Keykha Roghaieh, Seyedfatemi Naima, Mousavizadeh Seyedeh Narjes, Vasli Parvaneh
Department of Psychiatric Nursing and Management, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Geriatric Mental Health Research Center, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
BMC Psychiatry. 2025 Jul 1;25(1):621. doi: 10.1186/s12888-025-07024-7.
Patients with severe mental disorders (SMDs) often have complex needs that require long-term, multifaceted care. Exploring the experiences of mental health nurses (MHNs) in this context offers valuable insights into previously underexplored aspects of psychiatric care. The objective of the present study was to examine the experiences of MHNs in providing care for inpatients with SMDs in psychiatric wards in Iran.
This study used a qualitative research design based on conventional content analysis. The participants were 20 MHNs working in psychiatric wards in Iran, selected through purposive sampling. Data were collected through semi-structured, in-depth individual interviews, with a mean duration of 45 min. The data were then analyzed using conventional content analysis, with the help of MAXQDA (ver.10) software.
The data analysis reduced to the emergence of three main themes and 12 categories, including (1) "care based on the nature of the disease", comprised of four categories, viz., disease symptoms and specific nature, nursing care to prevent harm to oneself and others, therapeutic communication, and central role of medicinal care; (2) "patient- and family- based care", with four categories of personalized care, trust building, respecting, understanding, and accepting patients, and family education; and (3) "complex and burdensome care", containing four categories, i.e., challenges in gender-based care, challenges due to disease symptoms, psychological complications of care, and physical complications of care.
The study results clarified three main themes associated with MHNs' experiences of caring for inpatients with SMDs. Healthcare managers and policymakers could in this way make use of these findings to improve MHNs' performance in psychiatric wards and boost up the quality of nursing care for inpatients with such conditions.
Not applicable.
重度精神障碍（SMD）患者通常有复杂的需求，需要长期、多方面的护理。在此背景下探索精神科护士（MHN）的经历，能为精神科护理中以前未充分探索的方面提供有价值的见解。本研究的目的是调查伊朗精神科病房中精神科护士为重度精神障碍住院患者提供护理的经历。
本研究采用基于传统内容分析的定性研究设计。参与者为20名在伊朗精神科病房工作的精神科护士，通过目的抽样选取。通过半结构化的深度个人访谈收集数据，平均时长为45分钟。然后借助MAXQDA（版本10）软件，使用传统内容分析法对数据进行分析。
数据分析得出三个主要主题和12个类别，包括：（1）“基于疾病性质的护理”，由四个类别组成，即疾病症状和特殊性质、预防对自身和他人造成伤害的护理、治疗性沟通以及药物治疗的核心作用；（2）“基于患者和家庭的护理”，包括个性化护理、建立信任、尊重、理解和接纳患者以及家庭教育四个类别；（3）“复杂且繁重的护理”，包含四个类别，即基于性别的护理挑战、疾病症状导致的挑战、护理的心理并发症以及护理的身体并发症。
研究结果阐明了与精神科护士护理重度精神障碍住院患者经历相关的三个主要主题。医疗保健管理人员和政策制定者可以利用这些发现来提高精神科病房中精神科护士的表现，并提升此类住院患者的护理质量。
不适用。
