护士对锁门的看法,以防止急性精神健康住院病房的失踪:一种定性描述性研究
Adam Searby1, Dianna Burr1, Jim Snipe2
1Monash University School of Nursing & Midwifery, Melbourne, Australia.
International journal of mental health nursing
|October 18, 2025
概括
精神卫生部门的锁门被护士认为是防止患者逃跑的必要条件,但它们会对治疗关系产生负面影响,并可能增加侵略性. 需要进一步的研究.
科学领域:
- 心理健康护理 心理健康护理
- 定性研究是一种定性研究.
- 患者安全 患者安全
背景情况:
- 锁门在精神健康住院病房中很常见,据信可以减少逃犯和物质进口等风险.
- 这种安全措施可能会损害治疗关系,导致患者对惩罚性和监禁性环境的看法.
研究的目的:
- 探索澳大利亚精神卫生护士使用锁门来防止患者逃跑的经验.
- 了解锁门对护士-病人治疗关系和病房环境的影响.
主要方法:
- 定性描述性方法使用半结构面试与15名澳大利亚精神卫生护士.
- 基于Braun和Clarke (2006) 的方法论进行的主题分析.
- 报告遵守"报告质量数据的综合检查清单" (CORE-Q) 准则.
主要成果:
- 护士认为锁上门对于防止病人逃跑至关重要.
- 然而,护士们还报告说,锁上门对治疗关系来说是限制性的和有害的.
- 确定的主题包括护士对锁门和逃跑的看法,吸烟是逃跑的驱动因素,以及与锁门相关的攻击性.
结论:
- 虽然锁门被视为必要的风险管理工具,但它们对治疗关系的负面影响和增加侵略的潜力需要注意.
- 需要调查锁门对心理健康护理角色的更广泛影响.
- 建议提高护士在风险评估,共享决策和培养治疗关系/环境方面的技能.
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