Inpatients’ and Providers’ Experiences with User Involvement in Inpatient Care

Storm, Marianne; Davidson, Larry

doi:10.1007/s11126-009-9122-6

Cited by 52 publications

(86 citation statements)

References 20 publications

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“…109,113 l Care plans did not reflect patient involvement in decision-making or patient-identified goals. [114][115][116][117][118][119][120][121][122] l There is a lack of carer/family involvement in care planning and a lack of recognition and appreciation of their role from health professionals. 112,115,123 Several issues are identified that affect user involvement and participation in care planning decision-making, including the following.…”

Section: Policy Analysis and Literature Reviewmentioning

confidence: 99%

“…121 Staff found engagement and involvement of patients difficult to achieve, and they lacked training, guidance and managerial support. 121,127 Carers' involvement during care planning was inhibited by a lack of staff understanding when applying theoretical principles of confidentiality to the nuances of practice. 123 Two studies linked staff perceptions and experiences of decision-making to service user involvement.…”

Section: Staff Attitudes Perceptions and Knowledgementioning

confidence: 99%

“…120 In addition, patients described how they were underprepared for care planning meetings and collaborative decision-making, which resulted in attendance becoming stressful and, in turn, led to an avoidance of meetings. 121,131,132 Patients' capacity for user involvement It has been argued that the average level of functioning as a result of the acuity of those occupying hospital beds is lower owing to the advent of deinstitutionalisation, thus reducing opportunities for service user involvement. 130 Other studies report similar views, in terms of both increased acuity of inpatients since the advent of deinstitutionalisation that diminish involvement in care planning, and decision-making including deficits in social skills and judgments, attention, concentration, communication difficulties and hypersensitivity towards interpersonal conflict.…”

Section: Patient Perceptionsmentioning

confidence: 99%

See 2 more Smart Citations

Cross-national mixed-methods comparative case study of recovery-focused mental health care planning and co-ordination in acute inpatient mental health settings (COCAPP-A)

Simpson

Coffey

Hannigan

et al. 2017

Health Serv Deliv Res

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BackgroundMental health service users in acute inpatient wards, whether informal or detained, should be involved in planning and reviewing their care. Care planning processes should be personalised and focused on recovery, with goals that are specific to the individual and designed to maximise their achievements and social integration.Objective(s)We aimed to ascertain the views and experiences of service users, carers and staff to enable us to identify factors that facilitated or acted as barriers to collaborative, recovery-focused care and to make suggestions for future research.DesignA cross-national comparative mixed-methods study involving 19 mental health wards in six NHS sites in England and Wales included a metanarrative synthesis of policies and literature; a survey of service users (n = 301) and staff (n = 290); embedded case studies involving interviews with staff, service users and carers (n = 76); and a review of care plans (n = 51) and meetings (n = 12).ResultsNo global differences were found across the sites in the scores of the four questionnaires completed by service users. For staff, there was significant difference between sites in mean scores on recovery-orientation and therapeutic relationships. For service users, when recovery-orientated focus was high, the quality of care was viewed highly, as was the quality of therapeutic relationships. For staff, there was a moderate correlation between recovery orientation and quality of therapeutic relationships, with considerable variability. Across all sites, staff’s scores were significantly higher than service users’ scores on the scale to assess therapeutic relationships. Staff across the sites spoke of the importance of collaborative care planning. However, the staff, service user and carer interviews revealed gaps between shared aspirations and realities. Staff accounts of routine collaboration contrasted with service user accounts and care plan reviews. Definitions and understandings of recovery varied, as did views of the role of hospital care in promoting recovery. ‘Personalisation’ was not a familiar term, although there was recognition that care was often provided in an individualised way. Managing risk was a central issue for staff, and service users were aware of measures taken to keep them safe, although their involvement in discussions was less apparent.ConclusionsOur results suggest that there is positive practice taking place within acute inpatient wards, with evidence of widespread commitment to safe, respectful, compassionate care. Although ideas of recovery were evident, there was some uncertainty about and discrepancy in the relevance of recovery ideals to inpatient care and the ability of people in acute distress to engage in recovery-focused approaches. Despite the fact that staff spoke of efforts to involve them, the majority of service users and carers did not feel that they had been genuinely involved, although they were aware of efforts to keep them safe.Future workFuture research should investigate approaches that increase contact time with service users and promote personalised, recovery-focused working; introduce shared decision-making in risk assessment and management; and improve service user experiences of care planning and review and the use of recovery-focused tools during inpatient care.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

