Nurse and patient activities and interaction on psychiatric inpatients wards: A literature review

Sharac, Jessica; McCrone, Paul; Sabés-Figuera, Ramón; Csipke, Emese; Wood, Ann P.; Wykes, Til

doi:10.1016/j.ijnurstu.2010.03.012

Cited by 99 publications

(106 citation statements)

References 20 publications

(45 reference statements)

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“…This includes aspects of enthusiasm, daily social activities and group spirit. Several studies have investigated involvement and patient activity in psychiatric settings (Sharac, McCrone, Sabes-Figuera, Csipke, Wood et al, 2010). One study found that reducing the formal observations on an acute psychiatric ward and introducing a structured program of individualized activity for patients led to a reduction in, for example, self-harm and violence and an increase in patient-reported quality of care, as well as a reduction in staff sickness (Dodds & Bowles, 2001).…”

Section: Discussionmentioning

confidence: 99%

Perceived Stress among Nursing Staff in Psychiatric Inpatient Care: The Influence of Perceptions of the Ward Atmosphere and the Psychosocial Work Environment

Tuvesson

Eklund

Wann-Hansson

2011

Issues in Mental Health Nursing

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Section: Discussionmentioning

confidence: 99%

Perceived Stress among Nursing Staff in Psychiatric Inpatient Care: The Influence of Perceptions of the Ward Atmosphere and the Psychosocial Work Environment

Tuvesson

Eklund

Wann-Hansson

2011

Issues in Mental Health Nursing

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“…115 There have been several reports over many years of low levels of nurse-patient interaction occurring on acute psychiatric wards. The amount of time spent as a proportion of available nursing time to interact with patients is as low as 4%, 128 with a recent review 129 concluding that patients spend substantial time apart from staff and that little time is spent delivering therapeutic activities.…”

Section: Staff Timementioning

confidence: 99%

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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“…The vital role of mental health nurses in establishing good therapeutic relationships with patients through highly-skilled talking, listening and empathising is wellestablished (McAndrew et al, 2014). However, a recent review of 13 studies of nursing and patient activities concluded that very little nursing time is spent delivering therapeutic interventions and may even be reducing over time (Sharac et al, 2010). Why might this be?…”

Section: "There Are Two Sorts Of 'Boring' On the Ward One Is Caused mentioning

confidence: 99%

‘Give us something to do’: reflections on running a group therapy programme

Jacobsen¹,

Clark

2016

Mental Health Practice

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People on inpatient psychiatric wards often report feeling bored, and say that they would like access to therapy groups on the ward to help aid their recovery. However, there are many challenges to providing groups on wards, including lack of staff with the requisite time and expertise. This paper describes how a therapy group programme was designed and implemented on a psychiatric triage ward. The group programme was psychology-led, with involvement from the nursing team as cofacilitators. Challenges and opportunities arising from this approach are discussed, with some suggestions for areas of research and practice warranting further exploration.

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Nurse and patient activities and interaction on psychiatric inpatients wards: A literature review

Cited by 99 publications

References 20 publications

Perceived Stress among Nursing Staff in Psychiatric Inpatient Care: The Influence of Perceptions of the Ward Atmosphere and the Psychosocial Work Environment

Perceived Stress among Nursing Staff in Psychiatric Inpatient Care: The Influence of Perceptions of the Ward Atmosphere and the Psychosocial Work Environment

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)

‘Give us something to do’: reflections on running a group therapy programme

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