揭开改变心理健康护理的复杂性,转向以人为中心的护理
Karin Lorenz-Artz1,2, Joyce Bierbooms1, Inge Bongers1,2
1Tranzo, Tilburg School of Social and Behavioral Sciences, Tilburg University, Tilburg, Netherlands.
Frontiers in psychiatry
|October 2, 2023
概括
在精神卫生服务中通过开放对话 (OD) 实施以人为中心的护理存在挑战. 在这种系统性变化期间,专业人士面临知识转移,人际关系动态,情感不适和利益相关方参与方面的困难.
科学领域:
- 心理健康护理研究 心理健康护理研究
- 医疗保健系统转型 医疗保健系统转型
- 心理社会干预研究 心理社会干预研究
背景情况:
- 心理健康护理 (MHC) 需要转向以人为中心的方法,以有效地满足个人的需求.
- 开放对话 (OD) 是一种实践模式,与以人为中心的护理原则保持一致,并使其运行.
- 过渡到以人为中心的OD实践涉及到MHC团队内部复杂的变革过程.
研究的目的:
- 探索在心理健康护理中采用以人为中心的开放对话 (OD) 实践期间的变化过程.
- 识别和分析心理健康护理 (MHC) 专业人员在过渡期间遇到的挑战.
- 了解这些挑战的复杂性,以便在MHC中更广泛地采用以人为中心的护理.
主要方法:
- 使用半结构面试进行定性研究设计.
- 与MHC专业人员 (OD培训,学员和非OD培训) 进行的14次采访.
- 混合主题分析结合了演和归纳方法来解释数据.
主要成果:
- 确定了四个主要挑战:知识转移,人际关系过程,情感不适以及多方利益相关者参与.
- 这些挑战是相互关联的,非线性,在实践中很难解开它们.
- 实施以人为中心的OD需要系统性变化,影响MHC内部的既定范式.
结论:
- 采用以个人为中心的护理,如开放对话 (OD),涉及系统性变化和MHC专业人员不熟悉的领域.
- 在理解和转移关于以人为中心的护理知识方面存在重大挑战,需要知识管理策略.
- 过渡需要解决人际关系动态,情感不适,并促进多方利益相关者的支持,强调MHC的基本价值观和人权.
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