Andrew Bradford, Yvonne Perry, Vinisha Dsouza, Kim L Christopher, Elizabeth Childs, Marni Gwyther Holder, Cheryl Woods Giscombe
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Interviewees were asked questions about the benefits and challenges encountered in the new BHI workflow, the dynamics of the warm hand-off, the tools and resources they used and desired, and the changes they would like to see to promote efficient workflows.</p><p><strong>Results: </strong>We interviewed 21 staff members during May and June of 2020. An analysis of the qualitative data showed the most frequently reported experiences and attitudes focused on (a) the availability of behavioral health consultants (BHC); (b) procedural uses of the warm hand-off; (c) the organization's productivity goals; and (d) desired tools and resources that are generally unavailable to the clinicians but could make a difference to patient care.</p><p><strong>Conclusion: </strong>Our results can assist FQHCs and similar organizations to achieve both BHI and the Quintuple aim. Integrating BH services into PC clinics is valuable and may mitigate clinician-staff burnout. However, PC organizations desiring to integrate new sustainable care models should consider involving staff in every phase of the transitional process phase to increase staff buy-in and staff rapport.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1139-1147"},"PeriodicalIF":1.7000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Exploring Staff Perspectives and Experiences from a Nurse Practitioner-Led Behavioral Health Integration Project in North Carolina Multi-Site Federally Qualified Health Center: A Qualitative Descriptive Study.\",\"authors\":\"Andrew Bradford, Yvonne Perry, Vinisha Dsouza, Kim L Christopher, Elizabeth Childs, Marni Gwyther Holder, Cheryl Woods Giscombe\",\"doi\":\"10.1080/01612840.2024.2395887\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>As primary care (PC) clinics seek to integrate behavioral health (BH) services into patient care, it is crucial to understand the experiences of the clinic team and the impact on workflow and well-being. 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引用次数: 0
摘要
目的:随着初级保健(PC)诊所寻求将行为健康(BH)服务整合到患者护理中,了解诊所团队的经验及其对工作流程和健康的影响至关重要。本研究旨在了解执业护士领导的 PC 团队在联邦合格卫生中心 PC 实践中实施行为健康整合(BHI)模式时的观点和经验:我们对三个实施 BHI 的诊所的工作人员进行了深入的定性访谈。受访者被问及以下问题:在新的 BHI 工作流程中遇到的益处和挑战、热情交接的动力、他们使用和需要的工具和资源,以及他们希望看到的促进高效工作流程的改变:我们在 2020 年 5 月和 6 月期间对 21 名工作人员进行了访谈。对定性数据的分析表明,最常报告的经验和态度主要集中在以下方面:(a)行为健康顾问(BHC)的可用性;(b)暖身交接的程序使用;(c)组织的生产力目标;以及(d)临床医生通常无法获得、但可改善患者护理的所需工具和资源:我们的研究结果可以帮助家庭保健中心和类似机构实现 BHI 和五重目标。将保健服务整合到个人护理诊所很有价值,可以减轻临床医生和工作人员的职业倦怠。然而,希望整合新的可持续护理模式的个人护理机构应考虑让员工参与过渡流程的每个阶段,以增加员工的认同感和员工之间的默契。
Exploring Staff Perspectives and Experiences from a Nurse Practitioner-Led Behavioral Health Integration Project in North Carolina Multi-Site Federally Qualified Health Center: A Qualitative Descriptive Study.
Purpose: As primary care (PC) clinics seek to integrate behavioral health (BH) services into patient care, it is crucial to understand the experiences of the clinic team and the impact on workflow and well-being. This study was designed to identify perspectives and experiences of nurse practitioner-led PC teams as they implemented a behavioral health integration (BHI) model into their Federally Qualified Health Center PC practices.
Methods: We conducted in-depth qualitative interviews with staff members at three clinic sites that implemented BHI. Interviewees were asked questions about the benefits and challenges encountered in the new BHI workflow, the dynamics of the warm hand-off, the tools and resources they used and desired, and the changes they would like to see to promote efficient workflows.
Results: We interviewed 21 staff members during May and June of 2020. An analysis of the qualitative data showed the most frequently reported experiences and attitudes focused on (a) the availability of behavioral health consultants (BHC); (b) procedural uses of the warm hand-off; (c) the organization's productivity goals; and (d) desired tools and resources that are generally unavailable to the clinicians but could make a difference to patient care.
Conclusion: Our results can assist FQHCs and similar organizations to achieve both BHI and the Quintuple aim. Integrating BH services into PC clinics is valuable and may mitigate clinician-staff burnout. However, PC organizations desiring to integrate new sustainable care models should consider involving staff in every phase of the transitional process phase to increase staff buy-in and staff rapport.
期刊介绍:
Issues in Mental Health Nursing is a refereed journal designed to expand psychiatric and mental health nursing knowledge. It deals with new, innovative approaches to client care, in-depth analysis of current issues, and empirical research. Because clinical research is the primary vehicle for the development of nursing science, the journal presents data-based articles on nursing care provision to clients of all ages in a variety of community and institutional settings. Additionally, the journal publishes theoretical papers and manuscripts addressing mental health promotion, public policy concerns, and educational preparation of mental health nurses. International contributions are welcomed.