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Patients' perceptions of their stay in a psychiatric seclusion area

Published online by Cambridge University Press:  06 July 2010

Valentina C. Iversen ,
Torill Sallaup ,
Arne E. Vaaler ,
Anne-Sofie Helvik ,
Gunnar Morken  and
Olav Linaker
Valentina C. Iversen*
Affiliation:
Division of Psychiatry, Department Østmarka, St. Olav’s University Hospital, Trondheim, Norway Department of Neuroscience, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
Torill Sallaup
Affiliation:
Division of Psychiatry, Tiller, St. Olav’s University Hospital, Trondheim, Norway
Arne E. Vaaler
Affiliation:
Department of Neuroscience, Norwegian University of Science and Technology (NTNU), Trondheim, Norway Division of Psychiatry, Haukeland University Hospital, Bergen, Norway
Anne-Sofie Helvik
Affiliation:
Innland Hospital Trust, Division Tynset, Norway Department of Public Health and General Practice, NTNU, Trondheim, Norway
Gunnar Morken
Affiliation:
Division of Psychiatry, Department Østmarka, St. Olav’s University Hospital, Trondheim, Norway Department of Neuroscience, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
Olav Linaker
Affiliation:
Department of Neuroscience, Norwegian University of Science and Technology (NTNU), Trondheim, Norway Division of Psychiatry, Department of Research and Development, St. Olav’s University Hospital, Trondheim, Norway
*
Correspondence to: Prof. Valentina C. Iversen, St. Olavs Hospital, Department of Psychiatry, Østmarka, Postal Box 3008, Lade, 7441 Trondheim, Norway. Tel: +4773864500; Fax: +4773864902; E-mail: [email protected]
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Abstract

Background: The psychological, social, and physical aspects of the ward milieu affect treatment outcomes and patient satisfaction. The primary aim of the present study was to describe and explore patients’ perceptions of their stay at a Norwegian seclusion area. The patients’ experience of having received help and support from the staff, sense of respectful treatment, information received regarding effects and side effects from medication, and feelings of security in the seclusion areas were of interest.

Method: In a given period, all patients acutely admitted to a seclusion area were evaluated on a number of rating scales. Immediately after discharge they were invited to evaluate their treatment satisfaction on an eight-item VAS-scale.

Results: The main finding is that the patients generally experienced the stay as positive. The three single items of support from the staff, a sense of respectful treatment, and feelings of security were assessed as positive, while the patients’ experience of having received help and information regarding medication was evaluated as neither positive nor negative.

Conclusion: In general, patients experienced their stay as positive. The patients that were admitted voluntarily reported significantly better experiences with regard to the help received, support from the staff, and respectful treatment.

Keywords

Seclusion areaward atmospherevoluntarycoercion
Type
Original Article
Information
Journal of Psychiatric Intensive Care , Volume 7 , Issue 1 , June 2011 , pp. 1 - 10
Copyright
Copyright © NAPICU 2011

