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Burnout Among Primary Healthcare Nurses: A Study of Association With Depression, Anxiety and Self-Efficacy 初级保健护士职业倦怠与抑郁、焦虑和自我效能感的关系研究
IF 3.6 2区 医学 Q1 NURSING Pub Date : 2024-12-22 DOI: 10.1111/inm.13496
Rasha Mohammed Hussien, Talal Ali F. Alharbi, Ibrahim Alasqah, Nada Alqarawi, Andrew Dumale Ngo, Azza Elsayed Abd Elfatah Arafat, Meead Abdulaziz Alsohibani, Mohamed Ali Zoromba

Burnout is a significant issue among healthcare professionals, particularly nurses, due to high workloads and emotional demands. However, limited research has explored burnout among primary healthcare nurses in Saudi Arabia, who play a vital role in healthcare delivery. This study aims to address this gap by investigating burnout levels and their association with anxiety, depression and self-efficacy among primary healthcare nurses. A cross-sectional survey design was employed, with 161 primary healthcare nurses from the Qassim region, Saudi Arabia. Data were collected using the Maslach Burnout Inventory, the Patient Health Questionnaire-4 and the General Self-Efficacy Scale. Pearson correlation and logistic regression were used to analyse the associations between study variables. A high prevalence of burnout risk (78.9%) was observed. Emotional exhaustion was detected in 35.4%, depersonalisation in 44.7% and low personal accomplishment in 57.8%. Anxiety (r = 0.707, p < 0.01) and depression (r = 0.564, p < 0.01) were positively correlated with emotional exhaustion, while self-efficacy was negatively correlated (r = −0.260, p < 0.05). Logistic regression analysis revealed that anxiety (OR = 5.784, 95% CI: 2.056–16.269) and low self-efficacy (OR = 6.625, 95% CI: 2.979–14.737) were significant predictors of burnout. Targeted interventions are essential to mitigate burnout among primary healthcare nurses. Specific measures could include mindfulness-based stress reduction programmes to address emotional exhaustion, peer support sessions to reduce depersonalisation and skill-building workshops to enhance self-efficacy. These interventions can improve nurse well-being and ensure sustainable healthcare delivery in primary care settings.

由于高工作量和情感需求,职业倦怠是医疗保健专业人员,特别是护士的一个重要问题。然而,有限的研究探讨了沙特阿拉伯初级保健护士的职业倦怠,他们在医疗保健服务中发挥着至关重要的作用。本研究旨在通过调查初级保健护士的职业倦怠水平及其与焦虑、抑郁和自我效能感的关系来解决这一差距。采用横断面调查设计,对来自沙特阿拉伯卡西姆地区的161名初级保健护士进行了调查。数据采用Maslach倦怠量表、患者健康问卷-4和一般自我效能量表收集。使用Pearson相关和logistic回归分析研究变量之间的相关性。观察到高患病率的倦怠风险(78.9%)。情绪衰竭占35.4%,人格解体占44.7%,个人成就感低占57.8%。焦虑(r = 0.707, p
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引用次数: 0
Service Users' Participation in Mental Health Nursing Education: Quasi-Experimental Design With Blended Learning Model. 服务使用者参与心理健康护理教育:混合学习模式的准实验设计
IF 3.6 2区 医学 Q1 NURSING Pub Date : 2024-12-22 DOI: 10.1111/inm.13491
Jaewon Joung, Suyoun Ahn, Soyoung Shin

Nursing students' negative perceptions of and reduced interest in individuals experiencing mental health challenges could lead to problems such as deteriorating quality of mental health nursing and lack of competent, qualified mental health nurses. Promoting changes and developments in mental health nursing education for greater effectiveness is pivotal. This study aimed to develop, introduce and validate a blended learning service user involvement programme for mental health nursing education—the first of its kind in South Korea. This study is reported according to TREND guidelines. The experimental group's scores for attitudes and empathy with individuals experiencing mental health challenges increased significantly after taking the 6-week service user involvement class. The experimental group achieved higher scores for knowledge of mental health nursing, satisfaction, and confidence in performance than the control group, which attended a traditional-style class. However, no significant difference was found between groups in changes in attitudes towards and empathy with individuals experiencing mental health challenges. The service user involvement class could improve some students' knowledge of mental health nursing and confidence, but providing the course in a single semester is not sufficient to improve students' attitudes towards and empathy with individuals experiencing mental health challenges. Therefore, an appropriate approach to more systematic long-term planning should be developed, and public perception should be improved. Additionally, long-term studies should evaluate the sustainability and progression of changes in attitudes and empathy over time. We recommend developing mental health nursing education programmes with diverse designs and structures.

