Competence Centre for Rehabilitation and Recovery, Mental Health Centre Ballerup, the Capital Region, Denmark, Ballerup, Denmark.
Copenhagen Centre for Arthritis Research, Centre for Rheumatology and Spine Diseases VRR, Head and Orthopaedics Center, Rigshospitalet - Glostrup, Glostrup, Denmark.
Int J Ment Health Nurs. 2018 Jun;27(3):1177-1187. doi: 10.1111/inm.12434. Epub 2018 Jan 23.
Offering mental health treatment in line with a recovery-oriented practice has become an objective in the mental health services in many countries. However, applying recovery-oriented practice in inpatient settings seems challenged by unclear and diverging definitions of the concept in and the organization of these settings. In Denmark, educational and organizational efforts have been made to organize inpatient services with a recovery-oriented approach. Hence, we aimed to explore whether and how these efforts are reflected in the inpatients' experiences of their care and treatment. Semi-structured interviews were conducted with 14 inpatients from two mental health inpatient wards using an interview guide based on factors from the Recovery Self-Assessment. Qualitative content analysis was applied in the analysis. Six themes covering the participants' experiences were identified. The participants felt accepted and protected in the ward and found comfort in being around other people but missed talking and engaging with health professionals. They described limited choice and influence on the course of their treatment, and low information levels regarding their treatment, which they considered to consist predominantly of medication. Furthermore, they described feeling continuously observed and assessed from a distance by health professionals. Like the sparse previous research among inpatients, the results highlight ambivalent experiences of health professionals' support and ward structure as well as the medical treatment hegemony. As such, the educational and organizational efforts of introducing recovery-oriented practices in the wards seemed not very well reflected in the participants' experiences of their stay.
在许多国家的精神卫生服务中，提供符合康复导向实践的精神卫生治疗已成为目标。然而，在住院环境中应用康复导向实践似乎受到这些环境中概念和组织的不明确和分歧定义的挑战。在丹麦，已经做出了教育和组织方面的努力，以采用康复方法来组织住院服务。因此，我们旨在探讨这些努力是否以及如何反映在住院患者的护理和治疗体验中。我们对来自两个精神卫生住院病房的 14 名住院患者进行了半结构化访谈，使用基于康复自我评估因素的访谈指南。分析采用了定性内容分析。确定了涵盖参与者体验的六个主题。参与者感到在病房中受到接受和保护，并在周围有人时感到舒适，但错过了与卫生专业人员交谈和互动的机会。他们描述了对治疗过程的选择和影响力有限，以及对治疗信息水平较低，他们认为治疗主要包括药物治疗。此外，他们描述了感觉自己一直受到卫生专业人员的远距离观察和评估。与住院患者中先前稀疏的研究一样，结果突出了卫生专业人员的支持和病房结构以及医疗治疗霸权的矛盾体验。因此，在病房中引入康复导向实践的教育和组织努力似乎并没有很好地反映在参与者的住院体验中。