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References

Alexander, J. (2006) Patients' feelings about ward nursing regimes and involvement in rule construction. Journal of Psychiatric and Mental Health Nursing. 13(5): 543–553.CrossRefGoogle ScholarPubMed
Bramesfeld, A., Wedegartner, F., Elgeti, H. and Bisson, S. (2007) How does mental health care perform in respect to service users' expectations? Evaluating inpatient and outpatient care in Germany with the WHO responsiveness concept. BMC Health Services Research. 7: 99.CrossRefGoogle ScholarPubMed
Cornwall, P.L. and Scott, J. (1996) Burden of care, psychological distress and satisfaction with services in the relatives of acutely mentally disordered adults. Social Psychiatry and Psychiatric Epidemiology. 31(6): 345–348.CrossRefGoogle ScholarPubMed
Crow, R., Gage, H., Hampsom, S., Hart, J., Kimber, A., Storey, L. and Thomas, H. (2002) The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature. Health Technology Assessment Reports. 6(32).Google ScholarPubMed
Crowhurst, N. and Bowers, L. (2002) Philosophy, care and treatment on the psychiatric intensive care unit: themes, trends and future practice. Journal of Psychiatric and Mental Health Nursing. 9(6): 689–695.CrossRefGoogle ScholarPubMed
Dix, R. (2005) Psychiatric intensive care and low security units past, present and future – introducing the Journal of Psychiatric Intensive Care. Journal of Psychiatric Intensive Care. 1: 1–2.CrossRefGoogle Scholar
Friis, S. (1986) Factors influencing the ward atmosphere. Acta Psychiatrica Scandinavica. 73(5): 600–606.CrossRefGoogle ScholarPubMed
Greenwood, N., Key, A., Burns, T., Bristow, M. and Sedgwick, P. (1999) Satisfaction with in-patient psychiatric services. Relationship to patient and treatment factors. British Journal of Psychiatry. 174: 159–163.CrossRefGoogle ScholarPubMed
Habibis, D., Schneider, R., Hazelton, M., Bowling, A. and Davidson, J. (2002) Psychiatric and social outcomes of a rural district general hospital in the 1990s. International Journal of Mental Health Nursing. 11(3): 154–163.CrossRefGoogle ScholarPubMed
Hammil, K. (1987) Seclusion: inside looking out. Nursing Times. 83: 2.Google Scholar
Jeffery, A. and Goldney, R. (1986) An innovation: the psychiatric intensive care unit. The Australian Nurses' Journal. 12(5).Google Scholar
Johansson, I.M. and Lundman, B. (2002) Patients' experience of involuntary psychiatric care: good opportunities and great losses. Journal of Psychiatric and Mental Health Nursing. 9(6): 639–647.CrossRefGoogle ScholarPubMed
Kay, S.R., Fiszbein, A. and Opler, L.A. (1987) The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophrenia Bulletin. 13(2): 261–276.CrossRefGoogle ScholarPubMed
Kuosmanen, L., Hatonen, H., Jyrkinen, A.R., Katajisto, J. and Valimaki, M. (2006) Patient satisfaction with psychiatric inpatient care. Journal of Advanced Nursing. 55(6): 655–663.CrossRefGoogle ScholarPubMed
Leavey, G., King, M., Cole, E., Hoar, A. and Johnson-Sabine, E. (1997) First-onset psychotic illness: patients' and relatives' satisfaction with services. British Journal of Psychiatry. 170: 53–57.CrossRefGoogle ScholarPubMed
Linaker, O. and Moe, A. (2005) The COOP/WONCHA charts in an acute psychiatric ward. Validity and reliability of patients’ self-report of functioning. Nordic Journal of Psychiatry. 59: 121–126.CrossRefGoogle Scholar
Melle, I., Friis, S., Hauff, E., Island, T.K., Lorentzen, S. and Vaglum, P. (1996) The importance of ward atmosphere in inpatient treatment of schizophrenia on short-term units. Psychiatric Services. 47(7): 721–726.Google ScholarPubMed
Middelboe, T., Schjodt, T., Byrsting, K. and Gjerris, A. (2001) Ward atmosphere in acute psychiatric in-patient care: patients' perceptions, ideals and satisfaction. Acta Psychiatrica Scandinavica. 103(3): 212–219.CrossRefGoogle ScholarPubMed
Nijman, H., Merckelbach, H, Evers, C., Palmstierna, T. and à Campo, J. (2002) Prediction of aggression on a locked psychiatric admissions ward. Acta Psychiatrica Scandinavica. 105: 390–395.CrossRefGoogle ScholarPubMed
O'Brien, L. and Cole, R. (2003) Close-observation areas in acute psychiatric units: a literature review. International Journal of Mental Health Nursing. 12(3): 165–176.CrossRefGoogle ScholarPubMed
Olofsson, B. and Norberg, A. (2001) Experiences of coercion in psychiatric care as narrated by patients, nurses and physicians. Journal of Advanced Nursing. 33(1): 89–97.CrossRefGoogle Scholar
Pedersen, G., Hagtvet, K.A. and Karterud, S. (2007) Generalizability studies of the Global Assessment of Functioning-Split version. Comprehensive Psychiatry. 48(1): 88–94.CrossRefGoogle ScholarPubMed
Poulsen, H.D., Sondergard, L., Hansen, C. and Lindhardt, A. (2005) Psychiatric patients' perceptions of psychiatric intensive care units. Ugeskrift for Laeger. 167(5): 509–513.Google Scholar
Prince, J.D. (2006) Determinants of care satisfaction among inpatients with schizophrenia. Community Mental Health Journal. 42(2): 189–196.CrossRefGoogle ScholarPubMed
Raja, M. and Azzoni, A. (2000) Second-generation antipsychotics in the emergency care setting. A prospective naturalistic study. General Hospital Psychiatry. 22(2): 107–114.CrossRefGoogle ScholarPubMed
Santor, D.A., Ascher-Svanum, H., Lindenmayer, J.P. and Obenchain, R.L. (2007) Item response analysis of the Positive and Negative Syndrome Scale. BMC Psychiatry. 7: 66.CrossRefGoogle ScholarPubMed
Sørgaard, K.W. (2007) Satisfaction and coercion among voluntary, persuaded/pressured and committed patients in acute psychiatric treatment. Scandinavian Journal of Caring Sciences. 21(2): 214–219.CrossRefGoogle ScholarPubMed
SPSS (2006) SPSS for Windows. Rel. 14. Chicago: SPSS Inc.Google Scholar
Svensson, B. and Hansson, L. (2006) Satisfaction with mental health services. A user participation approach. Nordic Journal of Psychiatry. 60(5): 365–371.CrossRefGoogle ScholarPubMed
Vaaler, A.E., Morken, G., Flovig, J.C., Iversen, V.C. and Linaker, O.M. (2006) Effects of a psychiatric intensive care unit in an acute psychiatric department. Nordic Journal of Psychiatry. 60(2): 144–149.CrossRefGoogle Scholar
Vaaler, A.E., Morken, G. and Linaker, O.M. (2005) Effects of different interior decorations in the seclusion area of a psychiatric acute ward. Nordic Journal of Psychiatry. 59(1): 19–24.CrossRefGoogle ScholarPubMed
Van den Oord, E.J., Rujescu, D., Robles, J.R., Giegling, I., Birrell, C., Bukszar, J., Murrelle, L., Moller, H.J., Middleton, L. and Muglia, P. (2006) Factor structure and external validity of the PANSS revisited. Schizophrenia Research. 82(2–3): 213–223.CrossRefGoogle ScholarPubMed
WHO (1993) ICD-10 classification of mental and behavioural disorders. Diagnostic criteria for research. Geneva: WHO.Google Scholar
Wykes, T. and Carroll, S. (1993) Patient satisfaction with intensive care psychiatric services: can it be assessed? Journal of Mental Health. 2: 339–347.CrossRefGoogle Scholar
Yamauchi, K., Ono, Y., Baba, K. and Ikegami, N. (2001) The actual process of rating the global assessment of functioning scale. Comprehensive Psychiatry. 42(5): 403–409.CrossRefGoogle ScholarPubMed