Dissertations / Theses on the topic 'Psychiatric hospital care Victoria'
To see the other types of publications on this topic, follow the link: Psychiatric hospital care Victoria.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 dissertations / theses for your research on the topic 'Psychiatric hospital care Victoria.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.
1
Omérov, Majda. "Violence in psychiatric inpatient care /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-850-5/.
Full text
2
Payne, Ashley Renee. "Home Care Factors Associated with Hospital Readmission of Psychiatric Patients." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4471.
Full textAbstract:
There has been inadequate attention to the aftercare of psychiatric patients, resulting in an increase in readmission rates plus longer hospital stays. There is a gap in the aftercare for psychiatric patients; The purpose of this qualitative retrospective study is to explore what may have contributed to readmission for psychiatric patients. The biopsychosocial model was used as the theoretical framework to support the direction of the research. The health belief model and transtheoretical model of change were used to further support for biopsychosocial model. The research questions were created to determine the influences on readmission, psychological well-being, explore the adaptation to aftercare and narrative of aftercare from the caregiver. This study used a content analysis to identify patterns and themes with a total of 10 participants. The data used had been previously collected by the behavioral transition team at Houston Methodist Hospital which consists of case notes, mental health diagnoses, hospital history and reasons for readmission. The findings include reports of psychiatric patients not adhering to their prescribed medication due to its side effects or cost, caregivers feeling overwhelmed, and the importance of psychoeducation. Once adjustments were made to the dosage or a prescription for less expensive medication, adherence improved, regular attendance to therapy sessions occurred, and the increase in the level of frustration from the caregiver. Psychiatric patients can benefit in post-discharge care if there is more focus on the reasons for hospital readmission by developing a treatment plan for the prevention of a relapse. This study may improve patient vulnerability to mental health issues and to assist psychiatric patients in establishing balance in their lives.
3
Mullins, Lesley. "The lived experience of seclusion in a psychiatric hospital." Virtual Press, 1995. http://liblink.bsu.edu/uhtbin/catkey/958790.
Full textAbstract:
The purpose of this Heideggerian phenomenological study was to understand the meaning of the lived experience of seclusion in a psychiatric hospital. Five people with a long standing mental illness who had spent time in a locked seclusion room in a psychiatric hospital were asked to describe their experience in seclusion.Consistent with the method, purposive sampling was used in order to obtain an understanding from those who had lived the experience of seclusion and could articulate their experience. Interviews were audiotaped and the data were transcribed by the researcher. Audiotapes were destroyed when the study was completed. Transcribed data were shared with other researchers who were familiar with Heideggerian phenomenology and hermeneutics for the purpose ofgaining insight into the interpretations. When data were shared, names of participants and other identifying information were removed. Sharing of data for purpose of interpretation is inherent in the Heideggerian method as described by Diekelmann, Allen, and Tanner (1989). Data were analyzed using Diekelmann, Allen, and Tanner's (1989) seven stages. The following patterns emerged constituted pattern- Seclusion, A Paradox Being Powerless yet Hopeful with the supporting themes of 1.) Being Punished, 2) Being Abandoned, and 3) An Opportunity for Reflection and Self Growth.School of Nursing
4
Muijen, Matthijs Frederik. "The first year of the Daily Living Program : a controlled study comparing home based care with standard hospital care." Thesis, Imperial College London, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.320707.
Full text
5
Emerson, Andrew. "Hospital hostels : an evaluation of four psychiatric care facilities in Hampshire." Thesis, University of Southampton, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.239475.
Full text
6
Quinlan, John. "The essence of pastoral care an investigation of patient satisfaction with pastoral care in an acute general and psychiatric hospital /." Online full text .pdf document, available to Fuller patrons only, 2000. http://www.tren.com.
Full text
7
Dusenberry, Jean Lee. "A Mental Health Care Center for Grady Memorial Hospital." Thesis, Georgia Institute of Technology, 1994. http://hdl.handle.net/1853/24137.
Full text
8
Hennessy, Carrie Olsen. "Monitoring Psychiatric Patients’ Preparedness for Hospital Discharge." Antioch University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1521494115246141.
Full text
9
Watson, William. "Haven of change : the history of a secure psychiatric hospital." Thesis, University of Cambridge, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.259691.
Full text
10
Drager, Katrina A. "Inpatient psychiatric length of stay and readmission rates." Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007dragerk.pdf.
Full text
11
O'Hare, John D. G. "The development and function of pharmaceutical services in psychiatric hospital practice." Thesis, Queen's University Belfast, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.335450.
Full text
12
Takalo, Lina Sebolaisi. "Factors leading to re-admission of mental health care users in Thabamoopo Hospital in the Capricorn District." Thesis, University of Limpopo, 2015. http://hdl.handle.net/10386/1733.
Full textAbstract:
Thesis (M. Cur.) --University of Limpopo, 2015Background: Re-admission is a common problem encountered in psychiatric care. Re-admissions are often, but not always, related to a problem inadequately resolved in the prior hospitalization. A better understanding of factors leading multiple psychiatric admissions is needed. Such knowledge can help planners to set priorities and to make appropriate services and resources available to mental health care users and their families after hospital discharge. Objective: The purpose of this study was to explore the factors leading to re-admission of mental health care users at the Thabamoopo Psychiatric Hospital, Limpopo Province. Methodology: A qualitative phenomenological research approach was used to explore the factors leading to readmission of mental health care users. Purposive sampling was used to select participants of the study at the Thabamoopo Hospital. Twelve one-on-one semi-structured interviews were conducted. Ethical clearance was granted by the Medunsa Research Ethics Committee and permission to collect data was granted by the Limpopo Department of Health. The data were analysed through Tesch’s method of analysis. Results: The research findings indicate that the use of substances, non-adherence to psychiatric medication, the nature of the illness and social problems contributes to readmission of mental health care users. Conclusion and recommendations: In order to deal with factors related to re-admission of mental health care users, the mental health care practitioners, mental health care users and their families must be involved and work together.
13
Marepula, Lindiwe Oscarine. "Patient satisfaction with the care provided in a psychiatric hospital in Cape Town." Thesis, University of the Western Cape, 2012. http://hdl.handle.net/11394/3698.
Full textAbstract:
Magister Curationis - MCurBackground: Patient satisfaction is a well-researched area in general medicine worldwide, yet a full exploration of patient satisfaction amongst psychiatric patients appears to be lacking in South Africa. Patient satisfaction has become important because of the awareness of the patient’s human rights. There is an increasing practice of applying a consumer viewpoint to health care, while safeguarding patients’ rights and taking their views into account. This has been brought about by the inception of the Mental Health Care Act no. 17 of 2002.Purpose: The purpose of this study was to describe psychiatric inpatients’ satisfaction with the care provided in a psychiatric hospital in Cape Town.Objectives : (1) To describe the psychiatric inpatients’ satisfaction with the care provided in a psychiatric teaching hospital in terms of their views on the: care provided by nurses (interpersonal/nurse-patient- interaction and technical skills); care provided by doctors (interpersonal/doctor-patient interaction and technical skills; and the nature of the environment of care, and (2) to describe the psychiatric inpatients’ overall satisfaction with the care received in a psychiatric teaching hospital in terms of the: quality of care received from nurses and doctors; nature of the environment of care; and the likelihood of future utilization of the hospital serviceMethod/Design: The study made use of the quantitative descriptive design using the Primary Provider Theory of patient satisfaction and the Batho Pele Principles served as the conceptual framework. Data were collected from discharged patients using a self-administered questionnaire which was mailed to individual participants. A five and a four point Likert scales were used for different sections in the questionnaire.The study made use of 120 participants between the ages of 18 and 60.Findings: Generally respondents were satisfied with the care provided in thispsychiatric hospital. Greater satisfaction was noted on aspects of staff-patient interactions. Low satisfaction scores were observed on nurses’ technical aspects of care. The Batho Pele principles of information, openness and transparency,consultation, access and redress seem not to have been adhered to.Conclusions: General inpatient satisfaction in psychiatric hospital care was good.However, more innovative methods for improvement in the areas of dissatisfaction need to be developed. Special attention should be given to the implementation of the Batho Pele Principles and the protection of the patients’ rights.
14
Mahgoub, Nelly Ahmed. "Bridging therapy in hospital- and community-based psychiatric nursing care : a comparative study." Thesis, Sheffield Hallam University, 1988. http://shura.shu.ac.uk/20834/.
