Thompson Hannah, Patterson Christopher, Lewer Kelly, Moxham Lorna
School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, Australia.
Int J Ment Health Nurs. 2025 Feb;34(1):e13465. doi: 10.1111/inm.13465.
Escalating rates of mental illness emphasise the necessity for sufficient and appropriate mental health services. However, stigma and discrimination remain and can be seen through the multifaceted ways nurses communicate. Clinical placements, where nursing students engage directly with individuals experiencing mental illness, are vital for addressing these challenges by fostering empathy and reducing stigma. This study aimed to explore how individuals with lived experience of mental illness experience the communication of nursing students during their participation in the mental health nursing clinical placement, Recovery Camp. Using a Heideggerian phenomenological approach, five individuals with lived experience of mental illness, referred to as Experts by Experience, participated in individual semi-structured interviews. van Kaam's psychophenomenological approach was used for data analysis. The findings highlight the importance of being Valued for My Lived Experience Expertise, which emerged as a central theme. The two primary themes were Communication and Engagement. Communication entailed students demonstrating Active Listening and Attributes and Engagement was seen through Actions and Behaviours and Rapport. The findings support the growing body of evidence highlighting the substantial impact of Experts by Experience on mental health nursing education. Integrating Experts by Experience into mental health nursing education enhances communication skills by improving students' understanding of mental illness directly from those who experience it. These changes are essential for advancing nursing education and improving mental health services.
精神疾病发病率不断攀升，凸显了提供充足且合适的心理健康服务的必要性。然而，耻辱感和歧视依然存在，并且可以从护士沟通的多方面方式中看出。临床实习中，护理专业学生直接与患有精神疾病的个体接触，通过培养同理心和减少耻辱感，对于应对这些挑战至关重要。本研究旨在探讨有精神疾病生活经历的个体在参与心理健康护理临床实习“康复营”期间，如何体验护理专业学生的沟通。采用海德格尔现象学方法，五名有精神疾病生活经历的个体（即“经验专家”）参与了个别半结构化访谈。数据分析采用范·卡姆的心理现象学方法。研究结果突出了“因我的生活经历专长而被重视”的重要性，这成为一个核心主题。两个主要主题是“沟通”和“参与”。“沟通”要求学生展现“积极倾听”和“特质”，“参与”则体现在“行动与行为”以及“融洽关系”方面。研究结果支持了越来越多的证据，这些证据强调了“经验专家”对心理健康护理教育的重大影响。将“经验专家”纳入心理健康护理教育，通过直接从有精神疾病经历的人那里提高学生对精神疾病的理解，从而提升沟通技能。这些变化对于推进护理教育和改善心理健康服务至关重要。
