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注册护士对心理健康服务的感知需求与利用情况

Perceived Need and Utilization of Mental Health Services by Registered Nurses.

作者信息

Winter Shira, Pietrzak Robert H, He Celestine, DePierro Jonathan M, Cohen Bevin, Chan Chi, Starkweather Sydney, Faherty Cara, Benn Emma, Clark Uraina, Mohamed Nihal, Peccoralo Lauren, Ripp Jonathan

机构信息

Icahn School of Medicine at Mount Sinai, New York, NY.

Feinberg School of Medicine at Northwestern University, Chicago, IL.

出版信息

Nurs Res. 2025 Jul 14. doi: 10.1097/NNR.0000000000000852.

Abstract

BACKGROUND

Nurses experience high rates of mental health stressors. Mental health support services can mitigate the burden of these stressors and mental health sequelae, but nurses may not access them due to stigma, unavailability, or concerns regarding professional standing.

OBJECTIVE

To examine the association between nurse characteristics and perceived need for and utilization of mental health services and identify barriers to nurses accessing mental health services.

METHODS

Cross-sectional survey data were analyzed from 367 nurses in one large urban health system. Descriptive statistics and multinomial logistic regression were used to examine demographic, workplace, and mental health characteristics that were independently associated with perceived need for and utilization of mental health services.

RESULTS

Nurses who reported experiences of verbal abuse, anxiety, or burnout and who were younger and partnered were more likely to have utilized mental health services and have perceived they would benefit from these services. The most prevalent barriers to care included not knowing how to find a provider, inconvenient hours, and embarrassment or concerns about judgment from others.

DISCUSSION

Several barriers prevent nurses who perceive a need for mental health services from accessing them. Interventions targeting these barriers may help mitigate the burden of mental health conditions in this population.

摘要

背景

护士承受着高比例的心理健康压力源。心理健康支持服务可以减轻这些压力源及心理健康后遗症的负担,但护士可能因耻辱感、无法获得服务或担心职业地位而无法使用这些服务。

目的

研究护士特征与对心理健康服务的感知需求及使用之间的关联,并确定护士获得心理健康服务的障碍。

方法

对一个大型城市卫生系统中的367名护士的横断面调查数据进行分析。使用描述性统计和多项逻辑回归来研究与心理健康服务的感知需求及使用独立相关的人口统计学、工作场所和心理健康特征。

结果

报告有言语虐待、焦虑或职业倦怠经历的护士,以及年龄较小且有伴侣的护士,更有可能使用心理健康服务,并认为他们会从这些服务中受益。最普遍的护理障碍包括不知道如何找到服务提供者、工作时间不方便,以及尴尬或担心他人的评判。

讨论

有几个障碍阻碍了那些认为需要心理健康服务的护士获得这些服务。针对这些障碍的干预措施可能有助于减轻这一人群的心理健康状况负担。

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