RESUMO
PURPOSE: To obtain insight into the patients' experiences during treatment in an acute, closed psychiatric ward. DESIGN AND METHODS: A systematic literature search was conducted in the databases Medline, Embase, CINAHL, and Cochrane. FINDINGS: Ten articles were selected. Four main themes emerged from the literature: (a) the inappropriate use of the ward rules, (b) nurses' lack of time for interacting with patients, (c) the feeling of humiliation, and (d) the involvement of significant others. PRACTICE IMPLICATIONS: Nurses can use the findings of this systematic review to improve quality of care in acute psychiatric units.
Assuntos
Transtornos Mentais/enfermagem , Transtornos Mentais/psicologia , Relações Enfermeiro-Paciente , Unidade Hospitalar de Psiquiatria/organização & administração , Qualidade da Assistência à Saúde/normas , Humanos , Enfermagem PsiquiátricaRESUMO
PURPOSE: To determine what is known from the literature about nursing care of psychiatric patients with a history of child maltreatment. CONCLUSIONS: Psychiatric nurses underline the importance of a routine inquiry of child abuse on admission of patients to psychiatric care, but are reluctant to ask about child abuse. They often feel insufficiently competent to respond effectively to patients with a history of child maltreatment. PRACTICE IMPLICATIONS: Psychiatric nurses need training in how to assess a history of child abuse and the late-life consequences of abuse in adult psychiatric patients. They also need to be trained to respond effectively to these patients.
