Recovery‐Oriented Care in Older‐Adult Acute Inpatient Mental Health Settings in Australia: An Exploratory Study
Recovery‐Oriented Care in Older‐Adult Acute Inpatient Mental Health Settings in Australia: An Exploratory Study
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澳大利亚老年急性住院患者心理健康环境中以康复为导向的护理：一项探索性研究
DOI：
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发表时间：
2014
影响因子：
6.3
通讯作者：
S. Ireland
中科院分区：
文献类型：
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作者：
Brian McKenna;T. Furness;D. Dhital;S. Ireland
以康复为导向的护理承认消费者为过上美好生活而重新控制自己生活的独特旅程。康复已成为许多精神卫生保健组织的主要政策导向模式，但在老年人急性精神卫生住院患者设置中，护士没有明确描述如何以康复为导向。本研究的目的是确定现有护理实践中哪些要素与康复导向护理领域相似的程度，并为准备向康复导向的精神卫生保健提供提供对实践的基线理解。为了达到研究目的，采用了探索性质的研究设计。有目的的心理健康护士样本（N = 12）参加了澳大利亚三个老年人住院设置的焦点小组。采用一般归纳方法对定性数据进行分析。在这项研究中，心理健康护士很容易讨论他们目前在康复领域的实践方面。他们描述了促进希望文化、合作伙伴关系、有意义的参与、自治和自决、社区参与和公民身份的务实方法。护士还讨论了在老年人急性心理健康环境中以康复为导向的护理的挑战和障碍。本研究确定了一个合理的基线理解实践准备转变为康复为导向的老年人心理保健提供。需要协调一致地推动康复教育，以有效地将以康复为导向的范式嵌入老年人心理健康环境中。
Recovery‐oriented care acknowledges the unique journey that consumers lead with the aim of regaining control of their lives in order to live a good life. Recovery has become a dominant policy‐directed model of many mental health care organizations, but in older‐adult acute mental health inpatient settings, nurses do not have a clear description of how to be recovery‐oriented. The aims of this study were to determine the extent to which elements of existing nursing practice resemble the domains of recovery‐oriented care and provide a baseline understanding of practice in preparation for transformation to recovery‐oriented mental health care provision. An exploratory, qualitative research design was used to meet the research aims. A purposive sample of mental health nurses (N = 12) participated in focus groups in three older‐adult inpatient settings in Australia. A general inductive approach was used to analyze the qualitative data. The mental health nurses in this study readily discussed aspects of their current practice within the recovery domains. They described pragmatic ways to promote a culture of hope, collaborative partnerships, meaningful engagement, autonomy and self‐determination, and community participation and citizenship. Nurses also discussed challenges and barriers to recovery‐oriented care in older‐adult acute mental health settings. This study identified a reasonable baseline understanding of practice in preparation for transformation to recovery‐oriented older‐adult mental healthcare provision. A concerted drive focused on recovery education is required to effectively embed a recovery‐orientated paradigm into older‐adult mental health settings.