Nursing interventions in adult psychiatric outpatient care. Making nursing visible using the Nursing Interventions Classification

To describe and to clarify the work of nurses in psychiatric outpatient care using a standardized nursing terminology and to describe the potential benefits and challenges in the use of the terminology.A qualitative study of ethnographically grounded fieldwork in four adult outpatient units located in three major cities in Finland.A two-phase ethnographically oriented study, consisting of observations and focus group interviews in four psychiatric outpatient care units (in January-March 2018). During this process, the identified nursing interventions were mapped into the Nursing Interventions Classification.We identified 93 different nursing interventions, covering all seven domains. Categories describing potential benefits and challenges were as follows: giving words to nurses' work and the challenge of overlapping interventions.Our findings indicate that the Nursing Interventions Classification is a suitable means to describe nursing in the psychiatric outpatient care setting. Our findings support the theory that describing nurses' work using a nursing terminology can make nursing visible and further empower nurses and help them to structure their work. The lack of other professionals, especially physicians, has led to nurses taking over new tasks officially and unofficially and we suggest that the issue needs to be studied further.Nurses' role in the psychiatric outpatient care has been described as invisible and difficult to describe. Our findings suggest that a nursing terminology can make nursing visible, not only from the perspective of patient health records but is also a way to conceptualize nurses' work.目的: 使用标准护理术语为精神科门诊病人解释护理服务和探讨使用术语的利弊。 设计: 对来自芬兰3 个城市的4位精神科门诊病人进行民族志实地考察量化研究。 方法: 研究是两阶段性民族志研究,此研究包括对4位精神科门诊病人典型群体的观察和采访(2018年2月-3月)。研究过程中,所有护理服务都有护理服务分类术语表示。 结果: 研究涵盖了对7个领域的93种护理服务使用术语分类。研究发现使用护理术语的利弊如下:证实护士工作、护理工作重叠。 结论: 研究发现在精神科使用术语分类护理工作的方法非常实用。同时此研究也证明使用术语的方法能使护理服务更透明,证明护士工作和帮助其高效安排工作。如果医院缺乏其他专业人士尤其是医生,护士就不得不正式或非正式地划分任务。这一问题值得我们进一步研究。 影响: 在此之前,人们认为精神科门诊护士的护理服务不透明,无法描述。此研究证明使用标准护理术语不仅会使护理服务更透明,还能概念化解释护理服务。.