精神卫生护士的以人为中心的护理实践:一个跨部门研究
Chantille Isler1, Joy Maddigan1, Donna Moralejo1
1Faculty of Nursing, Memorial University of Newfoundland, Newfoundland, Canada.
Journal of psychiatric and mental health nursing
|September 20, 2025
概括
在心理健康护理中以人为中心的护理显示出强烈的采用,尽管实践环境需要改进. 影响护理的关键因素包括先决条件,环境和护士经理关系.
科学领域:
- 护理科学 护理科学
- 心理健康护理 心理健康护理
- 医疗保健管理的管理
背景情况:
- 以人为中心的护理 (PCC) 提高了患者的满意度和结果.
- 在心理健康环境中运行PCC存在挑战.
- 以人为中心的实践框架指导PCC的实施.
研究的目的:
- 描述以人为中心的心理健康护理实践.
- 确定与PCC交付相关的因素.
- 在加拿大心理健康和成服务中评估PCC.
主要方法:
- 利用以人为中心的实践框架.
- 调查了加拿大精神卫生和成服务的注册护士.
- 雇佣了以人为中心的实践清单-工作人员 (PCPI-S) 和人口调查问卷.
- 按照STROBE关于定量数据的指导方针进行.
主要成果:
- 护士在PCPI-S领域报告了有利的分数,表明强的PCC.
- 实践环境领域获得了最低分.
- 在实践环境和PCC交付之间发现了显著的积极关联 (rs = 0.451,p < 0.001).
- 前置条件,环境和护士-经理关系显著预测了PCC交付,解释了76.1%的差异.
结论:
- 以人为中心的实践框架在加拿大心理健康护理中得到了很好的支持.
- 现有证据与有利的PCPI-S分数和较低的实践环境分数一致.
- 未来的研究应该解决影响PCC交付的实践环境因素.
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