Purpose: To explore professionals' and service users' experiences and perceptions of interprofessional collaboration and coordination for service users with complex and severe mental health issues.Design and Methods: A qualitative study involving semi-structured interviews of professionals and individual interviews of service users. Data were analyzed by thematic analysis. Findings: Participants described challenges and suggested improvements concerning Distribution of roles, responsibilities, and tasks; Communication; and Knowledge and attitudes. Practice Implications: Mental health nurses and other professional helpers should have a particular focus on common aims, clear division of roles, planning and timing of interventions, and communication with other professionals and service users. K E Y W O R D S collaboration, continuity of care, coordination, mental health care 1 | INTRODUCTION Collaboration and coordination of care are associated with service user satisfaction and improved outcomes. 1,2 Interprofessional collaboration involves different health and social care professions, such as mental health nurses or social workers in community mental health services or specialist mental health services, that regularly worktogether to solve problems and provide services. Interprofessional collaboration can be defined as "both a process and an outcome in which shared interest or conflict that cannot be addressed by any single individual is addressed by key stakeholders." 3,4 Interprofessional coordination differs from interprofessional collaboration, as it is a "looser" form of working arrangement, whereby interprofessional communication and discussion are less frequent. 5 Previous studies have shown that service users experience suboptimal coordination and collaboration in and among services that are relevant for recovery from mental health and addiction problems. [6][7][8][9][10] Professionals and service users have pointed to insufficient planning and coordination, inconsistency of approaches, and frequent breaks in personal relations with service users. [9][10][11][12][13][14][15][16][17] Such breaks reduce relational and information continuity and imply a risk to patient safety. Some service users with complex and severe mental health problems are experienced as particularly challenging to relate to and
Feelings of knowing (FoK) are introspective self-report ratings of the felt likelihood that one will be able to recognize a currently unrecallable memory target. Previous studies have shown that FoKs are influenced by retrieved fragment knowledge related to the target, which is compatible with the accessibility hypothesis that FoK is partly based on currently activated partial knowledge about the memory target. However, previous results have been inconsistent as to whether or not FoKs are influenced by the accuracy of such information. In our study (N = 26), we used a recall-judge-recognize procedure where stimuli were general knowledge questions. The measure of partial knowledge was wider than those applied previously, and FoK was measured before rather than after partial knowledge. The accuracy of reported partial knowledge was positively related to subsequent recognition accuracy, and FoK only predicted recognition on trials where there was correct partial knowledge. Importantly, FoK was positively related to the amount of correct partial knowledge, but did not show a similar incremental relation with incorrect knowledge.
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