Scales for assessing the therapeutic milieu in psychiatric inpatient settings: A systematic review

2020 ◽  
Vol 66 ◽  
pp. 44-50
Author(s):  
Ciara Banks ◽  
Stefan Priebe
Keyword(s):  
Systematic Review ◽  
Psychiatric Inpatient ◽  
Therapeutic Milieu ◽  
Inpatient Settings

scholarly journals Prevalence of autism spectrum disorders in adult psychiatric patients: a systematic review

2019 ◽  
Vol 4 (1) ◽  
pp. e0401180
Author(s):  
Olena Khaustova
Keyword(s):  
Systematic Review ◽  
Autism Spectrum Disorders ◽  
Psychiatric Treatment ◽  
Adult Population ◽  
Psychiatric Inpatient ◽  
Autism Spectrum ◽  
Screening Tests ◽  
Diagnostic Tools ◽  
Inpatient Settings ◽  
Spectrum Disorders

Taking into account the prevalence of autism spectrum disorders (ASD) among adults, there is not enough data on the prevalence of ASD among persons undergoing in-patient psychiatric treatment. The purpose of this review is to conduct a systematic review of the literature on the prevalence of autistic spectrum disorders among adult psychiatric inpatients. The criteria for incorporating the articles included: a) the study of the prevalence of autism spectrum disorders; b) research in the population of adult psychiatric inpatient institutions. The review of the articles was carried out in the following electronic databases: PubMed, Medline, CINAHL, PsycINFO and EMBASE. Also, to expand the volume of data, the consultations of specialists in this field were used. As a result of the search, four studies were identified that met the criteria for inclusion in different psychiatric inpatient settings, including private and public. There were significant differences in methodological approaches, including screening tests, diagnostic tools, used diagnostic criteria. Estimates of the prevalence of ASD among the adult population in the psychiatric hospital ranged from 1.7 to 9.6%. From currently available data from a number of studies, it has been found that the prevalence of ASD increases in inpatient psychiatric conditions relative to the general population. There is a need for further research among this group of patients to expand the evidence base, as well as to develop effective strategies for identifying patients with a high probability of ASD in psychiatric inpatient settings among the adult population.

scholarly journals Complications of Outpatient and Inpatient Renal Biopsy: A Systematic Review and Meta-Analysis

Diagnostics ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 651
Author(s):  
Shih-Yi Lin ◽  
Cherry Yin-Yi Chang ◽  
Cheng-Chieh Lin ◽  
Wu-Huei Hsu ◽  
I.-Wen Liu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Renal Biopsy ◽  
Meta Analysis ◽  
Random Effect ◽  
Bleeding Risk ◽  
Complication Rates ◽  
Bleeding Events ◽  
Cochrane Database ◽  
Renal Biopsies ◽  
Inpatient Settings

Background: The evidence indicates that the optimal observation period following renal biopsy ranges between 6 and 8 h. This systematic review and meta-analysis explored whether differences exist in the complication rates of renal biopsies performed in outpatient and inpatient settings. Methods: We searched the MEDLINE, EMBASE, and the Cochrane Database of Systematic Reviews from 1985 to February 2020. Two reviewers independently selected studies evaluating the bleeding risk from renal biopsies performed in outpatient and inpatient settings and reviewed their full texts. The primary and secondary outcomes were risks of bleeding and major events (including mortality) following the procedure, respectively. Subgroup analysis was conducted according to the original study design (i.e., prospective or retrospective). Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using a random effect meta-analysis. Heterogeneity was assessed using the I2 test. Results: Data from all 10 eligible studies, which included a total of 1801 patients and 203 bleeding events, were included for analysis. Renal biopsies in outpatient settings were not associated with a higher bleeding risk than those in inpatient settings (OR = 0.81; 95% CI, 0.59–1.11; I2 = 0%). The risk of major events was also comparable across both groups (OR = 0.45; 95% CI, 0.16–1.29; I2 = 4%). Conclusions: Similar rates of bleeding and major events following renal biopsy in outpatient and inpatient settings were observed.

scholarly journals Pharmacotherapy of 1,044 inpatients with posttraumatic stress disorder: current status and trends in German-speaking countries

