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新的工作方式:精神障碍患者的文化与健康项目中专业人员对患者的期望和经验:一项焦点小组研究。

New way of working: Professionals' expectations and experiences of the Culture and Health Project for clients with psychiatric disabilities: A focus group study.

机构信息

Skane University Hospital, Lund, Sweden.

Blekinge Centre of Competence, Karlskrona, Sweden.

出版信息

Int J Ment Health Nurs. 2018 Feb;27(1):329-340. doi: 10.1111/inm.12324. Epub 2017 Mar 1.

Abstract

UNLABELLED

There is a need for various types of interventions when meeting needs of clients with psychiatric disabilities and complementary interventions may also influence their well-being. The Culture and Health project, based on complementary interventions with 270 clients, was created in a county in Sweden for clients with psychiatric disabilities and for professionals to carry out the interventions. The aim of this study was to investigate the professionals' expectations regarding the project and their clients' possibilities for participating, and to investigate the professionals' experiences of the project after its completion. Focus group data with a total of 30 professionals participating were collected. A qualitative content analysis revealed four categories of the professionals' expectations before entering the project: "Clients' own possibilities and limitations for their development and independence", "Professionals' possibilities for supporting the clients", "Societal prerequisites", and "Expectations of a new way of working". Furthermore, the analysis regarding professionals' experiences after working with the project revealed three categories: "Adopting the challenges", "Having ways of working that function - prerequisites and possibilities", and "Meeting the future - an ambition to continue".

CONCLUSION

Working in the Culture and Health project together with the clients in group-based activities was perceived as beneficial, although challenges arose. When implementing cultural activities, support from stakeholder organisations is needed.

摘要

目的:当满足有精神障碍的客户的需求时,需要各种类型的干预措施,补充干预措施也可能影响他们的幸福感。基于对 270 名客户的补充干预措施,该文化与健康项目在瑞典的一个县为有精神障碍的客户和专业人员设计,以开展干预措施。本研究旨在调查专业人员对项目的期望以及他们的客户参与的可能性,并调查专业人员在项目完成后的经验。共收集了 30 名参与的专业人员的焦点小组数据。通过定性内容分析,揭示了专业人员在进入项目前的四类期望:“客户自身发展和独立的可能性和局限性”、“专业人员支持客户的可能性”、“社会前提”和“对新工作方式的期望”。此外,对专业人员在参与项目后的经验的分析揭示了三个类别:“接受挑战”、“有可行的工作方式——前提和可能性”和“迎接未来——继续的愿望”。

结论:与客户一起以小组活动的形式参与文化与健康项目被认为是有益的,尽管出现了一些挑战。实施文化活动时,需要利益相关者组织的支持。

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