The phenomenon of co-morbid physical and mental illness in acute medical care: the lived experience of Australian health professionals.
The phenomenon of co-morbid physical and mental illness in acute medical care: the lived experience of Australian health professionals.
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DOI：
10.1186/s13104-015-1264-z
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发表时间：
2015-07-07
影响因子：
1.8
通讯作者：
Edward, Karen-leigh
中科院分区：
文献类型：
--
作者：
Giandinoto, Jo-Ann;Edward, Karen-leigh
背景：估计 30-50% 入住急性医疗机构的患者患有共病的身体和精神疾病。研究表明，这些环境中的卫生专业人员发现管理这一患者群体具有挑战性。许多研究调查了医疗专业人员的态度和看法，但调查当前澳大利亚医疗保健背景下的生活经历的研究有限。本研究的目的是深入描述健康专业人员在澳大利亚急性医疗护理环境中护理患有共病身心疾病的患者时的经验。方法：由代表护理和医学学科的六名参与者进行了现象学设计。 2013-2014 年，采用一对一半结构化访谈，并使用 Colaizzi 现象学调查的扩展版本对收集的数据进行主题分析。结果：出现了六个主题，包括挑战性行为、环境和组织因素、缺乏技能、知识和经验、高度警惕和焦虑、护理责任和消极态度，总体主题是对未知的恐惧。结论：急症医疗机构中的工作人员对精神疾病患者不确定，并将他们描述为不可预测的，并认为他们缺乏必要的心理健康素养。提倡定期培训。
BACKGROUND: An estimated 30-50% of patients admitted to acute medical care settings experience co-morbid physical and mental illness. Research suggests that health professionals in these settings find managing this patient group challenging. A number of studies have investigated health professional's attitudes and perceptions however there is limited research that investigates the lived experience in a current Australian healthcare context. The aim of this study was to explicate an in-depth description of the health professional's experience when caring for patients experiencing co-morbid physical and mental illness in Australian acute medical care settings.METHODS: A phenomenological design was undertaken with six participants representing nursing and medical disciplines. In 2013-2014 one-on-one semi-structured interviews were used and the data collected underwent thematic analysis using an extended version of Colaizzi's phenomenological inquiry.RESULTS: Six themes emerged includingchallenging behaviours, environmental and organisational factors, lack of skills, knowledge and experience, hyper-vigilance and anxiety, duty of care and negative attitudes with an overarching theme of fear of the unknown.CONCLUSIONS: Staff in acute medical care settings were unsure of patients with mental illness and described them as unpredictable, identifying that they lacked requisite mental health literacy. Regular training is advocated.