社区心理健康的远程咨询:临床团队的定性研究
Robyn McCarron1, Anna Moore1,2, Ilana Foreman1
1Cambridgeshire and Peterborough NHS Foundation Trust, Cambridge, UK.
Journal of psychiatric and mental health nursing
|March 11, 2024
概括
远程咨询为社区心理健康护理提供了好处,但并不适合所有人. 一种灵活的,混合的方法是必不可少的,考虑到个体需求并确保公平的获取.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 数字健康数字健康
- 医疗保健提供系统
背景情况:
- 在COVID-19大流行期间,社区心理健康团队迅速采用了远程咨询.
- 虽然远程咨询显示出有效性,效率和经济效益,但其可接受性,可行性和医疗法律方面需要进一步调查.
- 现有知识表明,远程咨询可能不适用于所有服务用户和临床医生.
研究的目的:
- 探索与远程提供社区心理健康护理相关的感知优势,挑战和实践适应.
- 了解临床医生和团队在实施远程咨询模型方面的经验.
主要方法:
- 在NHS信托机构中,与十个社区心理健康团队进行了服务评估.
- 在2020年4月至12月期间,关于远程咨询的50个团队讨论被录音.
- 在数据分析中采用了一个框架方法,主题被编码在矩阵中.
主要成果:
- 出现了三个主要主题:运营和团队运作,临床途径和对员工的影响.
- 确定的垂直主题包括优势,挑战,公平问题和必要的调整.
- 临床工作人员报告了个人,团队和服务层面的好处.
结论:
- 远程咨询为社区心理健康服务提供提供了一个有吸引力的模式.
- 然而,它并不被认为是普遍有益或实用的,对获得平等有显著的担忧.
- 需要采取灵活的混合方法,考虑个人服务用户,临床群体和角色的适用性,同时保证平等.
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