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以患者为中心的急诊科及心理健康危机护理价值观与体验

Patient-Centered Values and Experiences with Emergency Department and Mental Health Crisis Care.

作者信息

Thomas Kathleen C, Owino Hillary, Ansari Sana, Adams Leslie, Cyr Julianne M, Gaynes Bradley N, Glickman Seth W

机构信息

Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599-7590, USA.

Department of Emergency Medicine, University of North Carolina School of Medicine, Physician's Office Building, 170 Manning Drive, CB #7594, Chapel Hill, NC, 27599-7594, USA.

出版信息

Adm Policy Ment Health. 2018 Jul;45(4):611-622. doi: 10.1007/s10488-018-0849-y.

DOI:10.1007/s10488-018-0849-y
PMID:29383464
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6002899/
Abstract

Little is known about what patients value in psychiatric crisis services or how they compare community-based services with those received in the emergency department. Three focus groups (n = 27) were held of participants who had received psychiatric crisis services in emergency departments or a community mental health center. Participants described care experiences and preferences. Focus groups were audio recorded, transcribed, and coded using a value-based lens. Themes included appreciation for feeling respected, basic comforts, and shared decision-making as foundations of quality care. Participants preferred the community mental health center. Research should address long-term outcomes to motivate change in psychiatric crisis care.

摘要

对于患者在精神科危机服务中看重什么，或者他们如何将社区服务与在急诊科接受的服务进行比较，我们知之甚少。我们对在急诊科或社区心理健康中心接受过精神科危机服务的参与者进行了三个焦点小组访谈（n = 27）。参与者描述了护理经历和偏好。焦点小组访谈进行了录音、转录，并从基于价值的角度进行编码。主题包括对感到被尊重、基本舒适和共同决策作为优质护理基础的赞赏。参与者更喜欢社区心理健康中心。研究应关注长期结果，以推动精神科危机护理的变革。

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本文引用的文献

[1]
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[9]
A Preliminary Analysis of Individuals With Serious Mental Illness and Comorbid Diabetes.

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[10]
Australian nurses' perceptions of the use of manual restraint in the Emergency Department: a qualitative perspective.

J Clin Nurs. 2016-5

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