Metasynthesis of Research on the Role of Psychiatric Inpatient Nurses: What Is Important to Staff?

被引:32
作者
Delaney, Kathleen R. [1 ]
Johnson, Mary E. [1 ]
机构
[1] Rush Coll Nursing, Chicago, IL 60612 USA
关键词
inpatient psychiatric nurses; inpatient psychiatric treatment; psychiatric hospitalization; qualitative metasynthesis; MENTAL-HEALTH-CARE; SETTINGS; CHALLENGES; SECLUSION; RESTRAINT; REFORM; MODEL;
D O I
10.1177/1078390314527551
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
BACKGROUND: Inpatient psychiatric nurses are a large workforce, but their work is poorly articulated and thus poorly understood outside of the professional inpatient community. OBJECTIVE: To learn how inpatient psychiatric nurses depict their work, define important aspects of their role, and view the impact of the unit environment on their clinical practice. DESIGN: Metasynthesis of research that has focused on the ideas and perceptions of inpatient psychiatric nurses around their role and practice on inpatient psychiatric units. RESULTS: Three themes emerged from the analysis; the first was an umbrella for three important aspects of nursing work: the nurses' efforts to forge engagement with patients; their activities which maintained the safety of the unit and interventions nurses viewed as educating/empowering patients. The second theme captures the conditions that enabled nurses to do this work such as a cohesive nursing team and their sense of self-direction in their role. The final theme centers on difficulties nurses encountered in enacting their role which included multiple responsibilities for patient care and management of the milieu; intense work often with low visibility and scant support within the organization. CONCLUSIONS: Nurses need to articulate their practice so they can assert for the staffing and resources needed to keep units safe and promote patients' well-being, strive toward quality, and promote the development of the specialty.
引用
收藏
页码:125 / 137
页数:13
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