患者在参与多学科团队会议过程中的角色发展:从被动参与者到积极成员或退出。

IF 3.6 2区 医学 Q1 NURSING International Journal of Mental Health Nursing Pub Date : 2024-12-18 DOI:10.1111/inm.13488
Kevin Berben, Emily Walgrave, Jochen Bergs, Ann Van Hecke, Eva Dierckx, Sofie Verhaeghe
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引用次数: 0

摘要

越来越多的精神病人在住院精神卫生单位住院期间被邀请参加多学科小组会议。为了有效地参与,患者必须采取一种角色,使他们能够积极参与,并作为团队的贡献成员。本研究旨在了解心理健康患者在参与多学科团队会议时如何体验其角色的发展,并确定哪些动态对他们有意义。采用定性访谈法,运用扎根理论的原则。在比利时招募了12名精神健康患者进行半结构化访谈。数据分析采用恒定比较法。出现的概念框架表明,精神健康患者努力承担团队中的伙伴角色。为了有效地发挥这一作用,他们确定了三个关键组成部分:知情和准备,被看到和听到以及能够理解。根据他们对这些组成部分的反思以及他们的贡献和努力的感知价值,精神健康患者决定是否成为并保持积极的成员,恢复被动出席或完全退出。这些见解可以鼓励组织创造一种环境,让精神健康患者在多学科团队会议中成长为合作伙伴。这样的环境将促进患者和治疗团队之间的合作努力,认识到每个患者都是一个独特的个体,有能力做出自己的选择。通过关注对患者个人有意义的事情,并解决他们的具体需求,这种方法确保了对患者康复至关重要的护理是量身定制的。
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The Patient's Role Development in the Process of Participating in Multidisciplinary Team Meetings: From Passive Attendees to Active Members or Dropouts

Mental health patients are increasingly invited to participate in multidisciplinary team meetings during their admission to inpatient mental health units. To participate effectively, patients must adopt a role that enables them to actively engage and take their place as contributing member of the team. This study aims to understand how mental health patients experience the development of their roles when participating in multidisciplinary team meetings and to identify which dynamics are meaningful to them. A qualitative interview approach, using principles of grounded theory, was employed. Twelve mental health patients in Belgium were recruited for semi-structured interviews. Data were analysed using the constant comparative method. The conceptual framework which emerged reveals that mental health patients strive to assume a partnership role within the team. To effectively take on this role, they identify three key components as essential: being informed and prepared, being seen and heard and being able to understand. Based on their reflections on these components and the perceived value of their contributions and efforts, mental health patients decide whether to become and remain active members, revert to passive attendance or disengage entirely. These insights can encourage organisations to create an environment where mental health patients can grow into their role as partners in multidisciplinary team meetings. Such an environment would enable collaborative efforts between patients and the treatment team, recognising each patient as a unique individual capable of making their own choices. By focusing on what is personally meaningful to the patient and addressing their specific needs, this approach ensures that care is tailored to what is crucial for patients' recovery.

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来源期刊
CiteScore
7.60
自引率
8.90%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The International Journal of Mental Health Nursing is the official journal of the Australian College of Mental Health Nurses Inc. It is a fully refereed journal that examines current trends and developments in mental health practice and research. The International Journal of Mental Health Nursing provides a forum for the exchange of ideas on all issues of relevance to mental health nursing. The Journal informs you of developments in mental health nursing practice and research, directions in education and training, professional issues, management approaches, policy development, ethical questions, theoretical inquiry, and clinical issues. The Journal publishes feature articles, review articles, clinical notes, research notes and book reviews. Contributions on any aspect of mental health nursing are welcomed. Statements and opinions expressed in the journal reflect the views of the authors and are not necessarily endorsed by the Australian College of Mental Health Nurses Inc.
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