Abstract:
Perspectives of healthcare have, in past decades, focused more on active citizenship, human rights and empowerment. Healthcare consumer involvement as a concept is still unstructured and consumers have no apparent opportunities to participate in their care processes. The focus is often on the expertise of professionals, even if mental health consumers are willing to become involved and have sufficient decisional capacity. The aim of this integrative literature review was to construct an understanding of consumer perceptions and guiding frameworks of consumer involvement. There was no previous synthesis of mental health consumer perceptions combined with guiding frameworks. An integrative review methodology was employed, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The quality of the 18 studies included was analysed with the Whittemore and Knafl approach. By following Braun and Clarke\'s guidelines, an inductive thematic analysis was conducted to collate the themes from the selected papers. Mental health consumers\' perceptions of involvement included expectations of person-centred care, such as respect, dignity, equal interaction, supportive environments and being part of a community. This research did not find any single established framework to give clear guidelines for consumer involvement in mental healthcare, but similar determinants describing various frameworks were uncovered. This review also shows how the terminology has changed throughout the years. The perceptions of mental health consumers need to be considered to enable the implementation of person-centredness from guidelines through to practice. Paying more attention to the education of professional mental health caregivers and the involvement of mental health consumers in their care provides better opportunities to co-develop successful mental health services and recovery processes.
摘要:
医疗保健的观点有,在过去的几十年里,更专注于积极的公民身份,人权和赋权。作为一个概念,医疗保健消费者的参与仍然是非结构化的,消费者没有明显的机会参与他们的护理过程。重点往往是专业人士的专业知识,即使心理健康消费者愿意参与并有足够的决策能力。这篇综合文献综述的目的是构建对消费者感知的理解和消费者参与的指导框架。以前没有将心理健康消费者的看法与指导框架相结合的综合。采用了综合审查方法,遵循系统审查和荟萃分析指南的首选报告项目。采用Whittemore和Knafl方法分析了18项研究的质量。按照Braun和Clarke的准则,进行了归纳主题分析,以整理所选论文的主题。心理健康消费者对参与的看法包括对以人为本的护理的期望,比如尊重,尊严,平等互动,支持性环境,成为社区的一部分。这项研究没有找到任何单一的既定框架,为消费者参与精神保健提供明确的指导方针。但描述各种框架的类似决定因素被发现。这项审查还显示了多年来术语的变化。需要考虑消费者对心理健康的看法,以实现从准则到实践的以人为本。更加重视专业心理健康护理人员的教育和心理健康消费者参与他们的护理,为共同发展成功的心理健康服务和康复过程提供了更好的机会。