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British Journal of Mental Health Nursing最新文献

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Shared care development areas: opioid prescribing 共享护理发展领域:阿片类药物处方
Pub Date : 2022-02-02 DOI: 10.12968/bjmh.2021.0044
Jeff Fernandez
This paper illustrates one of the few services developed in an inner London borough in response to the growing dependency on opioids. It shows what can be achieved with services developed from an addictions background and how valuable this can be for patients. It also illustrates, through case studies, what can be achieved with experienced non-medical prescribers delivering the service in primary care, often treating patients with developed patterns of dependency on opioids and how this can be treated using substitute medication.
本文阐述了在伦敦内行政区为应对对阿片类药物日益增长的依赖而开发的少数服务之一。它显示了从成瘾背景中开发的服务可以取得什么成就,以及这对患者有多大价值。它还通过案例研究说明,经验丰富的非医疗开处方者在初级保健中提供这种服务,通常治疗已形成类阿片依赖模式的患者,可以取得什么成果,以及如何使用替代药物治疗这种情况。
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引用次数: 0
My mental health journey from a nurse perspective 从护士的角度看我的心理健康之旅
Pub Date : 2022-02-02 DOI: 10.12968/bjmh.2021.0035
S. Palmer
Sarah Jane Palmer discusses her mental health experiences and what she thinks could be done to improve the patient pathway to recovery
莎拉·简·帕尔默讨论了她的心理健康经历,以及她认为可以做些什么来改善病人的康复之路
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引用次数: 0
Staff attitudes, beliefs and responses towards self-harm: a systematised literature review 员工对自残的态度、信念和反应:系统的文献综述
Pub Date : 2022-02-02 DOI: 10.12968/bjmh.2020.0006
P. Akinola, G. Rayner
Self-harm is a growing issue and remains a complex phenomenon in contemporary society. Understanding this behaviour may present challenges to staff providing care and support to patients who self-harm. There is an absence of a detailed review on staff attitudes, beliefs and responses towards self-harm. The aim of this review was to explore and critically appraise research on how staff attitudes impact on care provision. Electronic databases were searched and relevant literature were critically analysed to gather evidence to address this review. This review identified lack of training, staff support and limited resources as contributory factors to negative attitudes and hostility towards self-harm patients. Reasons for self-harm may be misconstrued, resulting to unhelpful responses and patients being ascribed stigmatising labels. Understanding factors that contribute to these unhelpful responses allows for the development of core strategies that enhances effective care.
自残是一个日益严重的问题,在当代社会仍然是一个复杂的现象。理解这种行为可能会给护理和支持自残患者的工作人员带来挑战。没有详细审查工作人员对自残的态度、信念和反应。本综述的目的是探索和批判性地评估关于员工态度如何影响护理提供的研究。我们检索了电子数据库,并对相关文献进行了批判性分析,以收集证据来解决这一综述。本综述确定缺乏培训、人员支持和有限的资源是对自残患者的消极态度和敌意的促成因素。自残的原因可能会被误解,导致没有帮助的反应,患者被贴上污名化的标签。了解导致这些无益反应的因素,有助于制定加强有效护理的核心战略。
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引用次数: 3
Access courses and their contribution to the widening participation agenda in the UK 访问课程及其对英国扩大参与议程的贡献
Pub Date : 2021-12-12 DOI: 10.12968/bjmh.2021.0030
M. Haslam, A. Flynn, Karen Connor
Reasons for mental health nursing shortages in the UK are many and complex. The COVID-19 pandemic has highlighted the need to fill vacant posts, while at the same time negatively impacting on the UK's international recruitment strategy. Whereas international recruitment is essential to reduce workforce shortages, it offers only a short-term solution and potentially leaves lower-income countries with increased nursing shortages themselves. This article considers that a long-term domestic approach to recruitment is needed to reduce future workforce deficits. It is argued that benefits of access courses are increased if delivered by the university directly, as a familiarity with systems, the campus and supportive networks are promoted, and the potential for targeted support is increased. Further research is needed to establish the benefits, but access courses delivered this way may provide a more sustainable solution to nursing workforce shortages in the UK and beyond.
