Creation of consensus recommendations for collaborative practice in the Malaysian psychiatric system: a modified Delphi study

There is strong evidence that collaborative practice in mental healthcare improves outcomes for patients. The concept of collaborative practice can include collaboration between healthcare workers of different professional backgrounds and collaboration with patients, families and communities. Most m...

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Main Authors: Wendy Diana Shoesmith, Sze, Hung Chua, Beena Giridharan, Dawn Forman, Sue Fyfe
Format: Article
Language:English
Published: Springer Science and Business Media LLC 2020
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/25973/1/Creation%20of%20consensus%20recommendations%20for%20collaborative%20practice%20in%20the%20Malaysian%20psychiatric%20system.pdf
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author Wendy Diana Shoesmith
Sze, Hung Chua
Beena Giridharan
Dawn Forman
Sue Fyfe
author_facet Wendy Diana Shoesmith
Sze, Hung Chua
Beena Giridharan
Dawn Forman
Sue Fyfe
author_sort Wendy Diana Shoesmith
collection UMS
description There is strong evidence that collaborative practice in mental healthcare improves outcomes for patients. The concept of collaborative practice can include collaboration between healthcare workers of different professional backgrounds and collaboration with patients, families and communities. Most models of collaborative practice were developed in Western and high-income countries and are not easily translatable to settings which are culturally diverse and lower in resources. This project aimed to develop a set of recommendations to improve collaborative practice in Malaysia. In the first phase, qualitative research was conducted to better understand collaboration in a psychiatric hospital (previously published). In the second phase a local hospital level committee from the same hospital was created to act on the qualitative research and create a set of recommendations to improve collaborative practice at the hospital for the hospital. Some of these recommendations were implemented, where feasible and the outcomes discussed. These recommendations were then sent to a nationwide Delphi panel. These committees consisted of healthcare staff of various professions, patients and carers. The Delphi panel reached consensus after three rounds. The recommendations include ways to improve collaborative problem solving and decision making in the hospital, ways to improve the autonomy and relatedness of patients, carers and staff and ways to improve the levels of resources (e.g. skills training in staff, allowing people with lived experience of mental disorder to contribute). This study showed that the Delphi method is a feasible method of developing recommendations and guidelines in Malaysia and allowed a wider range of stakeholders to contribute than traditional methods of developing guidelines and recommendations.
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spelling ums.eprints-259732020-09-21T00:18:50Z https://eprints.ums.edu.my/id/eprint/25973/ Creation of consensus recommendations for collaborative practice in the Malaysian psychiatric system: a modified Delphi study Wendy Diana Shoesmith Sze, Hung Chua Beena Giridharan Dawn Forman Sue Fyfe R Medicine (General) There is strong evidence that collaborative practice in mental healthcare improves outcomes for patients. The concept of collaborative practice can include collaboration between healthcare workers of different professional backgrounds and collaboration with patients, families and communities. Most models of collaborative practice were developed in Western and high-income countries and are not easily translatable to settings which are culturally diverse and lower in resources. This project aimed to develop a set of recommendations to improve collaborative practice in Malaysia. In the first phase, qualitative research was conducted to better understand collaboration in a psychiatric hospital (previously published). In the second phase a local hospital level committee from the same hospital was created to act on the qualitative research and create a set of recommendations to improve collaborative practice at the hospital for the hospital. Some of these recommendations were implemented, where feasible and the outcomes discussed. These recommendations were then sent to a nationwide Delphi panel. These committees consisted of healthcare staff of various professions, patients and carers. The Delphi panel reached consensus after three rounds. The recommendations include ways to improve collaborative problem solving and decision making in the hospital, ways to improve the autonomy and relatedness of patients, carers and staff and ways to improve the levels of resources (e.g. skills training in staff, allowing people with lived experience of mental disorder to contribute). This study showed that the Delphi method is a feasible method of developing recommendations and guidelines in Malaysia and allowed a wider range of stakeholders to contribute than traditional methods of developing guidelines and recommendations. Springer Science and Business Media LLC 2020 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/25973/1/Creation%20of%20consensus%20recommendations%20for%20collaborative%20practice%20in%20the%20Malaysian%20psychiatric%20system.pdf Wendy Diana Shoesmith and Sze, Hung Chua and Beena Giridharan and Dawn Forman and Sue Fyfe (2020) Creation of consensus recommendations for collaborative practice in the Malaysian psychiatric system: a modified Delphi study. International Journal of Mental Health Systems, 14 (1). pp. 1-14. ISSN 1752-4458 https://doi.org/10.1186/s13033-020-00374-7
spellingShingle R Medicine (General)
Wendy Diana Shoesmith
Sze, Hung Chua
Beena Giridharan
Dawn Forman
Sue Fyfe
Creation of consensus recommendations for collaborative practice in the Malaysian psychiatric system: a modified Delphi study
title Creation of consensus recommendations for collaborative practice in the Malaysian psychiatric system: a modified Delphi study
title_full Creation of consensus recommendations for collaborative practice in the Malaysian psychiatric system: a modified Delphi study
title_fullStr Creation of consensus recommendations for collaborative practice in the Malaysian psychiatric system: a modified Delphi study
title_full_unstemmed Creation of consensus recommendations for collaborative practice in the Malaysian psychiatric system: a modified Delphi study
title_short Creation of consensus recommendations for collaborative practice in the Malaysian psychiatric system: a modified Delphi study
title_sort creation of consensus recommendations for collaborative practice in the malaysian psychiatric system a modified delphi study
topic R Medicine (General)
url https://eprints.ums.edu.my/id/eprint/25973/1/Creation%20of%20consensus%20recommendations%20for%20collaborative%20practice%20in%20the%20Malaysian%20psychiatric%20system.pdf
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