患者和卫生专业人员在精神病住院环境中共同决策的观点 - - 一个多重的定性案例研究
Caroline Gurtner1,2, Jos M G A Schols2,3, Christa Lohrmann4
1Applied Research & Development in Nursing, Department of Health Professions, Bern University of Applied Sciences, Bern, Switzerland.
PEC innovation
|December 11, 2024
概括
共享决策 (SDM) 在精神病治疗中是有价值的,但很难实现. 加强患者参与需要卫生保健专业人员积极沟通和信息共享.
科学领域:
- 精神病学是一个精神病学.
- 医疗保健管理的管理
- 以患者为中心的护理
背景情况:
- 共享决策 (SDM) 被认为是促进患者康复和以人为中心的护理.
- 在临床实践中实施SDM存在重大挑战.
研究的目的:
- 探索患者和卫生专业人员与SDM的经验.
- 在精神病学环境中识别SDM实施的促进者和障碍.
主要方法:
- 采用了定性多个案例研究设计.
- 数据收集包括个人采访,观察,文档分析和重点小组.
- 使用了常规的比较方法和内部和交叉案例分析.
主要成果:
- 在日常精神病医院住院病人的日常生活中存在各种决策形式,尽管专业人士倡导SDM.
- 患者对SDM的期望和看法影响了他们的参与程度.
- 发现了理想的SDM方法与其实际应用之间的差距.
结论:
- 卫生专业人员的积极沟通和信息提供可以加强患者参与决策.
- 解决倡导的SDM与实际实施之间的分歧对于其在临床环境中的成功至关重要.
相关概念视频
Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
Ethical Dilemmas II
931
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
931
Community Based Intervention
33
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
33
Psychosurgery
46
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
46
Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
Ethical Issues
852
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
852


