南非一家精神病医院的精神科护士在与双重诊断的精神卫生服务使用者建立治疗关系时所遇到的障碍。
Barriers Experienced by Psychiatric Nurses to Facilitate Therapeutic Relationships With Mental Healthcare Users With Dual Diagnosis in a Psychiatric Hospital in South Africa.
作者信息
Mathebula Thomas, van der Wath Anna Elizabeth, Ramavhoya Thifhelimbilu Irene
机构信息
Department of Nursing Science, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
Department of Nursing Science, Faculty of Health Sciences, University of Limpopo, Mankweng, South Africa.
出版信息
J Psychiatr Ment Health Nurs. 2025 Jun;32(3):623-633. doi: 10.1111/jpm.13136. Epub 2024 Nov 18.
BACKGROUND
Psychiatric nurses are in a unique position to build therapeutic relationships with mental healthcare users with dual diagnoses to foster trust and recovery. However, a dual diagnosis poses barriers to establishing and maintaining a therapeutic nurse-patient relationship.
AIM
The overall aim of this study was to explore and describe barriers experienced by psychiatric nurses to facilitate therapeutic relationships with mental healthcare users with dual diagnosis in a psychiatric hospital in Limpopo province, South Africa.
DESIGN
A qualitative, explorative, descriptive and contextual design was followed.
METHOD
Semi-structured interviews were conducted with 12 purposively selected participants who cared for mental healthcare users with dual diagnoses. Tech's method of open coding was used to analyse the data.
FINDINGS
Disruptive and disrespectful behaviour and mental healthcare users' substance use during hospitalisation resulted in nurses harbouring ambivalent feelings that impaired therapeutic nurse-patient relationships.
CONCLUSION
The barriers affecting therapeutic relationships with mental healthcare users with dual diagnosis should be addressed to enhance recovery and treatment compliance.
RECOMMENDATIONS
An integrated approach with the involvement of the interprofessional team, debriefing and training for nurses may help to foster therapeutic nurse-patient relationships, empower nurses and enhance the recovery of mental healthcare users with dual diagnosis.
背景
精神科护士处于一个独特的位置，能够与患有双重诊断的精神卫生服务使用者建立治疗关系，以促进信任和康复。然而，双重诊断对建立和维持治疗性护患关系构成了障碍。
目的
本研究的总体目的是探索和描述南非林波波省一家精神病医院的精神科护士在与患有双重诊断的精神卫生服务使用者建立治疗关系时所遇到的障碍。
设计
采用了定性、探索性、描述性和情境性设计。
方法
对12名经过有目的选择、照顾患有双重诊断的精神卫生服务使用者的参与者进行了半结构化访谈。采用特克的开放编码方法对数据进行分析。
结果
住院期间精神卫生服务使用者的破坏性行为、不尊重行为和物质使用导致护士产生矛盾情绪，损害了治疗性护患关系。
结论
应解决影响与患有双重诊断的精神卫生服务使用者建立治疗关系的障碍，以提高康复率和治疗依从性。
建议
采用跨专业团队参与的综合方法、对护士进行汇报和培训，可能有助于促进治疗性护患关系，增强护士的能力，并提高患有双重诊断的精神卫生服务使用者的康复水平。
Zotero 插件