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经历精神困扰的人在急诊部接受同伴支持工作:探索其潜力。

Peer support work for people experiencing mental distress attending the emergency department: Exploring the potential.

机构信息

Social Work and Social Policy, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.

Centre for Mental Health Nursing, The University of Melbourne, Melbourne, Victoria, Australia.

出版信息

Emerg Med Australas. 2022 Feb;34(1):78-84. doi: 10.1111/1742-6723.13848. Epub 2021 Sep 7.

Abstract

OBJECTIVE

This study explored the benefits and limitations of employing peer support workers, who utilise their own lived experience of mental distress and recovery, to support people experiencing mental distress who are attending the ED.

METHODS

This co-produced qualitative study utilised four phases: (i) assemble a collaborative multi-disciplinary research team and Expert Panel, of which at least half identified as having lived experience; (ii) a site visit to an ED; (iii) focus groups with consumers, support persons and ED staff; and (iv) a learning workshop for peer workers.

RESULTS

Focus groups were run for consumers (n = 7), support persons (n = 5) and ED staff (n = 7). Eleven consumer peer workers participated in the learning workshop. Four themes were identified and triangulated: the individual in distress, peer support work, a 'Peers in EDs' service and the ED context. Overall, findings suggest that peer support workers contribute important skills including listening, de-escalation, relationship-building and empathy.

CONCLUSIONS

This study identified that peer support workers would bring important skills to an ED (e.g. empathetic support, de-escalation). However, significant workforce and organisational support would be required.

摘要

目的

本研究探讨了雇用同伴支持工作者的益处和局限性,他们利用自己的精神困扰和康复的亲身经历来支持在急诊科就诊的精神困扰患者。

方法

这项合作的定性研究采用了四个阶段:(i)组建一个由具有至少一半自身体验的多学科研究团队和专家小组;(ii)对急诊科进行实地考察;(iii)与消费者、支持人员和急诊科工作人员进行焦点小组讨论;(iv)为同伴工作者举办学习研讨会。

结果

对消费者(n=7)、支持人员(n=5)和急诊科工作人员(n=7)进行了焦点小组讨论。11 名消费者同伴工作者参加了学习研讨会。确定并验证了四个主题:处于困境中的个体、同伴支持工作、“急诊科同伴”服务和急诊科背景。总体而言,研究结果表明,同伴支持工作者可以提供重要的技能,包括倾听、缓解紧张局势、建立关系和同理心。

结论

本研究表明,同伴支持工作者将为急诊科带来重要的技能(例如,同理心支持、缓解紧张局势),但需要大量的劳动力和组织支持。

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