关键词: Communication Mental health care Nursing Patient participation Psychiatry

Mesh : Humans Patient Handoff Patient Participation Psychiatric Nursing Mental Health Services Mental Disorders / therapy nursing Nurse-Patient Relations

来  源:   DOI:10.1016/j.apnu.2024.04.005

Abstract:
BACKGROUND: Involving mental healthcare patients in nursing handover practices seems a promising method for increasing patient participation, empowerment, and shared decision-making but is hardly found in practice.
METHODS: An explorative review on bedside handovers in mental health care was conducted. Searched databases included CINHAHL, Web of Science, PubMed, and Embase. The search strategy yielded 3126 articles. Nine articles met the inclusion criteria and were included in this review.
RESULTS: Pre- and post-implementation perspectives were described, as well as strategies for implementation. After the implementation of bedside handover, nurses and patients experienced more time spent together and a greater sense of involvement with the care plans could be noticed.
CONCLUSIONS: Being involved in bedside handovers facilitates active participation and open dialogue between nurses and patients. This accelerates the opportunities for patients to take part in shared decision-making and feel recognised as experts in their illness experience. More research on possible differences in effectiveness across different patient diagnoses is recommended.
CONCLUSIONS: Involving patients in mental health care in handover practices seems a promising method but limited research has been done to explore the meaning it has to mental healthcare nurses and patients.
摘要:
背景:让精神病患者参与护理交接实践似乎是增加患者参与的一种有希望的方法,赋权,和共同决策,但在实践中很难找到。
方法:对精神保健中的床边交接进行了探索性综述。搜索的数据库包括CINHAHL,WebofScience,PubMed,和Embase。搜索策略产生了3126篇文章。9篇文章符合纳入标准,被纳入本综述。
结果:描述了实施前和实施后的观点,以及实施战略。实施床头交接后,护士和患者在一起度过了更多的时间,并且可以注意到更多的护理计划参与感。
结论:参与床边交接有助于护士和患者之间的积极参与和开放对话。这加速了患者参与共同决策的机会,并在他们的疾病经验中感到被认可为专家。建议对不同患者诊断的有效性可能差异进行更多研究。
结论:在交接实践中让患者参与精神保健似乎是一种有希望的方法,但有限的研究已经做了探索其对精神保健护士和患者的意义。
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