2020 ◽  
Author(s):  
Matthias A. Reinhard ◽  
Johanna Seifert ◽  
Timo Greiner ◽  
Sermin Toto ◽  
Stefan Bleich ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Treatment Options ◽  
Psychiatric Inpatient ◽  
Primary Diagnosis ◽  
Current Status ◽  
German Speaking ◽  
Inpatient Settings ◽  
Prescription Rates

AbstractPosttraumatic stress disorder (PTSD) is a debilitating psychiatric disorder with limited approved pharmacological treatment options and high symptom burden. Therefore, real-life prescription patterns may differ from guideline recommendations, especially in psychiatric inpatient settings. The European Drug Safety Program in Psychiatry (“Arzneimittelsicherheit in der Psychiatrie”, AMSP) collects inpatients’ prescription rates cross-sectionally twice a year in German-speaking psychiatric hospitals. For this study, the AMSP database was screened for psychiatric inpatients with a primary diagnosis of PTSD between 2001 and 2017. N = 1,044 patients with a primary diagnosis of PTSD were identified with 89.9% taking psychotropics. The average prescription rate was 2.4 (standard deviation: 1.5) psychotropics per patient with high rates of antidepressant drugs (72.0%), antipsychotics drugs (58.4%) and tranquilizing drugs (29.3%). The presence of psychiatric comorbidities was associated with higher rates of psychotropic drug use. The most often prescribed substances were quetiapine (24.1% of all patients), lorazepam (18.1%) and mirtazapine (15.0%). The use of drugs approved for PTSD was low (sertraline 11.1%; paroxetine 3.7%). Prescription rates of second-generation antipsychotic drugs increased, while the use of tranquilizing drugs declined over the years. High prescription rates and extensive use of sedative medication suggest a symptom-driven prescription (e.g., hyperarousal, insomnia) that can only be explained to a minor extent by existing comorbidities. The observed discrepancy with existing guidelines underlines the need for effective pharmacological and psychological treatment options in psychiatric inpatient settings.

Patientś experiences of patient education on psychiatric inpatient wards; a systematic review

2018 ◽  
Vol 101 (3) ◽  
pp. 389-398 ◽  
Author(s):  
S.T. Kristiansen ◽  
P. Videbech ◽  
M. Kragh ◽  
C.N. Thisted ◽  
M.B. Bjerrum
Keyword(s):  
Systematic Review ◽  
Patient Education ◽  
Psychiatric Inpatient

What is the impact of staff wearing uniforms in psychiatric inpatient settings?

2021 ◽  
Author(s):  
Sophie Collingwood ◽  
Laura McKenzie-Smith
Keyword(s):  
Mental Health ◽  
Thematic Analysis ◽  
Negative Impact ◽  
Psychiatric Inpatient ◽  
Ideal Self ◽  
Search Terms ◽  
Mental Health Settings ◽  
Inpatient Settings ◽  
The Impact

Background: Uniform has traditionally been worn in psychiatric inpatient and other mental health settings, but there has been a move to non-uniform in recent years. Some services have made the change back to uniform, raising questionsabout the potential impact on patients and staff.Aim: To review the impact of uniform within a psychiatric inpatient or mental health setting.Method: Databases were searched for articles exploring the impact of uniform use using specified search terms. Articles were assessed for suitability with inclusion and exclusion criteria, critically appraised, then analysed for themes using thematic analysis.Results: 17 papers were included in the review. Thematic analysis identified five main themes and 29 subthemes. Main themes were Attitudes and interactions, A freer environment, Are you both nurses?, The ‘ideal self’ and There are more important things. A critical appraisal of the articles suggested issues with validityand reliability, which are discussed.Discussion: Studies identified that wearing non-uniform facilitated positive changes in both patients and staff. This raises the potential negative impact of uniform on both patients and staff, and the role of power imbalance in these settings is discussed. Further themes around identification of staff out of uniform were considered.Implications for practice: The use of uniform in mental health and psychiatric inpatient settings should be considered carefully, due to the potential negative impact, whilst also recognising the importance of staff identification and supporting professional identity.

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