Psychosocial interventions (PSI) offer a range of problem-centred activities designed to improve the health and quality of life of clients and their carers. The paper reports the findings of a study on the roles and perspectives of mental health nurse practitioners towards clients with enduring mental illness and their carers following completion of PSI training. Focus groups interviews were conducted with PSI mental health nurse practitioners (n = 8) and data were analysed for thematic content. The results of the study indicated that PSI practitioners developed positive attitudes towards their client following PSI training and this attitudinal change enabled clients to develop more confidence and autonomy in managing the symptoms of their illness in a more empowered way. Focus group participants observed reduced levels of anxiety among clients and their carers. This was attributed to the 'sense of hope' within the caring milieu which was established as a result of collaborative working with the client and family. The findings suggest that there is a need for further exploration of the PSI practitioner role with a particular focus on the centrality of positive attitudes on the development of the therapeutic milieu for clients with severe and enduring mental ill health.

译文

:社会心理干预(PSI)提供了一系列以问题为中心的活动,旨在改善客户及其护理人员的健康和生活质量。该论文报告了在完成PSI培训后,心理健康护理从业者对患有持久性精神疾病的患者及其护理人员的作用和观点的研究结果。与PSI精神卫生护理从业人员(n = 8)进行了焦点小组访谈,并分析了数据的主题内容。研究结果表明,PSI从业人员在接受PSI培训后对客户产生了积极的态度,这种态度上的变化使客户在以更强大的方式管理疾病症状方面建立了更多的信心和自主权。焦点小组参与者观察到客户及其护理人员的焦虑程度有所降低。这归因于关怀环境中的“希望感”,这是与客户和家人共同合作的结果。研究结果表明,有必要进一步探讨PSI从业者的角色,尤其要关注对患有严重和持久性精神疾病的患者的治疗环境发展所持积极态度的中心性。

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