Journal of Psychiatric and Mental Health Nursing最新文献_第10页

Development of the Caring Competence Scale for Family Caregivers of Persons With Mental Disorders 精神障碍家庭照顾者照顾能力量表的编制。

IF 2.9 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing

Pub Date : 2025-08-05 DOI: 10.1111/jpm.70015

Won Hee Jun

Introduction

Although family care is crucial for the recovery of persons with mental disorders, no tool is available to measure the caring competence of family caregivers.

Aims

This methodological study aimed to develop a scale that reflects the caring competence of family caregivers of persons with mental disorders and to verify its validity and reliability.

Methods

Fifty initial items were derived on the basis of a previous study that analysed the concept of caring competence among family caregivers of persons with mental disorders. The initial items were revised based on content validity, and 48 preliminary items were selected. Data were collected from 361 families of persons with mental disorders. Data were analysed using factor analysis.

Results

The caring competence scale for family caregivers of persons with mental disorders consisted of five sub-factors and 22 items. The five sub-factors were compassionate relationship formation (six items), skilful disease management (four items), respecting the patient (four items), self-care (four items), and hope (four items). The developed scale had high reliability, with a Cronbach's alpha of 0.93. Verifying the criterion validity of the developed scale revealed that the correlation between the criterion scale (caregiving self-efficacy scale) and the developed scale was statistically significant, with a correlation coefficient of 0.63.

Discussion

This study presents empirical evidence for the reliability and validity of the caring competence scale for family caregivers of persons with mental disorders.

Implications for Practice

This scale provides reference for mental health nurses to evaluate the caring competence of family caregivers of persons with mental disorders.

虽然家庭护理对精神障碍患者的康复至关重要，但没有工具可用于衡量家庭照顾者的护理能力。目的：本研究旨在编制反映精神障碍患者家庭照顾者照顾能力的量表，并验证其效度和信度。方法：在先前分析精神障碍患者家庭照顾者照顾能力概念的研究基础上，导出50个初始项目。根据内容效度对初始题项进行修订，最终筛选出48个初始题项。数据来自361个精神障碍患者家庭。采用因子分析法对数据进行分析。结果：精神障碍家庭照顾者照顾能力量表由5个子因子22个题项组成。5个子因素分别为同情关系形成（6项）、熟练疾病管理（4项）、尊重患者（4项）、自我照顾（4项）和希望（4项）。编制的量表信度较高，Cronbach's alpha为0.93。对编制量表的标准效度进行验证，发现标准量表（护理自我效能感量表）与编制量表的相关系数为0.63，具有统计学意义。讨论：本研究为精神障碍家庭照顾者照顾能力量表的信度和效度提供实证证据。实践意义：本量表为心理健康护士评估精神障碍患者家庭照顾者的照顾能力提供参考。

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引用次数: 0

Formal Coercion and the Moral Division of Labor: Moving Beyond Role Conflicts in Psychiatric Nursing 形式强制与道德分工：超越精神科护理中的角色冲突。

IF 2.9 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing

Pub Date : 2025-08-04 DOI: 10.1111/jpm.70016

Pierre Pariseau-Legault, Guillaume Ouellet, Emmanuelle Bernheim, Marie-Hélène Goulet, Jean-Daniel Jacob, Lisandre Labrecque-Lebeau, Dave Holmes

