[article] 
inThe British Journal of Occupational Therapy > Vol.80 Issue 1 (Janvier 2017) . - p. 49-57

Titre :	The continuum of client-centred practice in an acute psychiatric unit: A mixed method study of clients’ perceptions
Type de document :	texte imprimé
Auteurs :	Solrun Oladottir ; Gudrun Palmadottir
Année de publication :	2017
Article en page(s) :	p. 49-57
Langues :	Anglais (eng)
Mots-clés :	santé mentale  pratique centrée sur le patient  psychiatrie
Résumé :	Abstract Introduction The increase of mental health problems calls attention to the need for a quality health care provision that meets the complex needs of this group. The purpose of this study was to examine mental health clients’ perceptions of the care they received in a hospital environment, focusing on how it was reflecting the main principles of client-centred practice. Method A mixed explanatory sequential design was used and data gathered with a self-report instrument and in-depth interviews. Thirty participants, discharging from a hospital ward, responded to the instrument and six others were interviewed after being discharged. Results In general, participants evaluated the care they received as being rather client centred. Staff attitudes and support and clients’ participation in decision-making and goal-setting were the two aspects that were most congruent with client-centred practice, while staff interactions with significant others and the process and outcome of service were least congruent. Exploration by interviewing revealed the complexity of client-centred practice and the influence of contextual factors. Conclusion Some aspects of client-centred mental health practice seem to be more easily achieved than others. At the contextual level, professional culture, work habits and power structure may be some of the limiting factors.
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[article] The continuum of client-centred practice in an acute psychiatric unit: A mixed method study of clients’ perceptions [texte imprimé] / Solrun Oladottir ; Gudrun Palmadottir . - 2017 . - p. 49-57.
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol.80 Issue 1 (Janvier 2017) . - p. 49-57

Mots-clés :	santé mentale  pratique centrée sur le patient  psychiatrie
Résumé :	Abstract Introduction The increase of mental health problems calls attention to the need for a quality health care provision that meets the complex needs of this group. The purpose of this study was to examine mental health clients’ perceptions of the care they received in a hospital environment, focusing on how it was reflecting the main principles of client-centred practice. Method A mixed explanatory sequential design was used and data gathered with a self-report instrument and in-depth interviews. Thirty participants, discharging from a hospital ward, responded to the instrument and six others were interviewed after being discharged. Results In general, participants evaluated the care they received as being rather client centred. Staff attitudes and support and clients’ participation in decision-making and goal-setting were the two aspects that were most congruent with client-centred practice, while staff interactions with significant others and the process and outcome of service were least congruent. Exploration by interviewing revealed the complexity of client-centred practice and the influence of contextual factors. Conclusion Some aspects of client-centred mental health practice seem to be more easily achieved than others. At the contextual level, professional culture, work habits and power structure may be some of the limiting factors.
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