scholarly journals Taking the temperature: attitudes of patients on an all-female psychiatric ward to staff gender

2009 ◽  
Vol 33 (12) ◽  
pp. 457-460
Author(s):  
Lisa Conlan ◽  
Helen Read ◽  
Elizabeth Picton
Keyword(s):  
Best Practice ◽  
Large Majority ◽  
Psychiatric Ward ◽  
Clinical Implications ◽  
Single Gender ◽  
Weekly Basis ◽  
Staff Members ◽  
Anonymous Questionnaire ◽  
Predominantly Female ◽  
Mixed Gender

Aims and MethodTo survey the attitudes of in-patients on an all-female ward to staff gender. All patients were invited to complete an anonymous questionnaire which was then repeated on a four-weekly basis for 4 months. Staff members were surveyed once within this period.ResultsOnly 15% of patients (n = 52) wanted all staff members to be female, whereas 87% reported feeling comfortable with male staff; 51% would prefer a predominantly female, mixed-gender staff. All staff (n = 11) were in favour of mixed-gender staffing.Clinical ImplicationsCurrent best practice for staffing single-gender acute in-patient units is unclear. This survey is in line with findings from other studies in that a large majority of female in-patients prefer to be in a unit with mixed staff.

scholarly journals Specialised in-patient psychiatric service for women

1999 ◽  
Vol 23 (1) ◽  
pp. 31-33 ◽  
Author(s):  
Doro Kohen
Keyword(s):  
Inner City ◽  
Mental Health Professionals ◽  
Psychiatric Patients ◽  
Psychiatric Service ◽  
Psychiatric Ward ◽  
Clinical Implications ◽  
Admission Criteria ◽  
Single Gender ◽  
Staffing Levels ◽  
Acute Psychiatric Ward

Aims and methodTo describe one of the first psychiatric services in the inner-city especially designated for female psychiatric patients with severe mental illness.ResultsThe referral system, the staffing levels and the admission criteria have been established following needs of the patients, especially young women with perinatal problems and women from ethnic minorities.Clinical implicationsThis single gender acute psychiatric ward has received welcome attention from mental health professionals and management at every level, and it is hoped that further discussion will help to clarify future policies and guidelines on all aspects of this venture.

scholarly journals The changing climate for women patients in medium secure psychiatric units

2001 ◽  
Vol 25 (9) ◽  
pp. 340-342 ◽  
Author(s):  
Yonette Hassell ◽  
Annie Bartlett
Keyword(s):  
Private Sector ◽  
Continuity Of Care ◽  
Telephone Survey ◽  
Clinical Implications ◽  
Women Patients ◽  
Single Gender ◽  
England And Wales ◽  
Changing Climate ◽  
Psychiatric Units ◽  
Mixed Gender

Aims and MethodWe conducted a telephone survey of medium secure units in England and Wales to determine the distribution of women patients.ResultsThe survey identified 1836 medium secure beds, housing 342 women patients. Women in the NHS were housed primarily in mixed-gender units (170 women, 94%). Most NHS beds in single-gender units were for men (56 beds), whereas most private sector beds in single-gender units were for women (79 beds).Clinical ImplicationsIncreased awareness of the often inappropriateness of services for women in mixed-gender units has led to units deciding not to admit women patients and, inadvertently, more single-gender beds for men in NHS units than for women. The NHS units have to rely on private sector units to provide beds in single-gender units for women, perhaps at the expense of effective continuity of care.

scholarly journals Men in eating disorder units: a service evaluation survey regarding mixed gender accommodation rules in an eating disorder setting

2018 ◽  
Vol 42 (6) ◽  
pp. 258-263 ◽  
Author(s):  
Akira Fukutomi ◽  
Frances Connan ◽  
Anthony P. Winston ◽  
Pia Ghosh
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Service Evaluation ◽  
Clinical Implications ◽  
Single Gender ◽  
Department Of Health ◽  
Male Patients ◽  
Men With Eating Disorders ◽  
Mixed Gender ◽  
Evaluation Survey

Aims and methodThis service evaluation was conducted to find out: (1) if mixed gender accommodation in eating disorder units is perceived to be helpful or unhelpful for recovery, and (2) if men were being discriminated against by the implementation of the 2010 Department of Health (DoH) guidelines on the elimination of mixed gender wards. All 32 in-patient units accredited on the Quality Network for Eating Disorders were contacted via a survey.ResultsWe received 38 responses from professionals from 26 units and 53 responses from patients (46 female, 7 male) from 7 units. Four units had closed admissions to male patients due to DoH guidelines.Clinical implicationsWe found that it is possible to provide admission for men with eating disorders, while respecting the single gender accommodation rules, and that doing so is likely to be helpful for both genders and prevents discrimination against men.Declaration of interestNone.

