Decision-making in crisis resolution and home treatment teams: The AWARE framework
| Autor: | Mónica Santos, Robert Croos, Tine Van Bortel, Ella Arensman, Manaan Kar Ray, Chiara Lombardo |
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| Přispěvatelé: | Van Bortel, Tine [0000-0003-0467-6393], Apollo - University of Cambridge Repository |
| Rok vydání: | 2019 |
| Předmět: |
Reflective practice
Applied psychology Clinical assessment Theoretical sampling clinical assessment Crisis resolution and home treatment teams Original Papers Gatekeeping Grounded theory 030227 psychiatry 03 medical and health sciences Psychiatry and Mental health Patient safety 0302 clinical medicine Resource (project management) crisis resolution and home treatment teams 030212 general & internal medicine Acronym Heuristics Psychology Clinical decision-making |
| Zdroj: | BJPsych Bulletin |
| ISSN: | 2056-4694 |
| DOI: | 10.17863/cam.37273 |
| Popis: | Aims and methodThe aim of the study is to improve patient safety by identifying factors influencing gatekeeping decisions by crisis resolution and home treatment teams. A theoretical sampling method was used to recruit clinicians. Semi-structured interviews to elicit various aspects of clinical decision-making were carried out. The transcripts were thematically analysed using a grounded theory approach.ResultsPatient needs (safety and treatment) was the primary driver behind decisions. The research also revealed that information gathered was processed using heuristics. We identified five key themes (anxiety, weighting, agenda, resource and experience), which were constructed into an acronym ‘AWARE’.Clinical implicationsAWARE provides a framework to make explicit drivers for decision-making that are often implicit. Incorporating these drivers into reflective practice will help staff be more mindful of undue influences and result in improved clinical decisions.Declaration of interestNone. |
| Databáze: | OpenAIRE |
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