新西兰心理健康护理评估。

Nursing assessments in New Zealand mental health.

作者信息

Street A, Walsh C

机构信息

School of Nursing, La Trobe University, Bundoora, Victoria, Australia.

出版信息

J Adv Nurs. 1998 Mar;27(3):553-9. doi: 10.1046/j.1365-2648.1998.00559.x.

DOI:10.1046/j.1365-2648.1998.00559.x

PMID:9543041

Abstract

During 1992 a new Mental Health Act was implemented in New Zealand. The Act created a new role, that of the duly authorised officer (DAO) which has been mainly carried out by community mental health nurses. During 1994 a multisite qualitative research study was undertaken to describe the newly structured mental health nursing role and examine the issues related to it. A key issue which emerged was the concern that the nursing role had been defined and resourced by other groups (legal, medical and management) on the basis of its visible tasks rather than the invisible components of professional nursing knowledge and expertise. The legal descriptions of the DAO role negated the highly developed assessment skills of mental health nurses, suggesting that nurses are there for advice and assistance. Yet expert clinical judgement was pivotal to the effective functioning of the new role. This paper argues that the initial nursing mental health crisis assessment which is carried out in the community is a highly skilled nursing activity which must be recognized and resourced accordingly.

摘要

1992年，新西兰实施了一项新的《精神健康法》。该法案设立了一个新的角色，即正式授权官员（DAO），主要由社区精神科护士担任。1994年，开展了一项多地点定性研究，以描述新构建的精神科护理角色，并研究与之相关的问题。出现的一个关键问题是，担心护理角色是由其他群体（法律、医学和管理）根据其可见任务而非专业护理知识和专业技能的无形组成部分来定义和配备资源的。对DAO角色的法律描述否定了精神科护士高度发达的评估技能，暗示护士只是提供建议和协助。然而，专家临床判断对新角色的有效运作至关重要。本文认为，在社区进行的初始精神科护理危机评估是一项高度熟练的护理活动，必须得到相应的认可和资源配备。