scholarly journals The Effects of the Civility, Respect, and Engagement in the Workplace (CREW) Program on Social Climate and Work Engagement in a Psychiatric Ward in Japan: A Pilot Study

2021 ◽  
Vol 11 (2) ◽  
pp. 320-330
Author(s):  
Utako Sawada ◽  
Akihito Shimazu ◽  
Norito Kawakami ◽  
Yuki Miyamoto ◽  
Lisa Speigel ◽  
...  
Keyword(s):  
Work Engagement ◽  
Cross Sectional Study ◽  
Social Climate ◽  
Psychiatric Ward ◽  
Medical Doctors ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Staff Members ◽  
Utrecht Work Engagement Scale ◽  
Healthcare Settings

Background: Good social climate and high work engagement are important factors affecting outcomes in healthcare settings. This study observed the effects of a program called Civility, Respect, and Engagement in the Workplace (CREW) on social climate and staff work engagement in a psychiatric ward of a Japanese hospital. Methods: The program comprised 18 sessions installed over six months, with each session lasting 30-min. Participation in the program was recommended to all staff members at the ward, including nurses, medical doctors, and others, but it was not mandatory. A serial cross-sectional study collected data at four time-points. Nurses (n = 17 to 22), medical doctors (n = 9 to 13), and others (n = 6 to 10) participated in each survey. The analysis of variance was used to evaluate the changes in the following dependent variables, the Essen climate evaluation schema (EssenCES), the CREW civility scale, and the Utrecht work engagement scale (UWES) over time. Result: We found no significant effects. The effect size (Cohen’s d) for EssenCES was 0.35 from baseline to post-installation for all staff members. Effect sizes for EssenCES for medical doctors and UWES for nurses were 0.79 and 0.56, respectively, from baseline to post-program. Conclusions: Differences in social climate and work engagement among Japanese healthcare workers between the baseline and post-installation of the CREW program were non-significant.

scholarly journals Substance use disorders and psychological trauma

2009 ◽  
Vol 33 (7) ◽  
pp. 257-260
Author(s):  
Shaheen Shora ◽  
Elizabeth Stone ◽  
Keron Fletcher
Keyword(s):  
Substance Use ◽  
Alcohol Dependence ◽  
Life Events ◽  
Substance Use Disorders ◽  
Best Practice ◽  
Clinical Course ◽  
Traumatic Events ◽  
Psychological Trauma ◽  
Clinical Implications ◽  
The Impact

Aims and MethodThe Impact of Events Scale was administered to 104 in-patients detoxing from alcohol or opiates to determine the prevalence of psychological trauma, the severity of its symptoms and the types of trauma responsible for symptoms.ResultsOut of the 104 in-patients undergoing detoxification, 75 had symptoms of psychological trauma; in 60 patients the symptoms were in the treatable range. Patients with alcohol-dependence were more severely affected. ‘Life events’ traumatised a higher proportion of individuals than ‘traumatic events’.Clinical ImplicationsPsychological trauma requiring treatment is commonly found in substance misusers. This is rarely addressed despite the cormorbid disorder running a complicated clinical course. There are conflicting opinions about best practice, but consideration should be given to providing patients with accessible treatments for psychological trauma.

scholarly journals Prescribing patterns for psychotic and behavioural symptoms in dementia: a national survey

2002 ◽  
Vol 26 (8) ◽  
pp. 288-290 ◽  
Author(s):  
K. Scott ◽  
R. M. Lawrence ◽  
A. Duggal ◽  
C. Darwin ◽  
E. Brooks ◽  
...  
Keyword(s):  
Atypical Antipsychotics ◽  
Prescribing Patterns ◽  
Psychotic Symptoms ◽  
Clinical Implications ◽  
Behavioural Symptoms ◽  
Anonymous Questionnaire ◽  
Prescribing Practice ◽  
Drug Treatments ◽  
Old Age Psychiatry ◽  
Sexual Disinhibition

Aims and MethodTo compare current prescribing practice for psychotic and behavioural symptoms in dementia with the available research. An anonymous questionnaire was sent to all members of the Faculty of Old Age Psychiatry, enquiring about preferred drug treatments.ResultsClassical antipsychotics were chosen by 50% for psychotic symptoms over atypical antipsychotics (43%) and were preferred for aggression (48%) and sexual disinhibition (55%). Antidepressants were favoured in treating anxiety (41%) and lability (45%).Clinical ImplicationsAlternatives to classical antipsychotics, especially for behavioural symptoms, have yet to be researched satisfactorily. In view of the continued widespread use of classical antipsychotics and recent concerns about their safety, we call for this to be addressed.

scholarly journals Psychological and emotional problems in staff following assaults by patients

