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What are the experiences, needs and wishes of GPs and POHs regarding the strength based approach for the care of chronically ill patients? A qualitative analysis.

Mackenbrock, D.M. (2017) What are the experiences, needs and wishes of GPs and POHs regarding the strength based approach for the care of chronically ill patients? A qualitative analysis.

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Abstract:Objective: The objective of this research was to analyze the experiences, needs and wishes of general practitioners (GPs) and nurses (POHs) regarding the strength based approach for the care of chronically ill patients in general practices in the Netherlands. Background: In the care for chronic disease patients in the Netherlands, general practitioners (GPs), mental health nurses (‘praktijkondersteuner geestelijke gezondheidszorg’-POH GGZ) and nurses specialized on somatic complaints (‘praktijkondersteuner somatiek’-POH somatiek) experience various difficulties. They seem to need support in how to foster the patient’s self-management, motivation and self-reliance. For the patients themselves, a focus on individual preferences, needs, goals and resources seems to be desirable. Patients’ goals, preferences, skills, talents and positive attitudes are emphasized in the strength based approach. Method: The data used, consisted of semi-structured interviews with 10 GPs and 12 POHs. A content analysis has been executed. Analyzed were: 1. The elements of the strength based approach that are already being used, 2. The preferences of the participants regarding a possible design of the strength based approach for chronic disease patients in general practices and 3. The support that the participants would need to be able to execute the approach. Results: The outcomes showed that all GPs and POHs seem to use some elements of the strengths based approach, but do not apply the whole strengths based approach nor do they use it in a structured way. Following the preferences of the healthcare professionals, the strength based approach would be implemented in the form of an individual approach, mainly carried out by the POH GGZ. To be able to execute the strength based approach, participants reported to need a framework they can follow, tools to help them identify the patients’ strengths and a preparational training with explanations and practical exercises. Conclusion: Based on the results of this research, an implementation of the strength based approach in general practices for chronic disease patients seems feasible. For the implementation, an extensive preparation of the healthcare professionals seems necessary. Following the results of this research, the POH would gain more responsibility and power in the Dutch healthcare system, whereas the GP undertakes more allocating and coordinating tasks.
Item Type:Essay (Master)
Clients:
Vitaal Mensenwerk, The Netherlands
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:44 medicine, 77 psychology
Programme:Psychology MSc (66604)
Link to this item:http://purl.utwente.nl/essays/72589
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