An in-depth observational study of an acute psychiatric ward: combining the psychodynamic observational method with thematic analysis to develop understanding of ward culture

2017 ◽  
Vol 31 (1) ◽  
pp. 4-20
Author(s):  
Rebecca Blacker ◽  
Arabella Kurtz ◽  
Anne Goodwin
2021 ◽  
Vol 12 (2) ◽  
pp. 204380872110199
Author(s):  
Si-Sheng Huang ◽  
Cheng-Chen Chang

Impaired insight in patients with schizophrenia results in less satisfactory clinical outcomes. This study was conducted to investigate the relationship between insight and individual psychopathological dimensions in inpatients with schizophrenia using a self-report questionnaire. In this study, 90 patients with schizophrenia aged 18–75 years admitted in the acute psychiatric ward of a medical center in Taiwan were enrolled. Patient insight was measured using the Self-Appraisal of Illness Questionnaire (SAIQ), and psychopathological dimensions were measured using the Positive and Negative Syndrome Scale (PANSS) and its five-factor structure model. A higher SAIQ score indicates greater insight. In bivariate correlation analyses, statistically significant correlations were observed between age, single marital status, educational level, and positive, excited, and depressed symptom factor of the PANSS and SAIQ score. In regression analyses, age and excited and depressed symptom factors were significantly associated with SAIQ score. No significant association was observed between insight and neurocognitive functions. Considering demographic characteristics, psychopathology, and neurocognition, in the acute phase of schizophrenia, younger patients with less severe excited symptoms and more severe depressive symptoms had greater insight.


2017 ◽  
Vol 41 (2) ◽  
pp. 92-96 ◽  
Author(s):  
Ben Beaglehole ◽  
John Beveridge ◽  
Warren Campbell-Trotter ◽  
Chris Frampton

Aims and methodThe acute psychiatric inpatient service in Christchurch, New Zealand, recently changed from two locked and two unlocked wards to four open wards. This provided the opportunity to evaluate whether shifting to an unlocked environment was associated with higher rates of adverse events, including unauthorised absences, violent incidents and seclusion. We compared long-term adverse event data before and after ward configuration change.ResultsRates of unauthorised absences increased by 58% after the change in ward configuration (P = 0.005), but seclusion hours dropped by 53% (P = 0.001). A small increase in violent incidents was recorded but this was not statistically significant.Clinical implicationsAlthough unauthorised absences increased, the absence of statistically significant changes for violent incidents and a reduction in seclusion hours suggest that the change to a less restrictive environment may have some positive effects.


2019 ◽  
Vol 53 (6) ◽  
pp. 1251-1260 ◽  
Author(s):  
Rozália Takács ◽  
Márton Asztalos ◽  
Gabor Ungvari ◽  
Anna Antosik-Wójcińska ◽  
Gábor Gazdag

Author(s):  
Rosaria Di Lorenzo ◽  
Vitantonio Formicola ◽  
Elena Carra ◽  
Chiara Piemonte ◽  
Paola Ferri

2012 ◽  
Vol 5 (4) ◽  
pp. 322-330
Author(s):  
Chi-Kin Jackie Fu ◽  
Po-Ling Paulina Chow ◽  
Wai-Sum Joanna Lam ◽  
Chi-Kwong Tung ◽  
Yue-Lok Francis Cheung

1980 ◽  
Vol 136 (3) ◽  
pp. 205-215 ◽  
Author(s):  
Peter Kennedy ◽  
Fiona Hird

SummaryDuration of stay for unselected admissions to an acute psychiatric ward was reduced to an average of 11 days. The clinical methods by which this was achieved are described. Comparing patients randomly allocated to this experimental ward and other admission wards: (i) the readmission rate to the experimental ward was higher but readmissions were briefer so that total in-patient experience per patient over the course of one year remained substantially lower; (ii) symptom levels and burden on the family had improved equally at three weeks and at four months after discharge; (iii) experimental ward patients made fewer demands on their general practitioners and reported fewer parasuicides. Beds can be released for other purposes in this way.


2000 ◽  
Vol 6 (1_suppl) ◽  
pp. 50-52 ◽  
Author(s):  
Richard Haslam ◽  
Paul Mclaren

We carried out a feasibility study of an interactive television (IATV) system to enhance the provision of psychiatric intensive care services to a remote adult acute psychiatric ward in the same National Health Service mental health trust. The system used videoconferencing equipment connected by ISDN at 128 kbit/s. The system was used for patient referral, assessment and monitoring by staff at the remote site 8 km away.


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