John Thomas
Inpatient Quality & Development Lead, Kent and Medway NHS and Social Care Partnership Trust.
Br J Nurs. 2017 Jun 22;26(12):671-676. doi: 10.12968/bjon.2017.26.12.671.
Service user involvement in mental health has gained considerable momentum. Evidence from the literature suggests that it remains largely theoretical rather than being put into practice. The current nature of acute inpatient mental health units creates various challenges for nurses to put this concept into practice. Recovery clinics were introduced to bridge this gap and to promote service user involvement practice within the current care delivery model at Kent and Medway NHS and Social Care Partnership Trust. It has shaped new ways of working for nurses with a person-centred approach as its philosophy. Service users and nurses were involved in implementing a needs-led and bottom-up initiative using Kotter's change model. Initial results suggest that it has been successful in meeting its objectives evidenced through increased meaningful interactions and involvement in care by service users and carers. The clinics have gained wide recognition and have highlighted a need for further research into care delivery models to promote service user involvement in these units.
服务使用者参与心理健康事务已获得相当大的发展势头。文献证据表明，这在很大程度上仍停留在理论层面，而非付诸实践。急性住院心理健康单元的当前性质给护士将这一概念付诸实践带来了各种挑战。为弥合这一差距，并在肯特和梅德韦国民保健服务与社会护理伙伴信托基金的当前护理提供模式内促进服务使用者参与实践，引入了康复诊所。它塑造了护士以以人为本的方法为理念的新工作方式。服务使用者和护士参与了一项以需求为导向、自下而上的倡议，采用了科特变革模型。初步结果表明，通过服务使用者和护理人员增加有意义的互动以及参与护理，该倡议成功实现了其目标。这些诊所已获得广泛认可，并凸显了对护理提供模式进行进一步研究以促进服务使用者参与这些单元的必要性。
