Morale is high in acute inpatient psychiatry

Bowers, Len; Allan, Teresa; Simpson, Alan; Jones, Julia; Whittington, Richard

doi:10.1007/s00127-008-0396-z

Cited by 44 publications

(58 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We know that patient violence has a detrimental impact on the well-being and functioning of formal carergivers (that is, paid mental health staff), which can include sleep disturbances, stress, and posttraumatic stress disorder 58. It is also linked to burnout and low morale in staff 59. Poor self-esteem has also been associated with reports of intimate partner violence 60.…”

Section: Discussionmentioning

confidence: 99%

Caregiver Reports of Patient-Initiated Violence in Psychosis

et al. 2014

View full text Add to dashboard Cite

Objective:Aggressive behaviour in psychosis is not uncommon. Community provision for people with psychosis has left informal caregivers to take on a greater role in their care. However, few studies have explored links between patient-initiated violence in mental health caregiving relationships and caregiver functioning. Our study investigated caregiver reports of aggressive acts committed by their relative with psychosis and their links to caregiver appraisals of the caregiving relationship and caregiver outcomes.Method:Caregivers of patients with a recent relapse of psychosis, recruited to a psychological therapy trial, completed the audiotaped Camberwell Family Interview at baseline. This semi-structured interview includes questions on the quality of the relationship between caregiver and patient, and patient history of violence. Seventy-two transcripts of interviews were assessed for reports of patient-initiated violence.Results:One-half of the caregiver sample (52.9%) reported an incident of patient-initiated violence during their interview; 62.2% of these involved violence toward themselves, and 24.3% toward property. Reports of patient violence were associated with caregiver ratings of hostility expressed toward patients, lower self-esteem, and emotion-focused coping. People caring on their own were more likely to report incidents of patient violence. Younger patients, males, and inpatients were more frequently identified as having a history of this kind of violence.Conclusions:Our findings suggested that caregiver reports of patient-initiated violence in psychosis are not uncommon. Mental health staff need to be aware of the risks of such violence for caregivers of people with psychosis, and consider appropriate procedures for minimizing it.Clinical Trial Registration Number: ISRCTN83557988

show abstract

Section: Discussionmentioning

confidence: 99%

Caregiver Reports of Patient-Initiated Violence in Psychosis

et al. 2014

View full text Add to dashboard Cite

show abstract

“…The complex relationship with patients in psychiatric care has also been described as a source of stress [2,14,17]. Several studies have highlighted the beneficial aspects of working in psychiatric care, such as good morale [6,18], low levels of moral distress [19], and meaningful and stimulating work [14]. One study indicated that psychiatric nurses were satisfied with their work [20].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Work Environment, Stress Factors and Individual Characteristics among Nursing Staff in Psychiatric In-Patient Care

Tuvesson

Eklund

2014

IJERPH

View full text Add to dashboard Cite

The psychosocial work environment is an important factor in psychiatric in-patient care, and knowing more of its correlates might open up new paths for future workplace interventions. Thus, the aims of the present study were to investigate perceptions of the psychosocial work environment among nursing staff in psychiatric in-patient care and how individual characteristics—Mastery, Moral Sensitivity, Perceived Stress, and Stress of Conscience—are related to different aspects of the psychosocial work environment. A total of 93 nursing staff members filled out five questionnaires: the QPSNordic 34+, Perceived Stress Scale, Stress of Conscience Questionnaire, Moral Sensitivity Questionnaire, and Mastery scale. Multivariate analysis showed that Perceived Stress was important for Organisational Climate perceptions. The Stress of Conscience subscale Internal Demands and Experience in current units were indicators of Role Clarity. The other Stress of Conscience subscale, External Demands and Restrictions, was related to Control at Work. Two types of stress, Perceived Stress and Stress of Conscience, were particularly important for the nursing staff’s perception of the psychosocial work environment. Efforts to prevent stress may also contribute to improvements in the psychosocial work environment.

show abstract

“…Studies have tended to include only physical violence or injuries, combine different forms of behaviour into a total aggression category, or only count the most serious type of aggression where patients have been involved in multiple incidents. The impact of verbal abuse on staff has been largely ignored, although known to be the conflict behaviour most strongly linked to morale (Bowers, Allan, Simpson, Jones, & Whittington, 2009). Verbal aggression often arises from denial of patient requests, management of medication, or simply frustration (Adams & Whittington, 1995;Inoue, Tsukano, Muraoka, Kaneko, & Okamura, 2006;Yassi, Tate, Cooper, Jenkins, & Trottier, 1998).…”

Section: Discussionmentioning

confidence: 99%

Identification of the “Minimal Triangle” and Other Common Event-to-Event Transitions in Conflict and Containment Incidents

Bowers

James

Quirk

et al. 2013

Issues in Mental Health Nursing

Self Cite

View full text Add to dashboard Cite

Although individual conflict and containment events among acute psychiatric inpatients have been studied in some detail, the relationship of these events to each other has not. In particular, little is known about the temporal order of events for individual patients. This study aimed to identify the most common pathways from event to event. A sample of 522 patients was recruited from 84 acute psychiatric wards in 31 hospital locations in London and the surrounding areas during 2009-2010. Data on the order of conflict and containment events were collected for the first two weeks of admission from patients' case notes. Event-to-event transitions were tabulated and depicted diagrammatically. Event types were tested for their most common temporal placing in sequences of events. Most conflict and containment occurs within and between events of the minimal triangle (verbal aggression, de-escalation, and PRN medication), and the majority of these event sequences conclude in no further events; a minority transition to other, more severe, events. Verbal abuse and medication refusal were more likely to start sequences of disturbed behaviour. Training in the prevention and management of violence needs to acknowledge that a gradual escalation of patient behaviour does not always occur. Verbal aggression is a critical initiator of conflict events, and requires more detailed and sustained research on optimal management and prevention strategies. Similar research is required into medication refusal by inpatients.

show abstract

Morale is high in acute inpatient psychiatry

Abstract: This is the unspecified version of the paper.This version of the publication may differ from the final published version. Permanent

Cited by 44 publications

References 22 publications

Caregiver Reports of Patient-Initiated Violence in Psychosis

Caregiver Reports of Patient-Initiated Violence in Psychosis

Psychosocial Work Environment, Stress Factors and Individual Characteristics among Nursing Staff in Psychiatric In-Patient Care

Identification of the “Minimal Triangle” and Other Common Event-to-Event Transitions in Conflict and Containment Incidents

Contact Info

Product

Resources

About