[Implementation of an Open Door Policy on Two Acute Care Units].

IF 1.1 4区 医学 Q4 PSYCHIATRY Psychiatrische Praxis Pub Date : 2024-09-01 Epub Date: 2024-04-26 DOI:10.1055/a-2296-0327
Lisa Katharina Schreiber, Florian Sattler, Andreas Jochen Fallgatter, Tilman Steinert, Florian Metzger
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Abstract

Background: Since the amendments to the Baden-Württemberg Psychiatric Assistance Act, psychiatric patients who are treated involuntarily can be admitted to open wards. As a result, a comprehensive research project was carried out to implement an open-door policy. This work evaluates the attitudes of patients and therapeutic teams.

Methods: Over the course of a year, 8 focus groups with 6 to 11 participants were conducted with patients and staff before and at the end of the intervention phase and analyzed qualitatively.

Results: The concept of open doors was received positively. The staff raised safety concerns whereas on the patient side the door status seemed to be of limited relevance regarding the experience of autonomy or stigmatization.

Discussion: The elaboration of conflict issues allows a further development of specific concepts towards the implementation of open doors on psychiatric acute wards.

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[在两家急症监护室实施开放政策]。
背景:自《巴登符腾堡州精神病援助法》修订后,非自愿接受治疗的精神病患者可以住进开放式病房。因此,巴登一符腾堡州开展了一项综合研究项目,以落实开放政策。这项工作对病人和治疗团队的态度进行了评估:方法:在一年的时间里,在干预阶段之前和结束时,对病人和员工进行了 8 次焦点小组讨论,每次有 6 到 11 人参加,并对结果进行了定性分析:结果:"敞开大门 "的概念得到了积极响应。工作人员提出了安全方面的问题,而在病人方面,门的状态似乎与自主体验或耻辱感关系不大:讨论:对冲突问题的阐述有助于进一步发展具体概念,以便在精神科急症病房实施开放式病房。
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来源期刊
Psychiatrische Praxis
Psychiatrische Praxis PSYCHIATRY-
CiteScore
3.90
自引率
9.10%
发文量
103
期刊介绍: Sozialpsychiatrisch orientiert Aktuelle Originalarbeiten und fundierte Übersichten Pro-Kontra-Debatten zu Brennpunktthemen Informative Fallbeispiele Vorstellung internationaler Studien
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