Sommerseth Rita, Dysvik Elin
University of Stavanger, Faculty of Social Sciences, Department of Health Studies, Stavanger, Norway.
Patient Prefer Adherence. 2008 Feb 2;2:259-69. doi: 10.2147/ppa.s3988.
The basic aim in this paper is to discuss health care professionals' experiences of person-centered collaboration and involvement in mental health rehabilitation and suggest ways of improving this perspective. Furthermore, the paper explains the supportive systems that are at work throughout the process of rehabilitation.
The study design is a qualitative approach using three focus group interviews with a total of 17 informants with different professional backgrounds such as nurses, social workers, and social pedagogies. In addition, one nurse and one social worker participated in a semi-structured in-depth interview to judge validity.
Our results may demonstrate deficits concerning mental health care on several levels. This understanding suggests firstly, that a person-centered perspective and involvement still are uncommon. Secondly, multidisciplinary work seems uncommon and only sporadically follows recommendations. Thirdly, family support is seldom involved. Lastly, firm leadership and knowledge about laws and regulations seems not to be systematically integrated in daily care.
Taking these matters together, the improvement of a person-centered perspective implies cooperation between different services and levels in mental health care. In order to bring about improvement the health care workers must critically consider their own culture, coordination of competence must be increased, and leadership at an institutional and organizational level must be improved so that scarce rehabilitation resources are used to the optimal benefit of people with a mental illness.
本文的基本目的是探讨医疗保健专业人员在以患者为中心的协作以及参与心理健康康复方面的经验,并提出改进这一观点的方法。此外,本文还解释了在整个康复过程中发挥作用的支持系统。
本研究采用定性研究方法,进行了三次焦点小组访谈,共有17名来自不同专业背景的受访者,如护士、社会工作者和社会教育工作者。此外,一名护士和一名社会工作者参与了半结构化深度访谈以判断效度。
我们的结果可能表明在几个层面上心理健康护理存在不足。这种认识首先表明,以患者为中心的观点和参与仍然不常见。其次,多学科工作似乎不常见,并且只是偶尔遵循建议。第三,家庭支持很少涉及。最后,坚定的领导以及对法律法规的了解似乎没有系统地融入日常护理中。
综合考虑这些问题,改善以患者为中心的观点意味着心理健康护理中不同服务和层面之间的合作。为了实现改善,医护人员必须批判性地审视自身文化,必须加强能力协调,并且必须改善机构和组织层面的领导,以便将稀缺的康复资源用于精神疾病患者的最大利益。