走路铺平道路 - - 灵活坚定的社区治疗经理对准备在门诊服务中实施同行支持工作 (PSW) 的观点
Kirsten Kjær Johansen1,2, Birgitte Lerbæk1, Mike Slade3,4
1Unit for Psychiatric Research, Aalborg University Hospital - Psychiatry, Aalborg, Denmark.
Issues in mental health nursing
|September 9, 2024
概括
在灵活的坚定的社区待遇中实施同行支持工作者带来了挑战. 管理人员报告说,这是一个非结构化的过程,强调需要更好地准备和支持心理健康专业人员,以确保成功的整合.
科学领域:
- 心理健康服务研究研究 心理健康服务研究
- 实施科学 实施科学
- 质量健康研究 质量健康研究
背景情况:
- 灵活的坚持性社区治疗 (FACT) 服务旨在提供密集的社区支持.
- 同行支持工作者 (PSW) 融入心理健康团队是一个新兴的做法.
- 了解管理人员对PSW实施的看法对于成功提供服务至关重要.
研究的目的:
- 探索灵活坚定的社区待遇管理人员对准备和雇用同行支持工作者的看法.
- 在FACT团队中确定同行支持工作者在实施过程中的挑战和促进者.
主要方法:
- 用半结构面试对5名门诊服务管理人员进行定性研究,北丹麦地区.
- 使用诱导性内容分析来确定关键主题.
- 探索管理人员关于PSW决策,准备和整合的经验.
主要成果:
- 三个主题出现了: (1) 采用PSW的探索性,能源密集型决策, (2) "在行走时铺平道路"的准备方法,和 (3) 关于PSW和心理健康专业人员合作的实用性方面的不确定性.
- 实施过程的特点是缺乏结构,这可能会影响员工的福祉和准备.
- 管理人员对PSW的角色明确性和专业整合表示担忧.
结论:
- 在FACT环境中实施同行支持工作者通常是无结构的和探索性的.
- 在合作中解决不确定性,并提供结构化的准备对于成功的整合至关重要.
- 应用实施框架和考虑障碍/促进者可以加强在心理健康服务中采用PSW.
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