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“未来”:对共同受雇的临床心理学家的全科医生经历的解释现象学分析。

"The future": Interpretative phenomenological analysis of general practitioners' experiences of co-employed clinical psychologists.

作者信息

Monnickendam Katie, Keohane Peter, Magill Rebecca

机构信息

Aneurin Bevan University Health Board Caerphilly UK.

University of Plymouth Plymouth UK.

出版信息

J Gen Fam Med. 2025 Feb 24;26(3):255-262. doi: 10.1002/jgf2.774. eCollection 2025 May.

Abstract

BACKGROUND

General practice is overwhelmed and understaffed. New models and modalities must be considered from the front door of healthcare. Like general practitioners (GPs), clinical psychologists are qualified to work across the age range and transdiagnostically.

AIM

To explore GPs' understanding of the role of a clinical psychologist and to examine what is helpful and unhelpful for GPs about working alongside a clinical psychologist within general practice.

DESIGN AND SETTING

This research took place within a primary care general practice in the United Kingdom.

METHOD

Seven qualified GPs were recruited as participants using a purposive sampling method. Interpretative phenomenological analysis was used to analyze participant's experiences of working alongside clinical psychologists.

RESULTS

Three superordinate themes and 12 subordinate themes were identified. First, GP clinical psychologists support patients directly by providing preventative care, reducing stigma, and offering a different perspective. Second, they support GP well-being and contribute to emotional and behavioral changes in staff. Third, they help to alleviate pressures on wider systems, ease navigation of external services, challenge dominant systems within healthcare, and support community interventions.

CONCLUSION

GP clinical psychologists impact general practice in multiple ways: indirectly through patient care, by GPs themselves, and by addressing wider systems. Future research is encouraged to explore the perspectives of other staff members and patient's experiences.

摘要

背景

全科医疗不堪重负且人员不足。必须从医疗保健的前门考虑新的模式和方式。与全科医生(GP)一样,临床心理学家有资格在各个年龄段开展工作并进行跨诊断。

目的

探讨全科医生对临床心理学家角色的理解,并研究在全科医疗中与临床心理学家合作时,对全科医生有帮助和无帮助的方面。

设计与背景

本研究在英国的一家基层医疗全科诊所进行。

方法

采用目的抽样法招募了7名合格的全科医生作为参与者。运用解释现象学分析方法来分析参与者与临床心理学家合作的经历。

结果

确定了三个上位主题和12个下位主题。第一,全科医生临床心理学家通过提供预防性护理、减少污名化以及提供不同视角来直接支持患者。第二,他们支持全科医生的福祉,并促进工作人员的情绪和行为改变。第三,他们有助于减轻更广泛系统的压力,简化外部服务的流程,挑战医疗保健领域的主导系统,并支持社区干预。

结论

全科医生临床心理学家通过多种方式影响全科医疗:通过患者护理间接影响,通过全科医生自身影响,以及通过解决更广泛的系统问题影响。鼓励未来的研究探索其他工作人员的观点和患者的经历。

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