Østervang Christina, Lassen Annmarie Touborg, Stenager Elsebeth, Møller Camilla Lykke, Hummel Stine, Jensen Mette Valdersdorf
Department of Emergency Medicine, Odense University Hospital, Odense, Denmark.
Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Int J Ment Health Nurs. 2025 Jun;34(3):e70067. doi: 10.1111/inm.70067.
The successful development of sustainable healthcare solutions necessitates an in-depth understanding of the clinical environment and its potential challenges from the user's perspective. Previous research has identified a lack of care and treatment responsibility for patients presenting to the emergency department due to self-harm injuries. The aim of this study was to investigate whether a user-driven approach and participatory design could be leveraged to propose, design, and develop future solutions to improve the pathways for patients admitted to the ED owing to self-harm injuries. Drawing from the participatory design methodology, six one-on-one workshops were conducted with patients and their family members, alongside two workshops involving 33 participants (health-care professionals and patient representatives) with diverse roles in the patient care pathway. The study resulted in the development of two concepts recommended for clinical testing: (1) an outreach function from mental health services to the emergency department and (2) a joint position between the psychiatric and emergency departments. The study concludes that involving vulnerable patients in research is feasible but requires careful consideration of the methods employed, with potential alternatives necessary to ensure successful outcomes.
可持续医疗保健解决方案的成功开发需要从用户角度深入了解临床环境及其潜在挑战。先前的研究发现，因自残受伤而前往急诊科就诊的患者缺乏护理和治疗责任。本研究的目的是调查是否可以利用用户驱动的方法和参与式设计来提出、设计和开发未来的解决方案，以改善因自残受伤而入住急诊科的患者的就医途径。借鉴参与式设计方法，与患者及其家属进行了六次一对一的研讨会，同时还举办了两次研讨会，有33名参与者（医疗保健专业人员和患者代表），他们在患者护理途径中扮演着不同的角色。该研究成果是开发了两个建议进行临床测试的概念：（1）心理健康服务机构向急诊科的外展功能；（2）精神科和急诊科之间的联合职位。该研究得出结论，让弱势患者参与研究是可行的，但需要仔细考虑所采用的方法，并且需要潜在的替代方案以确保取得成功的结果。
