探索住院精神病房护士提供的安全环境:一项混合方法研究
Maryam Maddineshat1, Masoud Khodaveisi2, Naser Kamyari3
1Department of Nursing, School of Malayer Nursing, Student Research Committee, Chronic Disease (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
Journal of psychiatric and mental health nursing
|September 23, 2023
概括
伊朗的精神卫生护士 (MHN) 为安全而使用超级警,但这可能会阻碍真正安全的环境. 需要改善培训和治疗沟通,以提高精神病房患者的安全性.
科学领域:
- 护理 护理 护理
- 心理健康 心理健康
- 患者安全 患者安全
背景情况:
- 伊朗社区精神卫生服务受到限制,导致精神病房病房过度拥挤.
- 过度拥挤与暴力,自杀和医疗错误的增加有关.
- 了解精神卫生护士 (MHN) 如何促进病房的安全性仍然是未被充分探索的.
研究的目的:
- 探索MHNs在住院精神病房创建安全环境.
- 调查MHN对维护病房安全的看法和参与.
主要方法:
- 进行了一项解释性的混合方法研究.
- 定量阶段:安全环境量表对48名 MHN 进行测试.
- 定性阶段:20个MHN的半结构面试,使用传统的内容分析进行分析.
主要成果:
- 人员安全员对创造安全环境的感知和参与度处于中等水平.
- 关键的定性发现包括"对安全和安全环境的超级警"",治疗性沟通缺口"",护士倦怠"",员工安全和安全需求"和"环境安全危险".
结论:
- 医护人员利用超级警来确保病房安全.
- 这种策略可能会悖论地破坏建立和感知安全环境.
- 加强教育,培训和优先考虑治疗性沟通对于MHN来说至关重要,以提高安全.
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