护理专业学生对经历心理健康挑战的个体的负面看法和兴趣降低可能导致诸如心理健康护理质量恶化和缺乏称职、合格的心理健康护士等问题。促进心理健康护理教育的变化和发展,提高其有效性是至关重要的。本研究旨在开发、介绍和验证一种用于心理健康护理教育的混合式学习服务用户参与方案,这是韩国首个此类方案。这项研究是根据TREND指南报道的。实验组在参加了为期6周的服务使用者参与课程后,对经历心理健康挑战的个体的态度和同理心得分显著提高。实验组在心理健康护理知识、满意度、表现信心等方面得分均高于对照组。然而,在对待心理健康挑战个体的态度和共情方面,各组之间没有发现显著差异。服务使用者参与课程可以提高部分学生对心理健康护理的知识和信心,但单学期开设该课程不足以提高学生对心理健康挑战个体的态度和同理心。因此,应该制定一种适当的方法来进行更系统的长期规划,并提高公众的认识。此外,长期研究应评估态度和共情变化随时间的可持续性和进展。我们建议发展不同设计和结构的心理健康护理教育课程。
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引用次数: 0
The Relationship Between Resilience and Mental Health Status Among Nurses With Workplace Violence Experiences: A Cross-Sectional Study 有职场暴力经历的护士心理弹性与心理健康状况的关系:一项横断面研究。
IF 3.6 2区 医学 Q1 NURSING Pub Date : 2024-12-22 DOI: 10.1111/inm.13497
Li-Chung Pien, Chia-Hui Wang, Wan-Ju Cheng, Yu-Huei Lin, Kuei-Ru Chou, Chia-Yueh Hsu

Nurses encounter many stressors and challenges at work, which can negatively affect their mental and physical health. Modern theories of resilience suggest that resilience is a dynamic process of positive adaptation to adversity. This process involves personal growth through adversity, developing effective coping strategies and inculcating the ability to cope with stress. The resilience process involves individual characteristics, social support and environmental factors, including workplace culture. Strengthening nurses' resilience can help them cope with adversity, maintain their mental health and well-being and support their provision of care. The aim of this study was to examine the associations between workplace characteristics, resilience and mental health status among nurses with experiences of workplace violence. The study objectives were to analyse the relationships between workplace characteristics, resilience and mental health status among nurses with experiences of workplace violence and to investigate the effects of resilience on nurses' mental health outcomes. In this cross-sectional study, full-time nurses at a medical centre in Taiwan completed a questionnaire survey. Of 600 distributed questionnaires, 334 nurses were identified to have experienced workplace violence. The questionnaires included items on workplace violence, resilience, metal health status (burnout and mental distress), sleep quality, work characteristics (job control, psychological job demands and workplace justice) and demographic characteristics. Data were analysed through chi-square tests and multivariate logistic regression. Nurses with low resilience tended to be younger, work more rotating/night shifts and perceive lower levels of job control and workplace justice. They also reported higher risks of burnout and mental distress and lower sleep quality. Multivariate logistic regression revealed that psychological job demands, workplace justice and resilience significantly influenced nurses' mental health status. Nurses with high resilience exhibited a lower risk of mental distress and higher sleep quality. However, resilience was not associated with burnout. The findings revealed how workplace factors and resilience influence nurses' mental health. The findings help nurse managers and policymakers develop strategies to promote nurses' resilience and mental health and mitigate the adverse effects of negative workplace events.

