护士们对拟议的精神卫生病房隔离消除措施的看法
George C Mubayiwa1, Bindu Joseph1, Julia Gilbert1
1School of Health, Federation University, Berwick, Victoria, Australia.
International journal of mental health nursing
|June 18, 2024
概括
消除精神卫生机构的隔离是一个目标,但如果没有安全性,人员和资源的显著改善,护士们就怀疑它的成功. 对替代品的进一步研究至关重要.
科学领域:
- 心理健康护理 心理健康护理
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 隔离一直是心理健康护理中管理具有挑战性的行为的一个长期实践.
- 尽管全球各方都在努力,但消除隔离的成功却有限.
- 维多利亚州政府的目标是在十年内结束急性精神病房的隔离.
研究的目的:
- 探索护士对计划消除急性精神病房隔离的看法.
- 确定影响成功停止隔离实践的障碍和促进者.
主要方法:
- 定性研究设计. 定性研究设计.
- 有目的的集群采样技术.
- 半结构面试和主题分析.
主要成果:
- 六个关键主题出现了:个人观点,员工技能/资源,安全问题,利益相关者的影响,消除的怀疑和建议.
- 护士们对成功消除隔离而没有实质性改善表示怀疑.
- 确定需要改进的关键领域包括护士安全,基础设施,资金和人员水平.
结论:
- 对安全,资源和人员的显著改善被认为是结束隔离的先决条件.
- 进一步的研究是必要的,以开发和实施有效的替代方案,以隔离在心理健康护理.
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