Patient experiences of psychiatric inpatient care: a systematic review of qualitative evidence

Wood, Lisa; Alsawy, Sarah

doi:10.20299/jpi.2016.001

Cited by 74 publications

(79 citation statements)

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“…; Polacek et al . ; Wood & Alsawy ). While patients experience a lack of high‐quality interaction with and meaningful activities involving staff, staff describe being hindered to work in line with their ideals due to a lack of structure and the need to manage chaos (Cleary ; Cutcliffe et al .…”

Section: Introductionmentioning

confidence: 99%

Time Together: A nursing intervention in psychiatric inpatient care: Feasibility and effects

Molin

Graneheim

Ringnér

2018

Int J Mental Health Nurs

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The facilitation of quality time between patients and staff in psychiatric inpatient care is useful to promote recovery and reduce stress experienced by staff. However, interventions are reported to be complex to implement and are poorly described in the literature. This multisite study aimed to evaluate the feasibility and effects of the nursing intervention Time Together, using mixed methods. Data consisted of notes from participant observations and logs to evaluate feasibility, and questionnaires to evaluate effects. The primary outcome for patients was quality of interactions, and for staff, it was perceived stress. The secondary outcome for patients was anxiety and depression symptom levels, and for staff, it was stress of conscience. Data were analysed using visual analysis, percentage of nonoverlapping data, and qualitative content analysis. The results showed that Time Together was a feasible intervention, but measurements showed no effects on the two patient outcomes: quality of interactions and anxiety and depressive symptoms and, questionable effects on perceived stress and stress of conscience among staff. Shared responsibility, a friendly approach, and a predictable structure enabled Time Together, while a distant approach and an unpredictable structure hindered the intervention. In conclusion, the intervention proved to be feasible with potential to enable quality interactions between patients and staff using the enabling factors as supportive components. It also had some effects on perceived stress and stress of conscience among staff. Further evaluation is needed to build on the evidence for the intervention.

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Section: Introductionmentioning

confidence: 99%

Time Together: A nursing intervention in psychiatric inpatient care: Feasibility and effects

Molin

Graneheim

Ringnér

2018

Int J Mental Health Nurs

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“…In previous studies, patients have expressed a need for meaningful activities and interactions with staff in order to foster their personal recovery (Lindgren et al . ; Walsh & Boyle ; Wood & Alsawy ). Several researchers have recommended that nursing staff devote more time to high‐quality interactions with patients (Cleary et al .…”

Section: Introductionmentioning

confidence: 99%

Patients' experiences of taking part in Time Together – A nursing intervention in psychiatric inpatient care

Molin

Graneheim

Ringnér

2018

Int J Mental Health Nurs

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This qualitative study aimed to illuminate patients’ experiences of taking part in the nursing intervention Time Together. The data were drawn from 11 individual semi‐structured interviews with patients and analysed with qualitative content analysis using an inductive approach. The results show that patients taking part in Time Together felt confirmed and participated on equal terms; thus, they experienced being seen as humans among other humans. Time Together offered patients a break, and they felt strengthened, which contributed to their hopes for recovery. Furthermore, when Time Together was absent patients felt disconfirmed, which fostered feelings of distance from staff. The results support the effectiveness of the intervention, indicating that Time Together may be a tool to facilitate patients’ personal recovery. However, the success of the intervention depends on staff compliance with the predetermined structure of the intervention in combination with engagement.

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“…In assessing the quality of mental health services, the degree of acceptability and overall opinion of service users is valuable and should be taken into account [51][52][53][54]. User evaluation is qualitative through interviews and complaint/suggestion boxes but also quantitative, through weighted questionnaires to which users can systematically respond, for example on the day of their dismissal from the clinic [55].…”

Section: Discussionmentioning

confidence: 99%

Assessing and Improving the Quality in Mental Health Services

Samartzis

Talias

2019

IJERPH

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Background: The mental health of the population consists of the three essential pillars of quality of life, economy, and society. Mental health services take care of the prevention and treatment of mental disorders and through them maintain, improve, and restore the mental health of the population. The purpose of this study is to describe the methodology for qualitative and quantitative evaluation and improvement of the mental health service system. Methods: This is a narrative review study that searches the literature to provide criteria, indicators, and methodology for evaluating and improving the quality of mental health services and the related qualitative and quantitative indicators. The bibliography was searched in popular databases PubMed, Google Scholar, CINAHL, using the keywords "mental", "health", "quality", "indicators", alone or in combinations thereof. Results: Important quality indicators of mental health services have been collected and presented, and modified where appropriate. The definition of each indicator is presented here, alongside its method of calculation and importance. Each indicator belongs to one of the eight dimensions of quality assessment: (1) Suitability of services, (2) Accessibility of patients to services, (3) Acceptance of services by patients, (4) Ability of healthcare professionals to provide services, (5) Efficiency of health professionals and providers, (6) Continuity of service over time (ensuring therapeutic continuity), (7) Efficiency of health professionals and services, (8) Safety (for patients and for health professionals). Discussion/Conclusions: Accessibility and acceptability of service indicators are important for the attractiveness of services related to their use by the population. Profitability indicators are important economic indicators that affect the viability and sustainability of services, factors that are now taken into account in any health policy. All of the indicators mentioned are related to public health, affecting the quality of life, morbidity, mortality, and life expectancy, directly or indirectly. The systematic measurement and monitoring of indicators and the measurement and quantification of quality through them, are the basis for evidence-based health policy for improvement of the quality of mental health services.

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Patient experiences of psychiatric inpatient care: a systematic review of qualitative evidence

Cited by 74 publications

References 0 publications

Time Together: A nursing intervention in psychiatric inpatient care: Feasibility and effects

Time Together: A nursing intervention in psychiatric inpatient care: Feasibility and effects

Patients' experiences of taking part in Time Together – A nursing intervention in psychiatric inpatient care

Assessing and Improving the Quality in Mental Health Services

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