护士在工作中会遇到许多压力和挑战,这会对他们的身心健康产生负面影响。现代心理弹性理论认为,心理弹性是一个积极适应逆境的动态过程。这个过程包括通过逆境的个人成长,发展有效的应对策略和灌输应对压力的能力。弹性过程涉及个人特征、社会支持和环境因素,包括工作场所文化。加强护士的复原力可以帮助她们应对逆境,保持心理健康和福祉,并支持她们提供护理。本研究的目的是研究工作场所特征、弹性和心理健康状况在经历过工作场所暴力的护士之间的关系。本研究旨在分析曾遭受职场暴力的护士工作场所特征、心理弹性与心理健康状况之间的关系,并探讨心理弹性对护士心理健康结果的影响。本研究以台湾某医疗中心全职护士为研究对象,进行问卷调查。在分发的600份问卷中,334名护士被确定经历过工作场所暴力。问卷内容包括工作场所暴力、恢复力、心理健康状况(倦怠和精神痛苦)、睡眠质量、工作特征(工作控制、心理工作需求和工作场所公正)和人口特征。数据通过卡方检验和多元逻辑回归进行分析。适应能力低的护士往往更年轻,轮班/夜班更多,工作控制和工作场所公平程度较低。他们还报告了更高的倦怠和精神压力风险,以及更低的睡眠质量。多因素logistic回归分析显示,心理工作需求、工作场所公平感和心理弹性对护士心理健康状况有显著影响。高弹性的护士表现出较低的精神痛苦风险和较高的睡眠质量。然而,适应力与倦怠无关。研究结果揭示了工作场所因素和弹性如何影响护士的心理健康。研究结果有助于护士管理者和政策制定者制定战略,促进护士的适应能力和心理健康,减轻负面工作场所事件的不利影响。
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引用次数: 0
Can Emotionally Intelligent Mental Health Nurse Leaders Influence Workforce Sustainability? A Scoping Review 情商高的心理健康护士领导者能影响劳动力的可持续性吗?范围审查。
IF 3.6 2区 医学 Q1 NURSING Pub Date : 2024-12-22 DOI: 10.1111/inm.13487
Whitney Johnson, Adam Searby, Louise Alexander

Due to a global shortage of nursing staff, there is renewed attention on the impact of leadership and management styles on the sustainability of the nursing workforce. Emotional intelligence (EI), the ability to manage both your own emotions and to perceive and understand the emotions of others, has been implicated as a nursing management style impacting reduced turnover and greater nurse wellbeing. Despite these promising findings, there is a dearth of research on the role of emotionally intelligent leadership on the retention of mental health nurses. This scoping review aimed to (1) explore whether the findings from EI leadership in general nursing settings can be contextualised to mental health nurse leaders and (2) whether emotional intelligent leadership can influence the retention of mental health nurses. We used Arksey and O'Malley's framework to conduct this scoping review, locating 987 papers in our initial search. After screening, 30 papers remained; most methodologies were quantitative (n = 20), followed by qualitative (n = 8) and mixed methods (n = 2). This review found that while this concept has been studied extensively in the general nursing context, there is a lack of research into EI as a leadership style in mental health nursing. Where EI was the dominant leadership style, turnover intention was lower. However, despite showing promise in other settings, because of distinct differences between nursing contexts and workforce characteristics, it is difficult to state that emotionally intelligent leadership would be effective in mental health settings. There is therefore an urgent need identified to explore leadership styles in mental health settings to determine whether they impact retention and turnover, which will have significant implications for organisations, staff and consumers. We recommend that mental health nurse leaders be provided with EI training and education to ensure that they are equipped to provide the necessary support and leadership to sustain and grow the mental health nursing workforce.

由于全球护理人员短缺,人们重新关注领导和管理风格对护理人员可持续性的影响。情商(EI)是一种管理自己情绪和感知和理解他人情绪的能力,它被认为是一种护理管理风格,可以减少人员流失,提高护士的幸福感。尽管有这些令人鼓舞的发现,但缺乏关于情商领导对心理健康护士保留的作用的研究。本综述旨在(1)探讨普通护理环境中情商领导的研究结果是否适用于心理健康护士领导;(2)情商领导是否会影响心理健康护士的留任。我们使用Arksey和O'Malley的框架来进行范围审查,在我们最初的搜索中找到了987篇论文。经过筛选,剩下30篇论文;定量方法最多(n = 20),定性方法次之(n = 8),混合方法次之(n = 2)。本综述发现,虽然这一概念在一般护理背景下被广泛研究,但缺乏对EI作为心理健康护理领导风格的研究。当EI为主导领导风格时,离职倾向较低。然而,尽管在其他环境中表现出希望,但由于护理环境和劳动力特征之间的明显差异,很难说情商高的领导在心理健康环境中是有效的。因此,迫切需要探索精神健康环境中的领导风格,以确定它们是否影响留任和离职,这将对组织、员工和消费者产生重大影响。我们建议为精神卫生护理领导提供情商培训和教育,以确保他们有能力提供必要的支持和领导,以维持和发展精神卫生护理队伍。
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引用次数: 0
Has Family Engagement Finally Gained Foothold in Forensic Mental Healthcare? 家庭参与最终在法医精神保健中站稳脚跟了吗?
IF 3.6 2区 医学 Q1 NURSING Pub Date : 2024-12-22 DOI: 10.1111/inm.13486
Sara Rowaert, Ellen Boldrup Tingleff, Ulrica Hörberg, Stijn Vandevelde, Gilbert Lemmens

