Institute for Medical Ethics and History of Medicine, Ruhr University Bochum, Bochum, Germany.
Department of Psychiatry, Psychotherapy and Preventive Medicine, LWL University Hospital, Ruhr University Bochum, Bochum, Germany.
Int J Soc Psychiatry. 2020 May;66(3):263-269. doi: 10.1177/0020764020904764. Epub 2020 Feb 12.
Being aware of the challenges that may occur during the implementation of peer support work in psychiatry is important to facilitate the integration of peer support workers (PSWs) into multidisciplinary mental health-care teams.
The purpose of this study is to explore the challenges faced by PSWs during their integration into hospital-based mental health-care teams.
Qualitative content analysis of nine open-ended, semi-structured interviews with PSWs is undertaken in five adult psychiatric hospitals in North Rhine-Westphalia, Germany.
The analysis of the data revealed three themes: (1) 'Pioneers and the pressure to succeed'; (2) 'a colleague, a rival or yet another patient?' and (3) 'sharing of information, boundaries and professionalism'. All three themes relate to several concrete challenges on different systemic levels and have the potential to impede the PSWs' integration process.
Specific implementation strategies which address potential barriers on the different systemic levels should be developed and applied prior to the start of the integration of PSWs into multidisciplinary mental health-care teams.
了解精神病学领域同伴支持工作实施过程中可能出现的挑战对于促进同伴支持工作者（PSW）融入多学科心理健康护理团队至关重要。
本研究旨在探讨 PSW 在融入医院心理健康护理团队过程中所面临的挑战。
在德国北莱茵-威斯特法伦州的五所成人精神病院中，对 9 名 PSW 进行了开放式、半结构式访谈，并进行了定性内容分析。
数据分析揭示了三个主题：（1）“先驱者和成功的压力”；（2）“同事、对手还是另一位患者？”和（3）“信息共享、边界和专业性”。所有三个主题都涉及不同系统层面的几个具体挑战，并有可能阻碍 PSW 的融入过程。
在 PSW 融入多学科心理健康护理团队之前，应该制定并应用针对不同系统层面潜在障碍的具体实施策略。
