实施儿童和青少年病房的安全区:一个过程和结果评估
Alan Simpson1,2, Rubbia A Ali1, Madeleine Chadwick1
1Care in Long Term Conditions Research Division, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.
用于减少成人心理健康服务冲突的Safewards模型显示出在儿童和青少年 (CYP) 心理健康环境中实施的希望. 虽然存在挑战,但许多CYP病房可以成功地采用Safewards干预措施.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 心理健康服务研究 心理健康服务研究
- 医疗保健实施科学 医疗保健实施科学
背景情况:
- "Safewards"模式有效地减少了成人住院精神卫生服务中的冲突和制.
- 关于在儿童和青少年 (CYP) 心理健康服务中实施Safewards的研究有限.
- 了解CYP环境中的实施促进者和障碍者至关重要.
研究的目的:
- 调查在英格兰20个CYP精神卫生病房中实施Safewards模式的可行性和可接受性.
- 确定影响CYP服务中Safewards干预措施成功采用的因素.
- 为未来大规模评估儿童心理健康中的Safewards提供信息.
主要方法:
- 使用卫生科学研究实施综合促进行动 (i-PARiHS) 框架进行过程和结果评估.
- 数据收集包括基准测试,Safewards组织忠诚度测量,员工调查和采访.
- 专题分析用于分析定性数据,并将结果映射到i-PARiHS结构中.
主要成果:
- 在20个CYP病房中,12个病房在12个月内实施了至少10个Safewards干预措施中的一半.
- 两个病房成功实施了所有十个Safewards干预措施.
- 在一系列CYP服务中,Safewards被认为是可以接受的,实施能力是关键因素.
结论:
- "Safewards"模式在CYP心理健康服务中是可实施和可接受的,尽管存在一些挑战.
- 拥有足够资源和支持的病房表现出愿意和能力实施Safewards干预措施.
- 对于CYP单元,需要进行进一步的研究,包括一项评估实施和结果的研究.
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