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未被倾听的声音:对陪伴者在急诊科联络精神科及心理健康危机经历的质性探索

The unheard voice: a qualitative exploration of companions' experiences of liaison psychiatry and mental health crises in the emergency department.

作者信息

Collom Jennifer, Patterson Emma, Lawrence-Smith Geoff, Tracy Derek K

机构信息

School of Medicine, St George's University of London, UK.

Warwick Medical School, The University of Warwick, UK.

出版信息

BJPsych Bull. 2019 Oct;43(5):204-209. doi: 10.1192/bjb.2019.2. Epub 2019 Mar 4.

Abstract

Aims and methodTo understand the experience of companions of patients seen in the emergency department by liaison psychiatry teams. Participants were recruited via purposive sampling following a recent visit to the emergency department of an inner- or outer-London hospital. Semi-structured interviews were administered to all participants. RESULTS: Two major themes were generated. The first concerned the appropriateness of the clinical space, in which 'noise', 'privacy' and the 'waiting area' were subthemes. The second was communication with staff, including subthemes of 'wanting more information' and a 'desire to be more involved'.Clinical implicationsLiaison psychiatry services should consider appropriateness of the clinical space, promoting improved communication between staff and patients' companions, and a review of the information provided to companions in the emergency department. This research offers a novel perspective on liaison psychiatry and will enhance current understanding and clinical practice.Declaration of interestNone.

摘要

目的与方法

为了解联络精神科团队在急诊科接待的患者陪伴者的体验。通过立意抽样法,在伦敦市中心或郊区医院急诊科近期就诊后招募参与者。对所有参与者进行半结构化访谈。

结果

产生了两个主要主题。第一个主题涉及临床空间的适宜性,其中“噪音”“隐私”和“候诊区”为子主题。第二个主题是与工作人员的沟通,包括“想要更多信息”和“希望更多参与”等子主题。

临床意义

联络精神科服务应考虑临床空间的适宜性,促进工作人员与患者陪伴者之间更好的沟通,并对急诊科向陪伴者提供的信息进行审查。本研究为联络精神科提供了一个全新视角,将增进当前的认识和临床实践。

利益声明

无。

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