Interventions in the nurse-patient relationship in forensic psychiatric nursing care: a Swedish survey.
Interventions in the nurse-patient relationship in forensic psychiatric nursing care: a Swedish survey.
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DOI：
10.1046/j.1365-2850.2001.00395.x
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发表时间：
2001-08-01
影响因子：
2.7
通讯作者：
Levander, S
中科院分区：
文献类型：
--
作者：
Rask, M;Levander, S
在五个瑞典法医精神病院工作的护士(注册护士，RN和执业精神护士，LMN)填写了一份专为普通精神科护理设计的问卷，但为法医使用而修改。在这份报告中，分析了有关治疗干预措施包括言语因素的程度以及这些护士与病人言语互动的重点的数据。最常用的干预措施是“社交互动”、“定期交流”和“社交技能培训”。护士与病人的口头交流最常见的焦点是“解释后果，面对和鼓励病人谈论他/她的罪行/行为”，“与病人的解释性交流”，以及“关于日常生活中的功能的交流”。显著的发现是：(1)护士使用的15种干预措施中有7种在很大程度上包含语言因素；(2)护士经常使用对抗性干预，尽管大量的EE(表达情感)文献表明敌意和批判性言论可能会导致精神病患者症状的恶化；(3)实际操作与理论模型之间几乎没有对应关系；(4)两个专业群体(RN和LMN)之间的差异出人意料地小，表明两者的作用不明显。
Nurses (Registered nurses, RN, and Licensed Mental Nurses, LMN) working in five Swedish forensic psychiatric units filled in a questionnaire designed for general psychiatric nursing, but modified for forensic use. In this report, data concerning the extent to which treatment interventions included verbal elements, and the focus of these nurse--patient verbal interactions, were analysed. The most commonly used interventions were 'social interaction', 'regular communication' and 'social skills training'. The most common focus in verbal nurse--patient interaction were 'explaining consequences, confronting and encouraging the patient to talk about his/her crime/behaviour', 'interpretative communications with the patient', and 'communication about functions in daily life'. The salient findings were: (1) seven of the fifteen interventions used by the nurses included verbal elements to a great extent; (2) nurses often used confronting interventions, despite the fact that the large EE (expressed emotion) literature suggest that hostility and critical remarks may provoke a worsening of symptoms among psychotic patients; (3) there was only little correspondence between actual practice and theoretical models; and (4) there were unexpectedly small differences between the two professional groups (RN and LMN), suggesting that the roles are not distinct.