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Discovering a dialectic of care.

W K Mohr1

  • 1School of Nursing, University of Pennsylvania, 420 Guardian Drive, Philadelphia, PA 19104, USA. wkmohr@pobox.upenn.edu

Western Journal of Nursing Research
|August 22, 2001
PubMed
Summary

Child psychiatric hospitalization research often overlooks contextual factors, leading to interventions that may not meet patient needs. A critique of the intervention-outcome movement highlights the need to consider broader ecosystem variables beyond profit-driven healthcare agendas.

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Area of Science:

  • Child and Adolescent Psychiatry
  • Healthcare Policy
  • Sociology of Health

Background:

  • The dominant healthcare agenda emphasizes the intervention-outcome movement.
  • Child psychiatric hospitalization research is a key area influenced by this movement.
  • There is a growing concern regarding the impact of market-driven healthcare on patient care.

Purpose of the Study:

  • To critique the prevailing intervention-outcome movement in healthcare.
  • To examine how contextual factors can distort healthcare interventions.
  • To question the narrow focus on outcomes research in child psychiatric settings.

Main Methods:

  • Exploratory descriptive study design.
  • Application of Denzin's interpretive interactionism method.
  • Analysis of data from child psychiatric hospitalization studies.

Main Results:

  • Interventions can be distorted by contextual factors, conflicting ideologies, and agendas.
  • Research agendas are heavily focused on outcomes, often neglecting structure and process.
  • Marketplace emphasis in healthcare may prioritize profits over patient needs and caring.

Conclusions:

  • The focus on interventions and outcomes in research is insufficient without addressing broader ecosystem variables.
  • In-depth data from practice settings reveal limitations of current research agendas.
  • A re-evaluation of healthcare research priorities is needed to ensure patient-centered care.

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