Faglige interesser
- Klinisk psykologi
- Alliansen mellom pasient og terapeut
- Pasientjournalen
Bakgrunn
- Psykologspesialist ved Ruspoliklinikken, Lovisenberg diakonale sykehus siden 2005
- Spesialist i klinisk psykologi, fordypning voksen 2002
- Cand psychol, UiO 1994
- Master i Europeisk kultur, UiO 2019
- Bachelor i Idéhistorie, UiO 2015
Emneord:
Avdeling for klinisk psykologi,
Klinisk psykologi
Publikasjoner
-
Flata, Hilde Kristin; Oddli, Hanne Berit Weie & Aaslestad, Petter
(2025).
Pasientjournalen formet under flere hensyn: en tekstanalyse av journaler fra psykisk helsevern.
Tidsskrift for Norsk psykologforening (Psykologtidsskriftet).
ISSN 0332-6470.
62(2),
s. 85–93.
doi:
10.52734/GATZ7273.
Fulltekst i vitenarkiv
Vis sammendrag
Background: Patients in mental health care may read their medical records in an online portal. Research based on interviews and surveys shows that this opportunity presents new challenges for health care personnel when writing medical records. This study examined what characterised the genre in the early phase of outpatient treatment. We aimed to formulate concepts that may raise awareness of the medical record genre and promote reflection on different ways of keeping medical records. Method: An interdisciplinary research group analysed text from six medical records from the first three months of treatment in outpatient mental health care. Results: The analysis resulted in four main categories: 1) professional authority in the text, 2) patient perspective in the text, 3) standardised text, and 4) incoherent text. Subcategories nuanced the findings. Implications: We used the findings to consider how medical record writing can enhance the treatment relationship: health care personnel will be able to develop their repertoire in the direction of change-oriented records by expressing professional authority from more function- and participant-oriented perspectives, using experiential language and individualising standardised text to reduce text fragmentation. In this way, medical records may balance patient participation with a distinctly situation-based professional assessment.
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Publisert
8. jan. 2022 20:01
- Sist endret
31. aug. 2022 15:56