Former Inpatient Psychiatric Patients' Past Experiences With Traditional Frontline Staff and Their Thoughts on the Benefits of Peers as Part of Frontline Staff.

Former Inpatient Psychiatric Patients' Past Experiences With Traditional Frontline Staff and Their Thoughts on the Benefits of Peers as Part of Frontline Staff.
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DOI:
10.3928/02793695-20210916-01
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发表时间:
2022-03
影响因子:
1.2
通讯作者:
Singer SJ
Singer SJ
中科院分区:
医学4区
文献类型:
--
作者:
Shields MC;Trinh NT;Borba CPC;Chen R;Reddy AK;Singer SJ

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关于将同龄人融入一线工作人员如何提高住院精神护理的质量,人们知之甚少。在目前的研究中,我们使用半结构化访谈的方式采访了18名住院精神病院的前成年患者。我们首先询问了传统员工过去的积极和消极经历。然后,我们要求参与者分享他们对同行作为前线工作人员的潜在好处的看法。我们通过联合归纳和演绎的方法确定了主题。与会者报告说,传统工作人员过去的积极经验是:(A)风度翩翩和有爱心,(B)确认感情和经历,(C)降级,(D)提供代理。过去的负面经历包括:(A)不分享信息,(B)不专心,(C)没有提供机构,(D)缺乏人情味/不尊重,(E)无能,(F)情况升级,和(G)冷漠。参与者认为,同行作为一线工作人员的一部分,可以以人性化和非评判的方式支持情感需求,帮助导航系统,并打破工作人员和患者之间的权力失衡。需要进一步的研究来了解将同龄人融入一线员工的财务、组织和文化障碍。
Little is known about how integrating peers into frontline staff might improve the quality of inpatient psychiatric care. In the current study, we interviewed 18 former adult patients of inpatient psychiatric facilities using semi-structured interviews. We first asked about positive and negative past experiences with traditional staff. We then asked participants to share their opinions on the potential benefits of peers as part of frontline staff. We identified themes through a joint inductive and deductive approach. Participants reported past positive experiences with traditional staff as being (a) personable and caring, (b) validating feelings and experiences, (c) de-escalating, and (d) providing agency. Past negative experiences included (a) not sharing information, (b) being inattentive, (c) not providing agency, (d) being dehumanizing/disrespectful, (e) incompetency, (f) escalating situations, and (g) being apathetic. Participants believed that peers as part of frontline staff could champion emotional needs in humanizing and nonjudgmental ways, help navigate the system, and disrupt power imbalances between staff and patients. Further research is needed to understand financial, organizational, and cultural barriers to integrating peers into frontline staff.
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