Full textAbstract:
This study presents a detailed account of Bridging Therapy - an innovative intervention aimed at providing relatively comprehensive psychiatric nursing care for mentally ill patients. Starting at hospitalisation, Bridging Therapy continues as planned nursing care based on detailed assessment of the patient's short- and longer-term needs both before and after discharge to the community, delivered where possible by the same nurse, or by members of the same nursing team. Bridging Therapy thus presents a remedial model for current fragmented patterns of nursing care, based on an eclectic approach to psychotherapy and nursing process known as the "flexible integrative approach" (FIA).The study recognises problems caused by lack of patient outcome measures in psychiatric nursing; and approaches this by developing an appropriate assessment instrument, the Behaviour Adjustment Inventory (BAI), which is initially tested in concurrent use with a well-validated psychometric instrument (the GHQ); with a second well-validated instrument (the EPI) acting as an initial screening device. The BAI assesses patients' initial status on admission and subsequent responses to Bridging Therapy on a five-point scale, used in conjunction with detailed clinical criteria of behaviour and attitude change. Clinical evaluation of patients in the contrasted contexts of Sheffield and Cairo is described. In each context, experimental (Bridging Therapy) and control (non-Bridging Therapy) groups are studied (Sheffield total N = 22: Cairo total N = 18). Assessment of initial condition was carried out on admission to hospital; recovery status on discharge, and at the close of therapeutic follow-up in the community. Results indicate similar levels of recovery for Sheffield and Cairo groups, with a more pronounced tendency to recovery in the experimental (Bridging Therapy) groups; however, this difference does not reach statistical significance. Psychometric findings are augmented by qualitative descriptions of the implementation process. Two detailed nursing studies from each context are presented. The investigation highlights the complexity of the research problem, including important transcultural considerations; identifies multifactorial issues governing patient care; and supports further research into Bridging Therapy as a potential remedy for current gaps in psychiatric nursing care, both in Britain and Egypt. Relevant materials concerning historical/structural aspects of mental health care and varieties of psychotherapy (Chapters 1 through 3) are included because of their contextual importance both to British and Egyptian workers.
15
Piterman, Hannah, and Hannah Piterman@med monash edu au. "Tensions around introducing co-ordinated care a case study of co-ordinated care trial." Swinburne University of Technology, 2000. http://adt.lib.swin.edu.au./public/adt-VSWT20050418.092951.
Full textAbstract:
The aim of the research was to analyse the organisational dynamics surrounding a health care reform implementation process associated with the introduction of coordinated care, which is an Australian Government initiative to introduce structural changes to the funding and delivery of health-care in response to rising health care costs. A longitudinal case study of an implementation team was studied. This included the perceptions and experiences of individuals and institutions within hospitals, the general practice community and Divisions of General Practice. Furthermore, the case study explored organisational structures, decision-making processes and management systems of the Project and included an examination of the difficulties and conflicts that ensued. The broader context of health care reform was also considered.
The study found that an effective change management strategy requires clarity around the definition of primary task in health care delivery, particularly when the task is complex and the environment uncertain. This requires a management and support structure able to accommodate the tensions that exists between providing care and managing cost, in a changing and complex system. The case study indicated that where tensions were not managed the functions of providing care and managing costs became disconnected, undermining the integrity of the task and impacting on the effective facilitation of the change process and hence, the capacity of stakeholders to embrace the model of co-ordinated care. Moreover, the micro dynamics of the project team seemed to parallel the macro dynamics of the broader system where economic and health care provision imperatives clash. Through its close analysis of change dynamics, the study provides suggestions for the improved engagement of stakeholders in health care change.
16
Berwald, Sarah Moch. "The architecture of well-being creating effective design for the care and treatment of the mentally ill /." Thesis, Montana State University, 2009. http://etd.lib.montana.edu/etd/2008/berwald/BerwaldS1208.pdf.
Full text
17
Ashencaen, Crabtree Sara. "Sentosa : a feminist ethnography of a psychiatric hospital in Sarawak, East Malaysia." Thesis, University of Hertfordshire, 2002. http://hdl.handle.net/2299/14069.
Full textAbstract:
This doctoral thesis is a feminist ethnographic study of psychiatric patients in the State of Sarawak, East Malaysia. The study took place at a psychiatric hospital located in the capital city of Kuching, commencing in 1997. Although Hospital Sentosa is a small institution it is the only psychiatric institution in the State and therefore constitutes an important mental health resource in this region. This ethnographic study primarily concentrates on the lives of women patients in keeping with my chosen methodological approach and seeks to explore the 'culture' of the hospital setting through facets such as daily interactions, activities and relationships. The feminist approach has not however precluded the accounts of male patients whose experiences are utilised in a comparative exercise with those of women counterparts. In addition the views of staff of both sexes and all ranks are considered in relation to their attitudes towards the care of psychiatric patients and the broader area of work-related concerns including collegial support and occupational hazards. In keeping with an ethnographic approach themes developed in the thesis are drawn through an analysis of findings as noted by observation methods as well as through interviews with participants. Furthermore a self-reflexive approach has been an important aspect of analysis commensurate with feminist methodology, in which my role as a researcher is considered in relation to issues of culture, gender and class as well as some of the difficulties of research in a post-colonial and unfamiliar cultural context. Although some avenues of inquiry in the study have not easily lent themselves to an analysis of gender, this thesis primarily argues that the hospital reproduces oppressive policies and practices that impact with greater severity on women patients. Oppressive practices in relation to gender and ethnicity at the hospital are viewed against a backdrop of contemporary psychiatric care as enacted on wards. It is argued that these practices can be viewed in turn as being, for the most part, historically premised upon imported British models of care replicated through colonialism in Malaya and by extension at a later period in the multicultural State of Sarawak.
18
Graham, Jill. "Job stress and satisfaction among hospital consultants : associations with psychiatric morbidity and burnout." Thesis, King's College London (University of London), 2001. https://kclpure.kcl.ac.uk/portal/en/theses/job-stress-and-satisfaction-among-hospital-consultants--associations-with-psychiatric-morbidity-and-burnout(42631952-6cb5-455a-b008-ebc3735f4fd8).html.
Full text
19
Murphy, Kathleen Joanne. "The effects of a token economy on group attendance in a locked psychiatric facility." CSUSB ScholarWorks, 1999. https://scholarworks.lib.csusb.edu/etd-project/1858.
Full text
20
Gardner, Lea Anne. "Factors Associated with Hospital Commitment to Provide Child/Adolescent Psychiatric Services." VCU Scholars Compass, 2006. https://scholarscompass.vcu.edu/etd/788.
Full textAbstract:
General acute care hospitals play a particularly important role in the delivery of children's mental health given the extant lack of alternatives to long term hospitals for patients requiring a restrictive treatment environment (Glied and Cuellar, 2003). This cross-sectional study identifies environmental and organizational factors associated with general acute care and children's hospitals in the United States that provide hospital-based child/adolescent psychiatric services and the number of services. Two macro-level theories, Resource Dependence Theory and Institutional Theory were used to identify environmental and organizational factors. A nationwide sample of hospitals was drawn from the 2003 AHA annual survey. Data from the 2002 AHA annual survey, Area Resource File and American College of Graduate Medical Education was used for the independent variables. There were three analyses, correlation, descriptive and logistic regression. Results demonstrate that hospitals in markets with a low percentage of non-white children, higher family median income, high hospital community orientation, and high percentage of not for profit hospitals are more likely to offer child psychiatric services. Organizational factors associated with an increased likelihood to providing child psychiatric services include hospitals identified as Catholic, public or children's and those with a child psychiatric residency program. Three factors were associated with hospitals providing a high number of child psychiatric services and include hospitals in metropolitan statistical areas, system affiliation, and general acute care hospitals. This study demonstrated that 1. large hospitals are more likely to offer child psychiatric services and a high number of services, 2. children's hospitals provide child psychiatric services, but not a high number of them, and 3. hospitals with a high number of service offerings are mainly located in MSA's and more likely to offer outpatient substance abuse services. Significant results were obtained in the analysis of hospital characteristics and the provision of child psychiatric services, but weaker results were observed when analyzing the number of services. Further research is needed to identify factors with stronger associations to the level of service offerings.
21
Gimba, Solomon Musa. "Barriers to provision of psychiatric nursing care : a case study of a teaching hospital, Nigeria." Master's thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/13137.
Full textAbstract:
Includes bibliographical references.Barriers to the provision of psychiatric nursing care have been reported worldwide, although literature on these barriers in Nigeria is limited. The purpose of the study was to explore and describe the barriers to provision of psychiatric nursing care, using the case study methodology. A sample of 12 participants was recruited for the study, comprising four key informants and eight study participants. The data collection methods included grand tour interviews with the key informants, in-depth interviews with key informants and other study participants and participant observation of all 12 participants. Content analysis was conducted. It yielded five themes related to barriers, namely: personal barriers to provision of psychiatric nursing care, relationship related barriers to provision of psychiatric nursing care, environmental barriers to provision of psychiatric nursing care, organisational barriers to provision of psychiatric nursing care and “public” related barriers to provision of psychiatric nursing care. The sixth theme: Motivators to provision of psychiatric nursing care despite barriers was discovered serendipitously. These findings are in line with previous findings of studies carried out in other settings. The study findings raise the need for management to value the psychiatric nurses, refrain from the use of derogatory statements and passing comments and place high value on the educational and career progression of the psychiatric nurses and the design of a therapeutic environment.
