关键词: Telepsychiatry forensic psychiatry staff experiences videoconferences

Mesh : Humans COVID-19 / psychology Videoconferencing Forensic Psychiatry / methods Denmark Outpatients / psychology Attitude of Health Personnel Female Male Adult Mental Disorders / therapy psychology SARS-CoV-2 Middle Aged

来  源:   DOI:10.1080/08039488.2024.2331209

Abstract:
UNASSIGNED: To describe staff experiences with the use of videoconferences with forensic psychiatric outpatients during the COVID-19 pandemic.
UNASSIGNED: Semi-structured interviews with staff at forensic community services in the Region of Southern Denmark.
UNASSIGNED: Nine semi-structured staff interviews were conducted. Two main themes were identified through thematic analysis: Challenges due to technical uncertainty and the Use of videoconferences as support in clinical assessment and treatment. The second main theme also included a number of subthemes: Lack of opportunity for observation of a patient\'s overall situation; Compromise of nurses\' professionalism; Limitation of disturbing stimuli means more focus on the conversation; Telephone contact vs. video contact-pros and cons; Expectations reflect attitudes; and Will professionalism be changed based on organizational and political perspectives?
UNASSIGNED: Staff opinions on use of videoconferences in psychiatric patients differed. The nurses in particular were concerned about whether professionalism could be maintained. Others experienced patients focusing more on the conversation when it took place via video because there were fewer disturbing elements. In general, expectations seem to influence attitudes toward using videoconferences.
摘要:
描述工作人员在COVID-19大流行期间与法医精神病门诊患者进行视频会议的经验。
对丹麦南部地区法医社区服务工作人员的半结构化访谈。
进行了九次半结构化员工访谈。通过专题分析确定了两个主要主题:技术不确定性带来的挑战和使用视频会议作为临床评估和治疗的支持。第二个主要主题还包括许多子主题:缺乏观察患者整体状况的机会;损害护士的专业精神;限制令人不安的刺激意味着更多地关注对话;电话联系与视频接触利弊;期望反映态度;以及专业水平会根据组织和政治观点而改变吗?
工作人员对精神病患者使用视频会议的意见不同。护士尤其担心是否可以保持专业精神。其他人则经历了患者在通过视频进行对话时更多地关注对话,因为令人不安的因素较少。总的来说,期望似乎会影响对使用视频会议的态度。
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