McKenna H P, Parahoo K A, Boore J R
Department of Nursing, University of Ulster, Northern Ireland, UK.
Int J Nurs Stud. 1995 Feb;32(1):95-113. doi: 10.1016/0020-7489(94)e0009-8.
A nursing model selected by a population of ward managers was implemented on a long-stay psychiatric ward in Northern Ireland using an adapted action research approach within a quasi-experimental design. A range of dependent variables were appraised at one pre-test and two post-test evaluation points on an experimental (Ward X) and a control ward (Ward Y). A thorough review of the literature and methods used can be found in Part 1 (McKenna et al., 1995, Int. J. Nurs. Stud., 32, 79-94). The findings and their interpretations are presented here. Results indicate that on the experimental ward there were statistically significant improvements in "Psychiatric Monitor", patients' and staff's perception of ward atmosphere, patient satisfaction, staff's views about nursing models, and patient dependency levels. No significant changes were noted in nurse satisfaction levels nor nurses' perception of patients' behaviour. Particular emphasis is placed on the possible threats to the internal and external reliability of these findings and on the attempts made to control these threats.
北爱尔兰一家长期住院精神病病房采用了一种由病房管理人员群体选定的护理模式，该模式在准实验设计中运用了适应性行动研究方法。在一个实验组（X病房）和一个对照组（Y病房）的一个预测试点以及两个后测试点对一系列因变量进行了评估。文献及所用方法的全面综述可见于第1部分（麦肯纳等人，1995年，《国际护理学研究杂志》，第32卷，第79 - 94页）。此处呈现研究结果及其解读。结果表明，在实验组病房，“精神科监测”、患者和工作人员对病房氛围的感知、患者满意度、工作人员对护理模式的看法以及患者依赖程度均有统计学上的显著改善。护士满意度水平以及护士对患者行为的感知未发现显著变化。特别强调了这些研究结果在内部和外部可靠性方面可能面临的威胁以及为控制这些威胁所做的努力。
