Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Factors Affecting the Quality of Nursing Care in Community Mental Health Centres: A Qualitative Study
Toplum Ruh Sağlığı Merkezlerinde Hemşirelik Bakım Kalitesini Etkileyen Faktörler: Nitel Çalışma
Yasemin YALÇIN AKMANa , Sevda UZUNb
aMersin City Training and Research Hospital Clinic of Mental Health and Diseases, Mersin, Türkiye
bGümüşhane University Faculty of Health Science, Department of Psychiatric Nursing, Gümüşhane, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(1):312-22
doi: 10.5336/nurses.2024-104744
Article Language: EN
Full Text
ABSTRACT
 Objective: Community mental health practices play a significant role in mental illness prevention. It is critical for nurses who play critical roles in the protection, growth, and rehabilitation of community mental health to deliver high-quality care. Nurses face challenges due to issues and limitations at the community mental health center. Also this situation can be impact on the quality of care. This study was planned to examine the factors affecting the quality of nursing care in community mental health centers. Material and Methods: The study was conducted with 12 volunteer nurses using a phenomenological research design, which is a qualitative research design. Interviews were conducted individually and face-to-face. The data were analyzed using Colaizzi's phenomenological analysis method. Results: In the analysis of the data, 4 categories (challenges with care and treatment, deficiencies at the community mental health center, views on the benefits of community mental health center, and recommendations for improving the quality of health care) and 13 main themes (medications, physician, communication, psychiatry service, equipment, team, space and equipment, functionality, communication, treatment and care, social aspects, team, social activities, and facilities and equipment) were identified. Conclusion: The study thoroughly evaluated the factors affecting the quality of nursing care in community mental health centers and suggested potential solutions.

Keywords: Community mental health sevrices; psychiatric nursing; qualitative research
ÖZET
 Amaç: Toplum ruh sağlığı uygulamaları ruhsal hastalıkları önlemede önemli bir yer tutmaktadır. Toplum ruh sağlığının korunması, geliştirilmesi ve rehabilitasyonunda önemli roller üstlenen hemşirelerin kaliteli bakım sunması oldukça önemlidir. Hemşireler toplum ruh sağlığı merkezindeki sorunlar ve sınırlamalar nedeniyle zorluklarla karşılaşmaktadır. Ayrıca bu durum bakımın kalitesini de etkileyebilir. Bu çalışmanın amacı; toplum ruh sağlığı merkezlerinde hemşirelik bakım kalitesini etkileyen faktörleri derinden incelemek için planlanmıştır. Gereç ve Yöntemler: Bu araştırmada nitel araştırma deseni olan fenomenolojik araştırma tasarımı kullanılmıştır. Bu nitel araştırma 12 gönüllü hemşire ile yapılmıştır. Görüşmeler bireysel olarak ve yüz yüze gerçekleştirilmiştir. Veriler, Colaizzi'nin fenomenolojik analiz yöntemi kullanılarak yapılmıştır. Bulgular: Verilerin analizinde 4 kategori (bakıma ve tedaviye ilişkin yaşanan zorluklar, toplum ruh sağlığı merkezindeki eksiklikler, toplum ruh sağlığı merkezinin faydalarına yönelik düşünceler ve sağlık bakım kalitesinin artırılmasına yönelik öneriler) ve 13 ana tema (ilaçlar, hekim, iletişim, psikiyatri servisi, araç-gereç yönünden, ekip yönünden, alan ve donanım, işlevsellik, iletişim, tedavi ve bakım, sosyal yönden, ekip, sosyal etkinlik ve imkân ve donanım) saptanmıştır. Sonuç: Bu çalışma toplum ruh sağlığı merkezlerinde hemşirelik bakım kalitesini etkileyen faktörleri derinden incelemiş ve geliştirilebilecek çözüm önerilerini ortaya koymuştur.

Anahtar Kelimeler: Toplum ruh sağlığı hizmetleri; psikiyatri hemşireliği; nitel araştırma
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