英国心理健康护理短缺的原因很多,也很复杂。新冠肺炎疫情凸显了填补空缺职位的必要性,同时也对英国的国际招聘战略产生了负面影响。虽然国际招聘对于减少劳动力短缺至关重要,但它只能提供短期解决方案,并可能使低收入国家本身面临更严重的护士短缺问题。本文认为,为了减少未来的劳动力短缺,需要采取长期的国内招聘方法。有人认为,如果大学直接提供无障碍课程,好处就会增加,因为对系统、校园和支持网络的熟悉程度会提高,有针对性的支持的潜力也会增加。需要进一步的研究来确定这些好处,但以这种方式提供的准入课程可能为英国及其他地区的护理人员短缺提供更可持续的解决方案。
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引用次数: 0
The development of the rehabilitation community transition support team as a response to COVID-19 发展康复社区过渡支持团队以应对COVID-19
Pub Date : 2021-11-02 DOI: 10.12968/bjmh.2020.0047
K. Fenton, Katherine Kidd, Rachel Kingman, Sara Le-Butt, M. Gray
The rehabilitation community transition support team was created as a response to the COVID-19 pandemic, resulting in faster discharges from the inpatient rehabilitation service. The aim of this evaluation was to explore the perspectives of staff and patients on their experience of the rehabilitation community transition support team. Staff and patients in the new team were interviewed using semi-structured interviews. The data were analysed using thematic analysis. Staff interviews generated seven main themes: positive staff experiences; defining the ‘team’; mode of working; link role for the team; technology; relationships with patients; and support from colleagues. The patient analysis generated five themes: positive experiences of the rehabilitation community transition support team; relationship with rehabilitation community transition support team worker; mode of working; handling the hurdles of discharge; and defining the ‘team’. There were crossovers of staff and patient themes, particularly surrounding around face-to-face visits, defining the team and relationships. Patients indicated that contact with the community team helped them to overcome both practical and emotional hurdles of discharge. The presence of a team supporting the transition from hospital to a community setting may be helpful for people who have been discharged.
为应对COVID-19大流行,成立了康复社区过渡支持小组,从而加快了住院康复服务的出院速度。本次评估的目的是探讨工作人员和患者对康复社区过渡支持团队经验的看法。新团队的工作人员和患者采用半结构化访谈进行访谈。使用专题分析对数据进行分析。工作人员访谈产生了七个主题:积极的工作人员体验;定义“团队”;工作方式;团队的链接角色;技术;与患者的关系;以及同事的支持。患者分析产生了五个主题:康复社区过渡支持团队的积极经验;康复社区过渡支持团队工作人员的关系工作方式;处理放电障碍;定义“团队”。工作人员和病人的主题有交叉,特别是围绕面对面的访问,定义团队和关系。患者表示,与社区团队的接触帮助他们克服了出院时的实际和情感障碍。支持从医院过渡到社区环境的团队的存在可能对已经出院的人有所帮助。
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引用次数: 1
Positive psychology: hope and its role within mental health nursing 积极心理学:希望及其在心理健康护理中的作用
Pub Date : 2021-11-02 DOI: 10.12968/bjmh.2021.0031
J. Macfarlane
This is the twelfth article in a series that explores the meaning of positive psychology and the impact it has on the wellbeing of the mental health workforce. It will focus on positive psychology interventions that help to develop hope and considers how its uplifting effect, through contemporary use in the field of mental health nursing, can be experienced. This article initially introduces the concept of hope then links it with the field of positive psychology. It then focuses on Snyder's theory of hope and its use in promoting wellbeing. It follows with the application of hope within the nursing context. Finally, it refers to the ongoing coronavirus pandemic and how hope may be used to support the mental health nursing workforce. The practical activities provided in the article will help the reader increase their own awareness of hope and consider ways to develop its use and transferability within their own life..
这是探索积极心理学的意义及其对心理健康工作者福祉的影响的系列文章中的第十二篇。它将侧重于积极心理学干预,帮助发展希望,并考虑如何通过在心理健康护理领域的当代应用来体验其令人振奋的效果。本文首先介绍了希望的概念,然后将其与积极心理学领域联系起来。然后重点介绍斯奈德的希望理论及其在促进幸福方面的应用。接下来是在护理环境中应用希望。最后,它指的是正在进行的冠状病毒大流行,以及如何利用希望来支持精神卫生护理队伍。文章中提供的实践活动将帮助读者提高自己对希望的认识,并考虑如何在自己的生活中发展希望的使用和转移。
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引用次数: 0
A living tribute to Kevin Gournay 向凯文·古尔内致敬
Pub Date : 2021-11-02 DOI: 10.12968/bjmh.2021.0036
J. Carson, K. Gournay, Barrie Green, Noel Tracy, Mark Haddad, Peter Pillay, D. Southern, M. Teesson, A. Baillie, Peter Huxley, Elizabeth Hughes, Richard Gray, Rita Simons, Ricky Banarsee, Peter Chung, G. Ikkos
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引用次数: 0
Patient social functioning in acute mental health inpatient wards: the role of emotional regulation, attachment styles and nurse–patient relationships 急性精神疾病住院病人的社会功能:情绪调节、依恋类型和护患关系的作用
Pub Date : 2021-11-02 DOI: 10.12968/bjmh.2018.0009
L. Wainwright, K. Berry, C. Dunster-Page, G. Haddock
Improvement in social functioning is an important aspect of recovery from severe mental health problems. Nurses on acute mental health wards play an important role in facilitating this recovery. Therefore, it is important to explore potential predictors of social functioning and the quality of nurse–patient relationships. The aim of this study was to explore associations between patient social functioning, nurse–patient therapeutic alliances, emotional regulation, attachment style and nurse distress in acute mental health settings. A questionnaire-based, cross-sectional approach with correlational and regression analyses was used for this study. A total of 50 nurse–patient dyads in acute mental health inpatient wards across four NHS trusts in the north-west of England took part. Patients and nurses completed questionnaires regarding demographic information, emotional regulation, attachment style and alliance. Nurses also rated patient social functioning and their own distress. The patient anxious attachment style was associated with difficulties in regulating emotions. Patient emotional regulation, patient insecure attachment and the patient-rated alliance predicted nurse-rated patient social functioning. Nurse emotion regulation, nurse insecure attachment style and nurse-rated alliance did not significantly predict nurse-rated patient social functioning and correlations were non-significant. Nurse distress was associated with nurse emotion regulation, nurse anxious attachment and nurse-rated alliance. These factors significantly predicted nurse distress. Patient social functioning is predicted by emotion regulation, attachment and alliance. Similarly, nurse distress is predicted by nurse emotion regulation, attachment style and alliance. Interventions targeting emotion regulation or attachment-informed wards would be beneficial.
