"未成年人的精神病紧急咨询:专业人员经验的定性研究"
P So1,2,3, L A Nooteboom4, R M Vullings5
1Youz, Center for Youth Mental Healthcare, Rotterdam, the Netherlands. p.so@youz.nl.
BMC psychiatry
|August 7, 2024
概括
评估儿童的精神病紧急情况对工作人员来说是一项挑战. 加强专业知识和区域融合可以改善对未成年人的照顾,减少职业不确定性.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 紧急医疗 紧急医疗
- 心理健康服务 心理健康服务
背景情况:
- 对于未成年人的精神病紧急评估,对于那些没有专门从事儿童和青少年护理的医疗保健专业人员来说,存在着独特的挑战.
- 由于沟通障碍,难以准确评估未成年人的状况,并确定适当的紧急干预措施,包括精神病医院入院.
- 需要了解急救部门专业人员对未成年人和他们的家人的有效评估的要求.
研究的目的:
- 探索医疗保健工作人员在精神病紧急情况期间评估未成年人的经验.
- 确定加强专业人员提供足够支持儿童和青少年紧急病人的能力的建议.
主要方法:
- 与精神病急诊服务人员进行了11次半结构面试.
- 采用专题分析来确定采访中的关键主题.
主要成果:
- 工作人员发现,评估有紧急精神问题的未成年人是复杂和耗时的,他们经常对年龄适应性和系统性问题感到不确定.
- 专业人士报告说,在评估12岁以下的儿童及其家属时,他们特别不安全,理由是缺乏知识和惯例.
- 关键主题包括家长的作用,专业人员的不确定性,精神病医院入院的替代方案,区域组织差异和改进策略.
结论:
- 为员工定制专业知识的发展至关重要.
- 建议加强精神病急救服务在儿童和青少年服务中的区域整合.
- 这些改进旨在减少职业不确定性,并加强对未成年人的精神病紧急护理.
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