Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
Department of Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.
Nord J Psychiatry. 2024 Nov;78(8):659-667. doi: 10.1080/08039488.2024.2404478. Epub 2024 Sep 17.
Individuals with psychotic disorders face an increased risk of physical health issues, leading to reduced life expectancy. Despite recommendations to integrate physical health promotion into mental healthcare, challenges persist, and mortality from somatic diseases continues to rise. Understanding healthcare providers' perspectives is crucial to overcoming these barriers. This study aims to explore the experiences of healthcare providers working in direct patient care and as unit heads regarding factors influencing health promotion in Swedish psychosis outpatient units.
A qualitative descriptive study was conducted in two specialized psychosis outpatient units. Thirteen healthcare providers, including clinical case managers and three heads of units, were individually interviewed. Thematic analysis was used to analyze the data.
Three main themes were generated: (1) Health care providers' attitudes and competence. The health care provider's values and beliefs influenced the engagement in health promotion. (2) Patient-related aspects. Understanding how different patient life components shaped the physical health and need for measurements (3) Organizational prerequisites. Prioritizing resources and leadership impact the experience of health promotion. Clinical case management appeared as a promising approach to coordinate/integrate physical and mental health care, evident in themes 1 and 3.
Beyond organizational factors, healthcare providers' skills, patient understanding, and ethical reflection influence their motivation to engage in physical health promotion. The study included only 13 participants, representing various professions, including managers who provided specific leadership perspectives. Clinical case managers appear well-suited to address physical health promotion due to their proficiency in shared decision-making and coordination.
患有精神病的个体面临更高的身体健康问题风险，导致预期寿命缩短。尽管建议将身体健康促进融入精神卫生保健，但挑战依然存在，躯体疾病的死亡率仍在上升。了解医疗保健提供者的观点对于克服这些障碍至关重要。本研究旨在探讨直接为患者提供护理的医疗保健提供者和单元负责人在瑞典精神病门诊单位中影响健康促进的因素方面的经验。
在两个专门的精神病门诊单位进行了定性描述性研究。对 13 名医疗保健提供者（包括临床案例经理和 3 名单元负责人）进行了单独访谈。使用主题分析对数据进行分析。
生成了三个主要主题：（1）医疗保健提供者的态度和能力。医疗保健提供者的价值观和信念影响着他们参与健康促进的积极性。（2）与患者相关的方面。了解不同患者生活组成部分如何塑造身体健康和需要进行测量。（3）组织前提条件。优先考虑资源和领导力影响健康促进的体验。临床案例管理作为协调/整合身心健康的一种有前途的方法，在主题 1 和 3 中表现明显。
除了组织因素外，医疗保健提供者的技能、对患者的理解和伦理反思影响他们参与身体健康促进的动机。该研究仅包括 13 名参与者，代表了各种专业，包括提供特定领导力观点的管理人员。临床案例经理似乎非常适合解决身体健康促进问题，因为他们擅长共同决策和协调。
