Brooker C G, Simmons S M
J Adv Nurs. 1985 May;10(3):217-23. doi: 10.1111/j.1365-2648.1985.tb00515.x.
This study analyses data collected by the community psychiatric nursing team in the Bloomsbury Health Authority. After the 1982 National Health Service reorganization one large CPN team was created from two smaller ones each operating a separate mode of care delivery. Four CPNs were based at a day hospital and five CPNs worked from primary health care bases. Regular statistics collected by all the nurses were used to examine two hypotheses. First, there is a type of client seen by a CPN who varies according to the main base from which the nurse operates. Second, that there were differences in individual CPN 'caseload activity' that are determined by main work-setting. The results indicated that the characteristics of the two client-referral samples were indeed different using various measures of social deprivation and isolation. Substantial variations in 'caseload activity' between the two teams were also found, the largest difference being the number of hours spent in clinical activity, face to face with the client. Various implications of these findings for the overall planning and management of the CPN team are discussed. The overall conclusion reached is that, as Mangen & Griffith have suggested, the planning of CPN services requires the systematic collection of evaluative data on which to base future policies.
本研究分析了布鲁姆斯伯里卫生局社区精神科护理团队收集的数据。1982年国家医疗服务体系重组后，由两个较小的团队合并组建了一个大型社区精神科护理团队，这两个小团队各自采用不同的护理模式。四名社区精神科护士在日间医院工作，五名社区精神科护士在初级保健基地工作。所有护士定期收集的数据用于检验两个假设。第一，社区精神科护士接待的患者类型会因护士工作的主要基地不同而有所差异。第二，个体社区精神科护士的“工作量活动”存在差异，这些差异由主要工作环境决定。结果表明，使用各种社会剥夺和隔离衡量指标时，两个患者转诊样本的特征确实不同。两个团队之间在“工作量活动”方面也存在很大差异，最大的差异在于与患者面对面进行临床活动所花费的时间。讨论了这些发现对社区精神科护理团队整体规划和管理的各种影响。得出的总体结论是，正如曼根和格里菲斯所建议的，社区精神科护理服务的规划需要系统收集评估数据，以便为未来政策提供依据。