<div> <section> <h3> Introduction</h3> <p>Psychiatric nurses are actively involved in involuntary hospitalisations and treatments. However, the scientific literature lacks insights into strategies used to navigate roles and institutional expectations in this regard.</p> </section> <section> <h3> Aim</h3> <p>To achieve a deeper understanding of practices that support the exercise of individual rights in psychiatry during involuntary hospitalisations and treatments.</p> </section> <section> <h3> Method</h3> <p>A situational analysis was conducted. Nineteen (<i>n</i> = 19) mental health workers participated in a semi-structured interview and completed a socio-demographic questionnaire. Case law review (<i>n</i> = 126) and non-participant observations (<i>n</i> = 70 h) were also conducted.</p> </section> <section> <h3> Results</h3> <p>The moral division of labour is a central element in mental health interventions, organising four types of practices: socio-legal assistance, support for exercising rights, intersectoral coordination and ignorance and trivialisation.</p> </section> <section> <h3> Discussion</h3> <p>Our findings reveal that nursing care is predominantly medicalised, confining nurses to a subordinate role. They also indicate marginal practices focused on socio-legal assistance and human rights support. Intersectoral coordination, though crucial, remains an invisible aspect of nursing practice.</p> </section> <section> <h3> Implications for Practice</h3> <p>There remains a significant lack of awareness about human rights issues in psychiatry. This research underscores the importance of considering professional hierarchies, organisational expectations and legal awareness to address role conflicts in psychiatric care.</p> </section> <section> <h3> Relevance Statement</h3> <p>This research highlights the need to study nurses' agency, offering insights into how they interpret and apply psychiatric laws. Such research could deepen knowledge on human rights issues in psychiatry or, at minimum, promote greater recognition of these concerns. Social policy implications are also notable, underscoring the need for integrated socio-legal assistance during involuntary treatments to support patients navigating complex systems and exercising their rights.

精神科护士积极参与非自愿住院和治疗。然而，科学文献缺乏对在这方面用于导航角色和机构期望的策略的见解。目的：更深入地了解在非自愿住院和治疗期间支持在精神病学中行使个人权利的做法。方法：进行情景分析。19名（n = 19）精神卫生工作者参加了半结构化访谈，并完成了社会人口调查问卷。还进行了案例法回顾（n = 126）和非参与者观察（n = 70 h）。结果：道德分工是心理健康干预的核心要素，它组织了四种做法：社会法律援助、支持行使权利、部门间协调以及忽视和轻视。讨论：我们的研究结果表明，护理主要是医疗化的，限制护士的从属角色。它们还表明了侧重于社会法律援助和人权支助的边缘做法。部门间协调虽然至关重要，但仍然是护理实践的一个无形方面。对实践的影响：在精神病学中，对人权问题的认识仍然严重缺乏。这项研究强调了考虑专业等级、组织期望和法律意识的重要性，以解决精神科护理中的角色冲突。相关性声明：本研究强调了研究护士机构的必要性，为他们如何解释和应用精神病学法律提供了见解。这种研究可以加深对精神病学中人权问题的认识，或至少促进对这些问题的更多认识。社会政策影响也值得注意，强调在非自愿治疗期间需要综合社会法律援助，以支持患者在复杂的系统中导航并行使其权利。最后，研究结果指出，在制定解决精神强迫的情感、教育和跨部门方面的实践时，检查专业等级、组织期望和法律意识的重要性。

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引用次数: 0

Living in the Shadows: My Personal Perspective With Mental Health After a Concussion 生活在阴影中：我对脑震荡后心理健康的个人看法。

IF 2.9 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing

Pub Date : 2025-08-04 DOI: 10.1111/jpm.70017

Scott Ramsay

Background

Concussions are a common injury, with many experiencing mental health related symptoms after injury. Despite the persistence of these symptoms, it is not well detailed the impacts of anxiety and depressive-like symptoms.

Aim

This lived experience narrative recounts the authors lived experience with multiple concussion injuries and mental health symptoms.

Methods

The author used a narrative approach to detail the multiple experiences with concussion. The author reflected on these experiences, drawing on their experience as a registered nurse.

Findings

The narrative reveals persistent concussion symptoms are multifactorial. It illustrates how the interdisciplinary mental health care team can benefit concussion patients experiencing anxiety and depressive-like symptoms.

Discussion

The author reflects on their journey and calls for a shift to a more person-centred approach in concussion care. They also highlight areas for improvement in mental health services. Lastly, future directions for mental health nursing are provided.

