关于该主题的知识是什么?:精神卫生服务以不同的方式报告不良事件,不良事件与劳动力之间的关系不确定。在英国,有国家数据集记录所有事件和劳动力统计数据,尽管没有同行评审的证据检查最近的趋势。这篇文章对现有知识有什么帮助?:尽管心理健康护士的数量总体上有所增加,更多的人在社区工作,相对于不良事件的护士人数有所减少。在此期间,服务提供发生了变化,但心理健康护士的角色并未发生重大变化,因此,我们可以假设他们目前的做法充满了风险或增加了报告。为了帮助了解护士和事件之间的关系,我们需要改变英国的事件记录方式。实践的含义是什么?:英国精神卫生服务机构报告了更高水平的患者相关因素,如自我伤害或攻击性,而不是错过或错误的护理。这使得很难理解事件频率的上升是否与报告行为有关,患者风险,不安全/无效的护理或其他原因,因此计划劳动力部署以提高护理质量是有问题的。
■介绍:缺乏对事件和心理健康护士进行检查的经验数据,两者之间的关系仍然不确定。
目的:比较英国国家事故和护理人员的数据,以检查最近的趋势。
方法:对2015年至2022年间英格兰的两个国家事件数据集和劳动力数据进行描述性分析。
结果:发现事件增加了46%;主要原因是自我伤害和攻击行为。尽管不良事件报告有所增加,发现心理健康护士增加了6%,社区护士比医院多。
结论:当前的服务是比往年更集中的事件报告。与患者相关的行为仍然是最突出的报道,而不是可能导致报告的先前卫生服务问题。虽然工作人员增加了,这似乎没有跟上事件报告增加的隐含工作量。
结论:报告机制应更加重视卫生服务行为。自我伤害和侵略应继续被视为不利结果,但是因果卫生服务因素,比如错过的护理,应出现在汇总报告中,以帮助减少不良结局的发生。
WHAT IS KNOWN ON THE SUBJECT?: Mental health services report adverse incidents in different ways and the relationship between adverse incidents and the workforce is uncertain. In England, there are national datasets recording all incidents and workforce statistics though there is no peer-reviewed evidence examining recent trends. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Although there has been an overall increase in the number of mental health nurses, more are working in the community and the number of nurses relative to adverse incidents has decreased. There have been service-provision changes but the role of mental health nurses has not significantly changed in this period, and we can therefore assume that their current practice is saturated with risk or increased reporting. To help understand the relationship between nurses and incidents, we need to transform how incidents are recorded in England. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: English mental health services report greater levels of patient-related factors such as self-harm or aggression rather than missed or erroneous care. This makes it difficult to understand if a rise in incident frequency is linked to reporting behaviour, patient risk, unsafe/ineffective care or other reasons and therefore planning workforce deployment to improve care quality is problematic.
UNASSIGNED: INTRODUCTION: There is a paucity of empirical data examining incidents and mental health nurses and the relationship between the two remains uncertain.
OBJECTIVE: Comparison of English national data for incidents and nursing workforce to examine recent trends.
METHODS: Descriptive analysis of two national datasets of incidents and workforce data for England between 2015 and 2022.
RESULTS: A 46% increase in incidents was found; the leading causes are self-harm and aggressive behaviour. Despite the rise in adverse incident reporting, a 6% increase in mental health nurses was found, with more nurses in community settings than hospitals.
CONCLUSIONS: Current services are incident reporting at greater concentrations than in previous years. Patient-related behaviour continues to be most prominently reported, rather than possible antecedent health services issues that may contribute to reporting. Whilst staffing has increased, this does not seem to have kept pace with the implied workload evident in the increase in incident reports.
CONCLUSIONS: Greater emphasis should be placed on health service behaviour in reporting mechanisms. Self-harm and aggression should continue to be considered adverse outcomes, but causal health service factors, such as missed care, should be present in pooled reporting to help reduce the occurrence of adverse outcomes.