Community mental health nurses' perspectives of recovery-oriented practice
Community mental health nurses' perspectives of recovery-oriented practice
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DOI：
10.1111/j.1365-2850.2011.01803.x
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发表时间：
2012-05-01
影响因子：
2.7
通讯作者：
Marshall-Lucette, S.
中科院分区：
文献类型：
--
作者：
Gale, J.;Marshall-Lucette, S.
以康复为导向的做法是一种与服务使用者观点相一致的做法，在精神保健领域占主导地位。许多研究探索了服务使用者对“恢复”的目的、意义和重要性的描述；然而，人们对医疗保健人员对其应用于护理服务的信心了解甚少。本研究采用自我效能感问卷和护理课程资料内容分析，对一群社区心理健康护士的康复实践进行调查，以确定现行持续专业发展课程在多大程度上满足了他们在这方面的教育需求。对23名社区精神卫生护士进行自我效能感问卷调查，并对28份课程文件进行分析。调查结果显示，护士对其理解和应用康复模式的能力的信心水平较高，而在社会包容领域的信心水平较低。内容分析发现，只有一份课程文件使用了整个术语“恢复模型”。研究结果表明，护士在康复导向实践中的感知能力和信心与学术教授的内容存在差距。因此，护理教育需要更明确地关注康复模式及其在护理服务中的应用。
Recovery-oriented practice, an approach aligned towards the service user perspective, has dominated the mental health care arena. Numerous studies have explored service users' accounts of the purpose, meaning and importance of 'recovery'; however, far less is known about healthcare staff confidence in its application to care delivery. A self-efficacy questionnaire and content analysis of nursing course documents were used to investigate a cohort of community mental health nurses' recovery-oriented practice and to determine the extent to which the current continuing professional development curriculum met their educational needs in this regard. Twenty-three community mental health nurses completed a self-efficacy questionnaire and 28 course documents were analysed. The findings revealed high levels of nurses' confidence in their understanding and ability to apply the recovery model and low levels of confidence were found in areas of social inclusion. The content analysis found only one course document that used the whole term 'recovery model'. The findings suggest a gap in the nurses' perceived ability and confidence in recovery-oriented practice with what is taught academically. Hence, nursing education needs to be more explicitly focused on the recovery model and its application to care delivery.