“What matters to me”: A multi‐method qualitative study exploring service users’, carers’ and clinicians’ needs and experiences of therapeutic engagement on acute mental health wards

McAllister, Sarah; Simpson, Alan; Tsianakas, Vicki; Robert, Glenn

doi:10.1111/inm.12835

Cited by 29 publications

(45 citation statements)

References 46 publications

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“…Evidence to‐date suggests that nurses are struggling with therapeutic engagement (McAllister & McCrae, 2017; McKeown, 2015), due to non‐engagement and more wide‐ranging issues such as time constraints which limit the amount of time nurses can spend interacting with service users (Harris and Panozzo, 2019) and an increase in administration (Seed et al, 2010; Ward & Cowman, 2007). As a result nurses may use custodial methods of care to maintain safety and to manage service users that present with challenging behaviour, custodial methods of care can then become a barrier to effective engagement (Cutcliffe et al, 2015; McAllister et al, 2021). The evidence suggests that there are potential solutions to these difficulties.…”

Section: Discussionmentioning

confidence: 99%

Psychiatric nurse's perceptions of their interactions with people who hear voices: A qualitative systematic review and thematic analysis

McCluskey¹,

Watson²,

Nugent³

et al. 2022

Psychiatric Ment Health Nurs

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What is known on the subject?• There is no qualitative systematic review of nurses' perceptions of their interactions with people hearing voices. There are some studies exploring the interventions provided by community psychiatric nurses to people hearing voices; these give a sense of what interactions may contain. What the paper adds to the existing knowledge?• Nurses across both community and inpatient mental healthcare settings feel uncertain about how to interact with people hearing voices, sometimes feeling like they can do little to help. Their interactions are affected by the workplace culture, education and training and concern for their own safety. Nurses rely on a therapeutic relationship for all interactions. What are the implications for practice?• This is an under investigated area of mental healthcare. None the less this qualitative systematic review highlights that nurses are unclear about how to interact with service users hearing voices with the resultant outcome that service users in great distress may only be receiving minimal benefit from their interactions with the nurses caring for them.

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Section: Discussionmentioning

confidence: 99%

Psychiatric nurse's perceptions of their interactions with people who hear voices: A qualitative systematic review and thematic analysis

McCluskey¹,

Watson²,

Nugent³

et al. 2022

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

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“…Visiting hours, smartphones, gardens and activities are all occasions for the patients to interact with one another, with external visitors (McAllister et al . 2021 ) and with the staff, and all of these possibilities can contribute to the ward’s climate and therapeutic relationships.…”

Section: Discussionmentioning

confidence: 99%

Rules and ward climate in acute psychiatric setting: Comparison of staff and patient perceptions

Corbetta¹,

Corso

Camuccio

2022

Int J Mental Health Nurs

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The ward climate or atmosphere refers to its material, emotional and social conditions. A good ward climate in psychiatric settings can influence the mood, behaviour and self-concept of patients and staff members and improve patient outcomes. Many studies have examined the relationship between ward climate and aggression, but only a few have investigated the effect of a ward's environment, rules and activities. This multicentric observational study aimed to assess the relationship between the rules/activities and the climate of four acute psychiatric units of Northern Italy. The Essen Climate Evaluation Scheme (EssenCES) questionnaire, which was administered to patients and staff, was used to evaluate the different dimensions of ward atmosphere. There was a good response rate (79%) in patients and staff members who completed the questionnaire (114 patients and 109 staff). Safety perception appeared to be quite different in patients and staff. The patients who were authorized to have more visiting hours and more time to use their mobile phone had higher scores on Experienced Safety subscale. A negative correlation between the Therapeutic Hold and Experienced Safety subscales was found in the staff members, and this was due to their negative perception. The ward climate seemed to be affected by the unit's rules, especially with respect to visits and the smartphones use. Nurses need to be aware of the importance of ward climate and how their own perception may differ from and that of patients: this gap could lead to decisions detached from the patients' needs.

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“…To respond to the experiences and issues raised by parents and health professionals, EBCD, an established technique for gathering experiences and for co-design, was used [20][21][22]27,32,[50][51][52]. It has been applied for the first time in this study to explore parents' and health professionals' experiences with the communication of positive NBS results.…”

Section: Co-designed Interventionsmentioning

confidence: 99%

Co-designing Improved Communication of Newborn Bloodspot Screening Results to Parents: Mixed Methods Study

Chudleigh¹,

Shakespeare²,

Holder³

et al. 2022

J Particip Med

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Background Each year in England, almost 10,000 parents are informed of their child’s positive newborn bloodspot screening (NBS) results. This occurs approximately 2 to 8 weeks after birth depending on the condition. Communication of positive NBS results is a subtle and skillful task, demanding thought, preparation, and evidence to minimize potentially harmful negative sequelae. Evidence of variability in the content and the way the result is currently communicated has the potential to lead to increased parental anxiety and distress. Objective This study focused on the development of co-designed interventions to improve the experiences of parents receiving positive NBS results for their children and enhance communication between health care professionals and parents. Methods An experience-based co-design approach was used to explore experiences and co-design solutions with 17 health professionals employed in 3 National Health Service Trusts in England and 21 parents (13/21, 62% mothers and 8/21, 38% fathers) of 14 children recruited from the same 3 National Health Service Trusts. Experiences with existing services were gathered via semistructured interviews with health professionals. Filmed narrative interviews with parents were developed into a composite film. The co-design process identified priorities for improving communication of positive NBS results through separate parent and health professional feedback events followed by joint feedback events. In total, 4 interventions were then co-designed between the participants through a web-based platform. Results Parents and health professionals provided positive feedback regarding the process of gathering experiences and identifying priorities. Themes identified from the parent interviews included impact of initial communication, parental reactions, attending the first clinic appointment, impact of health professionals’ communication strategies and skills, impact of diagnosis on family and friends, improvements to the communication of positive NBS results, and parents’ views on NBS. Themes identified from the health professional interviews included communication between health professionals, process of communicating with the family, parent- and family-centered care, and availability of resources and challenges to effective communication. In response to these themes, 4 interventions were co-designed: changes to the NBS card; standardized laboratory proformas; standardized communication checklists; and an email or letter for providing reliable, up-to-date, condition-specific information for parents following the communication of positive NBS results. Conclusions Parents and health professionals were able to successfully work together to identify priorities and develop co-designed interventions to improve communication of positive NBS results to parents. The resulting co-designed interventions address communication at different stages of the communication pathway to improve the experiences of parents receiving positive NBS results for their children. International Registered Report Identifier (IRRID) RR2-10.1186/s40814-019-0487-5

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“What matters to me”: A multi‐method qualitative study exploring service users’, carers’ and clinicians’ needs and experiences of therapeutic engagement on acute mental health wards

Cited by 29 publications

References 46 publications

Psychiatric nurse's perceptions of their interactions with people who hear voices: A qualitative systematic review and thematic analysis

Psychiatric nurse's perceptions of their interactions with people who hear voices: A qualitative systematic review and thematic analysis

Rules and ward climate in acute psychiatric setting: Comparison of staff and patient perceptions

Co-designing Improved Communication of Newborn Bloodspot Screening Results to Parents: Mixed Methods Study

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