22
Kelly, John. "Predictors of subjective quality of life among older people attending NHS psychiatric day hospital facilities." Thesis, University of Essex, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.268711.
Full text
23
Ciolek, Dagmar, and n/a. "Effects of a cognitively based day psychiatric rehabilitation program on some of its users." University of Canberra. Education, 1994. http://erl.canberra.edu.au./public/adt-AUC20060628.131805.
Full textAbstract:
This study examines effects of a hospital-based psychiatric day program on eight
subjects over a six month period.
Each subject underwent a semi-structured interview at admission to the Program, and
then at three and sixth months or on discharge with concurrent Psychometric testing.
Quantitative and qualitative data were compared with information from "significant
others" and unit staff reports to determine changes in subjects' behaviours over the
study period.
To consider any effects of the Program on psychiatric re-admissions, relevant data
dating back to 1980 from both regional admitting centres were examined for patients
who were identified as having had multiple re-admission for psychiatric care as well as
a minimum of twenty-four days attendance at the Day Program ( n = 73 ).
The results indicated a trend towards improved quality of life, improvement in selfcare,
social supports, ability to form relationships and in the quality of family
relationships. Reduction in number and intensity of symptoms, and improvement in
coping skills was reported for 88% of subjects. Subjects were found to agree in their
perception of the most and least helpful elements of the Program.
Re-admission data showed that the Program was most beneficial for number of
admissions, rate of admissions, length of stay and rate of length of stay for the
diagnostic group of Depressions and for the group as a whole. There were also
positive effects in some of these areas for the diagnostic groups of Anxiety Disorders
and Personality Disorders (confidence level of 95%).
24
Nocon, Andrew. "The challenge of joint planning : a case study of interorganisational collaboration in relation to the closure of a psychiatric hospital." Thesis, University of Sheffield, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.263559.
Full text
25
Dubo, Siyabonga. "The experiences of non-psychiatric trained nurses caring for mental health care users on 72 hour observations in a listed Hospital in the O R Tambo District." Thesis, Walter Sisulu University, 2016. http://hdl.handle.net/11260/688.
Full textAbstract:
Nurses are an integral part of the health care system and their job encompasses a wide range of responsibilities including the promotion of health, prevention of illness and care for physically, mentally ill and disabled people. Nurses have a mandate to be responsible and accountable to the public they serve. For these reasons, it is crucial that nurses possess attitudes that allow them to provide optimal care in a supportive manner for patients. Despite the fact that considerable research on the experiences of nurses caring for the mentally ill in general hospitals has been done globally, none has been conducted in the Eastern Cape, South Africa. Additionally, no studies could be obtained from anywhere in the world on the experiences of non-psychiatric trained nurses caring for mental health care users on 72 hour observations. Studies indicated that nurses have different experiences when caring for mental health care users. It was therefore considered necessary to find out how non-psychiatric trained nurses perceive the caring of mental health care users during the 72 hour observations. The research design used to explore and describe their experiences was qualitative, descriptive, explorative, phenomenological and contextual in character. Semi-structured interviews were conducted with eight (8) participants who were purposively selected. This was done after necessary permission from the Department of Health and informed consent from the research participants. Steps were taken throughout the course of the study to ensure trustworthiness. Data were analysed using Tesch’s methods and the services of an independent coder were used. The results indicate that there are different experiences with regard to the caring for mental health care users during the 72 hour observations. The major themes identified are: feelings experienced by these nurses, lack of knowledge, challenges and strategies used for coping with a violent user, need for support from security staff and lack of policies. v Guidelines as a supportive action are suggested. From the results of the study recommendations are made in the areas of nursing education, nursing practice and nursing research. It is concluded that for non-psychiatric trained nurses to provide optimal care to mental health care users, the nurses need knowledge and skills in order to facilitate the promotion, maintenance and restoration of mental health of these patients as an integral part of health.
26
Dawood, Nisaar Ahmed. "Documenting of care arrangements for children of mothers admitted to a psychiatric hospital: A South African case study." Master's thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/29655.
Full textAbstract:
Background: Enquiring about and documenting care arrangements for children of inpatient mothers with mental illness is paramount. Failure to do so could have a negative impact on the well-being of their children. Documenting care arrangements on admission signals good practice on the part of the admitting medical staff and ensures compliance with the requirements of the South African Children’s Act of 2004. This study explores the current practice at a large government run tertiary female inpatient psychiatric unit in Cape Town, regarding the enquiring and documenting practice within the first 24 hours of admission, of these care arrangements. Methods: The study is a cross sectional study using a mixed methods approach including: i) a case note audit of 100 consecutive patient folders examining the documentation of care arrangements within the first 24 hours of admission and ii) a structured self-administered questionnaire to professional staff working on the unit. Results: A total of 87 clinical folders were audited. Ninety nine percent of these folders had written down in them whether the women had children or not. Fifty eight percent of women had minor children and had 87 children between them. Fifteen percent of women had no care arrangements documented and 20% of women had unclear documentation of care arrangements. Fifteen completed staff questionnaires were returned. All staff agreed that it was important to ask the mothers about care arrangements. Conclusion: Significant more women that those identified on admission may have children who may have been in unsafe care arrangements at the time of their admission. There is room for improving the clarity of documenting of care arrangements and the enquiring into the specific care arrangements.
27
Sobekwa, Zintle Charles. "Experiences of nurses caring for mental health care users in an acute admission unit at a psychiatric hospital." University of the Western Cape, 2012. http://hdl.handle.net/11394/4538.
Full textAbstract:
Magister Curationis - MCurThe provision of mental health care, treatment and rehabilitation of the acutely ill mental health care users (MHCUS) poses a major challenge to the nurses working in acute units. Nurses spend long hours ensuring that acutely ill psychiatric patients receive quality patient care in acute admission units in different psychiatric hospitals in South Africa. With few studies showing a rise in the prevalence of mental disorders in the South Africa and the Western Cape Province, acute psychiatric inpatient units across the province have experienced intense pressure and persistent rise in the number of acute patient admissions. Dealing with this group of patients is a difficult task particularly for nurses who spent prolonged hours caring for them. Despite the continuing provision of care to MHCUS by nurses in acute admission units, very little is known about the lived experiences of nurses in acute admission units. The aim of this study was to explore and describe the lived experiences of nurses who care for the acutely ill MHCUS in an acute male admission unit at a psychiatric hospital in the Western Cape. Acutely ill MHCUS in acute psychiatric units show severely disturbed behaviour at times, aggression, hostility, acute psychotic symptoms and many other symptoms related to psychiatric illness. Methods: a qualitative, descriptive phenomenological research design was used to explore and describe the lived experiences of nurses who care for acutely ill patients in an acute admission unit. A purposive sample of eight nurses was selected. Individual, semi structured phenomenological interviews were used to collect data from nurses caring for MHCUS in an acute admission unit. Data saturation was reached after carrying out the eight interviews. These interviews were audio taped and transcribed verbatim and Collaizi’s (1978) seven steps method of qualitative data was applied to analyse the collected data. Findings: The study found that nurses in the acute admission unit experienced several challenges while caring for MHCUs. Nurses reported both negative and positive experiences. Positive experiences included MHCUs recovery, teamwork and passion for caring while negative experiences were feeling unappreciated and unsupported by authorities. Furthermore, they reported physical assault by MHCUs which led to fear. Challenges experienced included shortage of staff and increased workload which led to burnout amongst nurses in acute admission units.
28
Beech, Ian. "Minding the medicine and medicalising the mind : investigating the cultural and social history of Cardiff City Mental Hospital, 1908-1930." Thesis, University of South Wales, 2011. https://pure.southwales.ac.uk/en/studentthesis/minding-the-medicine-and-medicalising-the-mind-investigating-the-cultural-and-social-history-of-cardiff-city-mental-hospital-1908--1930(deb3a6d0-c374-47fb-865f-4d3814c0e654).html.
