"如果没有IPS,我想我真的会崩":精神疾病患者体验到的个人安置和支持-现象学同行研究研究
Marianna Agata Borowska1, Kristin Berre Ørjasæter2, Marit Borg3
1Faculty of Nursing and Health Sciences, Nord University, Bodø, Norway.
Qualitative health research
|October 21, 2024
概括
个人安置和支持 (IPS) 帮助患有严重精神疾病 (SMI) 的个人找到有竞争力的就业机会. 与就业专家 (ES) 建立牢固的关系是建立信心和克服求职挑战的关键.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 职业康复 职业康复 职业康复
- 卫生社会学 卫生社会学
背景情况:
- 就业对于康复至关重要,为严重精神疾病 (SMI) 患者提供经济,社会和健康福利.
- 尽管有工作的愿望,但许多SMI患者面临着就业的重大障碍.
- 个人安置和支持 (IPS) 是一个基于证据的模型,旨在帮助SMI的个人获得有竞争力的就业机会.
研究的目的:
- 质量地探索参与者在挪威从事IPS服务的实践经验.
- 从SMI寻求就业的个人的角度更深入地了解IPS现象.
- 在IPS框架内确定有助于成功的职业教育成果的关键因素.
主要方法:
- 定性现象学研究,涉及10名参与者与SMI使用IPS服务的SMI.
- 结合了同行研究方法,由一个能力组的四名成员参与.
- 使用反射生命世界研究 (RLR) 方法分析数据.
主要成果:
- 四个核心组成部分出现了:"在就业的道路上拥有安全网"",感觉更像一个人,而不仅仅是病人"",更光明的未来"和"超越就业支持".
- IPS作为一个重要的,与就业专家 (ESs) 建立牢固,信任的关系,培养参与者的信心和力量.
- 医疗服务人员往往将其角色扩展到职业支持之外,以解决未得到满足的日常生活需求,而这些需求并未完全得到医疗服务的覆盖.
结论:
- 由ESs提供的治疗关系和全面支持对于SMI患者在就业环境中进行导航至关重要.
- 与职业目标一起应对更广泛的日常生活挑战,对于改善就业成果和整体生活质量至关重要.
- 建议加强职业和健康服务之间的协调,以更好地支持参与者的康复和重新融入劳动力.
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