Despite advancements in promoting family engagement in mental health settings, limited involvement of family members persists in forensic mental healthcare. Forensic mental healthcare professionals face various barriers in engaging families, including a patient-centered approach and resource constraints. However, limited understanding exists of professionals' experiences with family engagement, which is crucial for improving care practices in this setting. Consequently, this study investigates the evolution of professionals' experiences with family engagement from 2015 to 2021 in Flanders, Belgium. Qualitative methods were employed, including focus group interviews in 2015 and individual interviews in 2021 with 23 forensic mental healthcare professionals. Thematic analysis is employed to identify patterns and changes over time. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was utilised to report the study. The analysis revealed that while initial steps towards family engagement in forensic mental healthcare have been taken, full integration in organisational structures is still lacking. Future efforts should focus on involving family organisations and caregivers, addressing barriers like time and resource constraints, and fostering a cultural shift towards family engagement. Further research involving a broader range of stakeholders is needed to enhance family engagement initiatives in forensic mental healthcare settings.

尽管在促进家庭参与精神卫生机构方面取得了进展,但在法医精神卫生保健方面,家庭成员的参与仍然有限。法医精神保健专业人员在与家庭接触方面面临各种障碍,包括以病人为中心的方法和资源限制。然而,对专业人员在家庭参与方面的经验了解有限,这对于改善这种情况下的护理实践至关重要。因此,本研究调查了2015年至2021年比利时法兰德斯专业人员家庭参与经历的演变。采用定性方法,包括2015年焦点小组访谈和2021年对23名法医精神卫生专业人员的个别访谈。主题分析用于识别模式和随时间的变化。报告定性研究的综合标准(COREQ)检查表被用于报告研究。分析显示,虽然已采取初步步骤,促使家庭参与法医精神保健,但仍然缺乏组织结构的充分整合。未来的努力应侧重于让家庭组织和照顾者参与进来,解决时间和资源限制等障碍,并促进向家庭参与的文化转变。需要开展涉及更广泛利益攸关方的进一步研究,以加强法医精神保健环境中的家庭参与倡议。
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引用次数: 0
Effectiveness of AIMS, a Four-Week Recovery-Oriented Suicide Prevention Pathway
IF 3.6 2区 医学 Q1 NURSING Pub Date : 2024-12-22 DOI: 10.1111/inm.13485
Manaan Kar Ray, Melanie Gregory, Marianne Wyder, Md Abu Choudhury, Nikki Geffen, Abigail Lane, Kieran Kinsella, Chiara Lombardo

Striking a balance between risk and recovery while supporting people in suicidal distress is a challenging proposition. To address this challenge, a 4-week AIMS (Assessment, Intervention, Monitoring, Step up/down) pathway was created to support people in suicidal crisis. Each of the four functions was customised into semi-structured conversations about pain relief. The pathway operationalised tools for relational safety from the PROTECT framework for suicide prevention. To deliver this pathway, a new team was established that included both clinicians and lived experience staff. Scores for the Short Warwick Edinburgh Mental Wellbeing Scale (SWEMWBS) for 300 patients were collected before and after time on the pathway. Paired T tests were performed individually for each item as well as for the total. All 7 items and the total score had statistically significant improvement (p < 0.01). The mean pre- and post-total scores increased from 14.8 to 22.5, strongly indicating clinically meaningful improvement at an individual and group level. The improvement on baseline in each of the seven items ranged from 38% to 73.5%. The top two were in the person's ability to deal with problems and in them feeling relaxed. The study provides a blueprint for collaborative and empowering suicide prevention pathways that strike a balance between positive risk taking and safe care through a relational approach. Professional and lived experience both played a part in capturing hope through evidence-based person-centred interventions, helping a person in suicidal crisis improve their mental wellbeing.

