scholarly journals Attitudes of psychiatrists to evidence-based guidelines

2002 ◽  
Vol 26 (11) ◽  
pp. 421-424 ◽  
Author(s):  
Harvey Rees ◽  
Attila Sipos ◽  
Matthew Spence ◽  
Glynn Harrison
Keyword(s):  
Response Rate ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
Evidence Based ◽  
Previous Survey ◽  
Health Partnership ◽  
Improved Outcomes ◽  
Actual Use ◽  
Evidence Based Guidelines ◽  
Improving Patient Care

Aims and MethodWe aimed to survey clinicians' attitudes on using evidence-based guidelines. A postal questionnaire based on a previous survey of general practitioners was sent to 105 psychiatrists working within Avon and Western Wiltshire Mental Health Partnership NHS Trust.ResultsThere was a 91% response rate. Respondents were generally in favour of clinical guidelines, with scores indicating a positive attitude to guidelines in 13 of the 18 statements. The majority felt that guidelines were effective in improving patient care, could be used flexibly to suit individual patients and did not impinge on their clinical judgement.Clinical ImplicationsPsychiatrists welcomed the increasing use of guidelines. Further research is needed to determine whether this will translate into actual use and improved outcomes for patients.

scholarly journals Cognitive therapy training for psychiatrists: impact on individual clinical practice

2004 ◽  
Vol 28 (4) ◽  
pp. 117-119 ◽  
Author(s):  
G. Swift ◽  
I. Durkin ◽  
C. Beuster
Keyword(s):  
Clinical Practice ◽  
Cognitive Therapy ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
Previous Survey ◽  
Therapy Training ◽  
Training And Supervision ◽  
Improved Outcomes ◽  
Therapy Sessions

Aims and MethodWe aimed to survey how psychiatrists with in-depth training in cognitive therapy use these skills. A postal questionnaire based on a previous survey was sent to all psychiatrists who are accredited members of the British Association for Behavioural and Cognitive Psychotherapies.ResultsThere was a 94% response rate. Psychiatrists in non-psychotherapy posts used formal cognitive therapy, with an average of 20% of new patients compared with 65% for those in psychotherapy posts, and were less satisfied with the extent to which they were able to use their skills (20%v. 80%). A total of 85% of respondents described themselves as being involved in teaching, training and supervision of cognitive therapy.Clinical ImplicationsUnless psychiatrists are planning on working in specialised psychotherapy posts, they are unlikely to use cognitive therapy training in formal therapy sessions. Further research is needed to determine whether cognitive therapy training for psychiatrists translates into improved outcomes for patients.

scholarly journals Psychiatrists' views of evidence-based psychiatric practice

1999 ◽  
Vol 23 (3) ◽  
pp. 159-161 ◽  
Author(s):  
Stephen Carey ◽  
David J. Hall
Keyword(s):  
Decision Making ◽  
Critical Analysis ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
Evidence Based ◽  
Further Training ◽  
The West ◽  
Effective Care ◽  
Almost All ◽  
Based Medicine

Aims and methodTo determine the attitudes of psychiatrists towards the practice of evidence-based medicine by use of a postal questionnaire. A survey was sent to Consultant Psychiatrists and to Higher Trainees in Psychiatry in the West of Scotland Region.ResultsWhile older influences on decision-making such as tradition and deference still play a part, almost all respondents consider the adoption of more effective care based on best available external evidence desirable; most think it attainable. The technology is generally available, but further training is desired to access the information and its critical analysis.Clinical implicationsEducational activities should increasingly focus on skills for data search and critical analysis.

scholarly journals Psychotherapy training experience in an inner-city psychiatry rotation

2003 ◽  
Vol 27 (5) ◽  
pp. 179-182
Author(s):  
Maria Podlejska-Eyres ◽  
Julian Stern
Keyword(s):  
Inner City ◽  
Response Rate ◽  
Psychotherapy Training ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
Basic Training ◽  
Specialist Training ◽  
Training Experience ◽  
Training Scheme ◽  
Royal London Hospital

