A comparison of two psychological screening methods currently used for inpatients in a UK burns service

Shepherd, Laura J.; Tew, Victoria; Rai, Lovedeep

doi:10.1016/j.burns.2017.04.018

Cited by 7 publications

(10 citation statements)

References 22 publications

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“…This supports previous research which has found that, although many outcome measures are used within burn care, very few measure all aspects of burn injuries. 13,[40][41][42] Furthermore, asking patients to complete numerous individual measures is impractical and can increase patient burden. 42 The UK National Burn Care Review 28 recommended the development of burn-specific PROMs to enable health professionals to assess patient needs, and measure physical and psychosocial change as a result of treatment.…”

Section: Difficulties Identifying Patient Needs and Treatment Progressmentioning

confidence: 99%

“…13,[40][41][42] Furthermore, asking patients to complete numerous individual measures is impractical and can increase patient burden. 42 The UK National Burn Care Review 28 recommended the development of burn-specific PROMs to enable health professionals to assess patient needs, and measure physical and psychosocial change as a result of treatment. 40 Using tried and tested PROMs to screen for psychosocial need, rather than relying on the judgement of non-specialist staff, could reduce instances where patients are not referred for support because signs of difficulty have been overlooked and increase the likelihood they will be offered the support they need.…”

Section: Difficulties Identifying Patient Needs and Treatment Progressmentioning

confidence: 99%

“…19 At present, the UK's National Burn Care Standards 20 advise that all burn services should include health professionals who are trained to assess, and provide psychosocial support to, patients and their families. A tiered approach is recommended, 20,21 whereby all staff receive a level of psychosocial training. Similarly, the European Burns Association (EBA) Practice Guidelines 22 recommend that psychologists should be present in burn centres every day of the week.…”

Section: Introductionmentioning

confidence: 99%

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A qualitative exploration of psychosocial specialists’ experiences of providing support in UK burn care services

Guest

Griffiths

Harcourt

2018

Scars, Burns & Healing

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Introduction:A burn can have a significant and long-lasting psychosocial impact on a patient and their family. The National Burn Care Standards (2013) recommend psychosocial support should be available in all UK burn services; however, little is known about how it is provided. The current study aimed to explore experiences of psychosocial specialists working in UK burn care, with a focus on the challenges they experience in their role.Methods:Semi-structured telephone interviews with eight psychosocial specialists (two psychotherapists and six clinical psychologists) who worked within UK burn care explored their experiences of providing support to patients and their families.Results and Discussion:Thematic analysis revealed two main themes: burn service-related experiences and challenges reflected health professionals having little time and resources to support all patients; reduced patient attendance due to them living large distances from service; psychosocial appointments being prioritised below wound-related treatments; and difficulties detecting patient needs with current outcome measures. Therapy-related experiences and challenges outlined the sociocultural and familial factors affecting engagement with support, difficulties treating patients with pre-existing mental health conditions within the burn service and individual differences in the stage at which patients are amenable to support.Conclusion:Findings provide an insight into the experiences of psychosocial specialists working in UK burn care and suggest a number of ways in which psychosocial provision in the NHS burn service could be developed.

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Section: Difficulties Identifying Patient Needs and Treatment Progressmentioning

confidence: 99%

Section: Difficulties Identifying Patient Needs and Treatment Progressmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A qualitative exploration of psychosocial specialists’ experiences of providing support in UK burn care services

Guest

Griffiths

Harcourt

2018

Scars, Burns & Healing

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“…8,9 Despite the relative frequency with which screening is taking place in UK hospitals, there are no suitable validated measures for use with this population. 10,11 Screening is informally completed in most burns services across the UK, by either face-to-face interview or through multidisciplinary team meetings; however, we are not aware of any other screening tools being used for this purpose in the acute stage.…”

Section: Psychosocial Screeningmentioning

confidence: 99%

Risk factors for peri-traumatic distress and appearance concerns in burn-injured inpatients identified by a screening tool

