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精神卫生保健中的协作实践:一项概念分析

Collaborative Practices in Mental Health Care: A Concept Analysis.

作者信息

Pinheiro Eslia, Laranjeira Carlos, Harmuch Camila, Graça José Mateus Bezerra, Ali Amira Mohammed, Fekih-Romdhane Feten, Yıldırım Murat, Severo Ana Kalliny, Franco Elisângela

机构信息

Graduate Program in Collective Health, Federal University of Rio Grande do Norte, Natal 59078-900, Brazil.

School of Health Sciences, Polytechnic University of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal.

出版信息

Healthcare (Basel). 2025 Aug 2;13(15):1891. doi: 10.3390/healthcare13151891.


DOI:10.3390/healthcare13151891
PMID:40805925
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12346314/
Abstract

Collaboration in mental health care is essential for implementing a model oriented towards the psychosocial rehabilitation of people based on multifaceted interventions involving different actors and sectors of society to respond to demands. Despite the benefits presented by the scientific evidence, there are still many barriers to collaborative care, and professionals continue to struggle in reorienting their conduct. The current situation demands organization and the framing of well-founded action plans to overcome challenges, which in turn requires a detailed understanding of collaborative practices in mental health care and their conceptual boundaries. A concept analysis was undertaken to propose a working definition of collaborative practices in mental health care (CPMHC). This paper used the Walker and Avant concept analysis method. This includes identifying the defining concept attributes, antecedents, consequences, and empirical referents. A literature search was carried out from November 2024 to February 2025 in three databases (Medline, CINAHL, and LILACS), considering studies published between 2010 and 2024. The final sample of literature investigated consisted of 30 studies. The key attributes were effective communication, building bonds, co-responsibility for care, hierarchical flexibility, articulation between services, providers and community, monitoring and evaluating of care processes, and attention to the plurality of sociocultural contexts. This comprehensive analysis contributes to guiding future research and policy development of collaborative practices in mental health, considering the individual, relational, institutional, and social levels. Further research is possible to deepen the understanding of the production of collaborative practices in mental health in the face of the complexity of social relations and structural inequities.

摘要

精神卫生保健中的合作对于实施一种基于多方面干预措施、以促进人们心理社会康复为导向的模式至关重要,这些干预措施涉及社会的不同行为者和部门,以满足各种需求。尽管科学证据表明了合作的益处,但合作式护理仍存在许多障碍,专业人员在重新调整其行为方面仍面临困难。当前的形势要求进行组织并制定有充分依据的行动计划以克服挑战,而这反过来又需要详细了解精神卫生保健中的合作实践及其概念边界。开展了一项概念分析,以提出精神卫生保健合作实践(CPMHC)的工作定义。本文采用了沃克和阿凡特的概念分析方法。这包括确定定义性概念属性、前因、后果和实证参照物。于2024年11月至2025年2月在三个数据库(Medline、CINAHL和LILACS)中进行了文献检索,纳入了2010年至2024年发表的研究。最终调查的文献样本包括30项研究。关键属性包括有效沟通、建立联系、共同承担护理责任、层级灵活性、服务之间的衔接、提供者与社区之间的衔接、护理过程的监测与评估以及关注社会文化背景的多元性。这一全面分析有助于指导精神卫生合作实践的未来研究和政策制定,涵盖个人、关系、机构和社会层面。鉴于社会关系的复杂性和结构性不平等,进一步的研究有可能加深对精神卫生领域合作实践产生过程的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c93d/12346314/b9525cdf2292/healthcare-13-01891-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c93d/12346314/eb6508ef2eeb/healthcare-13-01891-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c93d/12346314/b9525cdf2292/healthcare-13-01891-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c93d/12346314/eb6508ef2eeb/healthcare-13-01891-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c93d/12346314/b9525cdf2292/healthcare-13-01891-g002.jpg

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本文引用的文献

[1]
The Global Prevalence of Depression, Anxiety, Stress, and Insomnia Among General Population During COVID-19 Pandemic: A Systematic Review and Meta-analysis.

Trends Psychol. 2023

[2]
Intersectionality and diversity, equity, and inclusion in the healthcare and scientific workforces.

Lancet Reg Health Am. 2025-1-13

[3]
Cross-Sectoral Collaboration Between Mental Health Hospitals and Municipalities: A Scoping Review.

Issues Ment Health Nurs. 2025-6

[4]
Sex and gender in health research: intersectionality matters.

Front Neuroendocrinol. 2023-10-28

[5]
Healing the Whole: An International Review of the Collaborative Care Model between Primary Care and Psychiatry.

Healthcare (Basel). 2024-8-22

[6]
Intersectionality and discriminatory practices within mentalhealth care.

Philos Ethics Humanit Med. 2024-6-28

[7]
Collaborative care approaches for people with severe mental illness.

Cochrane Database Syst Rev. 2024-5-7

[8]
Mental Health Promotion and Illness Prevention in Vulnerable Populations.

Healthcare (Basel). 2024-2-28

[9]
Barriers and enablers of integrated care in the UK: a rapid evidence review of review articles and grey literature 2018-2022.

Front Public Health. 2023

[10]
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Issues Ment Health Nurs. 2024-3

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