改善社会功能是严重精神健康问题康复的一个重要方面。急性精神健康病房的护士在促进这种康复方面发挥着重要作用。因此,探索社会功能和护患关系质量的潜在预测因素非常重要。摘要本研究旨在探讨急症患者社会功能、护患治疗联盟、情绪调节、依恋方式与护士痛苦之间的关系。本研究以问卷调查为基础,采用相关分析和回归分析的横断面方法。在英格兰西北部的四个NHS信托机构的急性精神健康住院病房,共有50名护士-患者参与了这项研究。患者和护士填写人口统计信息、情绪调节、依恋方式和联盟等问卷。护士们还对病人的社会功能和他们自己的痛苦程度进行了评估。患者焦虑型依恋类型与调节情绪困难相关。患者情绪调节、患者不安全依恋和患者评价联盟预测护士评价患者社会功能。护士情绪调节、护士不安全依恋方式和护士等级联盟对护士等级患者社会功能的预测不显著,相关性不显著。护士痛苦与护士情绪调节、护士焦虑依恋和护士评价联盟有关。这些因素显著预测护士的苦恼。患者的社会功能可通过情绪调节、依恋和联盟来预测。同样,护士情绪调节、依恋方式和联盟对护士痛苦有预测作用。针对情绪调节或依恋通知病房的干预措施将是有益的。
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引用次数: 0
Show us the money 让我们赚大钱
Pub Date : 2021-11-02 DOI: 10.12968/bjmh.2021.0039
Vicki Williams
hadn’t. When I started grad school, I knew too little about how academic research is paid for to even know which questions to raise. And I worried that asking potential advisers about their grants would come across as rude or disrespectful. So I had kept quiet, opting to remain in the dark rather than risk alienating powerful senior scientists. But this approach left me utterly unprepared for my adviser’s pronouncement, and I wished that I had been more proactive earlier. I couldn’t go back in time, though, so I spent most of that night coming up with possible solutions. “I can give up on my current project, even though it’s very intellectually engaging, and start working on a topic I’m less excited about,” I thought. “Or maybe I should become a teaching assistant, even though I want to focus on research, or even transfer to a dif erent lab.” The next morning, I mustered the courage to ask my professor for a follow-up meeting. I told him my concerns about changing projects and shared some of the options I had come up with. Together, we brainstormed about how I could integrate my existing project in neural engineering with one that had more stable funding, on magnetotactic bacteria. Now I work on two separate but interconnected projects that together of er secure funding and intellectual fulfi llment. This arrangement has increased my workload, but it has also signifi cantly expanded my areas of expertise, of ering me fl exibility for my future research. I wouldn’t say that I’m glad I hit that funding snag, but a year later, I’m happy with my research direction, and I think the experience of working through adversity has helped improve my confi dence and my communication skills. I have also found that I’m not the only student whose training has faced potential disruption because of an adviser’s changing funding situation. A few weeks after my moment of crisis, I shared my experience with some other students, and many similar stories came out. I learned that one friend had to switch projects midway through her Ph.D. for similar reasons, and that some of my colleagues were earning their stipends by taking on extra teaching duties because their professors couldn’t obtain enough funding. A common thread was that none of us had known much about our advisers’ funding before we found ourselves in uncomfortable situations. Realizing that many of us feared repercussions if we inquired about our professors’ fi nances and that we felt ashamed about our predicaments, my friends and I set up departmental focus group discussions between administrative staf and graduate students to help us better understand how each lab is funded. It may seem like a small step, but I hope that it will help empower more graduate students to learn about their funding sources and take control of their own fi nancial situation. For myself, I am glad in hindsight that this issue arose early in my research career. It helped me learn how to come up with creative solutions to a challeng
