Zeit für die Patienten finden:

D. Whittington; C. McLaughlin

doi:10.1055/s-2002-33558

PPH, Table of Contents

PPH 2002; 8(4): 198-206
DOI: 10.1055/s-2002-33558

Pflegeforschung

Zeit für die Patienten finden:

Wie teilen sich Pflegende auf psychiatrischen Akutstationen ihre Zeit ein?D. Whittington ¹ , C. McLaughlin ²

¹ MA, MED, TCERT, AFBPsS, CPsychol, Professor für Gesundheitspsychologie, University of Ulster, Jordanstown, Nordirland
² Bsc DPhil RMN RGN RCNT RNT Cert Ed, Lehrbeauftragter für Pflege und Hebammenwesen, Queen's University Belfast, Nordirland

Der Artikel wurde zuerst veröffentlicht im Journal of Psychiatric and Mental Health Nursing, 2000, 7, S. 259 - 268. Der Abdruck erfolgt mit freundlicher Genehmigung des Verlages Blackwell Science Ltd. Übersetzung aus dem Englischen: Thomas Fischer

Abstract

Diese Arbeit prüft den Anteil der Arbeitszeit, den psychiatrische Pflegekräfte in potenziell psychotherapeutisch wirksamer Eins-zu-eins-Kommunikation mit Patienten verbringen. Auf drei Akutaufnahmestationen eines psychiatrischen Krankenhauses in Nordirland wurden zwanzig Pflegekräfte beobachtet. Mit einem speziell dafür entwickelten Beobachtungsinstrument „Nurses Daily Activity Recording System (NURDARS)” (System zur Aufzeichnung täglicher Aktivitäten) wurde die Zeit aufgezeichnet, die die Pflegekräfte mit einer Auswahl von Routineaufgaben verbrachten. Die Ergebnisse: a) Sie verbrachten weniger als die Hälfte der Arbeitszeit (42,7 %) im Kontakt mit Patienten, b) der Anteil an Arbeitszeit, der auf potenziell psychotherapeutisch wirksame Interaktion mit Patienten verwendet wurde, war sehr klein (6,75 %). Die Diskussion umfasst Bedeutung und Grenzen der Studie, Vorschläge für Management und Praxis der psychiatrischen Pflege, für die Ausbildung und für weitere Forschung.