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引用次数: 0
Building the Community Mental Health Nursing Workforce Through a Supported Transition Programme: An Evaluation of a Competency Framework Implementation 通过支持过渡计划建立社区精神卫生护理队伍:对能力框架实施的评估。
IF 3.6 2区 医学 Q1 NURSING Pub Date : 2024-12-22 DOI: 10.1111/inm.13474
Sandra Burkitt, Liza Hopkins, Michael Olasoji

There is a growing focus in the Australian healthcare system of providing mental health care in a community setting. A key feature of the Royal Commission into Victoria's mental health system was to prioritise community-based care ‘a system with community at its core’. Developing a skilled, flexible and competent nursing workforce is a key objective for any community-based mental health service as nurses provide a vital role in healthcare delivery. The 3-year comprehensive nursing qualification has little to no mental health curriculum leaving nursing graduates unprepared for work in mental health, while hospital-based training for graduate nurses doesn't prepare them for the realities of community-based work. Significant work in Victoria to develop, refine and implement a competency framework for transition from acute mental health inpatient settings into community-based services has been undertaken. The aim was to evaluate the effectiveness of this framework in preparing nurses for the community workforce, as well as the barriers and enablers of implementation. A qualitative method investigated experiences of mental health staff who had participated in the transition programme in either aged, adult or a homeless outreach team. Interviews were conducted with transition nurses (n = 5), mentors (n = 4), Clinical managers (n = 3) educators/coordinator (n = 2). The framework structure helped mitigate role stress, allowed for consolidation of theory into practice providing learning opportunities, provided clinical oversight for safe practice, supported autonomous practice, critical thinking, staff wellbeing and demonstrated positive outcomes for consumers and carers. It also had a positive impact on retention and recruitment. Whilst there were limited barriers, the framework implementation relied on organisational support with staff resourcing. Evaluation findings demonstrate the importance of this framework. This structured programme helped facilitate professional development with an integration of knowledge, skills, attitudes and confidence along with staff wellbeing, leading to enhanced clinical practice and outcomes for clients and carers.

澳大利亚的医疗保健系统越来越注重在社区环境中提供精神卫生保健。皇家委员会对维多利亚州精神卫生系统的一个关键特点是优先考虑以社区为基础的护理,“以社区为核心的系统”。发展一支熟练、灵活和称职的护理队伍是任何以社区为基础的精神卫生服务的关键目标,因为护士在提供保健服务方面发挥着至关重要的作用。3年的综合护理资格几乎没有心理健康课程,这使得护理毕业生对心理健康工作毫无准备,而以医院为基础的培训并没有让他们为社区工作做好准备。在维多利亚州开展了重大工作,制定、完善和实施从急性精神健康住院环境向社区服务过渡的能力框架。目的是评估这一框架在为社区劳动力培养护士方面的有效性,以及实施的障碍和推动因素。采用定性方法调查了老年人、成人或无家可归者外展小组中参加过渡方案的精神卫生工作人员的经历。对过渡护士(n = 5)、导师(n = 4)、临床管理人员(n = 3)、教育工作者/协调员(n = 2)进行了访谈。框架结构有助于减轻角色压力,将理论整合到实践中,提供学习机会,为安全实践提供临床监督,支持自主实践,批判性思维,员工福利,并为消费者和护理人员展示积极成果。它也对留用和征聘产生了积极影响。虽然存在有限的障碍,但框架的实施依赖于组织对员工资源的支持。评价结果表明了这一框架的重要性。这种结构化的课程有助于促进专业发展,整合知识,技能,态度和信心以及员工的福祉,从而提高临床实践和客户和护理人员的成果。
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引用次数: 0
How Do People With Schizophrenia Manage Their Daily Life? A Qualitative Study 精神分裂症患者如何管理他们的日常生活?定性研究。
IF 3.6 2区 医学 Q1 NURSING Pub Date : 2024-12-18 DOI: 10.1111/inm.13490
Jolien Braeckman, Mariotte Wyckaert, Patricia De Vriendt, Ursula Costa, Gilbert Lemmens, Ann Van Hecke, Ton Satink, Dominique Van de Velde