Conclusion

This narrative highlights the anxiety and depressive symptoms experienced after concussion. By incorporating mental health nurses within concussion care, mental health issues can be addressed in a timely and approriate manner.

背景：脑震荡是一种常见的伤害，许多人在受伤后会出现与心理健康相关的症状。尽管这些症状持续存在，但焦虑和抑郁样症状的影响并不是很详细。目的：这种生活经验的叙述叙述了作者的生活经验与多重脑震荡损伤和心理健康症状。方法：作者采用叙事的方法详细叙述脑震荡的多重经历。作者对这些经历进行了反思，借鉴了他们作为注册护士的经验。结果：叙述显示持续脑震荡症状是多因素的。它说明了跨学科的精神卫生保健团队如何使经历焦虑和抑郁样症状的脑震荡患者受益。讨论：作者反思了他们的旅程，并呼吁在脑震荡护理中转向更以人为本的方法。它们还强调了精神卫生服务有待改进的领域。最后，展望心理健康护理的发展方向。结论：这篇文章强调了脑震荡后的焦虑和抑郁症状。通过将心理健康护士纳入脑震荡护理，心理健康问题可以得到及时和适当的解决。

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引用次数: 0

A Profession Divided: Critical Reflection on the Evolution of Registered Psychiatric Nursing in Western Canada 职业分裂：对加拿大西部注册精神科护理发展的批判性反思。

IF 2.9 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing

Pub Date : 2025-08-04 DOI: 10.1111/jpm.70013

Michelle C. Danda

Introduction

In Canada, two distinct nursing professions—Registered Nurses (RNs) and Registered Psychiatric Nurses (RPNs)—serve complementary roles, with RPNs primarily practising in Western provinces.

Background

The development of RPNs as a unique professional group is rooted in the establishment of key institutions. In British Columbia (BC) this was notably Riverview Hospital and the BC School of Psychiatric Nursing. These and similar institutions across Western Canada contributed significantly to shaping the standards and education pathways for RPNs.

Aim

This paper examines the evolution of RPNs as a unique designation in Western Canada, focusing on their historical development, including the foundational role of Riverview Hospital and the BC School of Psychiatric Nursing until its closure in 2012. In contrast to RNs, whose education incorporates mental health as one of several focuses, RPNs receive specialized training centred on psychiatric and mental health care, shaping distinct professional identities and scopes of practice.

Method

A historical lens is used to identify the organizational and educational reforms that shaped the identity and integration of RPNs within the broader nursing landscape. An exploration of the historical and contemporary dynamics that shaped RPN role and identity is offered, comparing it with RNs' roles in mental health services and examining the impact of educational and organisational changes. The historical and current role of RPNs remains crucial in mental health care.

Discussion

Key issues include the shift from psychiatric to mental health nursing terminology and the integration of RPNs within the broader nursing landscape.

Analysis

The analysis highlights the challenges and opportunities in redefining psychiatric nursing role and identity amidst evolving healthcare practices and educational trends.

简介：在加拿大，两种不同的护理职业——注册护士（RNs）和注册精神科护士（RPNs）——起着互补的作用，注册护士主要在西部省份执业。背景：注册会计师作为一个独特的专业群体的发展根植于重点机构的建立。在不列颠哥伦比亚省（BC），这是著名的河景医院和BC精神病学护理学院。这些机构和加拿大西部的类似机构为塑造注册护士的标准和教育途径做出了重大贡献。目的：本文考察了RPNs作为加拿大西部独特名称的演变，重点关注其历史发展，包括Riverview医院和BC省精神病学护理学院的基础作用，直到2012年关闭。注册护士的教育将心理健康作为几个重点之一，与之相反，注册护士接受以精神病学和心理保健为中心的专门培训，形成独特的职业身份和实践范围。方法：从历史的角度来确定组织和教育改革，这些改革塑造了rpn在更广泛的护理领域的身份和整合。探索塑造RPN角色和身份的历史和当代动态，将其与RNs在心理健康服务中的角色进行比较，并检查教育和组织变革的影响。注册护士在精神卫生保健方面的历史和当前作用仍然至关重要。讨论：关键问题包括从精神病学到心理健康护理术语的转变，以及在更广泛的护理领域内整合rpn。分析：分析强调了在不断发展的医疗实践和教育趋势中重新定义精神科护理角色和身份的挑战和机遇。

