Duffy Aiden, Goodall Karen, Carmichael David, Harper Sean, Sivyer Katy, Carnelley Kathy, Maguire Tess, Newman-Taylor Katherine
University of Edinburgh, Edinburgh, UK.
NHS Lothian, Edinburgh, UK.
J Psychiatr Ment Health Nurs. 2025 Apr;32(2):321-331. doi: 10.1111/jpm.13109. Epub 2024 Sep 22.
Intensive psychiatric care units can be challenging environments in which to build strong staff-patient relationships. Attachment theory may provide a useful model for strengthening relationships in this setting.
The aim of this study was to explore staff perceptions of the utility of attachment theory for understanding patient behaviour in the intensive psychiatric care setting.
Semi-structured interviews were conducted with 11 multi-disciplinary staff members. Interviews focused on the staff member's experience of learning about attachment theory and applying this perspective to their work on the ward. Transcripts were analysed using reflexive thematic analysis.
The analysis led to the development of three themes: engaging the reflective self, new perspective on others and cohesive ward culture.
Staff reported that learning about attachment theory supported them to better understand patient distress and associated behaviours. Notably, staff also used attachment theory to reflect on both their own internal states and the internal states of their colleagues. These reflections were suggested to bolster staff wellbeing and improve the ward milieu.
Integrating attachment theory into team formulation, ward rounds and reflective practice groups could have a benefit for clinical practice, staff wellbeing and team cohesion in this setting.
在强化精神科护理单元建立牢固的医患关系可能具有挑战性。依恋理论或许能为在这种环境中加强人际关系提供一个有用的模式。
本研究旨在探讨工作人员对依恋理论在理解强化精神科护理环境中患者行为方面效用的看法。
对11名多学科工作人员进行了半结构化访谈。访谈聚焦于工作人员学习依恋理论以及将这一观点应用于病房工作的经历。使用反思性主题分析法对访谈记录进行了分析。
分析得出了三个主题：激发反思性自我、对他人的新视角以及凝聚性病房文化。
工作人员报告称，学习依恋理论有助于他们更好地理解患者的痛苦及相关行为。值得注意的是，工作人员还运用依恋理论反思自身及同事的内心状态。这些反思被认为有助于提升工作人员的幸福感并改善病房环境。
将依恋理论融入团队组建、查房和反思实践小组中，可能会对这种环境下的临床实践、工作人员幸福感和团队凝聚力有益。