没有。当我开始读研究生的时候,我对学术研究的经费来源知之甚少,甚至不知道该提出哪些问题。我还担心,向潜在顾问询问他们的助学金会显得粗鲁或不尊重。因此,我一直保持沉默,选择保持沉默,以免冒险疏远强大的资深科学家。但这种做法让我对导师的声明毫无准备,我真希望自己早点采取更积极的行动。不过,我无法回到过去,所以那天晚上的大部分时间我都在想可能的解决方案。“我可以放弃我目前的项目,即使它非常吸引人,并开始研究一个我不太感兴趣的话题,”我想。“或者也许我应该成为一名助教,即使我想专注于研究,或者甚至转移到另一个实验室。”第二天早上,我鼓起勇气要求教授再开一次后续会议。我告诉他我对改变项目的担忧,并分享了我想到的一些选择。我们一起进行了头脑风暴,讨论如何将我现有的神经工程项目与一个资金更稳定的项目——趋磁细菌项目——整合起来。现在我在两个独立但相互关联的项目上工作,这些项目共同确保了资金和智力的满足。这种安排增加了我的工作量,但也极大地扩展了我的专业领域,为我未来的研究提供了灵活性。我不会说我很高兴我遇到了资金障碍,但一年后,我对我的研究方向很满意,我认为逆境工作的经历帮助提高了我的信心和沟通技巧。我还发现,我并不是唯一一个因为导师的资金状况变化而面临培训中断的学生。几个星期后,我和其他一些学生分享了我的经历,许多类似的故事出现了。我了解到,我的一个朋友因为类似的原因不得不在攻读博士学位的中途切换项目,我的一些同事因为他们的教授无法获得足够的资金,而通过承担额外的教学任务来赚取津贴。一个共同的线索是,在我们发现自己陷入尴尬境地之前,我们都不太了解顾问的资金来源。我的朋友们意识到,如果我们询问教授的财务状况,我们中的许多人都担心会受到影响,而且我们对自己的困境感到羞愧,于是我和我的朋友们在行政人员和研究生之间建立了部门焦点小组讨论,以帮助我们更好地了解每个实验室的资金来源。这似乎只是一小步,但我希望它能帮助更多的研究生了解他们的资金来源,并控制自己的财务状况。就我自己而言,事后回想起来,我很高兴这个问题在我的研究生涯早期就出现了。它帮助我学会了如何想出创造性的解决方案来应对挑战,它教会了我,问问题总是比保持沉默、期待最好的结果要好,即使这让我感到尴尬或有风险。■
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引用次数: 0
Electroconvulsive therapy: a clinical case study and review 电休克疗法:临床个案研究与回顾
Pub Date : 2021-11-02 DOI: 10.12968/bjmh.2020.0043
Emily Rushton, Emma Jones, D. Roberts
Electroconvulsive therapy is deemed one of the most effective treatments for alleviating symptoms in individuals diagnosed with severe depression, yet it remains one of the most controversial psychiatric treatments in contemporary mental health nursing practice. As such, its use and efficacy continue to be questioned. The following article analyses the case of Albert, a fictional character who represents the presentation of several patients who have received electroconvulsive therapy. The application of electroconvulsive therapy is evaluated, by referring to the most recent policy and national guidelines. Despite the associated stigma, electroconvulsive therapy can save lives, as portrayed by Albert. However, further research is required and updated guidance from National Institute for Health and Care Excellence is needed, specifically with regards to maintenance and relapse prevention. It is important to be aware of the implications of side effects, just as with other interventions. Overall, this article highlights the importance of safe, recovery-focused and person-centred care.
电休克疗法被认为是缓解重度抑郁症患者症状最有效的治疗方法之一,但在当代心理健康护理实践中,它仍然是最具争议的精神病学治疗方法之一。因此,它的使用和功效继续受到质疑。下面的文章分析了阿尔伯特的案例,他是一个虚构的人物,代表了几个接受电休克治疗的病人。通过参考最新的政策和国家指南,评估电休克疗法的应用。正如阿尔伯特所描述的那样,尽管有相关的耻辱,电休克疗法可以挽救生命。然而,需要进一步的研究,需要国家健康和护理卓越研究所的最新指导,特别是关于维持和复发预防。重要的是要意识到副作用的影响,就像其他干预措施一样。总之,这篇文章强调了安全、康复和以人为本的护理的重要性。
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引用次数: 0
期刊
British Journal of Mental Health Nursing
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