Boredom in inpatient mental healthcare settings: a scoping review

Marshall, Carrie Anne; McIntosh, Emma; Sohrabi, Almas; Amir, Adam

doi:10.1177/0308022619876558

Cited by 22 publications

(26 citation statements)

References 41 publications

(109 reference statements)

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“…Boredom is a common experience for consumers in acute units (Marshall et al., 2019). Participants in this study highlighted the negative impact of a lack of meaningful activities on their feelings of safety.…”

Section: Discussionmentioning

confidence: 99%

“…Having meaningful activities supports safety by promoting choice, autonomy and connection to self and others (Fletcher, Hamilton, Kinner, Sutherland, et al, 2019). In contrast, lack of meaningful activities can mean that consumers become bored (Muir‐Cochrane et al., 2013), and negative thoughts can flourish (Molin et al., 2016), thus increasing the potential for aggression (Marshall et al., 2019) and risk of absconding (Muir‐Cochrane et al., 2013). The availability of meaningful activities is supportive of consumers' safety while also facilitating recovery by promoting choice, autonomy and connection to self and others (Fletcher, Hamilton, Kinner, Sutherland, et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

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How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative study

Cutler

Halcomb

Sim

et al. 2021

Journal of Clinical Nursing

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Aims and objectives To explore how the physical and social environment of acute mental health units influences consumers' perception and experience of safety. Background Acute mental health units are places in which consumers should feel safe. Not all consumers, however, feel safe in this environment. Little is known about what contributes to consumers' feelings of safety in this setting. Design The study used a qualitative descriptive design, influenced by naturalistic enquiry. Data were analysed using thematic analysis and are reported according to the COREQ checklist. Methods Fifteen people who had experienced admission to an acute mental health unit were individually interviewed. Results Having a supportive environment enhanced consumers' perception and experience of safety. A supportive environment was experienced when consumers had privacy, felt safe from other consumers and had meaningful activities to participate in within the acute mental health unit. In contrast, having their privacy breached by other consumers made participants feel unsafe. Many participants were fearful of other consumers, and felt unsafe and unable to protect themselves. Lack of meaningful activities led to boredom and contributed to consumers feeling unsafe. Conclusions Personal spaces should address consumers' privacy needs without compromising staff access. Staff presence enhances consumers' feelings of safety, but this need can be heightened when consumers are unable to alert staff when they feel unsafe. Meaningful activities link consumers to their lives outside of the hospital and can enhance recovery. Relevance to clinical practice Understanding how the acute unit environment is perceived by consumers can assist nurses and managers to promote feelings of safety among consumers. Feeling safe can, in turn, optimise recovery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative study

Cutler

Halcomb

Sim

et al. 2021

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

“…However, evidence for initiatives which have tried to improve the therapeutic qual ity of wards, such as scheduling protected time for ward staff to engage with patients, has tended to be inconclusive. Boredom is identified as a common problem for patients on inpatient wards, but further empirical evidence is needed about its im pacts and the best ways to address it 88 .…”

Section: Management Of Crises In Hospitalmentioning

confidence: 99%

Acute psychiatric care: approaches to increasing the range of services and improving access and quality of care

et al. 2022

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Acute services for mental health crises are very important to service users and their supporters, and consume a substantial share of mental health resources in many countries. However, acute care is often unpopular and sometimes coercive, and the evidence on which models are best for patient experience and outcomes remains surprisingly limited, in part reflecting challenges in conducting studies with people in crisis. Evidence on best approaches to initial assessment and immediate management is particularly lacking, but some innovative models involving extended assessment, brief interventions, and diversifying settings and strategies for providing support are potentially helpful. Acute wards continue to be central in the intensive treatment phase following a crisis, but new approaches need to be developed, evaluated and implemented to reducing coercion, addressing trauma, diversifying treatments and the inpatient workforce, and making decision‐making and care collaborative. Intensive home treatment services, acute day units, and community crisis services have supporting evidence in diverting some service users from hospital admission: a greater understanding of how best to implement them in a wide range of contexts and what works best for which service users would be valuable. Approaches to crisis management in the voluntary sector are more flexible and informal: such services have potential to complement and provide valuable learning for statutory sector services, especially for groups who tend to be underserved or disengaged. Such approaches often involve staff with personal experience of mental health crises, who have important potential roles in improving quality of acute care across sectors. Large gaps exist in many low‐ and middle‐income countries, fuelled by poor access to quality mental health care. Responses need to build on a foundation of existing community responses and contextually relevant evidence. The necessity of moving outside formal systems in low‐resource settings may lead to wider learning from locally embedded strategies.

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“…In the literature review 'Impact of boredom on mental health', Marshall et al (2019) concluded that 'occupational therapists play an important role in addressing the boredom experienced by those receiving treatment for mental illness in hospital settings'.…”

Section: Kirby M Occupational Therapistmentioning

confidence: 99%

Book of Abstracts and Session Submissions

2021

British Journal of Occupational Therapy

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Boredom in inpatient mental healthcare settings: a scoping review

Cited by 22 publications

References 41 publications

How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative study

How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative study

Acute psychiatric care: approaches to increasing the range of services and improving access and quality of care

Book of Abstracts and Session Submissions

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