View Item 
        •   Utrecht University Student Theses Repository Home
        • UU Theses Repository
        • Theses
        • View Item
        •   Utrecht University Student Theses Repository Home
        • UU Theses Repository
        • Theses
        • View Item
        JavaScript is disabled for your browser. Some features of this site may not work without it.

        Browse

        All of UU Student Theses RepositoryBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects

        Joint crisis plans and inpatient care: a qualitative study

        Thumbnail
        View/Open
        Roselie van Asperen - Abstract - Samenvatting - 29-06-2017.docx (18.08Kb)
        Roselie van Asperen - Master thesis english - 29-06-2017.pdf (302.8Kb)
        Publication date
        2017
        Author
        Asperen, G.C.R. van
        Metadata
        Show full item record
        Summary
        Background: Patients suffering from a severe mental illness (SMI) are likely to face relapse and psychiatric readmission. Although joint crisis plans (JCP) are clinical relevant aids to avoid coercion, this complex intervention is prone to implementation and sustainability barriers. The effectiveness of JCPs is evaluated in robust quantitative studies, but the process of establishing a JCP seems to be under researched. Aim: To gain insight in the beneficial and impeding factors in the process of establishing a JCP with a SMI patient. Method: A generic qualitative study was conducted using semi-structured interviews. Twelve healthcare professionals were selected, having experiences in the process of establishing JCPs on an inpatient ward of a psychiatric hospital in the Netherlands, in 2017. The interview findings were recorded, transcribed, content-analysed and thematised. In the second stage, these findings were made available for peer review and member check. Results: Three core themes were identified as influencing factors: the validation of the JCP, the engagement of the patient and the patient-centered support. The successful validation of the JCP is associated with the shared decision-making in the triad: patient, healthcare professional and carer. The engagement of the patient depends on the level of motivation, the symptom profile and corresponding abilities. The patient-centered support depends on the abilities of the healthcare professional during the process and the collaboration between the healthcare professionals. Conclusion: This study revealed three themes serving both as beneficial and impeding factors. The combination of engagement of the patient and patient-centered support leads to the validation of the JCP: the key concept to make the process work. Recommendations: Further research should focus on the use of JCPs once the patient is discharged to a community based context.
        URI
        https://studenttheses.uu.nl/handle/20.500.12932/26317
        Collections
        • Theses
        Utrecht university logo