精神健康护士对双重诊断患者的护理效能：描述性研究

IF 1.6 4区医学 Q2 NURSING Collegian Pub Date : 2023-12-20 DOI:10.1016/j.colegn.2023.11.002

Roopalal Anandan , Wendy M. Cross , Michael Olasoji , Huy Nguyen

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引用次数: 0

摘要

简介：双重诊断是心理健康机构中一个常见而复杂的问题。本研究旨在评估澳大利亚精神卫生机构中精神卫生护士对患有双重诊断的患者的护理效能。研究问题是材料与方法通过方便抽样的方式，从多家精神卫生机构招募了八十四名专门负责照顾双重诊断患者的精神卫生护士。护理效能量表评估了精神健康护士的护理效能。使用 SPSS© Version: 28.0.1.0 (142) (IBM Corp. 2021) 进行了描述性数据和多元回归分析。关怀效能值从 92 到 178 不等。心理健康护士的年龄、职位、临床环境和工作经验与她们的关爱效能感相关。工作经验、当前工作经验、护理效能感、护理信心和疑虑与护理效能感相互关联（r 均为 0.24，p ≤ 0.001）。预测因子护理信心（β = 1.06，p < .001）和疑虑（β = 58.63，p < .001）解释了心理健康护士的护理效能。年龄（β = 8.96，p = 0.033）和自我怀疑（β = 0.39，p = 0.001）解释了心理健康护士的护理信心。年龄（β = 10.11，p = .032）和专业经验（β = 8.82，p = .042）解释了心理健康护士的怀疑和担忧。心理健康护士的信心和顾虑对其提供适当护理的能力起着一定的作用。需要进一步开展干预性研究，探讨心理健康护士的年龄、临床经验和自我效能感如何影响她们照顾双重诊断患者的能力。这些研究结果可能有助于对精神健康护士的护理效能进行进一步的健康相关研究，并有助于做出有关消费者护理的治疗决策。

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Mental health nurses’ caring efficacy towards consumers with dual diagnosis: A descriptive study

Introduction

Dual diagnosis is a common and complex problem in mental health settings. This study aimed to assess mental health nurses’ caring efficacy towards consumers with dual diagnosis in Australian mental health settings. The research question was: What is the caring efficacy of mental health nurses towards consumers with coexisting mental health and drug and alcohol problems?

Materials and methods

Eighty-four mental health nurses specialising in caring for consumers with dual diagnosis were recruited using convenience sampling from multiple mental health facilities. The Caring Efficacy Scale assessed mental health nurses’ caring efficacy. Descriptive data and multiple-regression analyses were conducted using SPSS© Version: 28.0.1.0 (142) (IBM Corp. 2021).

Results

The mean caring efficacy score was 145.70, with a standard deviation of 19.92. Caring efficacy values varied from 92 to 178. Mental health nurses’ age, position, clinical settings, and work experience were associated with their caring efficacy. Work experience, experience in current job, caring efficacy, confidence to care, and doubts and concerns correlated with each other (all r > .24, p ≤ .001). The predictors' confidence to care (β = 1.06, p < .001) and doubts and concerns (β = 58.63, p < .001) explained mental health nurses’ caring efficacy. The predictors' age (β = 8.96, p = .033) and self-doubt (β = .39, p = .001) explained mental health nurses’ confidence to care. The predictors' age (β = 10.11, p = .032) and professional experience (β = 8.82, p = .042) explained mental health nurses’ doubts and concerns.

Conclusions

Mental health nurses’ caring efficacy towards consumers with dual diagnosis was above average. The confidence and concerns of mental health nurses play a role in their ability to provide adequate care. Further interventional research is needed to explore how mental health nurses’ age, clinical experience, and self-efficacy impact their ability to care for consumers with dual diagnosis. The findings may be helpful for further health-related studies of mental health nurses’ caring efficacy and for making therapeutic decisions regarding consumer care.

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来源期刊

Collegian NURSING-

CiteScore

2.70

自引率

6.70%

发文量

127

审稿时长

72 days

期刊介绍： Collegian: The Australian Journal of Nursing Practice, Scholarship and Research is the official journal of Australian College of Nursing (ACN). The journal aims to reflect the broad interests of nurses and the nursing profession, and to challenge nurses on emerging areas of interest. It publishes research articles and scholarly discussion of nursing practice, policy and professional issues. Papers published in the journal are peer reviewed by a double blind process using reviewers who meet high standards of academic and clinical expertise. Invited papers that contribute to nursing knowledge and debate are published at the discretion of the Editor. The journal, online only from 2016, is available to members of ACN and also by separate subscription. ACN believes that each and every nurse in Australia should have the opportunity to grow their career through quality education, and further our profession through representation. ACN is the voice of influence, providing the nursing expertise and experience required when government and key stakeholders are deciding the future of health.