利益相关者对住院精神病房持续观察的观点
Lottie Anstee1, Denford Chifamba1, Wasim Loothfaully1
1Hertfordshire Partnership University NHS Foundation Trust, Hatfield, UK.
Journal of psychiatric and mental health nursing
|June 26, 2024
概括
心理健康病房的持续观察可以通过使其具有治疗性,与风险成比例,并与患者和工作人员共同开发来改进. 这种方法通过专注于个人需求和协作审查,提高了安全性和患者体验.
科学领域:
- 心理健康护理 心理健康护理
- 精神病学护理 精神病学护理
- 患者安全 患者安全
背景情况:
- 持续观察是精神病房管理高风险患者的常见做法.
- 现有证据表明,持续观察可能是限制性和无助的,对改善实践的研究有限.
研究的目的:
- 探索服务用户,非正式照顾者和医疗保健工作人员在精神卫生机构的持续观察方面的经验.
- 确定当前的持续观测实践需要改进的领域.
主要方法:
- 进行了定性服务评估.
- 五名服务用户,三名非正式护理人员和七名医疗保健工作人员完成了半结构化访谈.
- 专题分析被用来分析采访数据,导致了四个关键主题.
主要成果:
- 治疗参与和活动参与对于有效观察至关重要,最大限度地减少非生产性行为.
- 为了平衡患者的安全与隐私,需要适当的和个性化的观察程序.
- 让服务用户和非正式照顾者参与照顾决策可以增强观察体验.
结论:
- 持续观察应具有治疗性,与风险相称,并与所有利益相关方 (服务用户,护理人员,工作人员) 共同开发.
- 进一步培训员工沟通,并使观察过程正式化,可以带来更好的风险管理和文化变化.
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