Pflegerisches Therapiemanagement aus der Nutzerperspektive: Relevante Aspekte für die Arbeitsorganisation in der Akutpsychiatrie
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In dieser Studie werden eine Untersuchung und deren Ergebnisse zur Nutzerperspektive bezüglich der therapiebezogenen Arbeitsorganisation bzw. dem pflegerischen Therapiemanagement in der Akutpsychiatrie beschrieben. Es konnten insgesamt 18 Gesprächskontakte mit Betroffenen hergestellt werden, die sich jeweils zur Hälfte in Interviews und Kurzkontakte aufteilen. Die Auswertung erfolgt nach den Prinzipien der Grounded Theory. Es zeigt sich, dass die Gesprächspartner und -partnerinnen viele positive Erlebnisse, Erfahrungen und Aspekte von Zufriedenheit aber auch negative Erlebnisse, Erfahrungen und Unzufriedenheit schildern. Dieses Mischbild ermöglicht eine interessante Deutung sowie den Vergleich von Erfahrungen und Erwartungen. Aus der Nutzerperspektive lassen sich die Beziehungsgestaltung und Gesprächsführung, die therapeutische Vielfalt und psychotherapeutische sowie kreative Auseinandersetzung mit den psychischen Problemen sowie die Gesundheitsförderung als relevant erkennen. Dies sind Aspekte, die die therapiebezogene Arbeitsorganisation beinhalten sollte. Im entwickelten Kategoriensystem ergaben sich die Relationen von Genesungsbegleitung und Gesundheitsberatung, therapeutischer Beziehung und Gemeinschaft und Arbeit sowie der Organisation. Es wird deutlich, wie eng die Gesundheitsförderung, das Therapiemanagement und die Organisationsstrukturen miteinander verknüpft sind. Dies sind die komprimierten Aspekte, die aus der Nutzersicht als relevant gelten können. Die therapiebezogene Arbeitsorganisation sollte sich daran orientieren.
Gesundheits- und Krankenpfleger, Diplom-Berufspädagoge für Pflegewissenschaft, MPH, MA. Schwerpunkte liegen in der psychiatrischen und gerontopsychiatrischen Pflege, geriatrischen Pflege, palliativen Pflege, rehabilitativen Pflege, Pflegetherapie, Gesundheitsförderung und Prävention in der Pflege, Beratung in der Pflege, Pflege von Menschen mit körperlichen Beeinträchtigungen/Behinderungen, Selbstbestimmung und Nutzerperspektive, Persönliche Assistenz, Pflegemanagement.
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