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康复导向的精神卫生医院与社区精神卫生服务之间的跨部门合作:综合评价。

Recovery-oriented intersectoral care between mental health hospitals and community mental health services: An integrative review.

机构信息

The Research Collaboration, Psychiatric Centre North Zealand, Hillerød, Danmark/Denmark.

Psychosocial rehabilitation consultant, Center for Quality and Development, Department of Social and Health, Rudersdal Kommune, Birkerød, Denmark.

出版信息

Int J Soc Psychiatry. 2021 Sep;67(6):788-800. doi: 10.1177/0020764020966634. Epub 2020 Oct 24.

DOI:10.1177/0020764020966634
PMID:33100119
Abstract

BACKGROUND

Recovery-oriented intersectoral care is described as an aim in mental healthcare to create a holistic framework for planning that provides integration of treatment and rehabilitation. Existing studies show that nurses and other professionals do not take responsibility for the collaborative element of intersectoral care between mental health hospitals and community mental health services. The users of mental healthcare do not experience their patient journey as a cohesive process when they are discharged from a mental health hospital to community mental health services.

AIM

The integrative review aims to examine the professionals' experience with recovery-oriented intersectoral care between mental health hospitals and community mental health services.

DESIGN

Since the aim was to review user experience, we chose an integrative review as an obvious choice for design.

ETHICAL APPROVAL

Not applicable.

FINDINGS

Seven studies met the inclusion criteria. The interactive inductive and deductive analysis generated four themes, which clarify the experience of professionals with recovery-oriented intersectoral care between the mental health hospitals and community mental health services, namely 'structurally routine care', 'unequal balance of power between the sectors', 'bureaucracy as a barrier to recovery-oriented intersectoral care' and 'flexible mental healthcare approaches'.

CONCLUSION

This review achieves specific knowledge of recovery-oriented intersectoral care. The studies included show that recovery-oriented intersectoral care is not clearly defined. It is challenging to transfer intersectoral care to an organisation with different structural and linguistic barriers.

摘要

背景

以康复为导向的跨部门护理被描述为精神卫生保健的目标,旨在创建一个整体的规划框架,提供治疗和康复的整合。现有研究表明,护士和其他专业人员没有为精神卫生医院和社区精神卫生服务之间的跨部门护理的协作要素承担责任。当精神卫生医院的患者出院到社区精神卫生服务时,他们并没有将自己的就医经历视为一个连贯的过程。

目的

综合回顾旨在考察专业人员在精神卫生医院和社区精神卫生服务之间以康复为导向的跨部门护理方面的体验。

设计

由于目的是审查用户体验,因此我们选择综合回顾作为设计的明显选择。

伦理批准

不适用。

发现

符合纳入标准的有七项研究。互动式归纳和演绎分析产生了四个主题,阐明了专业人员在精神卫生医院和社区精神卫生服务之间以康复为导向的跨部门护理方面的体验,即“结构性常规护理”、“部门之间权力的不平等平衡”、“官僚主义是康复导向的跨部门护理的障碍”和“灵活的精神保健方法”。

结论

本综述获得了以康复为导向的跨部门护理的具体知识。所包括的研究表明,以康复为导向的跨部门护理没有明确定义。将跨部门护理转移到一个具有不同结构和语言障碍的组织具有挑战性。

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