Vaughn K, Webster D C, Orahood S, Young B C
Issues Ment Health Nurs. 1995 Nov-Dec;16(6):519-31. doi: 10.3109/01612849509009396.
The shift to a managed care philosophy means that clients with psychiatric needs are likely to have both fewer and briefer inpatient hospitalizations. Identification of focused goals and measurable outcomes may not translate easily into inpatient programs that have been more process oriented or have based definitions of improvement on complete or near-complete remission of the admission diagnosis. In the context of these shifts, nursing's focus on maintaining a safe environment, developing a therapeutic relationship, providing information, and valuing holistic and individualized care may be lost in programs that treat all clients in the same "packaged" programs. The previous article in this issue described the philosophical assumptions that underlie our brief inpatient program. This article describes how solution-focused therapeutic modalities are used in our continuum of care.
向管理式医疗理念的转变意味着，有精神科需求的患者住院治疗的次数可能会减少，住院时间也会缩短。确定重点目标和可衡量的结果可能无法轻易转化为那些更注重过程，或依据入院诊断完全或接近完全缓解来定义改善情况的住院项目。在这些转变的背景下，护理工作中对维持安全环境、建立治疗关系、提供信息以及重视整体和个性化护理的关注，可能会在以相同“打包”方式治疗所有患者的项目中丧失。本期的上一篇文章描述了我们短期住院项目背后的哲学假设。本文将介绍聚焦解决方案的治疗模式在我们连续护理过程中的应用。
