在爱尔兰法医精神卫生机构的隔离室中使用的观察方法的患者观点:一种定性研究
Shobha Rani Shetty1,2, Shauna Burke1, David Timmons1
1National Forensic Mental Health Service, Central Mental Hospital, Dublin, Ireland.
Journal of psychiatric and mental health nursing
|November 6, 2023
概括
在隔离状态下对患者进行观察对于安全至关重要. 与患者沟通并让他们参与活动可以提高护理效果,而像素化摄像头可以提高隐私和尊严.
科学领域:
- 心理健康护理 心理健康护理
- 患者安全 患者安全
- 治疗性沟通治疗性沟通
背景情况:
- 护士对隔离患者的观察对于安全和法律遵守至关重要.
- 使用现有方法,如直接观察和视频监控,但可能会困扰患者与工作人员的关系.
- 关于特定观察技术如何在隔离期间影响治疗关系的研究有限.
研究的目的:
- 探索患者在隔离期间使用不同观察方法的经验.
- 从患者的角度比较各种隔离观察技术.
- 确定在隔离环境中观察患者的最佳实践.
主要方法:
- 采用了一种追溯现象学方法.
- 半结构面试与十名经历过隔离的患者进行了半结构面试.
- 在数据分析中使用了Colaizzi的描述性现象学方法.
主要成果:
- 通过观看面板进行沟通和参与,促进了有意义的活动.
- 摄像机对于监控和安全至关重要,像素化增强了隐私.
- 患者感到安全,并通过摄像机和工作人员的存在来照顾,但希望有更多的隐私.
结论:
- 防止隔离是主要目标,但在必要时,必须尊重人权和患者需求.
- 在观察期间,积极的护士-患者沟通显著有利于护理.
- 隔离中的个性化护理得到了先前的患者信息,有意义的活动和适当的文件的支持.
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