心理治疗中的公开笔记:在瑞士的心理治疗学生中进行了一项探索性的混合方法调查
Anna Kharko1,2, Sarah Buergler3, Annika Bärkås1
1Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Digital health
|April 1, 2024
概括
心理治疗学员对患者在网上访问心理治疗笔记的看法不同. 虽然他们担心对治疗的潜在负面影响,但他们也看到了患者沟通和知情同意的好处.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 医疗信息学 医疗信息学
- 医学教育 医学教育
背景情况:
- 越来越多的患者在线访问临床记录的趋势,称为"开放笔记".
- 对心理治疗笔记的访问仍然有限,没有对实习生观点的先前研究.
- 瑞士是探索这些不断变化的患者数据访问政策的关键背景.
研究的目的:
- 调查瑞士心理治疗学员关于患者获得心理治疗师自由文本摘要的意见.
- 了解学员对心理治疗中开放笔记的含义的熟悉程度和观点.
主要方法:
- 一个基于网络的混合方法调查分发给了201名心理治疗学员.
- 对42项调查的定量分析评估了熟悉度和意见.
- 对开放式问题的定性分析探索了对影响的详细观点.
主要成果:
- 72名实习生 (35.8%) 回复了,显示了对开放笔记的分歧意见.
- 大多数 (75%) 的人认为开放说明总体上是积极的,其中94.1%的人主张对这个主题进行培训.
- 关键主题包括潜在的负面影响 (工作量,关系损害),积极影响 (沟通,同意) 和治疗类型之间的差异性影响.
结论:
- 分享心理治疗笔记正在扩大,需要了解学员的观点.
- 实习生预计关于开放笔记的挑战和好处,突出了教育和政策制定的需要.
- 这项研究提供了从实习生角度对开放笔记对患者护理和心理治疗实践的影响的关键见解.
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