在危机解决/家庭治疗环境中,为有复杂情感需求的人提供和接受护理:定性证据综合分析
Michael Haslam1, Gary Lamph2, Emma Jones1
1School of Nursing & Midwifery, University of Central Lancashire (UCLan), Preston, Lancashire, United Kingdom.
与工作人员相比,有复杂情绪需求 (CEN) 的人在危机护理中经历了不同的优先级. CEN服务用户重视关系方面,而工作人员专注于风险管理,突出需要在心理健康护理更好的平衡.
科学领域:
- 心理健康护理 心理健康护理
- 危机干预 危机干预
- 定性研究综合 定性研究综合
背景情况:
- 在危机解决/家庭治疗 (CRHT) 环境中,对有复杂情感需求 (CEN) 的人的护理经验的理解有限.
- 关于CRHT经验的质量证据越来越多,但CEN护理的综合证据基础缺乏.
- CEN通常与人格障碍有关,导致危机期间更多地使用工作时间以外的服务.
研究的目的:
- 综合关于CRHT中CEN患者提供和接受危机护理的经验的定性证据.
- 在CRHT中为CEN.开发对临床医生与服务用户关系中的动态的全面理解.
- 在CRHT中识别护理提供者和接受者之间的优先事项和重点上的差异.
主要方法:
- 使用元民族学进行定性证据综合.
- 包括来自19篇研究论文的发现.
- 对CRHT的临床医生和服务用户体验账户的分析.
主要成果:
- 在CRHT为CEN的护理经验被分为四个元主题:上下文,功能,关系和决策.
- 服务用户强调了护理的关系方面,寻求联系和验证.
- 临床医生优先考虑了上下文问题,包括资源管理和组织焦虑,重点关注风险评估.
结论:
- 当临床医生仅专注于风险时,可能会出现显著的权力失衡,这可能会使服务用户与CEN.
- 精神卫生护士需要更多地关注个人在危机期间的经历.
- 协作式的理解和平衡情境关注与关系参与对于有效的危机护理对于患有CEN的个人至关重要.
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