精神病学十年的高密集治疗:专业人士对发展和未来影响的思考
I C de Jong Isa1, A L van Melle Laura1,2, S Gerritsen Sylvia1
1Department of Ethics, Law and Humanities, Amsterdam University Medical Center, Amsterdam, the Netherlands.
International journal of mental health nursing
|August 22, 2025
概括
在荷兰精神病房实施高密集护理模式减少了胁迫,但也面临着挑战. 关键的发展包括员工流动和改善的协作,需要专注于保持和患者联系以获得更好的护理.
科学领域:
- 心理健康护理
- 实施科学
- 心理护理
背景情况:
- 在过去的十年中,荷兰的精神病房采用了高密集护理 (HIC) 模式.
- 这种模式旨在减少强迫,提高急性精神卫生机构的护理质量.
- 在具有挑战性的医疗环境中, 实施是有效而复杂的.
研究的目的:
- 通过专业人士的思考来研究HIC模型的实施过程.
- 确定在HIC模型实施过程中遇到的关键发展和挑战.
- 为提高HIC模式的实践和有效性提供建议.
主要方法:
- 一项采用定性研究方法的国家多中心研究.
- 数据收集涉及26个机构和国家小组访谈.
- 对采访数据进行了专题分析.
主要成果:
- 自HIC实施以来的关键发展包括员工流动,强迫水平的变化,与门诊护理的合作,有条不的工作,以及从控制转向患者接触.
- 员工的保留和获取对于护理的连续性和安全至关重要.
- 建议加强与门诊护理和利益相关者的合作,以获得有效的治疗.
结论:
- 加强有条理的工作和病房间之间的合作需要管理层的支持,反思力和清晰的愿景.
- 优先考虑患者的接触可以提高安全性, 但需要时间和行为调整.
- 应用实施科学原则对于持续改善急性精神健康护理和减少强迫行为至关重要.
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