| Management of patient-staff and intrastaff problems in psychiatric consultations. | |
| | |
MedLine Citation:
|
PMID: 1993517 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Four possible types of management of patient-staff and/or intrastaff (PS/IS) problems in psychiatric consultations are distinguished and operationalized. The occurrence and correlates of these types of interventions were studied in a multisite investigation of 1112 consecutive consultations in five general hospitals. PS/IS problems (possibly, probably, or certainly) played a role in 28.1% of the consultations studied. The psychiatric consultants utilized a primarily patient-oriented approach in 56.7% of these 310 consultations, whereas in 42.3% they performed (covert or overt) staff-oriented case consultations. A staff-oriented approach may be contraindicated when the PS/IS problems are not very serious or too complex. In the literature staff resistance and hospital culture are frequently mentioned as obstacles to staff-oriented interventions. The present study showed, however, that it was often the consultants' own degree of security about the PS/IS problems that determined the way they handled these problems. Staff-oriented consultations took significantly more of the psychiatric consultants' time. The clinical and economic benefits of such interventions have still to be established. But the psychiatric consultant with a true biopsychosocial approach should always be cognizant of the possible occurrence of PS/IS problems and consider applying a staff-oriented intervention. |
| | |
Authors:
|
M W Hengeveld; R C van der Mast; C L Tuinstra |
Related Documents
:
|
8188797 - The emanuel miller memorial lecture 1992. the theory and practice of resilience. 8311987 - Confounding in community interventions. 7816217 - The u.s. navy healthy back program: effect on back knowledge among recruits. 16981637 - Influencing alcohol control policies and practices at community festivals. 517237 - Effect of pancreatic kallikrein, sperm acrosin and high molecular weight (hmw) kininoge... 14650667 - Association of daytime sleepiness and the morningness/eveningness dimension in young ad... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: General hospital psychiatry Volume: 13 ISSN: 0163-8343 ISO Abbreviation: Gen Hosp Psychiatry Publication Date: 1991 Jan |
Date Detail:
|
Created Date: 1991-03-15 Completed Date: 1991-03-15 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 7905527 Medline TA: Gen Hosp Psychiatry Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 31-8 Citation Subset: IM |
Affiliation:
|
State University of Leiden, The Netherlands. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Humans Interprofessional Relations* Medical Staff, Hospital / psychology* Mental Disorders / therapy* Professional-Patient Relations* Psychiatry / organization & administration* Referral and Consultation* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Psychogenic abdominal pain.
Next Document: Depressed patients who do and do not receive psychiatric consultation in general hospitals.