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精神健康消费者对康复住院病房中以患者为中心的多学科护理计划会议的看法。

Mental health consumer perspectives of a person-centred multidisciplinary care planning meeting on a rehabilitation inpatient unit.

作者信息

O'Donohue Eliza, Aguey-Zinsou Melissa, Yule Elisa, Fairhurst Ian, Debaets Marcie

机构信息

Occupational Therapy, School of Allied Health, Faculty of Health Sciences, Australian Catholic University, North Sydney, New South Wales, Australia.

South Eastern Sydney Local Health Service, Sydney, New South Wales, Australia.

出版信息

Int J Ment Health Nurs. 2023 Dec;32(6):1701-1712. doi: 10.1111/inm.13192. Epub 2023 Jul 21.

Abstract

Mental health consumers are seeking genuine involvement in the planning regarding their treatment and care; however for many consumers in inpatient mental health settings, there is not the opportunity to participate. Current research evaluating person-centred multidisciplinary care planning initiatives in inpatient settings from the consumer perspective is limited. The aim of this study was to explore the consumer perspective of a person-centred multidisciplinary care planning meeting implemented in an Australian inpatient mental health rehabilitation unit. This study used a focused ethnographic design with data collection including fieldnotes, observations of meetings and interviews. Ten individuals participated in the study, with two participating in meeting observations and eight participating in structured interviews. Participants were consumers with a mental health diagnosis admitted to a mental health rehabilitation unit for assistance with achieving their goals for community living. Findings were analysed utilizing thematic analysis. Findings showed that consumers' experiences of the care planning meetings were positive. Themes included; 'It's about you', 'Making decisions and expressing opinions', 'Staff involvement in care planning' and 'Supporting consumer recovery'. These findings add the consumer perspective to the existing evidence base and support the implementation of person-centred multidisciplinary care planning meetings in inpatient mental health settings.

摘要

心理健康消费者希望在治疗和护理方面真正参与到规划中;然而,对于许多住院精神健康环境中的消费者来说,他们没有机会参与。目前,从消费者角度评估住院环境中以患者为中心的多学科护理计划倡议的研究有限。本研究旨在从澳大利亚住院精神健康康复病房的消费者角度探讨以患者为中心的多学科护理计划会议的情况。本研究采用了集中的民族志设计,收集的数据包括现场记录、会议观察和访谈。共有 10 人参与了这项研究,其中 2 人参与了会议观察,8 人参与了结构化访谈。参与者是患有精神健康诊断的消费者,他们被收住在精神健康康复病房,以帮助他们实现社区生活的目标。研究结果利用主题分析进行了分析。研究结果表明,消费者对护理计划会议的体验是积极的。主题包括:“这是关于你的”、“做出决策和表达意见”、“工作人员参与护理计划”和“支持消费者康复”。这些发现为现有的证据基础增添了消费者的观点,并支持在住院精神健康环境中实施以患者为中心的多学科护理计划会议。

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