"Walking the tightrope': The role of peer support workers in facilitating consumers' participation in decision-making
"Walking the tightrope': The role of peer support workers in facilitating consumers' participation in decision-making
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DOI：
10.1111/inm.12474
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发表时间：
2018-08-01
影响因子：
5.6
通讯作者：
Lopez, Violeta
中科院分区：
文献类型：
--
作者：
Cleary, Michelle;Raeburn, Toby;Lopez, Violeta
在成人心理健康服务中，消费者的参与至关重要。本研究的目的是探讨同行支持工作者所面临的挑战时，涉及心理健康消费者在决策有关他们的护理和他们所采用的策略，以克服这些挑战，以提高心理健康消费者的参与决策和恢复。半结构化的个人访谈进行了6个同行支持工作者目前受雇于精神病院和/或社区精神卫生系统。专题分析确定了与角色定义、权力不平衡、以医生为中心的医疗护理方法和缺乏资源有关的挑战。所报告的克服这些挑战的战略包括：促进服务使用者有意义的参与，适当利用生活经验，建立关系和沟通，促进权利和宣传，以及促进同伴支助工作者的专业精神。护理人员需要持续的支持和教育，以了解和重视PSW的各种作用，从而使PSW参与提高消费者的决策。社会工作者的作用应被视为是互补的，更好地欣赏和理解的作用将更好地支持恢复为导向的护理。
In adult mental health services, the participation of consumers is essential. The aim of this study was to explore the challenges faced by peer support workers when involving mental health consumers in decision-making about their care and the strategies they employed to overcome these challenges so as to improve mental health consumers' participation in decision-making and recovery. Semi-structured individual interviews were conducted with six peer support workers currently employed in psychiatric hospitals and/or community mental health systems. Thematic analysis identified challenges related to role definition, power imbalance, doctor-centric medical approaches to care, and lack of resources. Strategies to overcome these challenges that were reported, included the following: facilitating meaningful involvement for service users, appropriate use of the lived experience, building relationships and communication, promoting rights and advocacy, and promoting professionalism of peer support workers (PSWs). Nursing staff need ongoing support and education to understand and value the varied roles of PSWs and thereby empower PSWs to engage in enhancing consumer decision-making. The roles of the PSWs should be viewed as complementary, and greater appreciation and understanding of roles would better support recovery-oriented care.