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Section: Policy Analysis and Literature Reviewmentioning

confidence: 99%

Section: Staff Attitudes Perceptions and Knowledgementioning

confidence: 99%

Section: Patient Perceptionsmentioning

confidence: 99%

See 1 more Smart Citation

Cross-national mixed-methods comparative case study of recovery-focused mental health care planning and co-ordination in acute inpatient mental health settings (COCAPP-A)

Simpson

Coffey

Hannigan

et al. 2017

Health Serv Deliv Res

View full text Add to dashboard Cite

show abstract

“…[1][2][3][4] The World Health Organisation recently published the 'Mental health action plan 2013-2020, 5 which states one of the proposed actions for member States is "to provide comprehensive, integrated and responsive mental health and social care services in community-based settings". The document emphasises that "more active involvement Palha J, et (11): [790][791][792][793][794][795] and support of service users in the reorganization, delivery and evaluation and monitoring of services is required so that care and treatment become more responsive to their needs" (p. 14).…”

Section: Introductionmentioning

confidence: 99%

Portuguese Adaptation and Input for the Validation of the Views on Inpatient Care (VOICE) Outcome Measure to Assess Service Users’ Perceptions of Inpatient Psychiatric Care

Palha

Dias

et al. 2017

Acta Med Port

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Introduction: Patient satisfaction is an important measure of health care quality. Patients’ views have seldom been considered in the construction of measures addressing satisfaction with inpatient facilities in psychiatry. The Views on Inpatient Care - VOICE - is a first service-user generated outcome measure relying solely on their perceptions of acute care, representing a valuable indicator of service users’ perceived quality of care. The present study aimed to contribute to the validation of the Portuguese version of VOICE.Material and Methods: The questionnaire was translated into Portuguese and applied to a sample of eighty-five female inpatients of a psychiatric institution. Data analysis focused on assessing reliability and exploring the impact of demographic and clinical variables on participants’ satisfaction.Results: Internal consistency of the questionnaire was high (α = 0.87). Participants’ age and marital status were associated with differences in scores, with older patients and patients who were married or involved in a close relationship presenting higher satisfaction levels.Discussion: The questionnaire demonstrated good internal consistency and acceptability, as well as construct validity. Further studies should expand the analysis of the psychometric properties of this measure e.g., test-retest reliability.Conclusion: The Portuguese version of VOICE is a promising tool to assess service users’ perceptions of inpatient psychiatric care in Portugal.

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“…Equally, some service users have reported confusion about involvement in their care, with little notion of what this might actually mean for them (Storm & Davidson, 2010).…”

Section: Lauramentioning

confidence: 99%

Talking about mental health nursing: a qualitative analysis of nurses’ and service users’ accounts

Terry¹

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Inpatients’ and Providers’ Experiences with User Involvement in Inpatient Care

Cited by 52 publications

References 20 publications

Cross-national mixed-methods comparative case study of recovery-focused mental health care planning and co-ordination in acute inpatient mental health settings (COCAPP-A)

Cross-national mixed-methods comparative case study of recovery-focused mental health care planning and co-ordination in acute inpatient mental health settings (COCAPP-A)

Portuguese Adaptation and Input for the Validation of the Views on Inpatient Care (VOICE) Outcome Measure to Assess Service Users’ Perceptions of Inpatient Psychiatric Care

Talking about mental health nursing: a qualitative analysis of nurses’ and service users’ accounts

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