Alavi Mousa, Irajpour Alireza
Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Critical Care Nursing, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2013 Nov;18(6):488-93.
Underutilization of mental health care services has been a challenge for the health care providers for many years. This challenge could be met in part by improving the clients' readiness to use such services. This study aimed to introduce the important aspects of the clients' readiness to use mental health services in the Iranian context.
A thematic analysis of in-depth interviews was undertaken using a constant comparative approach. Participants (11 health professionals consisting of 3 physicians, 7 nurses, 1 psychologist, and 5 patients/their family members) were recruited from educational hospitals affiliated with Isfahan University of Medical Sciences, Iran. The credibility and trustworthiness was grounded on four aspects: factual value, applicability, consistency, and neutrality.
The study findings uncovered two important aspects of the clients' readiness for utilizing mental health care services. These are described through two themes and related sub-themes: "The clients' awareness" implies the cognitive aspect of readiness and "the clients' attitudes" implies the psychological aspect of readiness, both of which have perceived to cultivate a fertile context through which the clients could access and use the mental health services more easily.
For the health care system in Isfahan, Iran to be successful in delivering mental health services, training programs directed to prepare service users should be considered. Improving the clients' favorable attitudes and awareness should be considered.
多年来,心理健康护理服务利用不足一直是医疗服务提供者面临的一项挑战。部分应对这一挑战的方法是提高服务对象使用此类服务的意愿。本研究旨在介绍伊朗背景下服务对象使用心理健康服务意愿的重要方面。
采用持续比较法对深度访谈进行主题分析。参与者(11名卫生专业人员,包括3名医生、7名护士、1名心理学家以及5名患者/其家庭成员)来自伊朗伊斯法罕医科大学附属的教学医院。可信度和可靠性基于四个方面:事实价值、适用性、一致性和中立性。
研究结果揭示了服务对象使用心理健康护理服务意愿的两个重要方面。这通过两个主题及相关子主题进行描述:“服务对象的认知”意味着意愿的认知方面,“服务对象的态度”意味着意愿的心理方面,二者均被认为营造了一个有利环境,使服务对象能够更轻松地获取和使用心理健康服务。
对于伊朗伊斯法罕的医疗系统而言,若要成功提供心理健康服务,应考虑开展针对服务使用者的培训项目。应考虑提高服务对象的积极态度和认知。