McGonagle I M, Gentle J
J Psychiatr Ment Health Nurs. 1996;3(1):61-6. doi: 10.1111/j.1365-2850.1996.tb00193.x.
This paper describes a research project which aimed to discover the reasons clients give for failing to attend a mental health day hospital. There was concern that this service provision, for people with enduring mental illness, had a high level of non-attendance and therefore might not be meeting the needs of the people for whom it is targeted. Over a period of 6 months 36 people failed to attend, despite assessment and apparent agreement to attend. Of the 36, 14 agreed to talk about their reasons for not attending. An open interview format was used which enabled the clients to talk in depth about their experiences, which they felt led to the decision to stop attending. Content analysis of the interview data resulted in the identification of common themes. Main findings suggest a lack of partnership in decisions on choice of therapy, particularly the emphasis on groupwork, which 86% found unhelpful. Other main factors for non-attendance were a lack of an individual approach to care, not being listened to, and a lack of warmth from the staff. Recommendations for future practice are given, with particular attention to the need to develop a partnership with clients aimed at meeting individual needs.
本文描述了一个研究项目，该项目旨在找出服务对象未前往精神卫生日间医院就诊的原因。人们担心，这项为患有持续性精神疾病的人群提供的服务，有很高的未就诊率，因此可能无法满足其目标人群的需求。在6个月的时间里，有36人未前来就诊，尽管他们经过了评估且表面上同意前来。在这36人中，有14人同意谈论他们未就诊的原因。采用了开放式访谈形式，这使服务对象能够深入谈论他们的经历，他们认为这些经历导致了他们决定不再前来就诊。对访谈数据进行内容分析后确定了一些共同主题。主要研究结果表明，在治疗选择的决策方面缺乏合作关系，尤其是对团体治疗的强调，86%的人认为这没有帮助。未就诊的其他主要因素包括缺乏个性化的护理方式、未被倾听以及工作人员缺乏热情。文中给出了对未来实践的建议，特别强调了与服务对象建立合作关系以满足个体需求的必要性。
