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将计划行为理论应用于理解心理健康专业人员在急性住院环境中采用基于人权的方法工作的意图。

Applying the theory of planned behaviour to understand mental health professionals' intentions to work using a human rights-based approach in acute inpatient settings.

机构信息

Clinical Psychology, University of Liverpool, Liverpool, United Kingdom of Great Britain and Northern Ireland.

School of Psychology, Liverpool John Moores University, Liverpool, United Kingdom of Great Britain and Northern Ireland.

出版信息

J Ment Health. 2024 Jun;33(3):326-332. doi: 10.1080/09638237.2023.2245910. Epub 2023 Aug 21.

DOI:10.1080/09638237.2023.2245910
PMID:37605461
Abstract

BACKGROUND

There has been a shift to implement human rights-based approaches in acute mental health care due to increasing concerns around quality of care. National Health Service (NHS) Trusts have a legal duty to uphold a person's human rights, therefore it is important to understand what any barriers might be. Using psychological theory may help to develop this understanding.

AIM

To test whether the theory of planned behaviour can be an effective model in understanding mental health professionals' intentions to work using a human rights-based approach.

METHOD

Participants were recruited from two NHS Trusts in the North West of England. A cross-sectional, survey design was used to examine mental health professionals' intentions to use human rights-based approaches.

RESULTS

Multiple regression analyses were performed on the theory of planned behaviour constructs showing that attitude and subjective norm significantly predicted intention. Perceived behavioural control did not add any significant variance, nor any demographic variables.

CONCLUSION

There could be factors outside of the individual clinician's control to fully work within a human rights-based framework on acute mental health wards. The theory of planned behaviour offers some understanding, however further development work into measuring human rights outcomes on acute mental health wards is needed.

摘要

背景

由于人们越来越关注护理质量,因此在急性精神卫生保健中采用基于人权的方法的趋势发生了转变。国民保健制度(NHS)信托基金有维护个人人权的法律义务,因此了解可能存在的任何障碍非常重要。使用心理理论可能有助于加深这种理解。

目的

测试计划行为理论是否可以成为理解心理健康专业人员使用基于人权的方法进行工作的意图的有效模型。

方法

从英格兰西北部的两个 NHS 信托基金中招募参与者。采用横断面调查设计来检查心理健康专业人员使用基于人权的方法的意图。

结果

对计划行为理论的结构进行了多元回归分析,表明态度和主观规范显着预测了意图。感知行为控制并没有增加任何显着的差异,也没有任何人口统计学变量。

结论

在急性精神卫生病房中完全按照基于人权的框架工作,可能存在超出个体临床医生控制范围的因素。计划行为理论提供了一些理解,但是需要进一步开发衡量急性精神卫生病房人权结果的工作。

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