Psychosis Clinic, Sahlgrenska University Hospital, Mölndalsvägen 31 hus V, 431 80 Mölndal, Gothenburg, Sweden.
Psychology Department, University of Gothenburg, Gothenburg, Sweden.
BMC Psychiatry. 2018 Aug 30;18(1):269. doi: 10.1186/s12888-018-1852-2.
While patient involvement in mental health care is repeatedly stressed in policy documents, there are actually few studies that evaluate person-centred care interventions within psychiatric services. We present here the design and planned evaluation of an educational intervention for inpatient staff involved in the care of persons with schizophrenia and similar psychoses.
METHODS/DESIGN: The care intervention will be assessed using a non-randomised trial with a before and after approach. The intervention involves an educational and experimental learning phase for hospital staff, followed by an implementation phase. The intervention is multi-professional; psychiatrists, psychiatric nurses, psychiatric carers, social workers, occupational therapists, and a medical secretary will be engaged in a participatory approach where they practice how to create a partnership and explore recovery-related goals together with patients. Patient-related outcomes include empowerment and satisfaction with care. Ward-level outcomes include daily ward burden, length of inpatient stay, and number of days with involuntary care. In addition, qualitative methods will be applied to capture patient, next-of-kin, and staff perspectives.
The care intervention is expected to contribute to the improvement of inpatient care for persons with severe and complex mental health issues.
The trial was retrospectively registered at ClinicalTrials.gov June 9, 2017, identifier: NCT03182283 .
尽管在政策文件中反复强调患者参与精神卫生保健的重要性，但实际上很少有研究评估精神科服务中的以患者为中心的护理干预措施。我们在此介绍一项针对参与精神分裂症和类似精神病患者护理的住院工作人员的教育干预措施的设计和计划评估。
方法/设计：将使用非随机试验，采用前后对照方法评估护理干预措施。该干预措施包括医院工作人员的教育和实验学习阶段，随后是实施阶段。该干预措施是多专业的；精神科医生、精神科护士、精神科护理人员、社会工作者、职业治疗师和一名医疗秘书将参与参与式方法，共同与患者一起探讨建立伙伴关系和康复相关目标。患者相关的结果包括护理的赋权和满意度。病房层面的结果包括日常病房负担、住院时间和非自愿护理天数。此外，还将应用定性方法来捕捉患者、家属和工作人员的观点。
该护理干预措施有望改善严重和复杂精神健康问题患者的住院护理。
该试验于 2017 年 6 月 9 日在 ClinicalTrials.gov 上进行了回顾性注册，标识符为 NCT03182283。