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References

Literatur

1 Altschul A. Patient-Nurse Interaction: a Study of Interactive Patterns in Acute Psychiatric Wards. Edinburgh; Churchill Livingstone 1972
2 Barker P, Reynolds W, Stevenson C. The human science of psychiatric nursing: theory and practice. Journal of Advanced Nursing. 1997; 25 660-667
3 Carrigan J T. The psychosocial needs of patients who have attempted suicide by overdose. Journal of Advanced Nursing. 1994; 20 635-642
4 Cormack D. Psychiatric Nursing Observed: a Descriptive Study of the Work of the Charge Nurse in Acute Admission Wards of Psychiatric Hospitals. London; Royal College of Nursing 1976
5 Cormack D. Psychiatric Nursing Described. Edinburgh; Churchill Livingstone 1983
6 Dennis S. Close observation: how to improve assessments. Nursing Times. 1997; 93 54-56
7 Donnelly M, McGilloway S, Mays N. et al .Opening New Doors. London; HMSO 1994
8 Donnelly M, McGilloway S, Mays N. et al . Leaving hospital: one and two year outcomes of long stay psychiatric patients discharged to the community. Journal of Mental Health. 1996; 5 245-255
9 Gijbels H. Mental health nursing skills in an acute admission environment: perceptions of mental health nurses and other mental health professionals. Journal of Advanced Nursing. 1995; 21 460-465
10 Hessler I. Roles, status, and relationships in psychiatric nursing. Nursing Times. 1980; 76 508-509
11 Hodges V, Sandford D, Elzinga R. The role of the ward structure on nursing staff behaviours: an observational study of three psychiatric wards. Acta Psychiatrica Scandinavica. 1986; 73 6-11
12 Hopton J. Missed opportunities. Nursing Management. 1998; 5 28-31
13 Kalkman M. Psychiatric Nursing, 3rd edn. New York; McGraw-Hill 1958
14 Kingdon D, BakeweIl E. Aggressive behaviour: evaluation of a non-seclusion policy of a district psychiatric service. British Journal of Psychiatry. 1988; 153 631-664
15 Lepola I, Vanhanen L. The patients' daily activities in acute psychiatric care. Journal of Psychiatric and Mental Health Nursing. 1997; 4 29-36
16 Long A, Reid W. An exploration of nurses' attitudes to the nursing care of the suicidal patient in an acute psychiatric ward. Journal of Psychiatric and Mental Health Nursing. 1996; 3 29-37
17 McLaughlin J FC. A Study of Psychiatric Nurses' Psychotherapeutic Communications with Suicidal Patients. Unpublished DPhil Thesis. Jordanstown; University of Ulster 1997
18 McLaughlin C. An exploration of psychiatric nurses' and patients' opinions regarding in-patient care for suicidal patients. Journal of Advanced Nursing. 1999; 29 1042-1051
19 Martin T. Psychiatric nurses' use of working time. Nursing Standard. 1992; 6 34-36
20 Medley D, Mitzel H. Measuring classroom behaviour by systematic observation. In: Gage N (Ed) Handbook of Research on Teaching. Chicago; Rand McNally 1962
21 Minghella E. The role of the nurse in the management of parasuicide in the community. In: Wilson-Barnett J, Robinson S (Eds) Directions in Nursing Research: Ten Years of Progress at the London University. London; Scutari 1989
22 Moore C. Admission to an acute psychiatric ward. Nursing Times. 1998; 94 58-59
23 Peplau H. Theory: the professional dimension. In: O'Toole AW, Welt SR (Eds) Interpersonal Theory in Nursing Practice: Selected Works of Hildegard Peplau. New York; Springer 1989
24 Peplau H. Psychiatric mental health nursing: challenge and change. Journal of Psychiatric and Mental Health Nursing. 1994; 1 3-7
25 Reynolds W, Cormack D. Psychiatric and Mental Health Nursing: Theory and Practice. New York; Chapman & Hall 1990
26 Ricketts T. General satisfaction and satisfaction with nursing communication on an adult psychiatric ward. Journal of Advanced Nursing. 1996; 24 479-487
27 Robinson D. Developing Clinical Quality Indicators in Psychiatric Nursing. PhD Thesis. Chelmsford; Anglia Polytechnic University 1994
28 Robinson D. Are nurses fulfilling their proper role? Measuring culture trends in mental health nursing care. Psychiatric Care. 1995; 2 27-31
29 Royal College of Nursing .Post-Certificate Training and Education of Psychiatric Nurses. London; Royal College of Nursing 1970
30 Sandford D, Elzinga R. Patient interactions into psychiatric wards. Acta Psychiatrica Scandinavica. 1990; 82 125-129
31 Sandford D, Elzinga R, Iversen R. A quantitative study of nursing staff interactions in psychiatric wards. Acta Psychiatrica Scandinavica. 1990; 81 46-51
32 Sanson-Fisher R, Poole A, Thompson V. Behaviour patterns within a general hospital psychiatric unit: an observational study. Behaviour Research and Therapy. 1979; 17 317-332
33 Sanson-Fisher R W, Poole A D. The content of interactions: naturally occurring contingencies within a short-stay psychiatric unit. Advances in Behaviour Research and Therapy. 1980; 2 145-157
34 Street C. An investigation of the priority placed on nurse/patient interaction by psychiatric nurses. In: Brooking J (Ed) Psychiatric Nursing Research. Chichester; John Wiley 1982
35 Warren J. Demanding times. Nursing Times. 1998; 94 38
36 Whittington D, Wilson R, Doherty H. The effectiveness of the industrial therapy organisation. Jordanstown; University of Ulster 1997

D. Whittington

School of Health Sciences · University of Ulster

Shore Road · Whiteabbey · Co. Antrim · Jordanstown · N. Ireland, BT37 OQB