Department of Public Health, Nursing, Aarhus University, 8000 Aarhus C, Denmark.
University College Diaconissestiftelsen, 2000 Frederiksberg, Denmark.
Int J Environ Res Public Health. 2023 Jan 20;20(3):1965. doi: 10.3390/ijerph20031965.
Patient participation is a cornerstone of the debate concerning healthcare professionals and patients of mental health centres. It constitutes an objective in government health policy in Scandinavia and other Western countries. However, little is known about the experiences of healthcare professionals in mental healthcare practices involving patients under their treatment and care.
This study aimed to explore the experiences of healthcare professionals with patient participation in the context of a mental health centre.
Four focus group interviews with healthcare professionals reflected differing experiences with unfolding patient participation in clinical practices in four wards of a mental health centre. A content analysis developed and framed themes.
Patient participation was based on structural conditions, which shows that predetermined structural methods predominantly control involvement. The structural methods are seen as promoting participation from the patient's perspective. At the same time, the methods also enable taking account of the individual patient's wishes and needs for involvement.
This study illuminates the meaning of patient participation in a mental health centre based on the social interactions among nurses and other healthcare professionals. The approach can contribute to dealing with the challenges of incorporating patient participation as an ideology for all patients in a psychiatric context, which is important knowledge for healthcare professionals.
患者参与是医疗保健专业人员和精神卫生中心患者之间争论的基石。它构成了斯堪的纳维亚和其他西方国家政府卫生政策的一个目标。然而，对于精神卫生保健实践中参与治疗和护理的患者的医疗保健专业人员的经验，我们知之甚少。
本研究旨在探讨医疗保健专业人员在精神卫生中心背景下参与患者的体验。
对 4 名医疗保健专业人员进行了 4 次焦点小组访谈，反映了在精神卫生中心的 4 个病房中，临床实践中参与患者的不同体验。通过开发和框架主题的内容分析。
患者参与是基于结构条件的，这表明预定的结构方法主要控制参与。这些方法被认为从患者的角度促进了参与。同时，这些方法也能够考虑到个别患者参与的愿望和需求。
本研究基于护士和其他医疗保健专业人员之间的社会互动，阐明了精神卫生中心患者参与的意义。这种方法可以为处理将患者参与作为精神病学背景下所有患者的一种思想纳入的挑战做出贡献，这对医疗保健专业人员来说是重要的知识。
