关闭还是不关闭? 使用有根据的理论来开发一种心理健康护士在法医服务中使用的隔离决策过程模型
Daniel Lawrence1,2, Daniel Stubbings2, Andrew Watt2
1Priory Group, Priory Healthcare, Monmouthshire, United Kingdom.
Issues in mental health nursing
|January 16, 2025
概括
减少法医心理健康的隔离需要了解护理人员的决策. 这项研究探讨了影响隔离使用的认知,情感,关系和组织因素,以改善患者护理和减少伤害.
科学领域:
- 法医心理健康 法医心理健康
- 护理实践 护理实践
- 患者安全 患者安全
背景情况:
- 隔离是法医心理健康护理中的限制性干预,用于管理患者的风险.
- 它的使用与不良影响有关,需要减少.
- 护理人员因素影响隔离的使用,但决策过程仍未得到充分研究.
研究的目的:
- 探索高级护士关于隔离启动和终止的决策过程.
- 为了确定影响这些决定的因素在英国法医心理健康设置.
主要方法:
- 采用构造主义立足理论的定性研究.
- 半结构面试与13名高级护士在低和中等安全病房进行了半结构面试.
- 数据分析发现了决策因素的复杂模型.
主要成果:
- 隔离决策受认知,情感,关系和组织类别的影响,有众多子类别.
- 这些因素在整个隔离过程中以复杂的方式相互作用.
- 员工的决策受个人,人际和系统因素的影响.
结论:
- 改善实践包括结构化的评估,对员工的持续情感支持和关系式护理方法.
- 组织政策,领导力和将员工相关因素纳入隔离记录至关重要.
- 解决与工作人员相关的因素可以有助于减少隔离和提高患者安全.
相关概念视频
Data Validation
4.9K
Data validation is an essential part of a comprehensive assessment. Validation is confirming or verifying and opening the door to gathering more assessment data as it clarifies vague or unclear data. The process of checking and verifying the collected information is called data validation. The primary purpose of data validation is to ensure data is as free from error, bias, and misinterpretation as possible.
Nursing assessment guides are generally based on holistic models rather than medical...
Nursing assessment guides are generally based on holistic models rather than medical...
4.9K
Modeling in Therapy
44
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
44
Deindividuation
26.2K
Deindividuation is a form of social influence on an individual’s behavior such that the individual engages in unusual or non-normal behavior while in a group setting. Why? Because in these group settings, the individual no longer sees themselves as an individual anymore, disinhibiting their behavior and personal restraint.
26.2K
Critical Thinking II
2.7K
Critical thinking is a cognitive process with several attributes. The attributes of critical thinking include the following:
2.7K
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.1K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.1K
The Scientific Method in Nursing Process
9.5K
The scientific method provides the foundation for any research. It is the most reliable and objective of all forms of gaining knowledge and guides in applying research-based evidence in practice and conducting future research.
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be...
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be...
9.5K


