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经常使用精神科急诊服务的人:医疗保健专业人员的观点。

Encounters with Persons Who Frequently Use Psychiatric Emergency Services: Healthcare Professionals' Views.

机构信息

Faculty of Health Science, Kristianstad University, 291 88 Kristianstad, Sweden.

Department of Health Sciences, Lund University, 221 00 Lund, Sweden.

出版信息

Int J Environ Res Public Health. 2020 Feb 5;17(3):1012. doi: 10.3390/ijerph17031012.

Abstract

Encounters and interactions between healthcare professionals and patients are central in healthcare services and delivery. Encountering persons who frequently use psychiatric emergency services (PES), a complex patient group in a complex context, may be particularly challenging for healthcare professionals. The aim of the study was to explore healthcare professionals' experiences of such encounters. Data were collected via individual interviews (N = 19) and a focus group interview with healthcare professionals consisting of psychiatric nurses, assistant nurses, and physicians. The data were analyzed with qualitative content analysis. This study focused on the latent content of the interview data to gain a rich understanding of the professionals' experiences of the encounters. Two themes were identified: "Nurturing the encounter with oneself and colleagues for continuous, professional improvement" and "Striving for a meaningful connection with the patient". The professionals experienced their encounters with persons who frequently use PES as caring, professional, and humane processes. Prerequisites to those encounters were knowing and understanding oneself, having self-acceptance and self-compassion, and working within person-centered cultures and care environments.

摘要

医护人员与患者的互动是医疗服务和提供的核心。与经常使用精神科急诊服务(PES)的人相遇,对于医护人员来说可能是一项特别具有挑战性的任务,这些人是一个复杂背景下的复杂患者群体。本研究旨在探讨医护人员的此类互动经历。研究数据通过个人访谈(N=19)和焦点小组访谈收集,受访者包括精神科护士、助理护士和医生。采用定性内容分析法对数据进行分析。本研究聚焦于访谈数据的潜在内容,以深入了解专业人员的互动经历。确定了两个主题:“培养与自己和同事的互动,以持续提升专业水平”和“努力与患者建立有意义的联系”。专业人员将他们与经常使用 PES 的人之间的互动视为关怀、专业和人道的过程。这些互动的前提是了解和理解自己,具有自我接纳和自我同情,并在以患者为中心的文化和护理环境中工作。

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