Effects of Staff Changes on Psychiatric Patients

Bouras, Nick; Trauer, Tom; Jp, Watson

doi:10.1097/00005053-198202000-00007

Cited by 6 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If the behaviour of one group of patients were influencing that of another it might be more likely to be detected through cross-lagged correlations, where the values of one variable at one point in time are correlated with those of another variable a certain number of time units earlier or later, than through simple correlations. This mode of analysis has been applied to similar disturbance data by Bouras et al (1981) and Bouras, Trauer & Watson (19826). On the face of it, however, it appears that although the unit was conceived of as a modified therapeutic community and many aspects of the programme were conducted in a communal fashion, at least from the point of gross disturbance levels the two wards behaved independently.…”

Section: Discussionmentioning

confidence: 99%

A study of collective disturbed behaviour among psychiatric patients

Trauer¹

1983

British J Clinic Psychol

Self Cite

View full text Add to dashboard Cite

An investigation was conducted over a 40-week period in which staff completed weekly a list of 34 items representing aspects of disturbance for all patients in a modified therapeutic community comprising male and female wards. Four principal components accounted for about half the variance in both the men's and women's disturbance data. The first components in both groups represented general disturbance. Subsequent components in the men concerned rejection and withdrawal, nocturnal disturbance, and physical aggression, whilst among the women the later components reflected hysterical acting-out, withdrawal and 'opting out', and self-directed and indirect forms of aggression. There was only an insignificant relationship between the general disturbance levels in the two wards. A number of variables, including the level of disturbance predicted from the diagnostic composition of the ward, average length of stay, and numbers of patients in the wards were found to correlate with the weekly levels of disturbance. In the men's ward, a 12-week cycle of general disturbance was found. An occasion of disruption to the routine of the unit (Christmas) was implicated in an episode of high disturbance.

show abstract

Section: Discussionmentioning

confidence: 99%

A study of collective disturbed behaviour among psychiatric patients

Trauer¹

1983

British J Clinic Psychol

Self Cite

View full text Add to dashboard Cite

show abstract

“…A number of factors were associated with this increase, including a change of head nurse and unit chief on this service. Other studies have indicated that staff transitions are often connected to clinical turmoil and adverse effects on patients (Bouras, Traner, & Watson, 1982; Ravenscroft, 1975). In this context, the use of a seclusion room was introduced as a more humane and less restrictive intervention option for the staff in patient management.…”

Section: Methodsmentioning

confidence: 99%

Seclusion in context: Introducing a seclusion room into a children’s unit of a municipal hospital.

Tsemberis

Sullivan

1988

American Journal of Orthopsychiatry

View full text Add to dashboard Cite

To assess the effects of a seclusion room in context, the 15‐month period before and after its introduction into a children's unit at a large municipal hospital was studied. Results indicate that frequency of restraints did not change, that restrained children stayed longer, and that staff and children preferred seclusion to other management interventions. The influence of hospital context on the use of seclusion and restraints is discussed.

show abstract

“…The process of milieu disruption on inpatient units during times of staff turnover has been described. 1, 5 Others 2, 3, 4 have discussed the difficulties posed to both therapists and patients by the necessity of forced terminations or by the options of transfer or termination in outpatient psychotherapy. It is well appreciated that complex emotional processes are set in motion during periods of staff turnover, as staff and patients attempt to continue their therapeutic work while coping with, and sometimes using in the treatment, the mixed feelings of sadness, anger, relief, or guilt that might accompany an anticipated separation.…”

mentioning

confidence: 99%