实施认知查工具作为精神病服务早期干预的常规临床实践的一部分:定性分析
Megan Cowman1,2, Leona Ryan1,2, Maeve Dwan-O'Reilly1,2
1School of Psychology, University of Galway, Galway, Ireland.
Early intervention in psychiatry
|March 10, 2026
概括
爱尔兰早期干预服务 (EIS) 的前线工作人员已经准备好实施首发精神病 (FEP) 的认知查. 关键需求包括明确的指导方针,培训和改善客户服务的实际工具.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 实施科学 实施科学
背景情况:
- 认知困难是第一发精神病 (FEP) 的核心特征,影响恢复.
- 认知查并不经常被纳入早期干预服务 (EIS).
- 有限的研究存在于障碍物和促进者认知查吸收在EIS.有限的研究.
研究的目的:
- 探索前线工作人员在爱尔兰EIS中实施认知选器的经验.
- 确定在FEP护理中常规使用认知查的障碍和促进因素.
主要方法:
- 在三个爱尔兰EIS站点对12名医疗保健工作者进行了定性采访.
- 采用抽象方法进行框架分析,与实施研究综合框架 (CFIR) 进行映射.
- 使用字母数序列任务作为认知选器.
主要成果:
- 主要障碍包括缺乏标准化指南,资源不足,员工不确定性和与客户相关的挑战.
- 辅导员包括感知到的临床效用,培训/支持的需要,改善客户参与,以及系统层面的变化.
- 工作人员表示愿意将认知查纳入常规实践.
结论:
- 临床医生已经准备好将认知查纳入FEP的常规护理中.
- 基本要求包括正式指导,员工培训和实用,客户友好的工具.
- 解决这些需求可以改善FEP患者的个性化和有效治疗.
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