Due to the rising number of long-term mental health conditions, there has been a shift in therapeutic focus from curing these conditions, to living a meaningful life with them. Self-management is described as the ability to live with the emotional, life role and medical consequences of long-term conditions such as schizophrenia. However, the perspective of people with schizophrenia on self-management in current literature is missing. A lack of understanding of strategies used by people with schizophrenia to self-manage, could adversely affect the use of self-management interventions. Therefore, this study aims to identify how people with schizophrenia manage their daily life. Semi-structured interviews (n = 9) were conducted in a qualitative descriptive design. The study is reported by using the COREQ checklist. All participants, recruited through purposive sampling, have been stabilised after a schizophrenic episode and have been reintegrated into their community. The data were analysed through thematic analysis. Self-management for people with schizophrenia is an individualised process that revolves around performing day-to-day activities according to the participant's wishes. In addition, participants tried to prevent relapse by self-managing daily life. Personal-, social- and schizophrenia-related factors were seen as barriers and/or facilitators in their self-management. These barriers and/or facilitators were self-managed using daily activities. Current self-management interventions for this population often aim at improving medication adherence. Self-management interventions facilitated by health care professionals should (i) focus more on supporting patients in finding their daily structure through meaningful activities and (ii) be mindful of the duality contained within self-management of people with stabilised schizophrenia.

由于长期精神健康问题的数量不断增加,治疗重点已经从治愈这些疾病转向有意义的生活。自我管理被描述为在精神分裂症等长期病症带来的情感、生活角色和医疗后果下生活的能力。然而,目前的文献中缺少精神分裂症患者对自我管理的看法。缺乏对精神分裂症患者自我管理策略的了解,可能会对自我管理干预措施的使用产生不利影响。因此,本研究旨在了解精神分裂症患者如何管理自己的日常生活。研究采用定性描述设计,进行了半结构化访谈(n = 9)。本研究采用 COREQ 检查表进行报告。所有参与者都是通过有目的的抽样而招募的,他们在精神分裂症发作后病情已经稳定,并已重新融入社区。我们通过主题分析法对数据进行了分析。精神分裂症患者的自我管理是一个个性化的过程,其核心是按照参与者的意愿开展日常活动。此外,参与者还试图通过自我管理日常生活来防止复发。个人、社会和精神分裂症相关因素被视为自我管理的障碍和/或促进因素。这些障碍和/或促进因素可通过日常活动进行自我管理。目前针对这类人群的自我管理干预措施通常旨在改善服药依从性。由医护人员协助进行的自我管理干预应(i)更加注重支持患者通过有意义的活动找到自己的日常结构,(ii)注意稳定期精神分裂症患者自我管理中的双重性。
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引用次数: 0
A Conceptual Framework to Improve Resilience Among Undergraduate First-Year Nursing Students: A Mixed-Methods Study 提高本科一年级护理学生心理弹性的概念框架:一项混合方法研究。
IF 3.6 2区 医学 Q1 NURSING Pub Date : 2024-12-18 DOI: 10.1111/inm.13492
Gopolang Gause, Leepile Alfred Sehularo, Molekodi Jacob Matsipane

It is generally presumed that most undergraduate first-year nursing students are not prepared for the transition from basic to higher education. Resilience is recommended as a viable coping strategy that acts as a buffer to the adversities that undergraduate first-year nursing students experience. Therefore, the aim of this study was to develop and validate a conceptual framework to improve resilience among undergraduate first-year nursing students at a South African university. A multiphase concurrent mixed-methods research design was followed through concept analysis, and the empirical, development and validation phases. Development and validation of a conceptual framework were guided by Dickoff et al.'s practice-oriented theory model and e-Delphi, respectively. Data used for development of the conceptual framework were gathered from undergraduate first-year nursing students from two campuses of a South African university, while national and international experts in nursing education were used to validate a conceptual framework. The conceptual framework developed shows that the undergraduate first-year nursing students are at the centre of four contexts, namely South African university, work-integrated clinical facilities, the South African Nursing Council and South African higher education. The conceptual framework includes collaboration of stakeholders, mentoring and debriefing. The guiding principles of the conceptual framework encompass strengthening internal resources and establishment of a support group to achieve the terminus, which is characterised by undergraduate nursing students' improved transition from basic to higher education. In conclusion, the newly developed conceptual framework has the potential to improve resilience among undergraduate first-year nursing students.

