在社区心理健康护理中获取的言论和现实
Katerina Melino1,2, Janet Rankin3, Joanne Olson1
1Faculty of Nursing, University of Alberta, Edmonton, Alberta, Canada.
Nursing inquiry
|April 7, 2025
概括
精神病精神卫生护士从业人员 (PMHNPs) 面临着平衡高效诊所运营与患者需求的挑战,特别是那些患有严重精神疾病和结构性逆境的人. 解决健康的社会决定因素需要系统性变化,重视PMHNPs的专业知识.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
- 护理实践 护理实践
背景情况:
- 越来越多的社会和健康的结构性决定因素 (例如,贫困,歧视) 在精神卫生保健的认可.
- 需要将这些决定因素整合到心理健康服务设计和提供中.
- 专注于精神卫生保健护士从业人员 (PMHNPs) 在社区精神卫生环境中的作用.
研究的目的:
- 调查PMHNPs如何管理临床效率和患者需求之间的矛盾需求.
- 探索在门诊护理中的结构性逆境和慢性精神疾病的导航.
- 了解"健康的社会决定因素"原则在精神卫生保健中的实际应用.
主要方法:
- 机构民族学方法.
- 定性研究侧重于九个PMHNPs的日常工作实践.
- 在美国主要城市的门诊社区心理健康诊所收集数据.
主要成果:
- 确定了"开放门"访问言论和"在人们所在的地方遇到他们"实践之间的断层.
- PMHNPs通常在机构结构之外工作,以满足患者的需求.
- 机构协调忽视了PMHNP的专业知识,阻碍了社会决定因素的整合.
结论:
- 在严重精神疾病护理中解决健康的结构性决定因素仍然是一个意识形态目标.
- 当前的卫生系统结构可能会忽视PMHNPs的地面专业知识.
- 需要重新评估心理健康护理实践和系统转型,由PMHNPs提供信息.
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