Sedgwick Rosemary, Duff Alexa, Lines Sharon, Akenzua Anthony, Jones Fergal
South London and Maudsley NHS Foundation Trust/King's College London.
St George's University Hospitals NHS Foundation Trust.
BJPsych Bull. 2019 Dec;43(6):259-263. doi: 10.1192/bjb.2019.11. Epub 2019 Mar 11.
Aims and MethodThe National Institute for Health and Care Excellence recommends involving the families of patients admitted to psychiatric hospital care, without specific guidance on how to do it. To improve family involvement in a National Health Service psychiatric intensive care unit, a relatives' and carers' clinic was set up. Fifty family members attended and completed questionnaires. Nine went on to take part in interviews, the results of which were analysed using thematic analysis. RESULTS: Families felt more informed and found the increased access to information useful. They felt that the process showed respect for them and their family member, and that their contribution was valued. Running throughout the interviews was the contrast with previous experiences; families reported feeling heard and understood and attributed this in part to timing and environment.Clinical implicationsThe clinic was viewed positively by families and met the trust's commitment to including carers, as well as national guidance which suggests it should be part of routine practice.Declaration of interestNone.
目的与方法
英国国家卫生与临床优化研究所建议让入住精神病院接受护理的患者家属参与进来,但未提供具体操作指南。为了提高国民医疗服务体系中一家精神病重症监护病房的家属参与度,设立了一个亲属及护理人员诊所。五十名家庭成员参加并填写了问卷。其中九人继续参与访谈,访谈结果采用主题分析法进行分析。结果:家属们觉得了解到了更多信息,认为增加信息获取渠道很有用。他们觉得这个过程体现了对他们及其家庭成员的尊重,自己的贡献得到了重视。贯穿访谈始终的是与以往经历的对比;家属们表示感觉被倾听和理解,部分原因是时机和环境。
临床意义
家属对诊所评价积极,该诊所既符合信托机构让护理人员参与的承诺,也符合国家指南中关于其应成为常规做法一部分的建议。
利益声明
无。