Adams T
European Institute of Health and Medical Sciences, University of Surrey, Guildford, England.
J Adv Nurs. 1996 Jun;23(6):1177-84. doi: 10.1111/j.1365-2648.1996.tb00107.x.
This study examines the work of community psychiatric nurses (CPNs) with elderly demented people. A total of 14 cases, taken from the caseloads of four CPNs, were examined by direct observation of CPNs' practice and in-depth interviews. The data were analysed using a method suggested by Dey (1993). The validity of the findings was checked internally by means of respondent validation and externally by CPNs from other teams working with elderly demented people. It was found that the CPNs operated two strategies: one directed towards the client and the other towards the family. The process underlying these strategies consisted of five overlapping phases: assessment, planning, intervention, evaluation, and termination. The CPNs' working process was set within a framework containing their understanding of what they understood as 'community', the management style within the team and the quality and availability of clinical supervision. This process is integrated with existing literature on community psychiatric nursing and suggestions are made regarding possible developments within the speciality.
本研究考察了社区精神科护士对老年痴呆患者的护理工作。从四位社区精神科护士的病例中选取了14个案例，通过直接观察护士的护理实践和深入访谈进行研究。采用戴伊（1993）提出的方法对数据进行分析。研究结果的效度通过受访者效度进行内部检验，并由其他护理老年痴呆患者团队的社区精神科护士进行外部检验。结果发现，社区精神科护士采用了两种策略：一种针对患者，另一种针对患者家属。这些策略背后的过程包括五个重叠阶段：评估、计划、干预、评价和终止。社区精神科护士的工作过程是在一个框架内进行的，该框架包括他们对“社区”的理解、团队内部的管理风格以及临床督导的质量和可获得性。这一过程与现有的社区精神科护理文献相结合，并就该专业可能的发展方向提出了建议。
