Abstract
| Originalsprog | Engelsk |
|---|---|
| Tidsskrift | Nursing Inquiry |
| Vol/bind | 32 |
| Udgave nummer | 1 |
| Antal sider | 14 |
| ISSN | 1320-7881 |
| DOI | |
| Status | Udgivet - 2024 |
Link til dokument
- 10.1111/nin.12685Licens: CC BY
- Health Professionals on Cross‐Sectoral Collaboration Between Mental Health HospitalsForlagets udgivne version, 313 KBLicens: CC BY
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I: Nursing Inquiry, Bind 32, Nr. 1, 2024.
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › peer review
TY - JOUR
T1 - Health professionals' perspectives on cross-sectoral collaboration between mental health hospitals and municipalities
T2 - A critical discourse analysis
AU - Jørgensen, Kim
AU - Bro Jørgensen , Kirstine
AU - Frederiksen, Jesper
AU - Watson , Emma
AU - Hansen, Morten
AU - Karlsson, Bengt
PY - 2024
Y1 - 2024
N2 - This study investigates the role of language in cross-sector collaboration between mental health hospitals and municipalities, focusing on the challenges of maintaining continuity of care and integrating patient-centered approaches. Using Fairclough's framework for critical discourse analysis, we examined focus group interviews with 21 healthcare professionals, including nurses, social workers, and psychiatrists, to identify key themes and patterns in how cross-sector collaboration is discussed. The analysis revealed a dominant medicalized discourse in hospital settings, which often emphasized structured care processes like treatment plans and medication management, overshadowing more flexible, patient-centered approaches common in community-based services. Power dynamics were evident, with hospital professionals frequently positioned as active agents, while patients and community-based workers were portrayed in more passive roles. Although efforts to involve patients in decision-making were noted, these were often controlled by professionals, reflecting a mediated approach to patient empowerment. The findings highlight the cultural and structural divides between hospital and community services and suggest the need for improved communication strategies, integrated care pathways, and a shift toward more inclusive, patient-centered care models. Addressing these discursive barriers is crucial for achieving more effective, integrated, and patient-centered care, ultimately improving outcomes for patients
AB - This study investigates the role of language in cross-sector collaboration between mental health hospitals and municipalities, focusing on the challenges of maintaining continuity of care and integrating patient-centered approaches. Using Fairclough's framework for critical discourse analysis, we examined focus group interviews with 21 healthcare professionals, including nurses, social workers, and psychiatrists, to identify key themes and patterns in how cross-sector collaboration is discussed. The analysis revealed a dominant medicalized discourse in hospital settings, which often emphasized structured care processes like treatment plans and medication management, overshadowing more flexible, patient-centered approaches common in community-based services. Power dynamics were evident, with hospital professionals frequently positioned as active agents, while patients and community-based workers were portrayed in more passive roles. Although efforts to involve patients in decision-making were noted, these were often controlled by professionals, reflecting a mediated approach to patient empowerment. The findings highlight the cultural and structural divides between hospital and community services and suggest the need for improved communication strategies, integrated care pathways, and a shift toward more inclusive, patient-centered care models. Addressing these discursive barriers is crucial for achieving more effective, integrated, and patient-centered care, ultimately improving outcomes for patients
U2 - 10.1111/nin.12685
DO - 10.1111/nin.12685
M3 - Journal article
SN - 1320-7881
VL - 32
JO - Nursing Inquiry
JF - Nursing Inquiry
IS - 1
ER -