医院心理健康服务中以康复为导向的实践。

IF 3.6 2区 医学 Q1 NURSING
Leonie M. Lorien, Michael Arthur, Katherine Keiler, Joanne Lowry, Kathleen Ryan
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引用次数: 0

摘要

作为澳大利亚心理健康改革的一部分,澳大利亚出台了新的政策来支持以康复为导向的实践;然而,在医院环境中,专注于管理风险和补救急性症状的做法几乎没有改变。以往的研究表明,患者在入院期间的个人康复体验可能与社区居民的康复体验不尽相同,患者更有可能体验到与外界脱节、绝望和无能为力的感觉。八名心理健康专业人员、一名病人权益倡导者和一名外部研究人员采用参与式健康研究方法,建立了研究伙伴关系,以回答以下问题:在以医院为基础的精神健康服务中,员工如何加强以康复为导向的实践?在报告研究方法、分析和结果时使用了 COREQ 检查表。研究方法包括患者焦点小组(16 人参与)、管理人员访谈(7 人参与)和员工在线调查(17 人参与)。研究人员采用归纳式主题分析法对咨询反馈进行了分析,确定了两个主题:关系康复和康复干预。研究结果表明,关系恢复是入院期间康复的关键,而增加联系性或减少症状影响的干预措施能促进个人康复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Recovery-oriented practice in a hospital mental health service

As part of mental health reform in Australia, new policies were introduced to support recovery-oriented practice; however, little has changed in hospital settings focused on managing risk and remediating acute symptoms. Previous studies have indicated that patients' experiences of personal recovery, during a hospital admission, may not mirror that of people living in the community, with patients being more likely to experience disconnection, hopelessness and disempowerment. Using a Participatory Health Research approach, eight mental health professionals, a patient advocate and an external researcher formed a research partnership to answer the question: How can staff enhance recovery-oriented practice in a hospital-based mental health service? The COREQ checklist was used for reporting the methods, analysis and findings. The methods comprised patient focus groups (n = 16 participants), interviews with managers (n = 7) and an online survey for staff (n = 17). Researchers analysed the feedback from the consultations using inductive thematic analysis, identifying two themes: relational recovery and recovery interventions. The findings indicate that relational recovery is key to recovery during a hospital admission and interventions that increase connectedness or reduce the impact of symptoms enhance personal recovery.

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来源期刊
CiteScore
7.60
自引率
8.90%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The International Journal of Mental Health Nursing is the official journal of the Australian College of Mental Health Nurses Inc. It is a fully refereed journal that examines current trends and developments in mental health practice and research. The International Journal of Mental Health Nursing provides a forum for the exchange of ideas on all issues of relevance to mental health nursing. The Journal informs you of developments in mental health nursing practice and research, directions in education and training, professional issues, management approaches, policy development, ethical questions, theoretical inquiry, and clinical issues. The Journal publishes feature articles, review articles, clinical notes, research notes and book reviews. Contributions on any aspect of mental health nursing are welcomed. Statements and opinions expressed in the journal reflect the views of the authors and are not necessarily endorsed by the Australian College of Mental Health Nurses Inc.
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