Kontinuitets -og samhandlingsutfordringer i psykiske helsetjenester - en fokusgruppestudie
Engelsk titel: Continuity -and interaction challenges in mental health services - a focus group study
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Författare:
Olsen, Britt Mari
;
Vatne, Solfrid
;
Buus, Niels
Email: Britt.olsen@himolde.no
Språk: Nor
Antal referenser: 30
Dokumenttyp:
Artikel
UI-nummer: 15123866
Sammanfattning
Background: The psychiatric services in Norway have undergone significant reorganizations
during the last decades. This has challenged traditional organizational boundaries. Object: To
explore mental health professionals’ experiences of continuity and collaboration across boundaries
in the changing organizations. Theoretical perspective: The study was framed by Dorothy Smith’s
Institutional Ethnography. Method: Eight focus groups with nursing staff from the community mental
health services and the specialist mental health services. Results: The main findings indicated that
these professionals understood and articulated their work on the basis of "taken for granted
practices", expressed as two different understandings of continuity: The community mental health
workers talked about continuity as the steady relationship between themselves and their patients,
while the specialist mental health care workers talked about continuity as their 24-hours availability.
Conclusion: The professionals on both sides of the organizational boundaries hesitated to take full
responsibility for gaps in the continuity of care for shared patients and blamed each other, the
patients, and organizational factors.