Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.
Research Centre Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands.
Issues Ment Health Nurs. 2020 Apr;41(4):283-295. doi: 10.1080/01612840.2019.1667459. Epub 2020 Jan 28.
Mental health professionals are expected to stimulate the participation of service users with serious mental illness. This not only changes what is expected from service users and professionals, it also changes the values underlying their relationship. The value of autonomy becomes more important as a result. This raises potential ethical dilemmas. This paper reports the findings of a thematic synthesis of 28 papers on the views of service users, professionals and family members on the care relationship in inpatient, outpatient and community services for people with serious mental illness. It puts forward various perspectives on participation of service users, foregrounding differing values, which in turn can lead to ethical dilemmas for professionals. The key implications for mental health professionals and future research are discussed.
心理健康专业人员有望激发严重精神疾病患者的参与度。这不仅改变了患者和专业人员的期望，也改变了他们关系背后的价值观。因此，自主性的价值变得更加重要。本文报告了对 28 篇关于严重精神疾病患者住院、门诊和社区服务中服务使用者、专业人员和家属对护理关系看法的主题综合研究的结果。它提出了关于患者参与的各种观点，突出了不同的价值观，这反过来又可能给专业人员带来伦理困境。讨论了对心理健康专业人员和未来研究的主要影响。
