Treating mental health crises at home: Patient satisfaction with home nursing care

Abstract

Accessible SummaryWhat is known on the subject? Most studies have focused on whether hospital admissions have been reduced by the introduction of crisis services, rather than focusing on how these services are employed. Research has also shown that home assistance decreases costs and increases the level of patient satisfaction, thereby being more efficient in terms of the cost/effectiveness ratio than is traditional hospital care. Patient satisfaction with nursing care has long been identified as a key element of quality of care; however, satisfaction with nursing care among patients and families receiving crisis resolution at home has not been studied yet. What the paper adds to existing knowledge? There is limited research on patient satisfaction with CRHTTs. This study provides new insights and data including that on relationships between patient satisfaction and the teams’ attention to person‐centred mental health care. The difference between this study and other studies on patient satisfaction with crisis resolution home treatment teams is that this study focused on patients’ and families’ satisfaction with the nursing care provided by crisis resolution home treatment teams rather than with the general service provided. This study is the first of its kind with such a focus. What are the implications for practice? This research has both academic and clinical implications. Patients’ and their families’ satisfaction with nursing care is an integral aspect for evaluating mental health services, and this is especially important regarding services provided by crisis resolution home treatment teams because such teams are currently being introduced in countries such as Spain. Closely examining patients and families’ satisfaction with nursing care can also foster improvements in current practices. Nurses in crisis teams might need to focus on equalizing power relations, which the data gathered in this study suggests is most important to patient satisfaction. AbstractIntroductionCrisis resolution home treatment teams (CRHTT) provide short‐term, intensive home treatment to people experiencing mental health crises. Patient satisfaction has long been identified as a key element of quality of care; however, satisfaction with nursing care as part of this service has not been studied yet.AimTo assess patients’ and their families’ satisfaction with the nursing care provided through a home care program offered by a hospital in Catalonia which administers person‐centred care.MethodA mixed methods research design was conducted. A cross‐sectional study including quantitative survey data and qualitative interview data with a phenomenological focus was conducted.ResultsTwenty interviews were conducted. Patients and relatives reported high satisfaction that seems to be related to the person‐centred nature of the care.DiscussionThe findings provide new insights, including how home treatment tends to equalize power relations between nurses and patients/the patient's family members, and how nurses increase sensitivity when focusing on service users’ needs and priorities, leading to high patient and family satisfaction.Implications for practiceThis research has both academic and clinical implications. It highlights what mental health patients and their families value most about home care and interactions with nurses, and also drives improvements in current practices.

Service User and Carer Views and Expectations of Mental Health Nurses: A Systematic Review

“…We contacted the corresponding authors of nine studies to request additional information on: 1. the clinical setting where fieldwork was conducted [ 29 , 30 , 31 ], 2. the population and sample size [ 30 , 31 , 34 , 37 , 41 , 55 ], 3. ethics approval [ 64 ] and 4. approach to data analysis [ 28 , 40 ]. As of the 27 June 2022, two authors, [ 28 , 37 ] responded, providing the requested information that we incorporated in the risk assessment data extraction tables, respectively.…”

Nurses’ Experiences of Care at Crisis Resolution Home Treatment Teams: A case study research

“…In other studies, nursing satisfaction related to caregiving has been primarily associated with inferring satisfactory signs from clients(Yamamoto-Mitani et al, 2018). As also indicated in the study ofGiménez-Díez et al, 2019) the health agent plays an important role in the patient's recovery in CRHTTs and care becomes personalized, which is why the therapeutic relationship becomes significant and satisfactory for the persons implicated. This satisfaction was also found in our findings Harris and Panozzo, (2019).…”

“…The service is designed to reduce hospital admissions and help patients return home promptly after an acute admission to a psychiatric hospital (Lloyd-Evans et al, 2018). This modality has been considered less invasive and traumatic than hospital admissions (Giménez-Díez et al, 2019). It allows greater participation, improved quality of life and increased privacy for patients (Barker & Buchanan-Barker, 2011).…”

Predictors of Satisfaction with Care Services among Family Members of Older Adult Residents of Long-Term Care Facilities

“…In Western countries, previous studies on satisfaction with the services provided by LTCFs have reported that residential environment, costs paid by users, services, and the professionalism of the staff are key factors affecting satisfaction [15][16][17][18]. In addition, a smaller size, nonprofit ownership, rural location, lower cost, and higher staff expertise were associated with greater family satisfaction [15][16][17][18].…”

“…In Western countries, previous studies on satisfaction with the services provided by LTCFs have reported that residential environment, costs paid by users, services, and the professionalism of the staff are key factors affecting satisfaction [15][16][17][18]. In addition, a smaller size, nonprofit ownership, rural location, lower cost, and higher staff expertise were associated with greater family satisfaction [15][16][17][18]. In Korea, satisfaction with general lifestyle management services (such as eating, housework, and bathing) provided to older adults residents is high, whereas satisfaction with services that require professionalism (such as social participation and medical services) is poor [19].…”