这个主题有什么知识?:有许多关于CRHTT的国际研究;然而,关于护士与CRHTT合作的经验的研究很少。早期的研究集中在护士的“把关”角色上,但没有探讨护士对护理作为一种结构的看法。论文对现有知识有什么帮助?:这项研究提供了基于心理健康护士经验的信息。它解释了家庭环境,危机期间的治疗关系和心理健康护理过程。此外,这项研究解释了护士对患者家庭提供的护理的满意度。与其他研究不同,这项研究的重点是护士在提供护理时的经验,而不是护士的一般职责和他们提供的服务。这项研究是西班牙首例此类研究。实践的意义是什么?:承认护士的经验和他们对他们提供的护理的观点可以帮助将心理健康护理范式从基于生物医学模型的范式转变为恢复模型中发现的新观点。此外,这些知识具有指导护理实践的潜力,因此可以提高心理健康环境中的护理质量.提高精神卫生保健提供者“对心理健康护士的认识”的个人和专业护理结构将有助于实施支持系统以满足专业需求。满足护士与他们提供的护理相关的需求可能会对患者护理产生积极影响。
■介绍:危机解决家庭治疗团队(CRHTT)提供短期,对经历心理健康危机的人进行密集的家庭治疗。关于护士使用CRHTT的经验的研究有限。虽然早期的研究主要集中在心理健康护士的把关责任上,在这个领域需要更多的调查。
目的:探讨护士对CRHTT服务中护理的看法和结构。
方法:采用定性案例研究。对在CRHTT服务中工作的护理人员进行了十次半结构化访谈。
结果:数据分析中出现了三个主要类别:护士对所提供护理的看法,家庭护理的护理设置和家庭护理计划。
结论:研究结果表明,护士在家庭环境中提供护理的满意度更高,因此,它对护理质量产生了积极影响,减少了患者的病耻感。这项研究还涉及制定以患者环境为中心的护理计划的价值,以提高心理健康护理(MHN)工作满意度。
结论:了解CRHTT中护士提供的内在护理经验可能有助于通过提高对心理健康环境中护理的理解来促进CRHTT中护理角色的发展。
WHAT IS KNOWN ON THE SUBJECT?: There are many international studies on CRHTTs; however, there has been little research on nurses\' experiences of working with CRHTTs. Earlier studies focused on the nurses\' gatekeeping role but did not explore nurses\' perception of care as a construct. WHAT DOES THE PAPER ADD TO EXISTING KNOWLEDGE?: This study provides information based on mental health nurses\' experiences. It explains the home environment, the therapeutic relationship and the process of mental health nursing care during a crisis. Also, the study explains nurses\' satisfaction with care provided at patients\' home. Unlike other studies, this study focused on nurses\' experiences while providing care, rather than on nurses\' general responsibilities and the services they provide. This study is the first of its kind in Spain with such a focus. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Acknowledging nurses\' experiences and their perspectives about the care they provide could help shift mental health nursing paradigms from those based on biomedical models to newer perspectives found in recovery models. Furthermore, this knowledge could improve the quality of care in mental health settings due to its potential to guide nursing practices. Raising mental health care providers\' awareness of mental health nurses\' personal and professional care constructs would help implement support systems to meet the professional\'s needs. Meeting the needs of nurses related to the care they provide is likely to impact patient care positively.
UNASSIGNED: INTRODUCTION: Crisis resolution home treatment teams (CRHTTs) provide short-term, intensive home treatment to people experiencing mental health crises. There is limited research on nurses\' experiences with CRHTTs. While earlier studies mainly focussed on mental health nurses\' gatekeeping responsibilities, more investigation is needed in this field.
OBJECTIVE: To explore nurses\' perceptions and constructions about care in CRHTT services.
METHODS: A qualitative
case study was employed. Ten semi-structured interviews were performed to nursing staff working in CRHTT services.
RESULTS: Three main categories emerged from the data analysis: nurses\' perspectives of the care provided, nursing setting of care at home and nursing care plan at home.
CONCLUSIONS: Findings revealed that nurses experienced greater satisfaction providing care in the home settings, and therefore, it positively impacted the quality of care and reduced patient\'s stigma. This study also relates the value of developing care plans centred on patients\' environments increasing Mental Health Nursing (MHN) work satisfaction.
CONCLUSIONS: Knowledge of the intrinsic experiences of care provided by nurses in CRHTTs may help facilitate the development of the nursing role in CRHTT by improving understanding of care in mental health settings.