Mental Health Services, Hunter New England Local Health District, Australia Hunter New England Mental Health, Waratah, Australia.
Faculty of Health, Southern Cross University, East Lismore, NSW, Australia.
Issues Ment Health Nurs. 2024 Sep;45(9):887-894. doi: 10.1080/01612840.2024.2374015. Epub 2024 Aug 9.
Mobile phones are an essential means for remaining connected, yet many acute inpatient mental health units restrict consumer access to their mobile phones due to safety concerns. The ubiquitous nature of mobile phones makes this approach seemingly incongruent with contemporary mental health practice. One Local Health District in Australia evaluated the implementation of a process that provided mental health consumers access to their mobile phones while in hospital. This study used a mixed methods design to explore the views of consumers and nurses, both before and after implementation. Participants were asked about their perceptions of the importance of mobile phone access to people in acute units, and their views about any perceived (pre) and actual (post) issues, challenges or benefits associated with the change in practice. Survey responses showed significant differences across group on all measures, with consumers more likely to rate the importance and frequency of mobile phone use higher, while also significantly more likely to rate potential issues lower. Issues associated with consumer phone access were rated lower in the post surveys. Descriptive content analysis of qualitative data identified differences in the level of concern between staff and consumers about consumers having access to their phone before implementation. Views about the therapeutic benefits and level of concern also changed post implementation. The need to have a clear process for implementation and governance was identified by both groups. The findings support consumers having access to their phone during admissions to acute mental health units.
手机是保持联系的重要手段,但由于安全问题,许多急性住院精神卫生病房限制患者使用手机。手机的无处不在使得这种方法似乎与当代精神卫生实践不一致。澳大利亚的一个地方卫生区评估了一项为住院精神卫生消费者提供手机使用的流程的实施情况。这项研究使用混合方法设计,在实施前后探索了消费者和护士的观点。参与者被问及他们对急性病房患者手机使用的重要性的看法,以及他们对与实践改变相关的任何感知(预先)和实际(事后)问题、挑战或益处的看法。调查结果显示,所有措施的组间差异均具有统计学意义,消费者更有可能对手机使用的重要性和频率进行更高的评分,同时也更有可能对潜在问题进行更低的评分。与消费者手机访问相关的问题在后期调查中的评分较低。对定性数据的描述性内容分析确定了在实施前工作人员和消费者对消费者手机访问的关注程度存在差异。实施后,对治疗益处和关注程度的看法也发生了变化。双方都认为有必要为实施和治理制定明确的流程。研究结果支持在急性精神卫生病房住院期间允许患者使用手机。