基于自然的方法:一种混合方法研究 CAMHS 中的促进者和实施障碍
Siobhan B Mitchell1, Beth Chapman2, Rachel Hayes3
1NIHR Applied Research Collaboration South West Peninsula, University of Exeter, South Cloisters, St. Luke's Campus, Heavitree Road, Exeter, UK. s.b.mitchell@exeter.ac.uk.
基于自然的方法 (NBA) 对儿童和青少年心理健康服务 (CAMHS) 是有前途的. 实施面临文化障碍,但可以通过员工的经验和组织支持来促进.
科学领域:
- 环境心理学 环境心理学
- 临床心理学 临床心理学
- 医疗保健管理的管理
背景情况:
- 越来越多的证据支持大自然对健康和福祉的好处.
- 在医疗保健环境中,基于自然的方法 (NBA) 的潜在好处正在出现.
- 在儿童和青少年心理健康服务 (CAMHS) 中实施NBA仍未得到充分探索.
研究的目的:
- 在CAMHS中探索NBA的实施.
- 检查员工的态度和对NBA的理解.
- 在CAMHS中确定NBA的潜在好处和挑战.
主要方法:
- 混合方法研究涉及在线调查 (两波) 和半结构面试.
- 数据是在64名CAMHS工作人员的NatureWell培训中收集的.
- 参与者从一个NHS信托中抽取样本,包括那些参加和没有参加培训的人.
主要成果:
- 97名员工回答了第一波调查,57人回答了第二波调查,14名员工接受了采访.
- 确定了关键主题:CAMHS文化与NBA之间的紧张关系,以及购买和治理支持的需要.
- 对员工和服务用户的潜在好处也被描述 (在单独的论文中).
结论:
- 在CYP心理健康服务中实施NBA带来了挑战和机遇.
- 组织和文化因素,如风险厌恶,构成重大障碍.
- 从第一手经验和其他促进者的经验证明,为了在CAMHS中成功实施NBA,需要进一步探索.
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