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协作作为一个过程和结果:消费者在急性住院精神卫生病房中与护士合作进行护理计划的体验。

Collaboration as a process and an outcome: Consumer experiences of collaborating with nurses in care planning in an acute inpatient mental health unit.

机构信息

Mental Health Services, Sydney Local Health, Professor Marie Bashir Centre, Camperdown, New South Wales, Australia.

Peer Support Worker, Sydney Local Health District Mental Health Service, Sydney, New South Wales, Australia.

出版信息

Int J Ment Health Nurs. 2018 Aug;27(4):1204-1211. doi: 10.1111/inm.12463. Epub 2018 Apr 14.

DOI:10.1111/inm.12463
PMID:29655193
Abstract

This qualitative study explores inpatient mental health consumer perceptions of how collaborative care planning with mental health nurses impacts personal recovery. Semi-structured interviews were conducted with consumers close to discharge from one unit in Sydney, Australia. The unit had been undertaking a collaborative care planning project which encouraged nurses to use care plan documentation to promote person-centred and goal-focussed interactions and the development of meaningful strategies to aid consumer recovery. The interviews explored consumer understandings of the collaborative care planning process, perceptions of the utility of the care plan document and the process of collaborating with the nurses, and their perception of the impact of collaboration on their recovery. Findings are presented under four organizing themes: the process of collaborating, the purpose of collaborating, the nurse as collaborator and the role of collaboration in wider care and recovery. Consumers highlighted the importance of the process of developing their care plan with a nurse as being as helpful for recovery as the goals and strategies themselves. The findings provide insights into consumers' experiences of care planning in an acute inpatient unit, the components of care that support recovery and highlight specific areas for mental health nursing practice improvement in collaboration.

摘要

这项定性研究探讨了住院精神健康消费者对与精神健康护士合作进行护理计划如何影响个人康复的看法。对澳大利亚悉尼的一个病房即将出院的消费者进行了半结构化访谈。该病房一直在进行合作护理计划项目,鼓励护士使用护理计划文档来促进以患者为中心和以目标为导向的互动,并制定有意义的策略来帮助患者康复。访谈探讨了消费者对合作护理计划过程的理解、对护理计划文档的实用性和与护士合作过程的看法,以及他们对合作对康复的影响的看法。研究结果分为四个组织主题呈现:合作过程、合作目的、护士作为合作者以及合作在更广泛的护理和康复中的作用。消费者强调与护士一起制定护理计划的过程对康复的帮助与目标和策略本身一样重要。研究结果深入了解了消费者在急性住院病房的护理计划体验、支持康复的护理内容,并突出了合作中精神健康护理实践改进的具体领域。

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