南非精神健康合作护理:一项定性系统综述

IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY South African Journal of Psychology Pub Date : 2022-05-30 DOI:10.1177/00812463221093525
Zelda Marthani Truter
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引用次数: 0

摘要

精神卫生协作护理是一项战略,旨在重组卫生保健提供者和卫生保健提供之外的部门的作用,以鼓励以团队为基础的方法来处理精神疾病。先前的研究提出了一种协作护理策略,使精神卫生保健更容易获得,并在文化上更合适。本研究系统地回顾了现有文献,总结了南非精神卫生保健背景下的协作护理。更具体地说,目的是记录目前为协作所作的努力,并突出南非精神卫生保健领域协作护理方面的障碍和挑战。这项审查是按照PRISMA的指导方针进行的。2002年至2021年10月期间以英语发表的南非研究被纳入考虑范围。本综述纳入了25项具有异质研究设计的研究,并使用主题综合方法进行了分析。协作护理模式有望在南非缩小精神卫生治疗差距并提供文化上适当的精神卫生保健。然而,尽管取得了进展,但在执行合作政策方面仍存在一些挑战。确定了四项主要战略,以改进南非协作护理模式的实施。这些措施包括:(1)重新分配资源和改善基础设施;(2)使角色和关系正规化并改善领导;(3)改善沟通和监督结构;(4)改善培训和教育。本综述为南非精神卫生保健政策提供了宝贵的建议,对其他资源有限的国家也可能有用。
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Collaborative care for mental health in South Africa: a qualitative systematic review
Collaborative care for mental health is a strategy that restructures the roles of health care providers, and sectors outside of health care provision, to encourage a team-based approach in dealing with mental illness. Previous research proposed a collaborative care strategy to make mental health care more accessible and culturally appropriate. This study systematically reviewed the available literature to produce a summary of collaborative care in the context of mental health care in South Africa. More specifically, the aims were to document existing efforts towards collaboration and highlight barriers and challenges associated with collaborative care in mental health care in South Africa. This review was conducted in accordance with PRISMA guidelines. South African studies published in English between 2002 and October 2021 were considered for inclusion. Twenty-five studies with heterogeneous study designs were included in this review and analysed using a thematic synthesis approach. Collaborative care models hold promise for closing the mental health treatment gap and providing culturally appropriate mental health care in South Africa. However, despite progress made, several challenges remain in the implementation of collaborative policies. Four main strategies were identified to improve the implementation of collaborative care models in South Africa. These included (1) redirecting resources and improving infrastructure, (2) formalising roles and relationships and improving leadership, (3) improving communication and supervisory structures, and (4) improving training and education. This review offers valuable recommendations for South African mental health care policy that might also be useful for other resource-constrained countries.
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来源期刊
South African Journal of Psychology
South African Journal of Psychology PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
3.40
自引率
10.50%
发文量
39
期刊介绍: The South African Journal of Psychology publishes contributions in English from all fields of psychology. While the emphasis is on empirical research, the Journal also accepts theoretical and methodological papers, review articles, short communications, reviews and letters containing fair commentary. Priority is given to articles which are relevant to Africa and which address psychological issues of social change and development.
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