在精神病患者医院科室中引入同伴从业者：一项探索性定性研究。
Integration of a peer practitioner in a hospital unit for patients with psychotic disorders: an exploratory qualitative study.
作者信息
Lequin Pierre, Suter Caroline, Mazallon Roxane, Brodard Rachèle, Abrahamyan Empson Lilith, Robalo Bruno, Conus Philippe, Nguyen Alexandra, Favrod Jérôme
机构信息
School of Nursing La Source, University of Applied Sciences and Arts of Western Switzerland (HES-SO), Delémont, Switzerland.
Department of Psychiatry, Service of General Psychiatry, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
出版信息
Front Psychiatry. 2023 Sep 26;14:1244433. doi: 10.3389/fpsyt.2023.1244433. eCollection 2023.
INTRODUCTION
Studies on the integration of peer mental health practitioners (PMHP) in hospitals are sparse, despite significant benefits being reported for patients and professionals. The integration of PMHP requires the consideration of several parameters and a change in the culture of care. This study aims to understand the impact of the integration of a PMHP in a hospital unit caring for patients with psychiatric disorders.
METHODS
A qualitative content analysis of three focus groups with the interdisciplinarity team were conducted. A consulting PMHP was integrated into the entire research process.
RESULTS
Data analysis revealed five main themes: the importance of integration, benefits for patients linked to the identification process, benefits for the team and institution, potentials risks, and perspectives.
DISCUSSION
The study was conducted in a hospital setting with patients suffering from severe psychiatric disorders associated with behavioral disturbances. The benefits reported in the results outline the feasibility of PMHP integration in an acute psychiatric care setting. Nevertheless, further formalization of the PMHP role is required to minimize possible areas of tension between respective fields of activity of each professional.
引言
尽管有报道称同伴心理健康从业者（PMHP）对患者和专业人员有显著益处，但关于其在医院中整合的研究却很少。PMHP的整合需要考虑多个参数，并改变护理文化。本研究旨在了解在一个照顾精神疾病患者的医院科室中整合一名PMHP的影响。
方法
对跨学科团队的三个焦点小组进行了定性内容分析。一名咨询PMHP被纳入整个研究过程。
结果
数据分析揭示了五个主要主题：整合的重要性、与识别过程相关的患者益处、对团队和机构的益处、潜在风险以及前景。
讨论
该研究是在一家医院进行的，研究对象是患有与行为障碍相关的严重精神疾病的患者。结果中报告的益处概述了在急性精神科护理环境中整合PMHP的可行性。然而，需要进一步规范PMHP的角色，以尽量减少每个专业人员各自活动领域之间可能出现紧张关系的领域。
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