Recovery‐oriented practice in a hospital mental health service

——《国际精神卫生护理杂志》第33卷，第4期，2024年8月——

<International Journal of Mental Health Nursing> Volume 3, Issue 4, August 2024,

【摘要】作为澳大利亚精神卫生改革的一部分，澳大利亚出台了支持以康复为导向的实践的新政策；然而，专注于风险管理和治疗急性症状的医院环境几乎没有变化。先前的研究表明，患者在住院期间的个人康复经历可能与社区居民的经历不同，患者更有可能经历失联、绝望和无能为力。通过参与式健康研究方法，八名精神卫生专业人士、一名患者倡导者和一名外部研究人员组成了一个研究伙伴关系，以回答以下问题：工作人员如何加强医院心理健康服务的以康复为导向的实践？COREQ清单用于报告方法、分析和发现。方法包括患者焦点小组（n=16名参与者）、对管理人员的访谈（n=7名）和对员工的在线调查（n=17名）。研究人员使用归纳主题分析法分析了咨询反馈，确定了两个主题：关系恢复和恢复干预。研究结果表明，关系恢复是住院期间康复的关键，而增加联系或减少症状影响的干预措施可以促进个人康复。

【关键词】日间病人、医院、住院病人、心理健康、康复导向实践

[Abstract] As part of mental health reform in Australia, new policies were introduced to support recovery-oriented practice; however, little has changed in hospital settings focused on managing risk and remediating acute symptoms. Previous studies have indicated that patients' experiences of personal recovery, during a hospital admission, may not mirror that of people living in the community, with patients being more likely to experience disconnection, hopelessness and disempowerment. Using a Participatory Health Research approach, eight mental health professionals, a patient advocate and an external researcher formed a research partnership to answer the question: How can staff enhance recovery-oriented practice in a hospital-based mental health service? The COREQ checklist was used for reporting the methods, analysis and findings. The methods comprised patient focus groups (n = 16 participants), interviews with managers (n = 7) and an online survey for staff (n = 17). Researchers analysed the feedback from the consultations using inductive thematic analysis, identifying two themes: relational recovery and recovery interventions. The findings indicate that relational recovery is key to recovery during a hospital admission and interventions that increase connectedness or reduce the impact of symptoms enhance personal recovery.

[Key words] day patients, hospitals, inpatients, mental health, recovery-oriented practice

论文原文：LM Lorien, M Arthur, K Keiler, J Lowry, K Ryan (2024). Recovery‐oriented practice in a hospital mental health service. International Journal of Mental Health Nursing, Volume 33, Issue 4, Pages 1100-1109, August 2024.

https://doi.org/10.1111/inm.13316

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