Monteux Sebastian, Stirling Fiona J, Stoll Marcia, Thomas Lynne
Abertay University, Dundee, UK.
Int J Ment Health Nurs. 2025 Jun;34(3):e70062. doi: 10.1111/inm.70062.
This study explores patient feedback through unsolicited thank-you letters, asking: What insights do these letters provide into impactful nursing practices in inpatient CAMHS? Using an exploratory qualitative approach, data from two focus groups with mental health nurses (MHNs) and an online questionnaire were analysed through thematic analysis, identifying three key themes-'Being Present,' 'Being Skilful,' and 'Being Human.' Findings reveal that thank-you letters offer unique, spontaneous insights into the aspects of nursing care young people value most, highlighting everyday interactions over structured clinical interventions. However, these relational aspects of care are often undervalued in inpatient settings. To ensure they are recognised and sustained, inpatient CAMHS should integrate thank-you letters into staff training, reflective practice, and service development. This study underscores the need to reframe everyday nursing interactions as essential rather than incidental, recognising their critical role in therapeutic engagement and patient well-being.
本研究通过主动发来的感谢信来探索患者反馈，提出问题：这些信件能为住院儿童与青少年精神卫生服务（CAMHS）中有影响力的护理实践提供哪些见解？采用探索性定性研究方法，通过主题分析对来自两个与精神科护士（MHNs）的焦点小组的数据和一份在线调查问卷进行了分析，确定了三个关键主题——“在场”、“熟练”和“有人情味”。研究结果表明，感谢信能为年轻人最看重的护理方面提供独特、自发的见解，突出了日常互动而非结构化临床干预的重要性。然而，护理的这些关系层面在住院环境中往往被低估。为确保它们得到认可和持续，住院CAMHS应将感谢信纳入员工培训、反思性实践和服务发展中。本研究强调需要将日常护理互动重新界定为至关重要而非可有可无，认识到它们在治疗参与和患者福祉中的关键作用。