Full textAbstract:
This thesis examines the cultural and social history of Cardiff City Mental Hospital during the tenure of its first medical superintendent, Dr Edwin Goodall. When the hospital opened in 1908 the asylum movement was at a low point with numbers increasing and recovery rates falling. In spite of this Cardiff's new asylum opened with a spirit of great optimism and a belief that cures for mental disorders were possible. Two primary sources, previously undiscovered, are analysed. The first, the Medical Superintendent Letter Books, are examined and enable insights into the relationship between Dr Goodall and staff within the hospital, society beyond the hospital gates, the Commissioners for Lunacy and Board of Control, the Visiting Committee and the Board of Guardians for Cardiff. The second, the King Edward VII Hospital outpatient notes, give information about the foundation of an innovative approach to mental health care in the period outside of the confines of an asylum. The thesis examines the hospital from a number of perspectives: The relationship between the institution and Cardiff as a city; the role of the medical superintendent; the research conducted and gender relations among patients and staff. It is found that the hospital played a role in Cardiff's portrayal of itself as the Welsh metropolis and was surrounded by a semipermeable membrane allowing passage in both directions between itself and the local community. The role of the superintendent is discovered to have been one of negotiation and compromise rather than of authority. The research played little role in patient treatment yet was lauded by contemporaries but mostly lost to future generations. New light is shone on gender in terms of diagnosis of insanity and on the relationships between male and female staff. The thesis lays bare the culture of the institution in the early twentieth century and adds much to our knowledge of care of the mentally disordered in this period.
29
Quirk, Alan. "Obstacles to shared decision-making in psychiatric practice : findings from three observational studies." Thesis, Brunel University, 2007. http://bura.brunel.ac.uk/handle/2438/5464.
Full textAbstract:
This thesis aims to make contributions at substantive, methodological and theoretical levels. First, the findings from three observational studies are combined to identify obstacles to the use of shared decision-making in modern psychiatric practice. Particular attention is paid to how patients' choices about their treatment are facilitated or constrained by the actions of mental health professionals. A typology of pressure is constructed, based on detailed analyses of how pressure is applied and resisted in routine encounters (outpatient consultations) and "crisis' situations (assessments for compulsory admission to hospital, and ward rounds in acute inpatient care). Findings from two ethnographies and one conversation analysis (CA) study are presented. 'Meaning' is central to the write-up of each set of findings, however while the analytic focus of the ethnographies is 'insider' knowledge and meanings, in the CA study it is gn the activities that make those meanings possible in the first place. The methodological contribution of the thesis stems from its demonstration of how to produce a coherent, unified research account from two very different versions of qualitative inquiry. Despite the potential for analytic inconsistency, the thesis arguably has far greater force and persuasiveness as a result of the attempt to combine, compare and contrast findings from three studies. It is contended that a sound theoretical base for sociological research may be created by combining Goffman's micro-sociology with Foucault's analyses of disciplinary power/knowledge in one of a number of ways. A Goffmanian 'home base' is adopted for this thesis, with Foucauldian thinking applied to add a historical, 'macro' dimension to the analysis that Goffman's work so conspicuously lacks. Foucault's work also provides the conceptual tools for examining the more subtle form of control through expertise that would be missed in a purely Goffmanian study.
30
Hedlund, Mathilde. "Coping, Psychiatric Morbidity and Perceived Care in Patients with Aneurysmal Subarachnoid Haemorrhage." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ-bibl. [distributör], 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-109761.
Full text
31
Sanchez, Balcells Sara. "Adaptación y validación de las escalas QPC "Quality in Psychiatric Care" en el ámbito de la hospitalización." Doctoral thesis, Universitat de Barcelona, 2019. http://hdl.handle.net/10803/667816.
Full textAbstract:
INTRODUCCIÓN:
Los países occidentales comparten cada vez más el interés en evaluar la calidad de la atención en el ámbito de la salud mental. Sin embargo, se sabe poco sobre cómo perciben la calidad de los cuidados, los pacientes y profesionales en unidades de hospitalización de psiquiatría. Son pocos los instrumentos que se conocen y que estén adecuadamente validados entorno a la calidad de la atención en el ámbito de la salud mental, y especialmente en el entorno hospitalario. Uno de los más relevantes es el “Quality in Psychiatric Care” (QPC).
OBJETIVOS:
Los objetivos generales fueron la traducción y adaptación al castellano de la escala “Quality in Psychiatric Care-Inpatient” (QPC-IP) y de la escala “Quality in Psychiatric Care-Staff” (QPC-IPS) y el análisis de las propiedades psicométricas. Otro objetivo fue analizar la invarianza configuracional de los ítems y las subescalas de los instrumentos utilizados.
METODOLOGÍA:
La investigación se organizó en tres estudios. La primera fase de los estudios 1 y 2 consistió en el proceso de traducción y retrotraducción de las escalas “Quality Psychiatric Care” del idioma sueco al castellano.
En la segunda fase, para el estudio 1 (Spanish QPC-IP) se reclutaron 150 pacientes que cumplían con los criterios de inclusión: mayores de 18 años, diagnosticados de trastorno mental según la clasificación DSM-V y estar ingresados en el momento del estudio.
En la segunda fase, para el estudio 2 (Spanish QPC-IPS) se reclutaron a 163 profesionales que cumplían con los criterios de inclusión: profesionales asistenciales que estaban activos laboralmente y que participaran voluntariamente en el estudio.
El tipo de muestreo utilizado fue no probabilístico, dado que la población incluida en ambos estudios fueron los que voluntariamente quisieron participar.
En el estudio 1 y 2 se realizó un análisis descriptivo de los ítems de las escalas y de las variables sociodemográficas y clínicas de la muestra.
La fiabilidad se realizó analizando la consistencia interna y la estabilidad temporal, administrando la escala de nuevo a los 7-14 días. Se realizó el análisis de la correlación de la escala Spanish QPC-IP con el cálculo del coeficiente de correlación de Pearson con el fin de determinar la validez convergente y discriminante. Sin embargo, en el estudio 2, la validez convergente se analizó mediante el análisis de correlación de Spearman (rho) con la escala de satisfacción laboral de NTP 394 administradas al mismo tiempo. Posteriormente, se realizó un análisis factorial confirmatorio.
Los análisis del estudio 3 se llevaron a cabo en una muestra total de 578 participantes (incluidos los pacientes suecos que completaron la Sweden QPC- IP). En la primera fase, se utilizó el análisis factorial confirmatorio y en la segunda fase, la estructura de medición fue confirmada a través del Modelo Exploratorio de Ecuaciones Estructurales (ESEM).
Para el análisis estadístico de los datos del estudio 1 y 2 se utilizó el paquete estadístico IBM® SPSS® Statistics 22.0 y el EQS® versión 6.2. para el análisis factorial confirmatorio.