Oaie

Piepenstock

Williams

2018

Scars, Burns & Healing

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Introduction:Psychosocial screening of burn-injured patients is a National Burn Care Guideline and is increasingly used to identify individuals most in need of support. It can also generate data that can inform our understanding of patient reported concerns following a burn injury.Method:As part of routine care, 461 patients admitted to a burns unit were screened soon after admission using a psychosocial screen designed by the service. The questionnaire included items on pre-existing social support, coping, emotional and psychological difficulties, as well as current trauma symptoms and current level of concern about changed appearance following the burn.Results:Overall, patients reported low levels of appearance concerns (mean 3.7/10) and trauma symptoms (18% reporting flashbacks) in the initial days following a burn injury. In those who did report concerns, there were some significant associations with demographic and other variables. Patients who experienced flashbacks were younger and had a larger total body surface area (TBSA) burn. Higher levels of appearance concern were associated with younger women, larger TBSA and facial burns. However, the relationships found were weak and frequently confounded by other factors.Conclusion:Overall, the findings indicate that initial trauma symptoms and appearance concerns are not inevitable in this group and there is no substitute for screening in identifying who is most at risk.

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“…Given the complex and varying needs of burn patients, it is essential that health professionals are able to comprehensively assess post-burn adjustment, in order to identify individual support needs. Whilst many adjust well [9,21], and some report posttraumatic growth following the injury [22], others experience significant difficulties [23]. For some, psychosocial adjustment is harder to manage than the physical symptoms [24].…”

Section: Introductionmentioning

confidence: 99%

The Development and Validation of the CARe Burn Scale—Adult Form: A Patient-Reported Outcome Measure (PROM) to Assess Quality of Life for Adults Living with a Burn Injury

Griffiths

Guest

Pickles

et al. 2019

Journal of Burn Care &Amp; Research

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Introduction: Patient Reported Outcome Measures (PROMs) identify vital information about patient needs and therapeutic progress. This paper outlines the development and validation of the CARe Burn Scale-Adult Form: a PROM that assesses quality of life in adults living with a burn injury. Methods: 11 patient, 10 family member and 4 health professional interviews, and a systematic review were conducted to inform the development of a conceptual framework and a draft measure. Cognitive debriefing interviews conducted with 3 adult burn patients, 1 family member and 8 health professionals provided feedback to ascertain content validity of the measure. The measure was then field tested with 304 adult burn patients. Rasch psychometric analysis was conducted for scale reduction, and traditional psychometric analyses provided a comparison with other measures. Further psychometric testing with an additional 118 adult burn patients tested the shortened CARe Burn Scale in relation to other quality of life PROMs. Results: The conceptual framework outlined 14 domains; 12 of which fulfilled Rasch and traditional psychometric analyses. Two individual scales did not fulfil the Rasch criteria and were retained as checklists. Individual CARe Burn Scales correlated moderately-to-highly with other quality of life scales measuring similar constructs, and had low-to-no correlations with dissimilar constructs and the majority of sociodemographic factors, indicating evidence of concurrent and divergent validity. 3 Conclusions: The CARe Burn Scale-Adult Form can help identify patient needs and provides burns-specialist health professionals with a tool to assess quality of life and therapeutic progress after a burn event and related treatment.

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A comparison of two psychological screening methods currently used for inpatients in a UK burns service

Cited by 7 publications

References 22 publications

A qualitative exploration of psychosocial specialists’ experiences of providing support in UK burn care services

A qualitative exploration of psychosocial specialists’ experiences of providing support in UK burn care services

Risk factors for peri-traumatic distress and appearance concerns in burn-injured inpatients identified by a screening tool

The Development and Validation of the CARe Burn Scale—Adult Form: A Patient-Reported Outcome Measure (PROM) to Assess Quality of Life for Adults Living with a Burn Injury

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