一般认为,大多数护理专业本科一年级学生没有为从基础教育向高等教育过渡做好准备。抗逆力被认为是一种可行的应对策略,可以缓冲护理专业本科一年级学生所经历的逆境。因此,本研究旨在开发并验证一个概念框架,以提高南非一所大学护理专业本科一年级学生的抗逆力。本研究采用了多阶段并行混合方法研究设计,包括概念分析、实证、开发和验证阶段。概念框架的开发和验证分别以 Dickoff 等人的实践导向理论模型和 e-Delphi 为指导。用于开发概念框架的数据来自南非一所大学两个校区的护理专业一年级本科生,而国内外护理教育专家则对概念框架进行了验证。所制定的概念框架表明,护理专业一年级本科生处于四个环境的中心,即南非大学、工作一体化临床机构、南非护理委员会和南非高等教育。概念框架包括利益相关者的合作、指导和汇报。概念框架的指导原则包括加强内部资源和建立支持小组,以实现护理本科生从基础教育到高等教育的过渡。总之,新开发的概念框架有可能提高护理专业本科一年级学生的适应能力。
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引用次数: 0
The Patient's Role Development in the Process of Participating in Multidisciplinary Team Meetings: From Passive Attendees to Active Members or Dropouts 患者在参与多学科团队会议过程中的角色发展:从被动参与者到积极成员或退出。
IF 3.6 2区 医学 Q1 NURSING Pub Date : 2024-12-18 DOI: 10.1111/inm.13488
Kevin Berben, Emily Walgrave, Jochen Bergs, Ann Van Hecke, Eva Dierckx, Sofie Verhaeghe

Mental health patients are increasingly invited to participate in multidisciplinary team meetings during their admission to inpatient mental health units. To participate effectively, patients must adopt a role that enables them to actively engage and take their place as contributing member of the team. This study aims to understand how mental health patients experience the development of their roles when participating in multidisciplinary team meetings and to identify which dynamics are meaningful to them. A qualitative interview approach, using principles of grounded theory, was employed. Twelve mental health patients in Belgium were recruited for semi-structured interviews. Data were analysed using the constant comparative method. The conceptual framework which emerged reveals that mental health patients strive to assume a partnership role within the team. To effectively take on this role, they identify three key components as essential: being informed and prepared, being seen and heard and being able to understand. Based on their reflections on these components and the perceived value of their contributions and efforts, mental health patients decide whether to become and remain active members, revert to passive attendance or disengage entirely. These insights can encourage organisations to create an environment where mental health patients can grow into their role as partners in multidisciplinary team meetings. Such an environment would enable collaborative efforts between patients and the treatment team, recognising each patient as a unique individual capable of making their own choices. By focusing on what is personally meaningful to the patient and addressing their specific needs, this approach ensures that care is tailored to what is crucial for patients' recovery.

越来越多的精神病人在住院精神卫生单位住院期间被邀请参加多学科小组会议。为了有效地参与,患者必须采取一种角色,使他们能够积极参与,并作为团队的贡献成员。本研究旨在了解心理健康患者在参与多学科团队会议时如何体验其角色的发展,并确定哪些动态对他们有意义。采用定性访谈法,运用扎根理论的原则。在比利时招募了12名精神健康患者进行半结构化访谈。数据分析采用恒定比较法。出现的概念框架表明,精神健康患者努力承担团队中的伙伴角色。为了有效地发挥这一作用,他们确定了三个关键组成部分:知情和准备,被看到和听到以及能够理解。根据他们对这些组成部分的反思以及他们的贡献和努力的感知价值,精神健康患者决定是否成为并保持积极的成员,恢复被动出席或完全退出。这些见解可以鼓励组织创造一种环境,让精神健康患者在多学科团队会议中成长为合作伙伴。这样的环境将促进患者和治疗团队之间的合作努力,认识到每个患者都是一个独特的个体,有能力做出自己的选择。通过关注对患者个人有意义的事情,并解决他们的具体需求,这种方法确保了对患者康复至关重要的护理是量身定制的。
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International Journal of Mental Health Nursing
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