Psychoeducation group facilitation training for nurses: A quality improvement project

Shanon G. McLeay DNP, PMHNP-BC, RN, Therese Mathews PhD, PMHNP-BC,  Leeza Struwe PhD, MSN, RN
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引用次数: 0

Abstract

Background

According to the 2020−2021 National Survey of Children's Health, 23.3% of children and adolescents met criteria for one or more mental, emotional, developmental, or behavioral problems. However, the prevalence of depression, anxiety, and post traumatic stress disorder have risen dramatically since the COVID-19 pandemic, leading to an increase in suicidal ideations, completed suicides, and pediatric psychiatric hospitalizations. There is a critical need for high quality mental healthcare treatments, including psychoeducation. Inpatient psychiatric nurses are well positioned to lead psychoeducation groups, but few receive training.

Local Problem

Nurses at a designated inpatient pediatric psychiatric unit expressed discomfort in facilitating psychoeducation groups.

Methods

This is a one-group prepost and follow-up quality improvement study designed to improve the quality of psychoeducation group facilitation skills provided by nurses at a child and adolescent inpatient psychiatric unit. A convenience sample of nurses (N = 16) participated. Baseline (T1), post-test (T2), and follow-up (T3) data were collected regarding nurses' self-efficacy, evidence based-practice attitudes, and knowledge of psychoeducation group facilitation.

Interventions

Nurses received 45 min of psychoeducation group facilitation education and 15 min of skills simulation.

Results

The nurses' knowledge, self-efficacy, and attitudes toward evidence-based practice when facilitating psychoeducation groups increased significantly from the baseline to the post-test, which was sustained from the post-test to the follow-up period.

Conclusion

Study findings indicate the importance of supporting nurses in their role of psychoeducation group facilitation through education and program structure. Further research is needed to assess longer term sustainability and efficacy in leading psychoeducation groups.

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护士心理教育小组促进培训:质量改进项目。
背景:根据 2020-2021 年全国儿童健康调查,23.3% 的儿童和青少年符合一种或多种精神、情绪、发育或行为问题的标准。然而,自 COVID-19 大流行以来,抑郁症、焦虑症和创伤后应激障碍的发病率急剧上升,导致自杀意念、完成自杀和儿科精神病住院人数增加。我们迫切需要高质量的心理保健治疗,包括心理教育。住院精神科护士完全有能力领导心理教育小组,但接受过培训的护士却寥寥无几。当地问题:一家指定的儿科精神科住院病房的护士表示不习惯主持心理教育小组:方法:这是一项单组前后期和后续质量改进研究,旨在提高儿童和青少年精神科住院病房护士主持心理教育小组的技能质量。参与研究的护士(N = 16)均为方便抽样。我们收集了基线(T1)、后测试(T2)和随访(T3)数据,内容涉及护士的自我效能感、循证实践态度和心理教育小组协助知识:干预措施:护士接受 45 分钟的心理教育小组促进教育和 15 分钟的技能模拟:结果:从基线到后测,护士在促进心理教育小组时对循证实践的知识、自我效能感和态度都有了显著提高,这种提高在后测到随访期间一直持续:研究结果表明,通过教育和项目结构支持护士在心理教育小组中发挥促进作用非常重要。需要进一步开展研究,以评估领导心理教育小组的长期可持续性和有效性。
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来源期刊
CiteScore
2.90
自引率
6.70%
发文量
41
期刊介绍: Journal of Child and Adolescent Psychiatric Nursing (JCAPN) is the only nursing journal to focus exclusively on issues of child and adolescent mental health around the world. As a primary resource for nurses and other healthcare professionals in clinical practice, educator roles, and those conducting research in mental health and psychiatric care, the journal includes peer-reviewed, original articles from a wide range of contributors in a broad variety of settings.
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