轻度智障成人的初级精神保健:护理专业人员的观点。

IF 2.5 Q2 PRIMARY HEALTH CARE BJGP Open Pub Date : 2024-10-29 DOI:10.3399/BJGPO.2023.0247
Katrien Pm Pouls, Mathilde Mastebroek, Suzanne A Ligthart, Willem Jj Assendelft, Monique Cj Koks-Leensen, Geraline L Leusink
{"title":"轻度智障成人的初级精神保健:护理专业人员的观点。","authors":"Katrien Pm Pouls, Mathilde Mastebroek, Suzanne A Ligthart, Willem Jj Assendelft, Monique Cj Koks-Leensen, Geraline L Leusink","doi":"10.3399/BJGPO.2023.0247","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>GPs and mental health nurse practitioners (MHNPs) often feel ill equipped to provide mental health (MH) care to people with mild intellectual disabilities (MID). This is worrying, as insufficient primary MH care may lead to more severe or chronic problems. To improve primary MH care for this patient group, account must be taken of the experiences and needs of GPs and MHNPs providing the care.</p><p><strong>Aim: </strong>To explore GPs' and MHNPs' experiences, needs, and recommendations for improvement regarding primary MH care for adults with MID.</p><p><strong>Design & setting: </strong>A qualitative study was undertaken using focus groups with GPs and MHNPs in the Netherlands.</p><p><strong>Method: </strong>The focus groups were guided by topics based on an interview study with adults with MID receiving primary MH care. Transcripts were analysed by thematic analysis.</p><p><strong>Results: </strong>Four focus groups, with 19 GPs and nine MHNPs, revealed four themes describing the needs and perceived complexity involved in providing MH care to patients with both MID and MH problems: (1) GPs' and MHNPs' struggles with adapting to challenging patient characteristics; (2) importance and difficulties of establishing a good doctor-patient relationship; (3) facilitating and hampering roles of the patient's network; and (4) GPs' and MHNPs' challenges to provide care in the healthcare chain.</p><p><strong>Conclusion: </strong>GPs and MHNPs often experience providing care and support to this patient group as burdensome. It is important to consider the MID throughout the MH trajectory, to invest in a strong doctor-patient relationship, and to establish a stable, sustainable network and coordinated collaborative care around the patient.</p>","PeriodicalId":36541,"journal":{"name":"BJGP Open","volume":null,"pages":null},"PeriodicalIF":2.5000,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Primary mental health care for adults with mild intellectual disabilities: a focus group study of care professionals' perspectives.\",\"authors\":\"Katrien Pm Pouls, Mathilde Mastebroek, Suzanne A Ligthart, Willem Jj Assendelft, Monique Cj Koks-Leensen, Geraline L Leusink\",\"doi\":\"10.3399/BJGPO.2023.0247\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>GPs and mental health nurse practitioners (MHNPs) often feel ill equipped to provide mental health (MH) care to people with mild intellectual disabilities (MID). This is worrying, as insufficient primary MH care may lead to more severe or chronic problems. To improve primary MH care for this patient group, account must be taken of the experiences and needs of GPs and MHNPs providing the care.</p><p><strong>Aim: </strong>To explore GPs' and MHNPs' experiences, needs, and recommendations for improvement regarding primary MH care for adults with MID.</p><p><strong>Design & setting: </strong>A qualitative study was undertaken using focus groups with GPs and MHNPs in the Netherlands.</p><p><strong>Method: </strong>The focus groups were guided by topics based on an interview study with adults with MID receiving primary MH care. Transcripts were analysed by thematic analysis.</p><p><strong>Results: </strong>Four focus groups, with 19 GPs and nine MHNPs, revealed four themes describing the needs and perceived complexity involved in providing MH care to patients with both MID and MH problems: (1) GPs' and MHNPs' struggles with adapting to challenging patient characteristics; (2) importance and difficulties of establishing a good doctor-patient relationship; (3) facilitating and hampering roles of the patient's network; and (4) GPs' and MHNPs' challenges to provide care in the healthcare chain.</p><p><strong>Conclusion: </strong>GPs and MHNPs often experience providing care and support to this patient group as burdensome. It is important to consider the MID throughout the MH trajectory, to invest in a strong doctor-patient relationship, and to establish a stable, sustainable network and coordinated collaborative care around the patient.</p>\",\"PeriodicalId\":36541,\"journal\":{\"name\":\"BJGP Open\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2024-10-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BJGP Open\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3399/BJGPO.2023.0247\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PRIMARY HEALTH CARE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BJGP Open","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3399/BJGPO.2023.0247","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PRIMARY HEALTH CARE","Score":null,"Total":0}
引用次数: 0