Aims and MethodA postal questionnaire was circulated to all psychiatrists who had completed their basic specialist training on the Royal London Hospital training scheme within the last 7.5 years. The aim of the questionnaire was to explore their psychotherapy experience while on the rotation.ResultsThe response rate was 95%. The respondents had a broad experience of both didactic and case work that they valued highly. Over half of them wished for an even greater exposure to psychotherapy during their basic training.Clinical ImplicationsThe results of our survey suggest that with the dedication of both the trainees and trainers, it is possible to have a comprehensive psychotherapy experience while working on a busy inner-city rotation.

scholarly journals The role of the educational supervisor

2000 ◽  
Vol 24 (6) ◽  
pp. 216-218 ◽  
Author(s):  
Edward Day ◽  
Nick Brown
Keyword(s):  
Response Rate ◽  
Educational Development ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
The West ◽  
Educational Plan ◽  
West Midlands ◽  
Educational Supervision ◽  
Educational Supervisor

Aims and MethodsA postal questionnaire of all pre-membership psychiatric trainees in the West Midlands was used to investigate the role of the educational supervisor. The trainees were asked about their experience of educational supervision, and also asked to rank a number of possible roles for their supervisor in order of importance.ResultsA response rate of 70% was achieved. Trainees rated regular appraisal and assessment of skills and deficits as the most important role of the educational supervisor, but had only experienced this in 55% of their training posts thus far. Less than half of the respondents had developed a written educational plan with their educational supervisors, and trainees rated this the least important task of good educational supervision.Clinical ImplicationsThe results of this survey inform the training agenda for trainers, and emphasise the need to equip consultants with the skills to appraise their trainee's educational development.

scholarly journals Audit of availability and awareness of guidelines for the management of confusion in older patients on general wards

2008 ◽  
Vol 32 (4) ◽  
pp. 143-145
Author(s):  
Ceri G. Evans ◽  
Charles d'Souza ◽  
Paul Reynolds ◽  
Caroline Linton ◽  
Lokesh Nukalapati ◽  
...  
Keyword(s):  
Action Plan ◽  
Minimal Change ◽  
Clinical Implications ◽  
Junior Doctors ◽  
Evidence Based ◽  
Action Plans ◽  
Older Patient ◽  
Significant Difference ◽  
General Wards ◽  
Evidence Based Guidelines

Aims and MethodConfusion in an older patient on a general hospital ward requires prompt and appropriate management. To this end, evidence-based guidelines have been produced and disseminated by Gwent Healthcare NHS Trust. An audit was carried out when it became apparent that junior doctors might not be aware of the guidelines and that their availability on the wards was limited. An action plan was generated and a second audit carried out. Our aim was to establish whether the doctors' knowledge of the guidelines and their availability on wards changed as a result of our action plan and audit.ResultsThe audit consisted of a survey of general wards at the Royal Gwent Hospital and at St Woolos Hospital to assess availability of the guidelines and a questionnaire administered to a sample of junior doctors. The guidelines were available on 17% of wards; 11% of junior doctors were aware of them. Results of the audit informed implementation of an action plan. The second audit showed a limited improvement in availability (increased to 34%) and awareness (increased to 15%) of the guidelines, with no statistically significant difference.Clinical ImplicationsApparently well-thought-out action plans may produce minimal change, but unless the audit cycle is completed this fact cannot be corroborated. In generating action plans, more consideration may need to be given to the factors that influence the spread of change in healthcare systems.

scholarly journals Survey of clozapine use by consultant old age psychiatrists

2006 ◽  
Vol 30 (11) ◽  
pp. 410-412 ◽  
Author(s):  
Raghupathy Paranthaman ◽  
Robert C. Baldwin
Keyword(s):  
Elderly Patients ◽  
Old Age ◽  
Random Sample ◽  
Older Patients ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Published Data ◽  
Clinical Implications ◽  
Old Age Psychiatry

Aims and MethodThe aim of the survey was to assess the attitudes of specialists in old age psychiatry towards the use of clozapine in elderly patients. A postal questionnaire was sent to a random sample of 155 consultant old age psychiatrists in England.ResultsThe response rate was 87%. A majority of respondents felt that clozapine had a useful place in the treatment of elderly patients, although they expressed concerns about the lack of published data and about safety and practical difficulties in monitoring. Prescribers of clozapine (n=45) were significantly more positive about its role in treating older patients than those who had not used it.Clinical ImplicationsThe findings suggest that familiarity with and confidence in clozapine and practical difficulties in monitoring are important determinants of its use in older patients.

