Stability of perceived ward atmosphere over time, diagnosis and gender for patients with psychosis

Jansson, Jan-Åke; Eklund, Mona

doi:10.1080/08039480260389316

Cited by 12 publications

(8 citation statements)

References 24 publications

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“…Ward climate was stable over three consecutive time-points, reproducing previous work with other measures indicating ward atmosphere remains stable despite staff and patient changes over time (Jansson & Eklund, 2002;Kobos, Redmond, & Sterling, 1982;Moos & Houts, 1968;Schmidt, Wakefield, & Andersen, 1979). The EssenCES was routinely and regularly repeated in the current study in an effort to detect and monitor problems in the ward climate and improve it.…”

Section: Stability Of Ward Climatesupporting

confidence: 54%

Associations between ward climate and patient characteristics in a secure forensic mental health service

Dickens

Suesse

Snyman

et al. 2014

The Journal of Forensic Psychiatry & Psychology

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Ward climate is associated with patient satisfaction and, potentially, with improved outcomes but increased understanding of its relationship with individual patient characteristics is required. We investigated relationships between patient (N = 63) gender, perceived risk, risk behaviour, therapeutic engagement (session attendance), psychopathology and ward climate in a forensic psychiatric hospital. Lower security levels were significantly associated with better patient cohesion (PC), experienced safety (ES) and therapeutic hold (TH). Female gender predicted PC and ES. Higher perceived risk was associated with lower PC after controlling for security level and gender. Diagnosis of personality disorder or psychosis was associated with higher ES. Lower levels of engagement predicted greater TH. The relationship between patient characteristics and ward climate in forensic settings is complex. Prospective studies are needed to further establish determinants of ward climate, particularly those aspects of patient risk that are associated with poorer PC.

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Section: Stability Of Ward Climatesupporting

confidence: 54%

Associations between ward climate and patient characteristics in a secure forensic mental health service

Dickens

Suesse

Snyman

et al. 2014

The Journal of Forensic Psychiatry & Psychology

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show abstract

“…Second, it could be argued that too few patients completed the forms each year, giving unreliable ward means. However, the ward atmosphere has, in several studies, proved to be a stable phenomenon over time, unless there are major changes in the treatment program or treatment goals (27,28). Consequently, it was expected that the single measurement each year would be representative for the whole year.…”

Section: Discussionmentioning

confidence: 98%

Patient satisfaction and treatment environment: A 20-year follow-up study from an acute psychiatric ward

Røssberg

Melle

Opjordsmoen

et al. 2006

Nordic Journal of Psychiatry

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The aim of this study was to examine to what extent the different subscales of the Ward Atmosphere Scale (WAS) are related to patient satisfaction on wards for psychotic patients. We wanted to examine if it was possible to replicate previous findings from cross-sectional studies and improve the understanding of which of the WAS subscales that should be considered the most important for patient satisfaction. From 1981 through 2000, the ward atmosphere, in an acute psychiatric ward, was evaluated 11 times with the Ward Atmosphere Scale (WAS). A total of 129 patients completed the WAS as well as a General Satisfaction Index (GSI) comprising three items. Z-scores were calculated to describe the fluctuations in the GSI and the WAS subscales. Four of the WAS subscales, Involvement, Practical orientation, Angry and aggressive behavior and Staff control, strongly co-varied with patient satisfaction. Unexpectedly, the Support and Order and organization subscales correlated only moderately with patient satisfaction. The remaining five WAS subscales (Spontaneous behavior, Autonomy, Personal problem orientation, Program clarity and Staff attitude to expressed feelings) were only weakly correlated with patient satisfaction. This study confirms that four of the six assumedly most important WAS subscales are strongly related to patient satisfaction on wards for psychotic patients. Changes in these WAS subscales seems to be paralleled by changes in patient satisfaction in the expected direction.

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“…Despite an extensive body of research in the field of psychosocial work environment [1-3] and in that of the ward atmosphere [4-6], there is little research that investigates the relationship between these two phenomena in psychiatric care. The psychosocial work environment has to do with the staff's working conditions, including organizational and work characteristics [7], while the ward atmosphere reflects the milieu in which the care takes place and patient - staff relationships are developed [5].…”

Section: Introductionmentioning

confidence: 99%

The ward atmosphere important for the psychosocial work environment of nursing staff in psychiatric in-patient care

2011

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BackgroundThe nursing staff working in psychiatric care have a demanding work situation, which may be reflected in how they view their psychosocial work environment and the ward atmosphere. The aims of the present study were to investigate in what way different aspects of the ward atmosphere were related to the psychosocial work environment, as perceived by nursing staff working in psychiatric in-patient care, and possible differences between nurses and nurse assistants.Methods93 nursing staff working at 12 general psychiatric in-patient wards in Sweden completed two questionnaires, the Ward Atmosphere Scale and the QPSNordic 34+. Data analyses included descriptive statistics, the Mann-Whitney U-test, Spearman rank correlations and forward stepwise conditional logistic regression analyses.ResultsThe data revealed that there were no differences between nurses and nurse assistants concerning perceptions of the psychosocial work environment and the ward atmosphere. The ward atmosphere subscales Personal Problem Orientation and Program Clarity were associated with a psychosocial work environment characterized by Empowering Leadership. Program Clarity was related to the staff's perceived Role Clarity, and Practical Orientation and Order and Organization were positively related to staff perceptions of the Organizational Climate.ConclusionsThe results from the present study indicate that several ward atmosphere subscales were related to the nursing staff's perceptions of the psychosocial work environment in terms of Empowering Leadership, Role Clarity and Organizational Climate. Improvements in the ward atmosphere could be another way to accomplish improvements in the working conditions of the staff, and such improvements would affect nurses and nurse assistants in similar ways.

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Stability of perceived ward atmosphere over time, diagnosis and gender for patients with psychosis

Cited by 12 publications

References 24 publications

Associations between ward climate and patient characteristics in a secure forensic mental health service

Associations between ward climate and patient characteristics in a secure forensic mental health service

Patient satisfaction and treatment environment: A 20-year follow-up study from an acute psychiatric ward

The ward atmosphere important for the psychosocial work environment of nursing staff in psychiatric in-patient care

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