2003 ◽  
Vol 27 (08) ◽  
pp. 295-297 ◽  
Author(s):  
Joanna Wildgoose ◽  
Martin Briscoe ◽  
Keith Lloyd
Keyword(s):  
Response Rate ◽  
General Health Questionnaire ◽  
Clinical Implications ◽  
Health Questionnaire ◽  
Retrospective Survey ◽  
Anonymous Questionnaire ◽  
Service Staff ◽  
Scale Scores ◽  
Acute Psychiatric Wards ◽  
Employer Liability

Aims and Method To determine psychological morbidity among staff following actual or threatened violence from patients on acute psychiatric wards. A retrospective survey of all 156 clinical staff on Exeter's acute psychiatric wards was conducted by means of an anonymous questionnaire using standardised measures. Results The response rate was 81%, and 72% of respondents had experienced one or more distressing incidents of actual or threatened violence within the previous year. The 12-item General Health Questionnaire and Impact of Events Scale scores were significantly higher in those who reported exposure to ‘frequent’ violent incidents. Clinical Implications Some National Health Service staff may be harmed psychologically when they are at work. This consequently may have implications for patient care, employer liability and recruitment.

scholarly journals Anticonvulsant monitoring in psychiatric practice

2001 ◽  
Vol 25 (9) ◽  
pp. 356-358 ◽  
Author(s):  
Debbie Nelson ◽  
Douglas Gray
Keyword(s):  
Psychiatric Illness ◽  
Best Practice ◽  
Literature Search ◽  
Serum Levels ◽  
Psychiatric Practice ◽  
Clinical Implications

Aims and MethodA Medline literature search revealed a large number of articles on anticonvulsant monitoring. More relevant articles were selected with the aim of summarising current best practice in this area.ResultsMost articles were written to address monitoring in epilepsy and not psychiatric illness. Serum ranges should only be regarded as guidelines. Some patients may show toxic signs at therapeutic serum levels while others may show tolerance and require higher levels.Clinical ImplicationsAppropriate monitoring of serum levels improves efficacy and enhances safety. Clinician ignorance may lead to inappropriate or inaccurate sampling with resultant adverse consequences for the patient.

scholarly journals Fertility Decline in Rwanda: Is Gender Preference in the Way?

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Ignace Habimana Kabano ◽  
Annelet Broekhuis ◽  
Pieter Hooimeijer
Keyword(s):  
Health Surveys ◽  
Gender Composition ◽  
Demographic And Health Surveys ◽  
Gender Preference ◽  
Parity Progression ◽  
Single Gender ◽  
Community Based ◽  
Living Children ◽  
Mixed Gender ◽  
Gender Specific

In 2007 Rwanda launched a campaign to promote 3 children families and a program of community based health services to improve reproductive health. This paper argues that mixed gender offspring is still an important insurance for old age in Rwanda and that to arrive at the desired gender composition women might have to progress beyond parity 3. The analyses are twofold. The first is the parity progression desire given the gender of living children. The second is gender specific replacement intention following the loss of the last or only son or daughter. Using the Demographic and Health Surveys of 2000, 2005, and 2010, we show that child mortality does not lead to extra parity progression beyond three, while having single gender offspring does and even more so when this is the result of the loss of the last son or daughter.

scholarly journals “There Is a Cat on Our Ward”: Inpatient and Staff Member Attitudes toward and Experiences with Cats in a Psychiatric Ward

2019 ◽  
Vol 16 (17) ◽  
pp. 3108
Author(s):  
Cora Wagner ◽  
Undine E. Lang ◽  
Karin Hediger
Keyword(s):  
Patient Satisfaction ◽  
Staff Member ◽  
Cross Sectional Study ◽  
Psychiatric Clinic ◽  
Psychiatric Ward ◽  
Structured Interviews ◽  
Design Data ◽  
Cross Sectional ◽  
Staff Members ◽  
Frequency Of Contact

The aim of this study was to investigate inpatient and staff member attitudes toward and experiences with ward cats, and identify possible mechanisms for how cats affect patient satisfaction in a psychiatric clinic. Thirty-three inpatients diagnosed with depression or psychosis residing on wards with and without cats and 17 staff members working on wards with cats participated in semi-structured interviews using a cross-sectional study design. Data analysis included descriptive statistics and correlations. The results showed that 17 out of 19 inpatients and all the staff members liked having a cat on their ward. Further, 12 out of 14 inpatients on wards without cats would like having a cat on their ward. Inpatient perceptions of the cat’s impact on the ward atmosphere correlated significantly with their emotional relationship with the cat (p = 0.015, r = 0.561), how often they saw the cat (p = 0.002, r = 0.676), and if they liked cats in general (p = 0.041, r = 0.486). Our results highlight the positive attitudes of inpatients and staff members toward ward cats and the potential of ward cats to enhance patient satisfaction. This influence might be mediated by factors such as the frequency of contact, the relationship between each patient and the cat, and each patient’s attitude toward cats in general.

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