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引用次数: 0

Attitudes, Perceptions and Workplace Factors Predict Well-Being in Forensic Healthcare Workers Caring for Sex Offenders 态度、观念和工作场所因素预测照顾性犯罪者的法医保健工作者的幸福感。

IF 2.9 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing

Pub Date : 2025-08-02 DOI: 10.1111/jpm.70018

Chloe Wheeler, Melissa Colloff, Artur Brzozowski

Introduction

Forensic healthcare workers in mental health settings face significant challenges when working with sex offenders. Balancing staff wellbeing with effective offender rehabilitation remains critical.

Aim

This study examined how attitudes, perceptions and workplace factors influence the wellbeing of frontline forensic healthcare workers caring for sex offenders.

Method

A cross-sectional design, adhering to the STROBE checklist, was used. Ninety-one participants from UK privatised mental health settings completed an online survey. Wellbeing was assessed using measures of compassion satisfaction, burnout and secondary traumatic stress, with predictors including attitudes, perceptions and workplace factors.

Results

Positive attitudes, such as understanding offender intent, were associated with improved wellbeing, while excessive trust reduced compassion satisfaction. Perceptions like risk awareness acted as psychological buffers. Workplace factors, including environmental safety and quality supervision, enhanced wellbeing, whereas co-worker support unexpectedly reduced compassion satisfaction.

Discussion

The findings highlight the importance of rational attitudes in enhancing wellbeing. While punitive perceptions offered emotional buffering, fostering balanced approaches is essential for improving therapeutic environments.

Limitations and Implications

The study focused on privatised UK settings, limiting generalisability to NHS contexts. Future research should explore broader populations.

Recommendations

Employers should enhance environmental safety, supervision and training to foster rational attitudes and address peer dynamics.

精神卫生机构的法医保健工作者在与性犯罪者打交道时面临着重大挑战。平衡工作人员的福利与有效的罪犯改造仍然至关重要。目的：本研究考察了态度、观念和工作场所因素如何影响照顾性犯罪者的前线法医保健工作者的福祉。方法：采用横截面设计，遵循STROBE检查表。来自英国私人心理健康机构的91名参与者完成了一项在线调查。幸福感是通过同情满意度、倦怠和二次创伤压力来评估的，预测因素包括态度、观念和工作场所因素。结果：积极的态度，如理解冒犯者的意图，与改善幸福感有关，而过度的信任会降低同情满意度。风险意识等感知起到了心理缓冲的作用。工作场所因素，包括环境安全和质量监督，提高了幸福感，而同事的支持出人意料地降低了同情满意度。讨论：研究结果强调了理性态度对提高幸福感的重要性。虽然惩罚性观念提供了情绪缓冲，但培养平衡的方法对于改善治疗环境至关重要。局限性和意义：该研究侧重于私有化的英国环境，限制了对NHS环境的普遍性。未来的研究应该探索更广泛的人群。建议：雇主应加强环境安全、监督和培训，以培养理性态度和处理同伴动态。

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引用次数: 0

Strengthening Community-Based Psychosocial Support Through Inclusive Mental Health Interventions 通过包容性精神卫生干预措施加强基于社区的社会心理支持。

IF 2.9 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing

Pub Date : 2025-08-02 DOI: 10.1111/jpm.70019

Dominikus David Biondi Situmorang

引用次数: 0

The Effects of Visual Art Therapy on Improving Anxiety Symptoms in Adults: A Systematic Review and Meta-Analysis 视觉艺术治疗对改善成人焦虑症状的影响：系统回顾和荟萃分析

IF 2.9 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing

Pub Date : 2025-07-24 DOI: 10.1111/jpm.70003

Wei Huang, Taiyuan Luan, Li Li, Airong Zhang, Yu Mu, Yubo Sun, Kexin Huang, Rixin Qin, Wei Liu, Haiyan Guo

Background

Anxiety is a common psychological disorder, which may affect daily life, including work, social and personal relationships, leading to a poor quality of life and social costs. Visual Art Therapy (VAT) is an increasingly recognised non-pharmacological intervention aimed at improving mental health through creative activities such as painting and sculpture.