Los estudios 1, 2 y 3 fueron aprobados por el Comité de Ética e Investigación Clínica de la Fundation Research de Sant Joan de Déu, CEIC PIC-128-15 de Barcelona (España).INTRODUCTION: Western countries are sharing increasing interest in evaluating and improving care quality in the setting of mental health. Nonetheless, little is known about how quality is perceived by patients and professionals in psychiatric inpatient units. There are a number of challenges, one of which is the fact that there is no general consensus on how to define quality, as it is considered a multidimensional concept. Secondly, unlike the concept of patient satisfaction, care quality includes the perspectives of all interested parties. OBJECTIVES: The general objectives were the translation and adaptation to Spanish of the “Quality in Psychiatric Care-Inpatient” (QPC-IP) questionnaire and of the Spanish of the “Quality in Psychiatric Care-Inpatient Staff” (QPC-IPS) and the analysis of psychometric properties in a sample of patients admitted to psychiatric inpatient units in two leading hospitals in the province of Barcelona (study 1 and study 2) . Study 3 analysed the configuration invariance of the items and domains of the instruments with the Swedish items and domains of the “Quality in Psychiatric Care-Inpatient” (Sweden QPC-IP) questionnaire. METHODOLOGY: The questionnaires underwent a process of transcultural adaptation to Spanish, and in the second phase a metric analysis of the questionnaires was conducted by means of a cross-sectional study. For study 1 (Spanish QPC-IP) 150 patients were recruited, all of whom met the established inclusion criteria: over 18 years of age, with a diagnosis of a mental disorder according to the DSM-V classification, and at the time of the study being an inpatient of one of the psychiatric units. In the second phase, for study 2 (Spanish QPC-IPS) a total of 163 professionals were recruited, all of whom met the following inclusion criteria: healthcare professionals, currently active, working in the psychiatric care units, and who wished to participate voluntarily in the study. The IBM® SPSS® Statistics 22.0 package was used for the statistical analysis of the data from studies 1 and 2, while EQS® 6.2 was used for the confirmatory factor analysis. In study 1 and in the study 2, a descriptive analysis of the items in the Spanish QPC-IP questionnaire and of the socio-demographic and clinical variables of the sample was conducted. Reliability was assessed by analysing internal consistency and temporal stability, after 7-14 days. The correlation analysis for the Spanish QPC-IP questionnaire was conducted with Pearson correlation coefficient, with the aim of determining the convergent and discriminant validity. In study 2, the convergent validity was analysed by Spearman's rank correlation coefficient (rho) of the Spanish QPC-IPS with the NTP 394 job satisfaction questionnaire administered at the same time. A confirmatory factor analysis was performed. Study 3 was conducted in the first half of 2019. The total sample consisted of 578 participants. The configuration invariance study was conducted in two phases: in the first phase of the analysis, the confirmatory factor analysis was used; and in the second phase, the measuring structure was confirmed with the exploratory structural equation model (ESEM). Studies 1, 2 and 3 were approved by the Independent Ethics Committee of the Sant Joan de Déu Research Foundation CEIC PIC-128-15 of Barcelona (Spain). RESULTS: Study 1: the results of the first phase yielded an instrument adapted and translated into Spanish by a process of translation and back-translation by independent translators. A Cronbach's Alpha of 0,94 was obtained for the entire QPC-IP instrument and values of 0,52-0,89 for the dimensions of the questionnaire. The intraclass correlation coefficient for the QPC-IP questionnaire was 0,69, whilst values of 0,62-0,74 were obtained in the individual dimensions, indicating an acceptable level of temporal stability. In terms of convergent and discriminant validity, dimension D1 (Therapeutic relationship) and dimension D2 (Patient participation) were more strongly correlated with the overall questionnaire (r=0,902 and r=0,892, respectively), and the stronger correlation between the sub-questionnaires was represented by dimension D1 (Therapeutic relationship) and dimension D3 (Support received) (r=0,744). The confirmatory factor analysis for the Spanish QPC-IP questionnaire revealed that the six factors are identical to those of the original Swedish questionnaire and the model fit indices are adequate. Study 2: The result obtained in the first phase was satisfactory in all four stages. A Cronbach's Alpha of 0.92 was obtained for the entire instrument and values of 0,45-0,85 for the dimensions of the questionnaire. With regard to test- retest reliability, the intraclass correlation coefficient was 0,91, whilst in the individual dimensions, values of 0,68-0,89 were obtained, indicating a good level of temporal stability. The convergent validity showed a positive correlation (0,58) with the NTP 394 questionnaire. The confirmatory factor analysis revealed that the six factors are the same as those of the original Swedish questionnaire and showed good model fit. The results of the Spanish version show adequate results in terms of validity and reliability. Study 3: The first phase of study 3 shows that the confirmatory factor analysis of the latent model of the three groups individually does not have a good fit. Nevertheless, the model fit index for the group of Swedish patients is adequate. In the second phase, the ESEM analysis indicates a better model fit, although the group of Spanish patients and professionals obtains lower scores than the adequate fit. The factor loadings for each group were significant. Factor 3 (item 24) showed a greater factor loading in all three study samples. In contrast, factor 2 (items 1 and 14) showed a low factor loading. CONCLUSIONS: This research has made it possible to adapt and validate the Spanish QPC-IP and the Spanish QPC-IPS questionnaires. The purpose of these instruments is to measure care quality from the perspective of patients admitted to psychiatric inpatient units and from the perspective of mental healthcare professionals in hospital settings.
32
Hurrissa, Birke Anbesse. "Pathways to child and adolescent psychiatric care in the division of child and adolescent psychiatry at Red Cross Children's Hospital." Master's thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/11328.
Full textAbstract:
Objective: To document the routes taken by patients to reach the Division of Child and Adolescent Psychiatry (DCAP) at Red Cross Children’s Hospital and to identify the factors that are associated with delay in gaining access to care.
33
Rees, Christopher Lewis. "An examination of patients' responses to framework breaks in psychotherapy in an institutional context." Thesis, Rhodes University, 1998. http://hdl.handle.net/10962/d1002551.
Full textAbstract:
This study examines the workings of the ground rules which make up the framework of psychotherapy, in an institutional context, by analysing transcripts of twelve audio taped sessions of therapy conducted in a psychiatric hospital. The breaks in the ground rules of the sessions are noted and the patients' responses to these breaks are analysed using Langs's (1982, 1988) method for decoding patients' material, suitably modified for use as a hermeneutic research method. Although all of the ground rules are broken in the institutional context, only one of the ten ground rules appears to be essentially affected by this particular institutional context. Other ground rules are broken out of choice of technique or through error. The institutional context has a structural impact only on the ground rule requiring a one to one relationship with privacy and confidentiality and this ground rule is transgressed in a number of ways in all twelve sessions examined in this study. However the patients' responses to this breach only occur in ways predicted by communicative theory when the break in the ground rule involves actual entry into the therapy space by another person. Other contraventions to this ground rule that do not involve such an entry do not elicit the predicted patient responses. The many other ground rule breaks occurring in the institutional context evoke the predicted responses in the patients' material. In the study, no therapist interventions are found to comply with the communicative therapy requirements for sound interventions; concomitantly it was found that no therapist interventions receive the required derivative validation. The results indicate that it is possible to conduct therapy of a substantially secure frame variety in this institutional context with minimum effort on the part of therapists and given proper training and supervision of therapists in the techniques of communicative psychotherapy. Furthermore the results lend weight to the importance of the communicative methodology for listening to patients' material in psychotherapy in an institutional context. However, further rigorous study of competently performed therapy, executed within the context of a secure frame within an institutional context, is needed in order to demonstrate the benefits of the communicative psychotherapy interventions and interpretations in this context.
34
Grover, Peter Arden Scott. "Prediction of posttreatment level of functioning from performance in a leveled token economy for emotionally disturbed adolescents." PDXScholar, 1990. https://pdxscholar.library.pdx.edu/open_access_etds/4083.
Full textAbstract:
This study examined the relationship between performance in a leveled token economy for emotionally disturbed adolescents and posttreatment level of functioning six months after discharge from the target program. The target program for the study is an acute care psychiatric hospital which specialized in the treatment of adolescents with both emotional and substance abuse problems. Previous literature on the outcome of token economy treatment programs however for they adolescents have generally been favorable have typically not examined level of functioning as an outcome criteria.
35
Robertson, Karen E. "The diffusion of joint mother and baby psychiatric hospital admissions in the UK : an historical analysis." Thesis, University of Stirling, 2012. http://hdl.handle.net/1893/11295.
Full textAbstract:
Background: A key innovation in the provision of inpatient services to facilitate the care and treatment of women with severe postnatal mental illness was the introduction of joint mother and baby psychiatric hospitalisations, where both the mother and baby are admitted to hospital together. This study examined the history of the practice of joint mother and baby admissions across the UK and critically explored the processes relevant to the diffusion of joint admissions and patterns of service development to identify the possible and probable causes for significant differences in service provision across the United Kingdom (UK). Aims: The study examined the documented history of the development of practice of joint mother and baby psychiatric hospital admissions across the UK and in doing so, a) Identified the pattern of service and practice development and the likely reasons for the pattern of the chronology. b) Identified the processes involved in the diffusion of joint mother and baby admissions in the UK, and explored why the practice was sustained (or not). c) Contributed new information to the continued development of innovation diffusion theory and research, and its application to health care service and practice development. Methods: A historical method was used in the study and was reported through the use of historical narrative and analysis. Data was collated from primary and secondary sources of documented evidence which was used to inform the history of joint mother and baby admissions across the UK. Data was analysed using the theoretical framework of diffusion of innovation (Rogers, 2003). Findings: Two versions of the same innovation were identified: joint admissions to side rooms of general adult psychiatric wards or annexed areas of the wards and joint admissions to specialist mother and baby units. Neither version of the practice followed the normal S-curve pattern of adoption in terms of frequency and rate of adoption. After a period of approximately 63 years there are 24 facilities for the provision of joint admissions in the NHS in the UK. The main influencers to the adoption of the practice was perception of risk, social networks internal and external to the NHS, the presence of clinical and political champions to drive the adoption and implementation of the innovation and policy entrepreneurship by clinicians working in the clinical field of perinatal mental health. The development of specific policy, guidelines and in Scotland, legislation, has resulted in a move during the last decade from joint admissions being diffused naturally to side room admissions being actively withdrawn and specialist psychiatric mother and baby units actively being disseminated. There is strong evidence that the diffusion process for specialist mother and baby units is still in motion at the time of reporting. Conclusion: Two competing versions of the same innovation had unusual patterns of diffusion. The influencers identified as relevant to the diffusion patterns of each version of the innovation were essentially the same influencers but they were used in different ways to affect change: rejection of one version of the innovation in favour of adoption of the other. The main influencers on the diffusion of joint admissions changed over the time line of the adoption pattern. Barriers to diffusion included the absence of evidence of effectiveness, the absence of economic evaluation, the position in service divisions of perinatal mental health as a field of practice and the absence of succession planning across professional groups. Recommendations are made for future research.
