Nolan Eloise, Hewison Alistair
School of Health Sciences, University of Birmingham, Edgbaston, Birmingham, UK.
J Nurs Manag. 2008 Sep;16(6):649-61. doi: 10.1111/j.1365-2934.2007.00766.x.
This paper reports a policy analysis conducted to examine the potential impact of recent mental health policy on team working in Primary Care Mental Health in England.
An analysis of relevant policy documents was conducted. From an original selection of 49 documents, 15, which had significant implications for Primary Care Mental Health Teams, were analysed thematically.
There were no clear guidelines or objectives for Primary Care Mental Health Teams evident from the policy analysis. Collaborative working was advocated, yet other elements in the policies were likely to prevent this occurring. There was a lack of clarity concerning the role and function of new professions within Primary Care Mental Health Teams, adding further uncertainty to an already confused situation.
This uncertainty has the potential to reinforce professional barriers and increase the current difficulties with team working. IMPLICATIONS TO NURSING MANAGERS: An analysis of recent policy contributes to our understanding of the context of care. The lack of clarity in current health policy presents a significant challenge for those managing primary care mental health teams. Team working is likely to improve if targets, processes and responsibilities are made clearer.
本文报告一项政策分析，该分析旨在探究近期心理健康政策对英格兰初级保健心理健康领域团队协作的潜在影响。
对相关政策文件进行分析。从最初选取的49份文件中，挑选出15份对初级保健心理健康团队有重大影响的文件进行主题分析。
政策分析未发现针对初级保健心理健康团队的明确指导方针或目标。政策提倡协作工作，但其中的其他因素可能会阻碍协作的实现。初级保健心理健康团队中新职业的角色和功能缺乏明确界定，这使得本就混乱的局面更加不确定。
这种不确定性有可能强化专业壁垒，并加剧当前团队协作中的困难。对护理管理者的启示：对近期政策的分析有助于我们理解护理环境。当前卫生政策缺乏明确性，给管理初级保健心理健康团队的人员带来了重大挑战。如果目标、流程和职责更加明确，团队协作可能会得到改善。
