[两个急症护理单元实施开放政策]
[Implementation of an Open Door Policy on Two Acute Care Units].
作者信息
Schreiber Lisa Katharina, Sattler Florian, Fallgatter Andreas Jochen, Steinert Tilman, Metzger Florian
机构信息
Psychiatrie und Psychotherapie, Eberhard-Karls-Universität Tübingen Medizinische Fakultät, Tubingen, Germany.
Zentrum für Psychiatrie Südwürttemberg, Ulm University Medical Faculty, Ulm, Germany.
出版信息
Psychiatr Prax. 2024 Sep;51(6):300-306. doi: 10.1055/a-2296-0327. Epub 2024 Apr 26.
BACKGROUND
Since the amendments to the Baden-Württemberg Psychiatric Assistance Act, psychiatric patients who are treated involuntarily can be admitted to open wards. As a result, a comprehensive research project was carried out to implement an open-door policy. This work evaluates the attitudes of patients and therapeutic teams.
METHODS
Over the course of a year, 8 focus groups with 6 to 11 participants were conducted with patients and staff before and at the end of the intervention phase and analyzed qualitatively.
RESULTS
The concept of open doors was received positively. The staff raised safety concerns whereas on the patient side the door status seemed to be of limited relevance regarding the experience of autonomy or stigmatization.
DISCUSSION
The elaboration of conflict issues allows a further development of specific concepts towards the implementation of open doors on psychiatric acute wards.
背景
自巴登-符腾堡州《精神科援助法》修订以来，非自愿接受治疗的精神科患者可被收治到开放式病房。因此，开展了一项全面的研究项目以实施开放政策。这项工作评估了患者和治疗团队的态度。
方法
在干预阶段开始前和结束时，对患者和工作人员进行了8个焦点小组访谈，每组有6至11名参与者，为期一年，并进行了定性分析。
结果
开放政策的理念得到了积极响应。工作人员提出了安全方面的担忧，而在患者方面，门的状态似乎与自主体验或污名化体验的相关性有限。
讨论
对冲突问题的阐述有助于进一步完善具体概念，以在精神科急症病房实施开放政策。
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