36
Maila, Siyavuya. "Professional quality of life among nurses in psychiatric observation units in the metropole district health services." University of the Western Cape, 2019. http://hdl.handle.net/11394/7029.
Full textAbstract:
Magister Curationis - MCurBackground: Psychiatric observation units are the units where 72-hour psychiatric observations are conducted in the district and in some of the regional hospitals. These hospitals were selected under the Mental Health Care Act No. 17 of 2002 (MHCA 2002) to admit patients suspected to be mentally ill, ascertain the cause of symptoms, exclude medical illness as a cause of the symptoms, treat and rehabilitate these patients; and at times transfer the patients to tertiary psychiatric hospitals. These units are often overcrowded as only about 30% of patients are transferred to the tertiary psychiatric hospitals. These units are fraught with challenges such as shortage of crucial facilities like seclusion rooms, specialised staff, resources and minimal budget is allocated to these units. Nursing staff in these units are faced with a number of challenges such as shortage of staff, patient overflow, prolonged patient stay, psychologically disturbed patients who can be agitated and violent, and are working long hours. Therefore, Compassion Satisfaction may be affected and these nurses are prone to Compassion Fatigue, which can lead to low Professional Quality of Life. Aim & objectives: The aim was to investigate Professional Quality of Life among nurses working in psychiatric observation units in Metropole District Health Services in the Western Cape Metropole. The objectives were to measure Compassion Satisfaction, to measure levels of Burnout and determine levels of Secondary Traumatic Stress among nurses working in psychiatric observation units in the Metropole District Health Services. Method: A quantitative research approach using a descriptive design was used to determine the Professional Quality of Life of nurses working in psychiatric observation units in the Metropole District Health Services. A self-administered survey using a structured questionnaire, the Professional Quality of Life version 5 (ProQoL 5) was used to collect data from an all-inclusive sample of 175 nurses, yielding a response rate of 93% (n=163). Data was analysed using the Statistical Package of Social Services (SPSS) version 24. Findings: The findings of this study showed that respondents experienced moderate Compassion Satisfaction, moderate Burnout and high Secondary Traumatic Stress. Advanced psychiatric nurse practitioners and registered nurses reported lower Compassion Satisfaction, higher Burnout and higher Secondary Traumatic Stress than enrolled nurses and enrolled nursing assistants. Recommendations: Qualitative research studies need to be conducted on nurses working in psychiatric observation units in order to understand experiences and factors affecting Professional Quality of Life among nurses. Qualitative research studies need to be conducted in order to understand factors affecting Professional Quality of Life of advanced psychiatric nurse practitioners and general registered nurses in psychiatric observations units.
37
Oen, Suk-ling, and 溫淑玲. "An exploratory study on the family support for patients of the day hospital at Yaumatei Psychiatric Centre." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1991. http://hub.hku.hk/bib/B31249024.
Full text
38
Mulvihill, Eric Joseph. "The role of the built environment in the care and adjustment of long-stay psychiatric patients moved from hospital into small hostels." Thesis, Oxford Brookes University, 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.327785.
Full text
39
Mgandela, Sibongile Princess S. P. "Experiences of nurses who care for patients with severe/profound intellectual disabilities at a level 3 Psychiatric hospital in the Western Cape." University of the Western Cape, 2013. http://hdl.handle.net/11394/4077.
Full textAbstract:
Magister Curationis - MCurThe study explores the experiences of nurses who care for severe/profound intellectual disabled patients at Level 3 Psychiatric Hospital in Cape Town. People with severe intellectual disabilities require constant care and supervision which can only be provided in specialised units. In the Western Cape, one such facility is a special section for the intellectually disabled at a level three hospital. Intellectual disability is a serious lifelong disability that places a heavy burden on affected individuals. Caring for these patients may affect the individuals who work within the intellectual disability services. This study explores the experiences of nurses who care for these patients. A Phenomenological research design was chosen as the researcher identified it as the most appropriate method to describe the lived experiences of the nurses. Purposive sampling was used to select 10 participants. However, data saturation was reached after interviewing eight participants. Data was collected through in-depth unstructured interviews. The audio-taped responses were transcribed verbatim and phenomenological data analysis done. Ethical clearance was obtained from the Higher Degrees Committee of the University of the Western Cape. Permission to do the research at the level three hospitals was sought from the Associated Psychiatric Hospital Committee. Consent to participate in the study was obtained from the participants, and ethical principles were adhered to. Participants were informed of the right to withdraw at any stage of the study and intervention offered when required. Trustworthiness of the research process was ensured. Findings: from this study the nurses who care for severe/profound intellectual disabled patients reported that they were not adequately prepared to care for these patients. It has also been reported that caring for the severely/profound disabled comes with some consequences, where emotional (negative and positive), physical and professional consequences were mentioned. The shortage of resources was found to be one of the challenges the nurses experienced. The nurses felt unappreciated for the work they did and less supported by their employer.
40
Peers, Gordon H. "Home visiting: The effect of a hospital based nurse home visiting programme on the rehabilitation of children following their discharge from a child psychiatry inpatient unit." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1997. https://ro.ecu.edu.au/theses/898.
Full textAbstract:
The purpose of this study was to examine the effect of a nurse home visiting programme on the rehabilitation of children following their discharge from a dedicated child psychiatry hospital. The research was based on the premise that a nurse home visiting programme may have a positive influence on the outcomes of the rehabilitation of children following their discharge from hospital, if it reduced the need of outpatient appointments with the psychiatrist and the need for children to be re-admitted to hospital.
41
Kagnes, Ida. "State patients with a lifetime sentence: a case study on the treatment and care of substance induced psychotic offenders at Valkenberg Psychiatric Hospital." Master's thesis, Faculty of Law, 2019. https://hdl.handle.net/11427/31741.
Full textAbstract:
This empirical study aims to explore the treatment model of substance-induced psychotic offenders at Valkenberg psychiatric hospital in the Western Cape. A large obstacle in terms of treatment for this population is the high rate of substance abuse further complicated by the rise of tik use in poorer rural areas in the Western Cape. The increase in comorbid substance use and mental illness burdens the already overcrowded mental health care system. Research indicates that there is no singular treatment model that can be used to treat the comorbid population. Previous work has failed to address what treatment should be used for substance-induced mentally disorders. The research is motivated to explore how Valkenberg overcomes the obstacle of substance abuse along with lack of resource allocation in their treatment of state patients. This study was a qualitative study conducted with six staff members at Valkenberg hospital who participated in open-ended interviews regarding the hospital’s treatment model. The research found that in order to improve the treatment for substance-induced psychotic offenders there needs to be an overall decrease in substance abuse throughout South Africa along with an increase in resource allocation for the mental health sector.
42
Petrie, Simon Keith. "Violence, aggression and traumatic incidents in the workplace : a study of nursing staff employed in acute in-patient psychiatric care in Royal Dundee Liff Hospital." Thesis, University of Edinburgh, 2000. http://hdl.handle.net/1842/26844.
Full textAbstract:
Nursing staff employed in acute psychiatric care are exposed to incidents of violence, aggression and trauma at a rate far higher than that of the general population. Such staff are at an increased risk of developing psychological symptomatology and/or burnout in response to such stressors. The aims of this study are to investigate the incidence of these and other stressors within a sample of nursing staff, to examine variables within this sample which might mediate or moderate the effects of such stressors, and to examine the outcomes or responses of individuals to these variables. This study investigates the relationship between these variables, and in so doing builds on existing research and models for understanding occupational stress. Semi-structured interviews and questionnaire measures were carried out with a sample of approximately sixty members of nursing staff employed in acute in-patient psychiatric care in Royal Dundee Liff Hospital. The results are discussed in the context of the current literature, and the implications of high levels of psychological symptomatology and burnout in the nursing service are considered.
43
Ashaye, Olakunle Adebisi. "The effectiveness of the Camberwell Assessment of Need for the Elderly (CANE) as a needs assessment tool in the psychiatric day hospital care of older people." Thesis, University College London (University of London), 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.325591.
Full text
44
Alfridsson, Ulrika. "Patientens upplevelse av nattens timmar inom vuxenpsykiatrisk heldygnsvård." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-21789.
