探讨挪威院前急救医务人员的心理健康危机管理能力。

IF 2.3 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Hege Skundberg-Kletthagen, Kari Kirbakk Fjær
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引用次数: 0

摘要

目的:本研究旨在调查挪威院前急救医务人员如何感知他们的能力和管理遇到的经历心理健康危机的患者。设计:采用内容分析的定性描述性设计,遵循定性研究报告标准指南。环境:这项研究是在挪威一家医院信托的四个紧急医疗服务机构内进行的,涵盖城市和农村地区。参与者:对16名保健专业人员(9名男性和7名女性)进行了个别访谈,他们的年龄为24-55岁,具有1-18年的服务经验。结果:调查结果揭示了一个主题——“平衡安全和病人护理”——以及两个副主题——“增加院前护理中与心理健康相关的任务”和“与处理心理健康危机的能力和资源缺乏相关的挑战”。结论:本研究强调了挪威院前急救医务人员所面临的心理健康危机日益复杂和频繁。由于缺乏能力和明确的程序,这些人员常常感到措手不及,迫使他们依靠临床经验。警察的参与,特别是在农村地区,突出表明执法部门和保健服务部门之间需要更好地合作。为提高护理质素,必须推行一套标准化的医疗辅助教育课程,并为所有院前急救医务人员,包括急救医疗通讯中心操作员和其他参与急救护理的医护专业人员,提供全面的精神健康培训。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring competence in mental health crisis management: a qualitative study of Norwegian prehospital emergency medical personnel.

Objective: This study aims to investigate how prehospital emergency medical personnel in Norway perceive their competence and manage encounters with patients who are experiencing mental health crises.

Design: A qualitative descriptive design using content analysis was employed, following the Standards for Reporting Qualitative Research guidelines.

Setting: The study was conducted within four emergency medical care services in a Norwegian hospital trust, covering both urban and rural areas.

Participants: Individual interviews were conducted with 16 health professionals (9 men and 7 women), aged 24-55 years, with 1-18 years of service experience.

Results: The results revealed one main theme-'Balancing security and patient care'-with two subthemes-'Increasing mental health-related assignments in prehospital care' and 'Challenges related to the lack of competence and resources in handling mental health crises'.

Conclusions: This study highlights the increasing complexity and frequency of mental health crises that are faced by prehospital emergency medical personnel in Norway. These personnel often feel unprepared due to a lack of competence and clear procedures, forcing them to rely on clinical experience. Police involvement, particularly in rural areas, underscores the need for better collaboration between law enforcement and healthcare services. To enhance the quality of care, it is essential to implement a standardised curriculum for paramedicine education and provide comprehensive mental health training for all prehospital emergency medical personnel, including emergency medical communication centre operators and other healthcare professionals involved in emergency care.

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来源期刊
BMJ Open
BMJ Open MEDICINE, GENERAL & INTERNAL-
CiteScore
4.40
自引率
3.40%
发文量
4510
审稿时长
2-3 weeks
期刊介绍: BMJ Open is an online, open access journal, dedicated to publishing medical research from all disciplines and therapeutic areas. The journal publishes all research study types, from study protocols to phase I trials to meta-analyses, including small or specialist studies. Publishing procedures are built around fully open peer review and continuous publication, publishing research online as soon as the article is ready.
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