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精神科门诊实习护士与患者亲属协作的影响因素:一项定性研究

Factors Affecting Collaboration of Intern Nurses With Patient Relatives in Psychiatry Clinic: A Qualitative Study.

作者信息

Tatu Merve Kızılırmak, Ercan Feride, Demir Satı

机构信息

Gazi University Nursing Faculty, Ankara, Turkey.

出版信息

J Eval Clin Pract. 2025 Feb;31(1):e70043. doi: 10.1111/jep.70043.

Abstract

BACKGROUND

Psychiatric nursing internship practice aims to deliver nursing care to the individual with a mental disorder and his/her family and to fulfil all steps of the nursing process.

AIMS AND OBJECTIVES

The aim of this study was to determine the factors affecting the collaboration of intern nurses with relatives of psychiatric patients.

METHODS

The research was conducted as a descriptive qualitative research design. Participants consisted of 17 intern nurses. A semi-structured interview form was used. The data analysed by the content analysis method in accordance with Guba and Lincoln's criteria of credibility, dependability, confirmability and transferability. COREQ checklist was used as a basis for planning and reporting the research.

RESULTS

The mean age of the participants was 21.29 ± 0.77 and 12 of them (70.5%) were female. The results of the study indicated three themes regarding the perceptions of intern nurses. The themes related to perceptions of intern nurses about collaboration with patients' relatives were as follows: 'individual and environmental characteristics that are effective in collaborating with patient relatives', 'effective nursing practices in collaboration with patient relatives' and 'possible results of collaboration with patient relatives'.

CONCLUSIONS

Intern nurses stated that the effective factors in working with patient relatives were the patient's symptoms and relationship with the family from the patient's perspective and views on illness and treatment, exposure to social stigma from the patients' relatives perspective. They stated that the nurse's communication skills and workload can be effective in working with patient relatives. Intern nurses expressed that information and education practices were important tools in collaboration with the patient relatives. It has been stated that collaboration with the patient relatives will provide possible desired results such as patient compliance with the treatment process, increased well-being, strengthening coping skills in the patient relatives and reducing caregiver burden, and providing job satisfaction and satisfaction for the nurse.

摘要

背景

精神科护理实习实践旨在为患有精神障碍的个体及其家人提供护理服务,并完成护理过程的所有步骤。

目的

本研究的目的是确定影响实习护士与精神科患者亲属合作的因素。

方法

本研究采用描述性定性研究设计。参与者包括17名实习护士。使用了半结构化访谈形式。根据古巴和林肯的可信度、可靠性、可证实性和可转移性标准,采用内容分析法对数据进行分析。COREQ清单用作规划和报告研究的基础。

结果

参与者的平均年龄为21.29±0.77岁,其中12名(70.5%)为女性。研究结果表明,实习护士的认知存在三个主题。与实习护士对与患者亲属合作的认知相关的主题如下:“对与患者亲属合作有影响的个人和环境特征”、“与患者亲属合作中的有效护理实践”以及“与患者亲属合作的可能结果”。

结论

实习护士表示,与患者亲属合作的有效因素包括从患者角度看患者的症状、与家人的关系以及对疾病和治疗的看法,从患者亲属角度看所面临的社会耻辱感。他们表示,护士的沟通技巧和工作量在与患者亲属合作中可能会产生影响。实习护士表示,信息和教育实践是与患者亲属合作的重要工具。据称,与患者亲属合作将带来可能期望的结果,如患者对治疗过程的依从性提高、幸福感增强、患者亲属应对技能增强、照顾者负担减轻,以及为护士带来工作满意度和满足感。

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