Full textAbstract:
Sömnen är viktig för att kroppen och hjärnan ska kunna återhämta sig. Sömnen är avgörande för välbefinnandet och vår hälsa på många sätt. Det går att påverka sömnen till det bättre och det har verkan på hur kropp och psyke mår och orkar dagen därpå. Som patient inneliggandes på en vårdavdelning är människan utlämnad till personal och vårdmiljö, det kan därför bli svårare att själv påverka sin sömn. Syftet med denna intervjustudie var att undersöka hur patienter inskrivna inom den vuxenpsykiatriska heldygnsvården upplevde nattens timmar på sjukhus. Till studien användes en kvalitativ metod med induktiv ansats, data inhämtades genom enskilda intervjuer med sju stycken patienter. Alla var inskrivna inom den vuxenpsykiatriska heldygnsvården. Intervjuerna var ostrukturerade med öppna frågor. Till analysarbetet tillämpades kvalitativ innehållsanalys enligt Graneheim och Lundman (2004). Resultatet delades in i fyra kategorier; källor till ro; saknad integritet; faktorer som kan störa sömnen och verktyg som hjälpmedel till sömn. Författaren diskuterar resultatet utifrån att främja sömnen för patienter inskrivna inom den vuxenpsykiatriska heldygnsvården. Vad vårdgivaren tillhandahåller innefattar både positiva och negativa omständigheter som påverkar patienternas sömn. Om vissa av dessa förhållanden kan förstärkas och vissa av dem kan reduceras kan det leda till att patienter inom den vuxenpsykiatriska heldygnsvården får en mer fullgod sömn och därmed en större chans till återhämtning, välbefinnande och hälsa.
45
Barros, Regis Eric Maia. "Caracterização clínica-demográfica das internações psiquiátricas na região de Ribeirão Preto - SP entre 1998 e 2004." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/17/17148/tde-07102008-173614/.
Full textAbstract:
No início de 1990, as internações psiquiátricas no Brasil constituíam-se a segunda fonte de despesas com internações hospitalares. A partir de 1992, com as diretrizes do Ministério da Saúde, houve mudanças na caracterização das internações. Os hospitais psiquiátricos, progressivamente, deixaram de constituir a base do sistema assistencial, com o aumento da rede de serviços extra-hospitalares. A XIII Diretoria Regional de Saúde (DRS XIII), com sede em Ribeirão Preto, foi submetida a estas diretrizes, levando à reorganização do atendimento de saúde mental. De modo que, no início da década de 1990, a DRS XIII dispunha de 685 leitos psiquiátricos para internações agudas. As taxas de ocupação chegavam a 96% e o tempo de permanência era elevado com grande número de re-internações. Com as diretrizes, houve redução para 114 leitos para internações agudas e, concomitantemente, houve uma ampliação dos serviços extra-hospitalares de saúde mental. Essas medidas levaram a uma diminuição do número de internações e na taxa de ocupação para 60 a 70%. No entanto, a partir de 2003, passaram a ocorrer dificuldades para internação integral devido à falta de vagas. Esta pesquisa objetiva avaliar essas mudanças caracterizando as internações. Foi criado um banco de dados único utilizando dados armazenados nos banco de dados de cada hospital envolvido no estudo. Todas as internações entre os anos de 1998 a 2004 foram contabilizadas. Foram analisadas as seguintes variáveis: faixa etária, sexo, estado civil, ocupação, diagnósticos, procedência, distrito sanitário para pacientes que residiam em Ribeirão Preto, tempo de permanência, re-internações, giro leito e taxa de ocupação. Foram internados 5362 pacientes correspondendo a 11.208 internações com as seguintes proporções de distribuição: Hospital Psiquiátrico (47,8%), Hospital Geral (14,1%) e Emergência Psiquiátrica (38,1%). As taxas de ocupação nos serviços de internação integral tiveram aumento nos últimos anos da pesquisa apesar do giro leito permanecer relativamente elevado. Não existiram marcantes diferenças entre os serviços em relação às características demográficas das internações, mantendo-se um padrão de predominância de pacientes do sexo masculino, adultos jovens, sem vínculos conjugais estáveis, inativos profissionalmente e provenientes da própria região de Ribeirão Preto. As internações mais curtas predominaram nos serviços, havendo maior proporção de internações prolongadas no Hospital Geral, provavelmente pela gravidade dos casos. A maior proporção das internações é proveniente de Ribeirão Preto, com predomínio daquelas oriundas do distrito atendido pelo Núcleo de Saúde Mental do Centro de Saúde Escola. Os diagnósticos mais encontrados em todos os serviços foram os transtornos relacionados ao uso de substâncias psicoativas, transtornos do humor, transtornos psicóticos e transtornos de personalidades, havendo algumas diferenças nas proporções entre os serviços. O número de re-internações aproxima-se de um quarto (1/4) das internações em cada ano. O aumento das internações pode está relacionado as limitações da rede de serviços extra-hospitalares. A emergência psiquiátrica foi responsável por cerca de 40% das internações no período do trabalho. Novos serviços extra-hospitalares podem determinar melhorias na rede de atendimento.At the beginning of the 1990s, psychiatric hospitalization costs were the second-largest source of all hospitalization costs in Brazil. Since 1992, as a result of the Ministry of Heath guidelines, there have been changes in the characteristics of these hospitalizations. Psychiatric hospitals have progressively ceased to be a part of the core health care system, and there has been an increase in the outpatient service network. The 13th Regional Health Authority (DRS XIII), headquartered in Ribeirão Preto, followed these guidelines, which led it to reorganize its mental health care. At the beginning of the 1990s, DRS XIII had 685 beds for the treatment of acute psychiatric patients: their occupancy rate was as high as 96%, the length of stay was high and there was a high number of readmissions. The guidelines, however, resulted in a reduction in the number of beds for acute patients to 114, whilst there was a simultaneous expansion in the mental health care outpatient services. These measures led to a drop in the number of hospital admissions, and the occupancy rate fell to 60 - 70%. Nevertheless, since 2003, it has been more difficult to provide full-time hospitalization due to lack of beds. The aim of this project is to evaluate these changes in the hospitalization policy. A central database was created using the data stored in the databases of each of the hospitals involved in the study. All hospitalizations between 1998 and 2004 were taken into account. The following variables were analyzed: age, gender, marital status, occupation, diagnosis, origin, health district (for patients that live in Ribeirão Preto), length of stay, readmissions, bed turnover rate and occupancy rate. 5,362 patients were hospitalized a total of 11,208 times according to the following breakdown: Psychiatric Hospital (47.8%), General Hospital (14.1%) and Emergency Psychiatric Unit (38.1%). The occupancy rate for full-time hospitalization services has increased over the last few years in spite of the bed turnover rate remaining relatively high. There are no significant differences between services as far as the demographic characteristics of the hospitalized patients are concerned: patients are still predominantly young unemployed males, who are not in stable partnerships, and come from the Ribeirão Preto region. Short-stay hospitalizations are predominant, with a higher proportion of longer hospitalizations in the General Hospital, which was probably due to the serious nature of these cases. The largest proportion of hospitalizations comes from Ribeirão Preto, especially from the district served by the Núcleo de Saúde Mental do Centro de Saúde Escola (Mental Health Unit of the Learning Health Center). The most common diagnoses were disorders brought on by psychoactive substance abuse, mood disorders, psychotic disorders and personality disorders, with there being some differences in the proportions from one service to another. Around 1/4 of the hospitalizations each year are readmissions. The psychiatric hospitalization increasing may be dual to the outpatient service network deficient. The emergency psychiatry unit was answerable for 40% of psychiatric hospitalization reported in this study. The outpatient service development may be improve the health care system.
46
Ferreira, Soraia Marques Lopes. "Promoção da Continuidade de Cuidados na Transição Hospital-Domicílio à Pessoa com Doença Mental Grave através da Visita Domiciliária do Enfermeiro Especialista em Enfermagem de Saúde Mental e Psiquiátrica." Master's thesis, Instituto Politécnico de Setúbal. Escola Superior de Saúde, 2019. http://hdl.handle.net/10400.26/28859.