Objective

To examine the effectiveness of VAT in reducing anxiety symptoms in adults.

Design

A systematic review and meta-analysis, including only randomised controlled trials (RCTs).

Methods

Ten databases were systematically searched from inception to July 26, 2024. Standardised mean difference (SMD) was calculated using random effects models. Sensitivity, subgroup and meta-regression analyses were performed to explore potential sources of heterogeneity.

Results

The pooled results of 35 studies showed VAT had a significant effect on improving anxiety symptoms (SMD = −1.31; 95% CI, −1.80 to −0.95; p < 0.001; 35 RCTs, 3167 participants; very low-quality evidence), compared to control group. Subgroup analysis revealed that the effect size was influenced by several factors, including the mean age, duration of the intervention, gender distribution, the presence of mental health problems in adults and the types of interventions used.

Conclusion

VAT may be a potentially effective alternative approach for managing anxiety symptoms in adults, particularly in the context of mental health nursing. Designing and providing this programme for adults with anxiety symptoms could offer a valuable, non-pharmacological intervention that mental health nurses can integrate into their practice.

Trial Registration

PROSPERO number: CRD42023462477 (December 7, 2023)

背景：焦虑是一种常见的心理障碍，它可能影响日常生活，包括工作、社会和个人关系，导致生活质量下降和社会成本。视觉艺术疗法（VAT）是一种越来越被认可的非药物干预手段，旨在通过绘画和雕塑等创造性活动改善心理健康。目的：探讨VAT对减轻成人焦虑症状的疗效。设计：系统评价和荟萃分析，仅包括随机对照试验（rct）。方法：系统检索自建库至2024年7月26日的10个数据库。采用随机效应模型计算标准化平均差（SMD）。进行敏感性分析、亚组分析和元回归分析以探索潜在的异质性来源。结果：35项研究的汇总结果显示，增值税对改善焦虑症状有显著作用(SMD = -1.31；95% CI, -1.80 ~ -0.95；结论：VAT可能是治疗成人焦虑症状的一种潜在有效的替代方法，特别是在心理健康护理方面。为有焦虑症状的成年人设计和提供这一方案可以提供有价值的非药物干预，精神卫生护士可以将其纳入实践。试验注册：PROSPERO号：CRD42023462477（2023年12月7日）。

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引用次数: 0

The Impact of Coercive Measures on the Therapeutic Relationship Between Patients and Nurses in the Acute Psychiatric Care. An Integrative Review 胁迫措施对急性精神科护理中护患关系的影响。综合评价。

IF 2.9 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing

Pub Date : 2025-07-15 DOI: 10.1111/jpm.70012

Florian Wostry, Sabine Hahn, Berta Schrems

Introduction

The reduction of coercion requires a stable therapeutic relationship. It is generally assumed that coercive measures have a negative effect on the therapeutic relationship, but little is known about the specific impact.

Question

What is the impact of coercive measures in acute psychiatric care on the therapeutic relationship between nurses and patients?

Method

An integrative review and a thematic analysis were undertaken.

Results

Theme 1, labelled ‘Destructive effects’, encompasses three subthemes: ‘Loss of trust’, ‘Power imbalance’ and ‘Engagement reduction’ and highlights the negative impact on the therapeutic relationship. Theme 2, entitled ‘Nursing dilemma’, with the subtheme ‘Dehumanisation’ discusses the inherent conflicts faced by mental health nurses. Theme 3, ‘Reinforcement’, suggests potential enhancements in therapeutic relationships.

