焦点小组
心理干预
开放的体验
心理学
定性研究
耐心
医学
心理健康
精神分裂症(面向对象编程)
诚实
精神科
护理部
社会心理学
社会科学
社会学
营销
业务
作者
Johannes Hamann,Sarah Kohl,Rose McCabe,Markus Bühner,Rosmarie Mendel,Margot Albus,Jesko Christian Bernd
标识
DOI:10.1007/s00127-015-1089-z
摘要
Patient involvement in decision making is endorsed by patients and professionals. While research has recently been conducted on how professionals can promote shared decision making (SDM), little is known about how patients can also facilitate SDM. Seven focus groups were conducted: 3 with psychiatrists and 4 with patients with schizophrenia or depression. The focus groups were transcribed and independently coded line by line by 2 researchers. Data were analyzed using content analysis. Seven themes related to patient attitudes and behaviors were identified: honesty and openness with one’s psychiatrist and oneself, trust in one’s psychiatrist and patience with the treatment, respect and politeness, informing the psychiatrist and giving feedback, engagement/active participation during the consultation, gathering information/preparing for the consultation and implementing decisions. Barriers (e.g., avolition, lack of decisional capacity, powerlessness during involuntary treatment) and facilitators of active patient behavior were also identified. There are various ways in which patients can facilitate SDM/play a more active role in decision making, with patients emphasizing being open and honest and psychiatrists emphasizing being active in the consultation. Interventions to increase active patient behavior may enhance SDM in mental health care.
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