South London and Maudsley NHS Foundation Trust, London, UK.
Gen Hosp Psychiatry. 2011 May-Jun;33(3):260-6. doi: 10.1016/j.genhosppsych.2011.02.003. Epub 2011 Mar 24.
To explore the experience of senior staff on acute medical wards using an established inpatient liaison psychiatry service and obtain their views on clinically relevant performance measures.
Semistructured face-to-face interviews with consultants and senior nurses were taped, transcribed and analyzed manually using the framework method of analysis.
Twenty-five referrers were interviewed. Four key themes were identified - benefits of the liaison service, potential areas of improvement, indices of service performance such as speed and quality of response and expanded substance misuse service. Respondents felt the liaison service benefited patients, staff and service delivery in the general hospital. Medical consultants wanted stepped management plans devised by consultant liaison psychiatrists. Senior nurses, who perceived themselves as frontline crisis managers, valued on-the-spot input on patient management.
Consultants and senior nurses differed in their expectations of liaison psychiatry. Referrers valued speed of response and regarded time from referral to definitive management plan as a key performance indicator for benchmarking services.
探讨资深医护人员在使用既定住院联络精神科服务时的体验，并获取他们对具有临床相关性的绩效评估指标的看法。
对顾问医生和高级护士进行半结构化的面对面访谈，使用框架分析法对访谈录音、转录和手动分析。
共访谈了 25 名转介者。确定了 4 个关键主题——联络服务的好处、潜在的改进领域、服务绩效指标（如响应速度和质量）以及扩大物质滥用服务。受访者认为联络服务使综合医院的患者、医护人员和服务提供受益。顾问医生希望由联络精神科顾问制定阶梯式管理计划。高级护士认为自己是一线危机管理者，他们重视对患者管理的即时投入。
顾问医生和高级护士对联络精神科的期望不同。转介者重视响应速度，并将从转介到明确管理计划的时间视为服务基准测试的关键绩效指标。