Discussion

Key characteristics of the therapeutic relationship, such as providing support, meeting at eye level, empathy and trust, can suffer damage from coercive measures and diminish a fundamental aspect of psychiatric nursing. Moreover, the absence of a therapeutic relationship can foster behaviours that prompt additional coercive measures, creating a negative cycle with adverse effects for all involved.

Implications for Practice

Nurses need to be aware of the effects of coercive measures on therapeutic relationships and use coercive measures as a last resort.

引言：减少强迫需要稳定的治疗关系。一般认为强制措施对治疗关系有负面影响，但对具体影响知之甚少。问题：急性精神科护理中强制措施对护患治疗关系有何影响？方法：进行综合评价和专题分析。结果：主题1，标记为“破坏性影响”，包括三个子主题：“失去信任”，“权力失衡”和“参与减少”，并强调对治疗关系的负面影响。主题2题为“护理困境”，副主题为“非人化”，讨论了精神卫生护士面临的内在冲突。主题3“强化”表明治疗关系的潜在增强。讨论：治疗关系的关键特征，如提供支持、目光平视、共情和信任，可能会受到胁迫措施的损害，并削弱精神病学护理的一个基本方面。此外，缺乏治疗关系可能会助长行为，促使采取额外的强制性措施，从而形成一个对所有相关方都有不利影响的负面循环。对实践的启示：护士需要意识到强制措施对治疗关系的影响，并将强制措施作为最后的手段。

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引用次数: 0

Patient-Reported Outcomes, Influencing Factors, Nursing Care/Intervention(s) and Measurement Scales of Psychiatric and/or Mental Health Nursing in Hospitals: A Systematic Review 病人报告的结果、影响因素、护理/干预和医院精神病学和/或心理健康护理的测量量表：系统综述

IF 2.9 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing

Pub Date : 2025-07-10 DOI: 10.1111/jpm.70006

Karel Desmet, Bruce Vrancken, Jochen Bergs, Ann Van Hecke, Eddy Deproost, Piet Bracke, Sofie Muylaert, Sofie Verhaeghe

Introduction

The assessment of patient-reported outcomes of psychiatric and/or mental health nursing remains understudied, limiting understanding of what matters to patients.

Aim

To identify, appraise and synthesise available evidence on patient-reported outcomes, influencing factors, nursing care/interventions and measurement scales of mental health nursing in hospitals.

Method

Ovid MEDLINE, CINAHL, EMBASE, APA PsychARTICLES, Scopus and Web of Science were searched from conception to April 2024 (update March 2025). Two reviewers independently screened and selected the studies based on a predefined PICO framework in a two-stage process. Quality assessment was conducted using the Johanna Briggs Institute (JBI) guidelines.

Results

Analysis of 22 studies identified 25 patient-reported outcomes, measured by 30 unique scales, clustered into three categories: ‘symptoms & complaints-based patient-reported outcomes’, ‘psycho-emotional patient-reported outcomes’, and ‘functional patient-reported outcomes’. Ten influencing factors emerged from two studies. Nursing care/interventions compromised four clusters: nurse-delivered group programme (n = 8), one-to-one nursing therapy or interaction (n = 8), group and individual nursing sessions (n = 1) and interpersonal relationship (n = 5).

Conclusion

Patient-reported outcomes serve as robust validators for advancing psychiatric and/or mental health nursing within hospital settings. Findings emphasise the importance of well-conceptualised nurse-sensitive patient outcomes using valid and reliable scales to recognise the full psychotherapeutic potential of mental health nursing.

