, so they can include them in their assessments. They also should consider the need to individualize each care since each situation of a family with parental mental illness is unique. Mental health nurses must take the person's environment into account (family, social and political aspects and different forms of stigma) since all these factors may influence how parents with mental illness receive and provide care.
Introduction Many authors highlight the importance of a non-judgmental approach when providing care to parents with mental illness. However, assessments frequently focus on the negative aspects while the strengths of such families were often overlooked. Aim To explore the lived experiences of mental health nurses who care for clients who are parents. Method We conducted a qualitative phenomenological study. The main data collection technique was in-depth interviews. Data were analysed according to Colaizzi model, subsequently, the main categories that arised were compared and related to the five phases of Tronto's care. Results The main categories identified from the analysis of the interviews were: (1) individualized care, (2) continuity of care, (3) psychoeducation and counselling, (4) trust and (5) context of the client. Discussion Trust is the basis that helps parents with mental illness to be open to receiving care and answering parenting-related questions. Without trust, some interventions could be poorly received by the client. Implications for Practice Mental health nurses should be aware of the potential needs of these families, so they can include them in their assessments. They also should consider the need to individualize each care since each situation of a family with parental mental illness is unique.
成人精神病服务通常侧重于客户的心理健康需求，但不支持其父母角色。许多作者强调，在为患有精神疾病的父母提供支持和护理时，采取非评判性方法的重要性。评估通常侧重于负面方面，而这些家庭的优势往往被忽视。缺乏科学文献探讨护士在照顾患有精神疾病的父母及其家庭时的经验。
信任是帮助客户愿意接受护理并回答与育儿相关问题的基础。因此，如果客户与护士之间没有足够的专业信任，那么针对患有精神疾病的父母的某些护理和干预措施可能会被客户拒绝。特隆托的护理阶段有助于收集数据并探索精神科护士的护理经验。
精神科护士应该意识到这些家庭的潜在需求，正如科学文献中所描述的那样，以便将这些需求纳入他们的评估中。他们还应该考虑对每个家庭进行个性化护理，因为每个有精神疾病父母的家庭的情况都是独特的。精神科护士必须考虑到人的环境（家庭、社会和政治方面以及不同形式的污名），因为所有这些因素都可能影响患有精神疾病的父母接受和提供护理的方式。
引言：许多作者强调，在为患有精神疾病的父母提供护理时，采取非评判性方法的重要性。然而，评估通常侧重于负面方面，而这些家庭的优势往往被忽视。目的：探讨照顾有子女的精神疾病患者的精神科护士的生活体验。方法：我们进行了一项定性现象学研究。主要的数据收集技术是深入访谈。根据科拉齐模型对数据进行分析，随后将出现的主要类别与特隆托护理的五个阶段进行比较和关联。结果：从访谈分析中确定的主要类别是：（1）个性化护理，（2）护理连续性，（3）心理教育和咨询，（4）信任，（5）客户背景。讨论：信任是帮助患有精神疾病的父母愿意接受护理并回答与育儿相关问题的基础。没有信任，一些干预措施可能会被客户拒绝。对实践的影响：精神科护士应该意识到这些家庭的潜在需求，以便将其纳入评估中。他们还应该考虑到每个有精神疾病父母的家庭的情况都是独特的，因此需要对每个家庭进行个性化护理。