Full textAbstract:
Mestrado em Enfermagem em Associação, Área de especialização: Saúde Mental e PsiquiátricaO presente relatório de estágio pretende ser reflexo do percurso formativo e pessoal desenvolvido no âmbito do 2º Mestrado em Enfermagem em Associação na área de Especialização em Enfermagem de Saúde Mental e Psiquiátrica – incidindo no meu desenvolvimento no que concerne às competências comuns e específicas do Enfermeiro Especialista em Saúde Mental e Psiquiátrica, bem como nas competências de mestre em enfermagem, e subordinado ao tema: Promoção da Continuidade de Cuidados na Transição Hospital-Domicílio à Pessoa com Doença Mental Grave através da Visita Domiciliária do Enfermeiro Especialista em Enfermagem de Saúde Mental e Psiquiátrica. A mudança de um paradigma hospitalocêntrico para um de raiz comunitária vem sido desde há vários anos contemplada como prioritária, continuando, no entanto, a existir uma escassa resposta de estruturas necessárias de apoio às pessoas com doença mental grave e seus cuidadores. O processo de vivência da transição hospital-domicílio pode expor a pessoa com doença mental grave a um risco potencial de desenvolver um processo de adaptação desajustado ou demorado, pelo que a visita domiciliária pode ser um recurso interessante a ser utilizado, pois influencia positivamente o envolvimento das pessoas e dos seus cuidadores no tratamento destas patologias. Assim, os casos identificados de pessoas com doença mental grave com fraca adesão à terapêutica, devem ser acompanhados no pós-alta, fazendo-se monitorizações frequentes da sua situação clínica, promovendo uma transição hospital-domicílio saudável, e consequentemente, prevenindo recaídas e novos internamentos. Durante o estágio final foi assim desenvolvido um projeto de intervenção com o objetivo geral de promover a continuidade de cuidados do hospital para o domicílio à pessoa com doença mental grave com fraca adesão ao regime terapêutico.
This internship report aims to be a reflection on the path, both formative and personal, developed within the scope of the 2nd Master's Degree in Nursing in Association in the area of Specialisation in Men-tal Health and Psychiatric Nursing - focusing on my development regarding the common and specific com-petences of the Nurse Specialist in Mental Health and Psychiatry, as well as on the competences of the Master's Degree in Nursing, on the subject: Promotion of Continuity of Care in the Transition Hospital-Home to the Person with Serious Mental Illness through the Home Visit of the Nurse Specialist in Mental Health and Psychiatric Nursing. The change from a hospital-centric paradigm to a community-based one has been considered a priority for several years, however, there is still a scarce response from the necessary support structures to people with severe mental illness and their caregivers. The process of experiencing the hospital-home transition may expose the person with severe mental illness to a potential risk of developing an inappropria-te or prolonged adaptation process, and so home visits may be an interesting resource to be used, as they positively influence the involvement of patients and their caregivers in the treatment of these pathologies. Thus, the identified cases of people with severe mental illness with low therapeutic adherence should be monitored after discharge, frequently monitoring their clinical situation, promoting a healthy hospital-home transition and consequently preventing relapse and new hospitalisations. During the final stage, an intervention project was developed with the general objective of promo-ting the continuity of care from hospital to home for people with severe mental illness with low adherence to the therapeutic regimen.
47
Wallman, Isabelle. "I trängande behof af vård : En studie av unga patienter vid Wexiö hospital mellan år 1907 och 1921." Thesis, Linnéuniversitetet, Institutionen för kulturvetenskaper (KV), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-100474.
Full textAbstract:
This study analyses the fact that young adults under the age of 21 were sent to mental institutions in the early 20th century. To further examine this statement, three main questions provide insights about life inside of the mental hospital in Växjö, Sweden. What factors did overall result in psychiatric care for young adults in the early 20thcentury? By using microhistory as a historical method, what aspects can indicate patient's subordinate role at the hospital? How can the psychiatric institutions be viewed from a disciplinary standpoint while focusing on the power they possess over underage individuals? The chosen institution is called Sankt Sigfrid's hospital (alsoWexio hospital) and provides valuable records and journals between the years of 1907and 1921, on which the study is based on. The results show that a total of 38 patients were admitted to the hospital under this period. Generally, there were 5 different illnesses that resulted in psychiatric care and dementia primaria was the most common one. The ages ranged between 11 and 20, with 20 as the most common age when arriving at the hospital. According to the results, most patients came from a background of farming and landowning. Poor relief was the most common factor for young adults being admitted to the hospital, whereas the second most common factor was the father overseeing the decision. Furthermore, 4 patients were part of a microhistorical study which primarily concluded that they were being subjected to constraint by the hospital. Since the material is examined from a disciplinary standpoint where the hospital is viewed in a position of power, the result is an example of psychiatric expansion through the country. This maintains the belief that psychiatric care developed through different phases of the 19th and 20th century and thus were in constant reform, whereas this study is merely an example of this process of developing.
48
"The patient's perception of the ward round: a social constructionist study." Thesis, 2008. http://hdl.handle.net/10210/1429.
Full textAbstract:
M.A.This study explores the narratives of two South African women, who have previously been admitted as patients, to various psychiatric institutions in Gauteng. In particular, this study focuses on the women’s perceptions of the ward round process, within the context of hospitalisation. An attempt has been made to explore the wider context of the ward round and hospitalisation, by examining the medical model, its philosophy and the various problems associated with the medical model. The concepts of power, respect and pathologising discourse in particular, are focussed on. The study suggests that an ecosystemic model might serve as a useful alternative to the medical model in addressing the above-mentioned problems. This research was conducted in the form of an inquiry, within the context of a social constructionist perspective. As such, the research methodology employed is also based within the social constructionist paradigm. The themes raised in the conversations with the participants, are seen to be a social co-construction, which has evolved between the researcher and the participants. The social constructionist approach also means that the researcher has applied a reflexive stance, whereby narratives of the participants and the researcher, are linked to a reflection of the content and the various processes that took place within the context of the research. The narratives of the participants suggest that ward rounds are seen to be useful and necessary, but that within the context of the ward round, issues such as respect and transparency are important and should be taken into account. It is stressed within the context of this research, that these findings are localised and specific. As such they can not necessarily be seen to reflect the ‘truths’ of all people, who have experienced the process of ward rounds within the context of hospitalisation.
49
Lo, Chun Jiau, and 羅春嬌. "Outcome Evaluation of a Support Employment Program for Psychiatric Day Care Patients at A Psychiatric Hospital in Taipei." Thesis, 2004. http://ndltd.ncl.edu.tw/handle/19867127997203798451.
Full textAbstract:
碩士國立台北護理學院
護理研究所
93
This study evaluated the outcome assessment of a support program for psychiatric mental patients. The purpose was to understand the outcome of a program of support employment, for psychiatric patients, involving training for work in a coffee shop as rehabilitation.. The discussion and recommendation are useful for psychiatric rehabilitation professional in designing and implementing work training. The participants were selected using the longitudinal intervention retrospective method. This investigation was a mixed of qualitative and quantitative research. Chen’s fourth type outcome evaluation with a comprehensive typology was used as the framework for evaluating the program. Six data sources were used, a schedule of the coffee shop work training program, minutes of monthly meeting, patient‘s performance, interview with the participants, review charts and job descriptions The validity of content and structure was determined. Reliability and consistency of content were also tested. The results of the study were as fallow.（1）the participants completed four or five practical tasks after one year of training at the coffee shop（2）a lower proportion of the participants, who completed the training program, re-entered hospital , more found jobs（about 70%）and they enjoyed better family relationships and friendships. Key word： psychiatric patient support employment program, outcome evaluation
50
De, la Rey Ella Stefani. "Attachment styles of children in an inpatient ward of a psychiatric hospital." Diss., 2006. http://hdl.handle.net/2263/23906.
Full textAbstract:
The aim of this study was to investigate the attachment styles of children between the ages of six and twelve years of age who were admitted as inpatients in a children’s ward of a psychiatric hospital. Attachment theory (Bowlby, 1997, 1998) proposes that children develop certain attachment styles towards their primary caregivers from birth through to three years of age, after which the styles remain relatively constant as can be seen through attachment behaviours later on in life. These attachment styles can be secure, insecure-ambivalent / anxious or insecure-avoidant (Ainsworth, Blehar, Waters&Wall, 1978). Green and Goldwyn (2002) also refer to a fourth category that was established through later research on attachment, named disorganised attachment. Psychiatric hospitalisation of a child implies the assumption of psychopathology and through institutionalisation, he or she is literally separated from the primary caregivers and inevitably placed in unfamiliar surroundings with strangers, making it an ideal setting to investigate attachment features. The researcher worked from the supposition that the mere fact of hospitalisation and implied pathology would thus point to insecure attachment styles in these children. A qualitative research design was implemented to gather information regarding the children’s attachment styles. Two projective techniques were used, namely the Children’s Apperception Test and the Picture Test of Separation and Individuation. Analysis of the information consisted of a first- and second-order process of thematic content analysis. The results yielded thirteen categories of experience. An extensive description of each category was provided, and the categories were then related to theory. The results obtained support previous research findings that found that institutionalised children tend to show more insecure attachment styles. The results from this study also indicated that these insecure attachment styles tend to be predominantly insecure-avoidant or insecure-disorganised.Dissertation (MA(Psychology))--University of Pretoria, 2007.
Psychology
unrestricted