"Well it's like someone at the other end cares about you." A qualitative study exploring the views of users and providers of care of contact-based interventions following self-harm
"Well it's like someone at the other end cares about you." A qualitative study exploring the views of users and providers of care of contact-based interventions following self-harm
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DOI：
10.1016/j.genhosppsych.2011.01.009
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发表时间：
2011-03-01
影响因子：
7
通讯作者：
Kapur, Navneet
中科院分区：
文献类型：
--
作者：
Cooper, Jayne;Hunter, Cheryl;Kapur, Navneet
目的：调查服务使用者和工作人员对自我伤害后的接触式干预(如信件、电话或危机卡)的看法。方法：采用有目的的抽样方法选择11例急诊出院的自残患者。来自相关服务领域的临床工作人员和志愿工作人员参加了焦点小组和个人访谈(n=10)。访谈被记录下来，主题分析采用不断比较的方法，以确保紧急主题仍然植根于数据。结果：大多数服务用户和工作人员参与者认为出院后的那段时间是最需要的时间。以接触为基础的干预被服务用户视为一种关心的姿态，它抵消了孤独感。由心理健康专家接生是首选，最初是通过电话，但后来认为信件是有帮助的。这种干预既应该是真正的交付，也应该与当前的服务挂钩。潜在的障碍包括获得服务的方式和对隐私的威胁。结论：研究结果表明，适当的干预设计可能是提供信息传单，电话(出院后不久)，然后是信件(提供连续联系)。服务使用者所表达的价值和关注方面应该对临床医生和服务提供者有所帮助。(C)2011 Elsevier Inc.保留所有权利。
Objective: We investigated the views of service users and staff regarding contact-based interventions (e.g., letters, telephone calls or crisis cards) following self-harm.Method: Self-harm patients recently discharged from an emergency department were selected using purposive sampling (n=11). Clinical staff from relevant service areas and voluntary staff took part in a focus group and individual interviews (n=10). Interviews were transcribed and thematic analyses were conducted using methods of constant comparison to ensure that emergent themes remained grounded in the data.Results: Most service users and staff participants identified the period of time directly after discharge as the time of greatest need. A contact-based intervention was viewed by service users as a gesture of caring, which counteracted feelings of loneliness. Delivery by mental health specialists was preferred, initially by phone, but letters were considered helpful later. The intervention should be both genuine in delivery and linked to current services. Potential barriers included means of accessing the service and threats to privacy.Conclusion: The findings suggest that an appropriate design for an intervention might be the provision of an information leaflet, telephone calls (soon after discharge), then letters (offering continuity of contact). Aspects of value and concern expressed by service users should be helpful to clinicians and service providers. (C) 2011 Elsevier Inc. All rights reserved.