对患者报告的精神病学和/或心理健康护理结果的评估仍未得到充分研究，限制了对患者重要内容的理解。目的：对医院心理健康护理的患者报告结果、影响因素、护理/干预措施和测量量表进行识别、评价和综合现有证据。方法：检索Ovid MEDLINE、CINAHL、EMBASE、APA PsychARTICLES、Scopus和Web of Science，检索时间为从构思到2024年4月（更新时间为2025年3月）。两名审稿人根据预定义的PICO框架在两阶段过程中独立筛选和选择研究。使用约翰娜布里格斯研究所（JBI）的指导方针进行质量评估。结果：对22项研究的分析确定了25项患者报告的结果，通过30种独特的量表进行测量，分为三类：“基于症状和投诉的患者报告结果”、“患者心理-情绪报告结果”和“患者功能报告结果”。两项研究得出了十个影响因素。护理/干预措施涉及四类：护士提供的小组方案（n = 8）、一对一护理治疗或互动（n = 8）、小组和个人护理会议（n = 1）和人际关系（n = 5）。结论：患者报告的结果可作为医院环境中推进精神病学和/或心理健康护理的有力验证。研究结果强调了概念化护士敏感患者结果的重要性，使用有效和可靠的量表来认识心理健康护理的全部心理治疗潜力。

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引用次数: 0

Perspectives of Nurses and Adolescents About Pro Re Nata Treatment in Adolescent Inpatient Psychiatric Units: A Qualitative Study 青少年精神科住院病人护士与青少年对亲性治疗的看法：一项质性研究。

IF 2.9 4区医学 Q1 NURSING

Journal of Psychiatric and Mental Health Nursing

Pub Date : 2025-07-10 DOI: 10.1111/jpm.70011

Augustin Behaghel, Elise Jean, Hélène Cipel, Émilie Manolios, Christian Ponsard, Anne Révah-Levy, Jordan Sibeoni

Introduction

‘Pro re nata’ (PRN) treatment, commonly prescribed in adolescent psychiatric inpatient units, is administered on an ad hoc basis to address specific symptoms. It is prescribed in advance and delivered by nurses when the situation requires it.

Question

This study aims to explore the lived experience of adolescents and nurses during the use of PRN treatment in adolescent psychiatric inpatient settings and to cross these perspectives.

Method

This qualitative study used a specific qualitative research method called Inductive Process to analyse the Structure of lived Experience (IPSE), a five-stage descriptive phenomenological approach based on an inductive process. IPSE was specifically designed for health research by methodologists with extensive experience in qualitative health research. The study followed the SRQR guidelines for qualitative research. Data was collected through semi-structured interviews.

Results

The study included 14 adolescents and 12 nurses. Data analysis revealed a structure of experience with three axes: individual, relational and group.

Discussion

PRN treatment in inpatient settings contributes to the development of agency and empowerment for both adolescents and nurses.

Limitations

This study was conducted in France, where PRN is referred to as ‘si besoin’ (if necessary), and was carried out within the unique context of an inpatient setting.

Recommendations

The efficacy of PRN treatment should be evaluated not only for its therapeutic effects but also in consideration of the institutional and developmental factors surrounding its use.

引言：青少年精神科住院病房通常开出的“新生”（PRN）治疗是针对特定症状的临时治疗。它是事先开出的处方，并在情况需要时由护士提供。问题：本研究旨在探讨青少年和护士在青少年精神病住院环境中使用PRN治疗的生活经验，并跨越这些观点。方法：本定性研究使用了一种称为归纳过程的定性研究方法来分析生活经验结构（IPSE），这是一种基于归纳过程的五阶段描述现象学方法。IPSE是由在定性卫生研究方面具有丰富经验的方法学家专门为卫生研究设计的。该研究遵循了SRQR的定性研究指南。数据是通过半结构化访谈收集的。结果：调查对象为青少年14名，护士12名。数据分析揭示了一个具有三个轴的经验结构：个人、关系和群体。讨论：PRN治疗在住院设置有助于代理和授权的青少年和护士的发展。局限性：本研究是在法国进行的，PRN被称为“si bessoin”（如有必要），并且是在住院患者环境的独特背景下进行的。建议：评估PRN治疗的有效性不仅要考虑其治疗效果，还要考虑其使用的体制和发展因素。

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