摘要

背景:全科医生(GPs)和心理健康护士(MHNPs)常常觉得自己没有能力为轻度智障人士提供心理健康(MH)护理。这一点令人担忧,因为初级心理健康护理不足可能会导致更严重或慢性的问题。为了改善对这一患者群体的初级精神健康护理,必须考虑到提供护理的全科医生和精神健康护士的经验和需求。目的:探讨全科医生和精神健康护士在为轻度智障成人提供初级精神健康护理方面的经验、需求和改进建议:全科医生和 MHNPs 的焦点小组研究:焦点小组,根据对接受初级 MH 护理的 MID 成人的访谈研究主题进行指导。结果:四个焦点小组,19 名全科医生参加:由 19 名全科医生和 9 名初级保健医生组成的四个焦点小组揭示了四个主题,描述了为同时患有 MID 和 MH 问题的患者提供 MH 护理所涉及的需求和感知到的复杂性:1] 全科医生和初级保健医生在适应具有挑战性的患者特征方面所面临的困难;2] 建立良好医患关系的重要性和困难;3] 患者网络的促进和阻碍作用;4] 患者网络的促进和阻碍作用;5] 患者网络的促进和阻碍作用;6] 患者网络的促进和阻碍作用;7] 患者网络的促进和阻碍作用;8] 患者网络的促进和阻碍作用;9] 患者网络的促进和阻碍作用。结论:结论:全科医生和移动医疗网络医生在为这一患者群体提供护理和支持时常常感到负担沉重。重要的是,要在整个 MH 轨迹中考虑 MID,投资于稳固的医患关系,并围绕患者建立稳定、可持续的网络和协调的协作护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Primary mental health care for adults with mild intellectual disabilities: a focus group study of care professionals' perspectives.

Background: GPs and mental health nurse practitioners (MHNPs) often feel ill equipped to provide mental health (MH) care to people with mild intellectual disabilities (MID). This is worrying, as insufficient primary MH care may lead to more severe or chronic problems. To improve primary MH care for this patient group, account must be taken of the experiences and needs of GPs and MHNPs providing the care.

Aim: To explore GPs' and MHNPs' experiences, needs, and recommendations for improvement regarding primary MH care for adults with MID.

Design & setting: A qualitative study was undertaken using focus groups with GPs and MHNPs in the Netherlands.

Method: The focus groups were guided by topics based on an interview study with adults with MID receiving primary MH care. Transcripts were analysed by thematic analysis.

Results: Four focus groups, with 19 GPs and nine MHNPs, revealed four themes describing the needs and perceived complexity involved in providing MH care to patients with both MID and MH problems: (1) GPs' and MHNPs' struggles with adapting to challenging patient characteristics; (2) importance and difficulties of establishing a good doctor-patient relationship; (3) facilitating and hampering roles of the patient's network; and (4) GPs' and MHNPs' challenges to provide care in the healthcare chain.

Conclusion: GPs and MHNPs often experience providing care and support to this patient group as burdensome. It is important to consider the MID throughout the MH trajectory, to invest in a strong doctor-patient relationship, and to establish a stable, sustainable network and coordinated collaborative care around the patient.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
BJGP Open
BJGP Open Medicine-Family Practice
CiteScore
5.00
自引率
0.00%
发文量
181
审稿时长
22 weeks
期刊最新文献
Primary care performance in a Ugandan rural district: cross-sectional descriptive study. Mental healthcare and pragmatic shared decision-making in general practice: An interview study. Treating the perimenopause in the UK armed forces: a mixed methods review exploring the confidence of general practitioners. Translating primary care to telehealth: analysis of in-person paediatric consultations and role of the carers. Identifying where hospital and community trusts are managing general practices in England: a service mapping study.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1