Ward atmosphere in acute psychiatric in‐patient care: patients' perceptions,ideals and satisfaction

Abstract

Patients' perception of ward atmosphere is a clinically meaningful measure appearing to be a strong predictor of satisfaction.

The Quality in Psychiatric Care-Forensic In-Patient Staff (QPC-FIPS) instrument: Psychometric properties and staff views of the quality of forensic psychiatric services in Sweden

“…However, the highest rating of quality of care was found for the secluded-environment dimension. This is not an unexpected finding, as the secluded environment has been identified as an important aspect for quality of psychiatric care from the staff's perspective [41,42]. In a previous interview study, the staff described good quality in psychiatric care as the patient having access to a personal space where he or she can be left in peace [42].…”

Ward Climate Within a High Secure Forensic Psychiatric Hospital: Perceptions of Patients and Nursing Staff and the Role of Patient Characteristics

“…The aim of this current study is to provide more insight into the relationship between patient characteristics and perceived ward climate. Based on previous findings, the demographic characteristics that might be related to perception of ward climate targeted in the present study were patients' age (Campbell, Allan, & Sims, 2014;Middelboe et al, 2001;Pedersen & Karterud, 2007), length of stay within the facility (van der Helm et al, 2014), and risk of violence (Dickens et al, 2014). With respect to pathological personality features, there are reports that psychopathy may be a key determinant of climate in forensic therapeutic settings (Harkins, Beech, & Thornton, 2012).…”

“…Climate can be seen as an aspect of program responsivity that enhances treatment effects (Beech & Hamilton-Giachritsis, 2005;Howells & Day, 2003; Ward, Day, Howells, & Birgden, 2004). Ward climate has also found to be a determinant of staff wellbeing, playing a role in staff performance and morale (Moos & Schaefer, 1987), job satisfaction (Bressington et al, 2011;Middelboe et al, 2001; Rossberg & Friis, 2004), and occupational stress (Kirby & Pollock, 1995).…”

“…Ward climate can be seen as a multifactorial construct including the material, social, and emotional conditions of a given ward and the interaction between these factors (Moos, 1989;Tonkin, 2015). Ward climate is found to play a role in therapeutic outcomes like drop out-, release-, and re-admission rates (Moos, Shelton, & Petty, 1973), patient satisfaction (Bressington, Stewart, Beer, & MacInnes, 2011;Middelboe, Schjùdt, Byrsting, & Gjerris, 2001;Nesset, Rossberg, & Almvik, 2009;Rossberg & Friis, 2004), motivation for treatment (van der Helm, Beunk, Stams, & van der Laan, 2014), treatment engagement and therapeutic alliance (Long, Anagnostakis, Fox, Silaule, Somers, West, & Webster, 2011). Climate can be seen as an aspect of program responsivity that enhances treatment effects (Beech & Hamilton-Giachritsis, 2005;Howells & Day, 2003; Ward, Day, Howells, & Birgden, 2004).…”

Perception and Satisfaction of Patients Versus Staffs in Three Psychiatric Wards in Tehran in 2010 and 2011

“…This difference in conception is more important because lead to several difficulties in relationship between patients and staff (1)(2)(3)(4). Previous studies in this field have proved the importance of psychiatric hospital environment and indicated that how this environment can be manipulated to enhance therapy.…”