关键词: attitude descriptive research diagnosis dual (psychiatry) psychiatric nursing quantitative study theory of planned behaviour

来  源:   DOI:10.1111/jpm.13068

Abstract:
WHAT IS KNOWN ON THE SUBJECT?: Dual diagnosis is one of the leading causes of disability globally. There is limited evidence on mental health nurses\' attitudes towards consumers with dual diagnosis. WHAT DOES THE PAPER ADD TO EXISTING KNOWLEDGE?: Mental health nurses have positive attitudes towards consumers with dual diagnosis. A positive attitude at work is influenced by various factors, including feeling that one\'s role is appropriate and legitimate. This also includes receiving support in that role, being motivated to work, having confidence in completing tasks and feeling satisfied with one\'s job.
UNASSIGNED: BACKGROUND: Dual diagnosis is a global health concern. This descriptive research assessed mental health nurses\' attitudes towards consumers with dual diagnosis in Australian mental health settings. The research question was: What is the attitude of mental health nurses towards consumers with co-existing mental health and drug and alcohol problems?
METHODS: This cross-sectional survey included 103 mental health nurses who work with consumers with dual diagnosis. Participants were recruited from various mental health settings through convenience sampling. The Comorbidity Problems Perceptions Questionnaire was used to assess attitudes. Descriptive data and multiple regression analyses were conducted. We utilized the consensus-based checklist for reporting results of this study.
RESULTS: Mental health nurses positively perceived consumers with dual diagnosis. Factors associated with a positive attitude were a higher level of work experience, feeling that one\'s role is adequate, perceiving one\'s role as legitimate, receiving increased support in one\'s position, having high work motivation, possessing high task-specific self-esteem and experiencing higher levels of work satisfaction. Work experience predicted role adequacy. Position predicted role support. The work sector predicted role-related self-esteem.
CONCLUSIONS: As mental health nurses gain work experience; they develop positive attitudes that boost their self-esteem and sense of importance towards consumers with dual diagnosis. This constructive mindset also positively affects their work motivation and job satisfaction towards consumers with dual diagnosis. Conducting interventional studies is necessary to examine how clinical experiences, work environments, and job positions can impact attitudes, aiming to improve mental health nursing interventions towards consumers with dual diagnosis.
CONCLUSIONS: The study found that mental health nurses\' positive attitudes towards consumers with dual-diagnosis are influenced by their experience and knowledge. Moreover, mental health nurses who feel supported, motivated and confident in their roles are more likely to provide high-quality care to consumers with dual diagnosis. Mental health nurses could provide better care and support if they took a proactive approach and addressed the challenges associated with this consumer population. To be successful in their roles, mental health nurses require access to resources and support from healthcare organizations. As a result, their job satisfaction and attitudes towards consumers with dual diagnosis will be enhanced. In this way, consumers as well as healthcare organizations will benefit.
摘要:
该主题的知识是什么?:双重诊断是全球残疾的主要原因之一。关于精神卫生护士对具有双重诊断的消费者的态度的证据有限。论文对现有知识有什么补充?:心理健康护士对具有双重诊断的消费者持积极态度。积极的工作态度受到各种因素的影响,包括觉得自己的角色是适当和合法的。这还包括在该角色中获得支持,有工作的动力,对完成任务有信心,对自己的工作感到满意。
背景:双重诊断是全球健康问题。这项描述性研究评估了心理健康护士对澳大利亚心理健康环境中具有双重诊断的消费者的态度。研究问题是:心理健康护士对同时存在心理健康和药物和酒精问题的消费者的态度如何?
方法:这项横断面调查包括103名与具有双重诊断的消费者一起工作的心理健康护士。通过便利抽样从各种心理健康环境中招募参与者。合并症问题感知问卷用于评估态度。进行描述性数据和多元回归分析。我们使用基于共识的检查表报告本研究的结果。
结果:心理健康护士积极看待具有双重诊断的消费者。与积极态度相关的因素是更高水平的工作经验,觉得自己的角色是足够的,认为自己的角色是合法的,在一个人的位置上获得更多的支持,有很高的工作动机,拥有较高的特定任务自尊,并经历较高的工作满意度。工作经验预测角色的充分性。职位预测角色支持。工作部门预测了与角色相关的自尊。
结论:随着心理健康护士获得工作经验,他们会发展出积极的态度,从而提高他们对具有双重诊断的消费者的自尊心和重要性。这种建设性的心态也会积极影响他们对双重诊断的消费者的工作动机和工作满意度。进行介入研究是必要的,以检查临床经验,工作环境,工作职位会影响态度,旨在改善对双重诊断消费者的心理健康护理干预。
结论:研究发现,心理健康护士对具有双重诊断的消费者的积极态度受他们的经验和知识的影响。此外,感到支持的心理健康护士,他们的角色更有动力和自信,更有可能通过双重诊断为消费者提供高质量的护理。心理健康护士可以提供更好的护理和支持,如果他们采取积极的方法,并解决与这个消费者群体相关的挑战。为了在他们的角色中取得成功,心理健康护士需要获得医疗保健组织的资源和支持。因此,他们的工作满意度和对双重诊断的消费者的态度将得到提高。这样,消费者和医疗机构都将受益。
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