Perceptions on individualized approaches to mental health care.
Ways of working on acute psychiatric units have come under intense scrutiny in order for service users to receive modern care and treatment. This has led to various ways not only to improve the therapeutic milieu on psychiatric wards, but also to develop standardized approaches to care. This paper reports on a study on the development of a care pathway for people diagnosed with schizophrenia, with the aim of standardizing the care process. Action research was used to develop the care pathway and views were collected, and observations made from a range of mental health professionals. Not all respondents were in agreement with a care pathway and this led to clinicians defending the individualized nature of psychiatric care. Implementation of a care pathway may help not only to rekindle the therapeutic purpose of psychiatric care, but also to build in the individualized approach to carrying out hospital care. Limitations of the study have also been briefly reported.
Jones
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North-East Wales NHS Trust, North Wales, UK. Adrian.Jones@new-tr.wales.nhs.uk
D000208:Acute Disease; D001291:Attitude of Health Personnel; D002985:Clinical Protocols; D003376:Counseling / Q000458:organization & administration; D019091:Critical Pathways / Q000458:organization & administration*; D004645:Empathy; D006302:Health Services Research; D006808:Humanism; D006801:Humans; D007297:Inpatients / Q000523:psychology; D020380:Needs Assessment; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D009730:Nursing Assessment; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D009736:Nursing Process; D009741:Nursing Staff, Hospital / Q000523:psychology; D010347:Patient Care Planning / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration; D017410:Practice Guidelines as Topic; D011568:Psychiatric Nursing / Q000458:organization & administration*; D012559:Schizophrenia / Q000451:nursing*; D012565:Schizophrenic Psychology; D035502:Trust