a Department of Clinical Sciences, Lund, Psychiatry , Lund University, Clinical Psychiatric Research Center , Lund , Sweden.
b Department of Health Sciences, Faculty of Medicine , Lund University , Lund , Sweden.
Issues Ment Health Nurs. 2019 Jul;40(7):548-556. doi: 10.1080/01612840.2019.1585497. Epub 2019 May 17.
People with severe self-harming behavior and histories of lengthy psychiatric inpatient admissions can represent a challenge to care providers. This interview-based study illuminates healthcare provider experiences ( = 12) of Brief Admission (BA) among self-harming individuals, with >180 days of psychiatric admission the previous year. Qualitative content analysis revealed that providers experienced benefits of increased predictability, and a shift from trigger and conflict to collaboration with individuals admitted to BA. Staff participants expressed an increased sense of safety and a strengthened link between inpatient and outpatient caregiving. Results indicated that BA is a promising intervention for self-harming individuals with extensive psychiatric histories.
具有严重自残行为和长期住院精神病史的人可能会给护理人员带来挑战。这项基于访谈的研究阐明了医疗保健提供者(n=12)在过去一年中对接受Brief Admission(BA)的自残个体的经历,这些个体的住院时间超过 180 天。定性内容分析显示,提供者经历了增加可预测性的好处,并且与接受 BA 的个体从触发和冲突转变为合作。工作人员参与者表示安全感增强,住院和门诊护理之间的联系更加紧密。结果表明,BA 是一种有前途的干预措施,适用于有广泛精神病史的自残个体。