Usage of clozapine and the new neuroleptics

1999 ◽  
Vol 23 (8) ◽  
pp. 478-480
Author(s):  
M. F. Bristow
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Atypical Antipsychotic ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
England And Wales

Aims and methodTo explore clozapine and atypical antipsychotic usage in England and Wales, particularly availability, restrictions on use and shifting of prescribing to general practitioners. To examine the hypothesis that respondents in acute trusts would encounter more restrictions. Method used – postal questionnaire sent to general psychiatrists derived from the 1996 Medical Directory.ResultsThere was an 80% response rate and over 90% of respondents used clozapine, with only 9% reporting any difficulty in obtaining it. Difficulty was not associated with any particular type of trust. Only about 4% of respondents suggested that general practitioners regularly took over the prescribing costs of the drug.Clinical implicationsOptimistic, with widespread usage and few difficulties in obtaining clozapine. General practitioner prescribing is still very low and needs to increase.

Unilateral and bilateral electroconvulsive therapy: what informs Scottish psychiatrists' choices?

2009 ◽  
Vol 33 (3) ◽  
pp. 95-98 ◽  
Author(s):  
Kevin A. Brown
Keyword(s):  
Electroconvulsive Therapy ◽  
Response Rate ◽  
Remission Rate ◽  
Postal Questionnaire ◽  
Absolute Difference ◽  
Clinical Implications ◽  
Remission Rates ◽  
The Difference ◽  
Clinically Significant

Aims and MethodA postal questionnaire was sent to Scottish consultant psychiatrists asking about their attitudes towards unilateral and bilateral electroconvulsive therapy (ECT), and the difference in effectiveness between the two ECT types that they considered clinically significant.ResultsThe response rate was 61%. of those that responded, 62% were prescribers of ECT and most (79%) favoured bilateral ECT over unilateral ECT. the outcome that they were most concerned with was remission rate: 97% believe that an absolute difference of more than 5% in remission rate would make the difference in effectiveness between the two types of ECT clinically important.Clinical ImplicationsFuture investigators should focus on comparative remission rates of bilateral and unilateral ECT.

scholarly journals Survey of staff attitudes to smoking in a large psychiatric hospital

2004 ◽  
Vol 28 (6) ◽  
pp. 204-207 ◽  
Author(s):  
Jean Stubbs ◽  
Camilla Haw ◽  
Liz Garner
Keyword(s):  
Psychiatric Hospital ◽  
Nursing Staff ◽  
Response Rate ◽  
Smoking Habit ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
Staff Attitudes ◽  
Full Compliance ◽  
Psychiatric Units ◽  
Preparatory Work

Aims and MethodThe aim of this survey was to examine staff views on smoking at work in a large psychiatric hospital. A postal questionnaire was sent to all clinical staff (n=1471) asking about their smoking habits and attitudes to smoking at work.ResultsThe response rate was 40.7%. Overall, 22.0% of respondents were smokers, with unqualified nursing staff having the highest rate (31.0%). The majority of staff did not favour a total ban on smoking by staff, patients or visitors. Smoking habit and profession influenced responses. Smokers and nurses were more permissive in their attitude towards smoking on wards than non-smokers and psychiatrists.Clinical ImplicationsImplementation of the government's recommendations on tobacco control in psychiatric units is likely to require considerable preparatory work with staff to ensure full compliance.

scholarly journals A forgotten tribe: a survey of the experience of working as a non-consultant career grade psychiatrist

2006 ◽  
Vol 30 (10) ◽  
pp. 369-372 ◽  
Author(s):  
Nicola Claxton ◽  
Lucy Griffin
Keyword(s):  
Professional Development ◽  
Administrative Support ◽  
Response Rate ◽  
Clinical Work ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
The South ◽  
West Region ◽  
South West ◽  
South West Region

Aims and MethodWe surveyed the experience of working as a non-consultant career grade psychiatrist (NCCG). A postal questionnaire was sent to 140 NCCG psychiatrists in the south-west region.ResultsA total of 90 doctors responded (65% response rate); 30 (33%) had never had supervision and 45 (50%) were not eligible to sit the MRCPsych examination. Only 41 respondents (46%) had administrative support for non-clinical work.Clinical ImplicationsGood supervision, comprehensive job plans and opportunities for further professional development are essential requirements for this group of doctors.

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