使用德尔菲方法来解决导致心理健康环境中的攻击性行为因素
Rasha Eweida1,2, Nashwa Ibrahim3,4
1Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Journal of psychiatric and mental health nursing
|March 27, 2024
概括
护士确定了患者,工作人员和环境因素,这些因素有助于心理健康部门的攻击性. 培训应提高沟通和情绪调节技能,以获得更好的患者护理和减少员工流动.
科学领域:
- 心理健康护理 心理健康护理
- 精神病学紧急情况
- 攻击管理 攻击管理
背景情况:
- 住院精神病房的侵略性是一个普遍且危险的问题.
- 了解促成因素对于有效干预至关重要.
- 作为一线精神卫生专业人员,护士的观点至关重要.
研究的目的:
- 为了在心理健康住院患者的攻击性行为的因素上达成群体共识.
- 探索护士们对精神病学环境中的侵略触发因素的见解.
主要方法:
- 使用了德尔菲技术,从住院精神病科的护士中有目的地采样样本.
- 进行了三个在线Delphi轮,以代地改进共识.
- 使用大多数意见的平均百分比来衡量共识.
主要成果:
- 在几个关键因素上达成共识:患者对工作人员态度的误解,心理健康问题的严重性,医疗保健提供者的沟通方式,护士的情绪调节有限,以及工作人员与患者的比例不足.
- 确定了相互影响的因素,包括患者相关,员工相关和环境相关的因素.
- 21名护士专家参加了会议,在各轮会议中,共识不断增长.
结论:
- 精神卫生部门的攻击性源于患者,工作人员和环境因素的复杂相互作用.
- 建议包括通过沟通和情绪调节培训增强护理课程.
- 在护士和病人之间就攻击性问题展开开放式对话至关重要.
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