A systematic review of factors associated with service user satisfaction with psychiatric inpatient services

Woodward, Sarah; Berry, Katherine; Bucci, Sandra

doi:10.1016/j.jpsychires.2017.03.020

Cited by 81 publications

(102 citation statements)

References 58 publications

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“…At the level of services involuntary admission, being on a closed ward and subjective experiences of coercive measures are most consistently associated with lower levels of satisfaction [16]. Indeed in the present study the most frequent themes for patients that were highly dissatisfied were ‘lack of access’, especially with regard to leaving the ward, and a perceived abuse of power, which included the experience of coercion, both of which have previously been noted in other qualitative studies [33, 34].…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, good staff-patient relationships seem to be an important factor in informing satisfaction [16, 28]. Similarly, a large survey assessing factors associated with satisfaction across 11 countries found low staff to patient ratio to be the only service level characteristic associated with poor satisfaction [30].…”

Section: Discussionmentioning

confidence: 99%

“…Whilst initial satisfaction with inpatient psychiatric treatment has been shown to predict clinical outcomes, it is unclear which patient-level and hospital-level factors are associated with these appraisals, although a recent systematic review highlighted that involuntary status, being on a closed ward and the experience of coercion were associated with dissatisfaction [16]. Even less is known about what underlies the SIR for inpatient admission, possibly due to the perceived difficulty in collecting data within the first few days of admission.…”

Section: Introductionmentioning

confidence: 99%

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Exploring the initial experience of hospitalisation to an acute psychiatric ward

et al. 2018

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BackgroundPatient-reported satisfaction with inpatient psychiatric services, within the first few days of admission, is related to positive future outcomes. Despite its predictive value, little is known about this initial experience and what underlies these appraisals. The aim of this study was to qualitatively explore the initial experience of being admitted to an inpatient psychiatric ward.MethodsSemi-structured interviews were conducted with 61 recently admitted patients across five psychiatric hospitals in London, England. Participants were purposively sampled to ensure a mix of experiences including people with high and low satisfaction scores as measured by the Client Assessment of Treatment. Thematic analysis was used to identify, analyse and report patterns within the data, with content analysis applied to determine whether certain themes were more common to either negative or positive appraisals.ResultsFour broad themes were evident 1) ‘Best place for me right now?’ 2) ‘Different from out in society’ 3) ‘Moving from uncertainty to being informed’ and 4) ‘Relating & Alienating’. Individuals with very positive appraisals spoke most frequently of helpful relationships with both staff and other patients, and feeling cared for. They also spoke of having had previous admissions and the assessment process on entering the ward suggesting that these may be valuable experiences. Conversely, the group with very negative appraisals spoke of relationships that were alienating or where there was a perceived abuse of power. They described restrictions to their freedom, compared hospital to prison and generally had the view that hospital makes you worse.ConclusionsThe experience of hospital within the first few days of admission determines whether an individual has a positive or negative experience of their inpatient care. Reducing the impact of uncertainty and promoting good relationships may help services to improve the initial experience of hospital admission and ultimately improve future outcomes for patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Exploring the initial experience of hospitalisation to an acute psychiatric ward

et al. 2018

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“…Satisfaction with care, as measured on such scales, can be influenced by characteristics of the patients and by aspects of the care they are receiving.…”

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confidence: 99%

Assessment and determinants of patient satisfaction with mental health care

Priebe

Miglietta

2019

World Psychiatry

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“…For example, public attention has increasingly been directed to concerns regarding the quality of psychiatric inpatient provision (Woodward, Berry & Bucci, 2017). Therefore, therapeutic discussions in respect of masculinity itself could provide men with the opportunity to develop newer, more adaptive conceptualisations of themselves, help them develop greater self-awareness and understanding of the sources of their presenting concerns, which in turn could enhance a provisional formulation of their difficulties (Perelberg, 1999).…”

Section: Clinical and Service Implicationsmentioning

confidence: 99%

The impact of masculinity upon men with psychosis who reside in secure forensic settings

Searle

Hare

Davies

et al. 2018

JFP

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STRUCTURED ABSTRACT PurposeMasculinity is a core cognitive structure that plays a central role in organising attitudinal and behavioural processes. Yet there is limited research focusing upon the meaning of masculinity for men who have a past history of violent behaviour, experience psychotic phenomena and reside in secure forensic settings.Design/methodology/approach Q methodology was used to elucidate the factors regarding how men who experience psychotic phenomena perceive their masculinity. Ten participants from a secure forensic setting performed a 49 statement Q-sort task. FindingsPrinciple component factor analysis with varimax rotation was performed on the 10 completed Q sorts which revealed a 3 factor solution, accounting for 57% of the variance in the data. The factors were interpreted and discussed under the following headings: "assured and asserting maverick", "calm, confident, composed conformist" and "nurturing provider in the face of adversity". This revealed that men with psychosis have different, predominantly pro-social explanatory frameworks for their representation of masculinity. Research limitations/implicationsThis study revealed that men with psychosis have different, predominantly pro-social explanatory frameworks for their representation of masculinity. However, the study was limited by its lack of longitudinal assessment and the inclusion of a greater number of participants may have enhanced the representativeness and generalizability of the findings. Practical implicationsTherapeutic discussions in respect of masculinity itself could provide men with the opportunity to develop newer, more adaptive conceptualisations of themselves, help them develop greater self-awareness and understanding of the sources of their presenting concerns, which in turn could enhance a provisional formulation of their difficulties. It would also be potentially valuable to understand how these patterns of masculinity map onto coping, recovery style and service engagement. Furthermore, services could also benefit from becoming more aware of hospitalization being a shameful perhaps stigmatizing time for men with psychosis. Social implicationsIt may be useful for people working in healthcare settings to be aware of how the service users they support perceive their masculinity, so the existential and deeper needs of male patients are provided with enough consideration. This is an important point, as some individuals are often reluctant or neglect to enquire about individual's psychotic experiences and gender identification. Originality/valueAlthough forensic psychiatric care is primarily populated by men who have committed violent acts, there is limited research focusing upon the meaning of masculinity in this context. This is in spite of evidence which shows that maladaptive perceptions of masculinity can be reinforced during time spent residing in secure settings. The cultural constructs of masculinity and their respective impact upon the diagnosis, management, and outcome of psychosis has also received little ...

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A systematic review of factors associated with service user satisfaction with psychiatric inpatient services

Cited by 81 publications

References 58 publications

Exploring the initial experience of hospitalisation to an acute psychiatric ward

Exploring the initial experience of hospitalisation to an acute psychiatric ward

Assessment and determinants of patient satisfaction with mental health care

The impact of masculinity upon men with psychosis who reside in secure forensic settings

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