期刊
INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING
卷 31, 期 1, 页码 25-34出版社
WILEY
DOI: 10.1111/inm.12939
关键词
advance directives; advance statements; autonomy; health services; mental health; psychiatric wills
资金
- Australian Government Research Training Scheme
This study explores clinicians' experiences of implementing advance statements in Victoria, Australia, after their introduction as part of mental health legislation overhaul in 2014. The study identified key themes of training experiences and barriers/facilitators to successful advance statement implementation in practice. Further research is recommended to identify existing and emerging barriers to the implementation of these tools, crucial for promoting autonomy and choice in mental healthcare.
Advance statements, advance directives, or psychiatric wills are a key component of a shift to mental healthcare that promotes autonomy and choice and aims to reduce restrictive and coercive care practices in mental health treatment settings. The use of advance statements has gained momentum to provide a means for individuals to detail clear preferences for mental health treatment. This paper uses a qualitative descriptive design to explore the experiences of clinicians (n = 15) implementing advance statements in the state of Victoria, Australia, a region that introduced advance statements as part of an overhaul of mental health legislation in 2014. The study, reported using the COREQ framework, found two key themes after analysis: experiences of advance statement training, with the availability and quality of training and training as a driver of change emerging as sub-themes, and experiences of advance statements in practice, with participants providing narratives of the barriers and facilitators to successful advance statement implementation. We recommend that clinician and service user experiences of advance statement implementation are further explored to identify existing and emerging barriers to implementation of these tools, which are crucial to achieve autonomy and choice for individuals receiving mental healthcare.
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