Attendance in psychiatric ward: healthcare professionals’ conceptions

Abstract This study intended to understand the psychiatric ward professionals’ conceptions concerning the organization of the provided service and therapeutics, with respect to the approach and distancing from the Psychiatric Reform ideals. The qualitative approach was adopted and the data was processed by using the Thematic Content Analysis. The data collection was performed by applying an open questionnaire, approaching themes related to the treatment, planning and evaluation of the actions, participation of the user in his/her treatment, continuity of the assistance after the admission period and professionals’ perception about the psychiatric ward. The sample comprised seven professionals from the nursing, psychology, social service, occupational area and psychiatry areas. According to the results, the professionals have incorporated concepts resulting from the psychiatric reform; however, they find impasses, once the care is still fragmented and there are underused spaces for the team communication. With this respect, it would be important to rethink the multiprofessional team work optimization ways in order to provide an integral care.

摘要 本研究旨在探究精神科病房专业人员对所提供服务与治疗方案的组织实施理念，以及其围绕精神卫生改革（Psychiatric Reform）理念的践行与背离现状。本研究采用质性研究方法（Qualitative Approach），通过主题内容分析法（Thematic Content Analysis）处理采集到的数据。数据收集环节采用开放式问卷，调研主题涵盖治疗相关工作、行动的规划与评估、服务对象参与自身治疗进程、入院周期结束后照护服务的延续性，以及专业人员对精神科病房的认知等内容。本次研究的样本包含来自护理、心理学、社会服务、职业康复及精神医学领域的7名专业人员。结果表明，专业人员已吸纳精神卫生改革衍生的相关理念，但仍面临诸多瓶颈：当前的照护服务仍呈碎片化态势，且团队沟通的场景未得到充分利用。有鉴于此，亟需重新审视多专业团队协作的优化路径，以提供整合式的照护服务。