ABSTRACT

Background

Research indicates that clinical staff lack confidence in delivering clinical care for voice hearers. Understanding staff experience is therefore likely to benefit staff training.

Objective

To explore staff experience of delivering clinical care for voice hearers using qualitative methodology.

Method

A total of 18 multidisciplinary staff from five acute psychiatric wards participated in brief semi-structured interviews. Interviews were analysed using thematic analysis.

Results

Six themes were identified. Participants reported Challenges of Understanding Subjective Experience (N = 16) of hearing voices, Empathy for Distress (N = 14) caused by voices, Curiosity about Experience (N = 10) and wish to understand, Anxiety about Clinical Risk (N = 8), especially regarding command hallucinations, Lack of Clinical Confidence (N = 7) in how to respond, and Diversity of Voices (N = 6) experienced by voice hearers.

Conclusion

Staff have empathy for voice hearers’ distress but feel they lack subjective understanding of what it feels like to hear voices. Lack of understanding, perceived clinical risks, and diversity of voices may be associated with reported lack of clinical confidence. Staff training that promotes greater subjective understanding has the potential to improve therapeutic relationships, clinical confidence, and quality of care. Using simulation technologies and involving people with lived experience in staff training may be ways to improve subjective understanding.

中文翻译：

---

员工在急性精神科病房为听到声音的服务使用者提供临床护理的经验：定性研究

摘要

背景

研究表明，临床人员缺乏为听众提供临床护理的信心。因此，了解员工的经验可能会有益于员工培训。

客观的

探索使用定性方法为听众提供临床护理的员工经验。

方法

来自五个急性精神科病房的总共18名多学科人员参加了简短的半结构式访谈。使用主题分析对访谈进行了分析。

结果

确定了六个主题。参与者报告了理解听觉的主观经验的挑战（N = 16），声音引起的同情心（N = 14），对经验的好奇心（N = 10）并希望理解，对临床风险的焦虑（N = 8） ，尤其是关于幻觉，在应对方面缺乏临床信心（N = 7）以及听众所经历的声音多样性（N = 6）。

结论

工作人员对听众的困扰感到同情，但他们感觉他们对听到声音的感觉缺乏主观的理解。缺乏了解，感知到的临床风险和声音的多样性可能与所报告的缺乏临床信心有关。可以增进主观理解的员工培训有可能改善治疗关系，临床信心和护理质量。使用模拟技术并使具有丰富经验的人员参与人员培训可能是提高主观理解的方法。