Cargando…

Rules and ward climate in acute psychiatric setting: Comparison of staff and patient perceptions

The ward climate or atmosphere refers to its material, emotional and social conditions. A good ward climate in psychiatric settings can influence the mood, behaviour and self‐concept of patients and staff members and improve patient outcomes. Many studies have examined the relationship between ward...

Descripción completa

Detalles Bibliográficos
Autores principales: Corbetta, Marta, Corso, Barbara, Camuccio, Carlo Alberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9305954/
https://www.ncbi.nlm.nih.gov/pubmed/35128772
http://dx.doi.org/10.1111/inm.12980
_version_ 1784752442303315968
author Corbetta, Marta
Corso, Barbara
Camuccio, Carlo Alberto
author_facet Corbetta, Marta
Corso, Barbara
Camuccio, Carlo Alberto
author_sort Corbetta, Marta
collection PubMed
description The ward climate or atmosphere refers to its material, emotional and social conditions. A good ward climate in psychiatric settings can influence the mood, behaviour and self‐concept of patients and staff members and improve patient outcomes. Many studies have examined the relationship between ward climate and aggression, but only a few have investigated the effect of a ward’s environment, rules and activities. This multicentric observational study aimed to assess the relationship between the rules/activities and the climate of four acute psychiatric units of Northern Italy. The Essen Climate Evaluation Scheme (EssenCES) questionnaire, which was administered to patients and staff, was used to evaluate the different dimensions of ward atmosphere. There was a good response rate (79%) in patients and staff members who completed the questionnaire (114 patients and 109 staff). Safety perception appeared to be quite different in patients and staff. The patients who were authorized to have more visiting hours and more time to use their mobile phone had higher scores on Experienced Safety subscale. A negative correlation between the Therapeutic Hold and Experienced Safety subscales was found in the staff members, and this was due to their negative perception. The ward climate seemed to be affected by the unit’s rules, especially with respect to visits and the smartphones use. Nurses need to be aware of the importance of ward climate and how their own perception may differ from and that of patients: this gap could lead to decisions detached from the patients’ needs.
format Online
Article
Text
id pubmed-9305954
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-93059542022-07-28 Rules and ward climate in acute psychiatric setting: Comparison of staff and patient perceptions Corbetta, Marta Corso, Barbara Camuccio, Carlo Alberto Int J Ment Health Nurs Original Articles The ward climate or atmosphere refers to its material, emotional and social conditions. A good ward climate in psychiatric settings can influence the mood, behaviour and self‐concept of patients and staff members and improve patient outcomes. Many studies have examined the relationship between ward climate and aggression, but only a few have investigated the effect of a ward’s environment, rules and activities. This multicentric observational study aimed to assess the relationship between the rules/activities and the climate of four acute psychiatric units of Northern Italy. The Essen Climate Evaluation Scheme (EssenCES) questionnaire, which was administered to patients and staff, was used to evaluate the different dimensions of ward atmosphere. There was a good response rate (79%) in patients and staff members who completed the questionnaire (114 patients and 109 staff). Safety perception appeared to be quite different in patients and staff. The patients who were authorized to have more visiting hours and more time to use their mobile phone had higher scores on Experienced Safety subscale. A negative correlation between the Therapeutic Hold and Experienced Safety subscales was found in the staff members, and this was due to their negative perception. The ward climate seemed to be affected by the unit’s rules, especially with respect to visits and the smartphones use. Nurses need to be aware of the importance of ward climate and how their own perception may differ from and that of patients: this gap could lead to decisions detached from the patients’ needs. John Wiley and Sons Inc. 2022-02-06 2022-06 /pmc/articles/PMC9305954/ /pubmed/35128772 http://dx.doi.org/10.1111/inm.12980 Text en © 2022 The Authors. International Journal of Mental Health Nursing published by John Wiley & Sons Australia, Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Corbetta, Marta
Corso, Barbara
Camuccio, Carlo Alberto
Rules and ward climate in acute psychiatric setting: Comparison of staff and patient perceptions
title Rules and ward climate in acute psychiatric setting: Comparison of staff and patient perceptions
title_full Rules and ward climate in acute psychiatric setting: Comparison of staff and patient perceptions
title_fullStr Rules and ward climate in acute psychiatric setting: Comparison of staff and patient perceptions
title_full_unstemmed Rules and ward climate in acute psychiatric setting: Comparison of staff and patient perceptions
title_short Rules and ward climate in acute psychiatric setting: Comparison of staff and patient perceptions
title_sort rules and ward climate in acute psychiatric setting: comparison of staff and patient perceptions
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9305954/
https://www.ncbi.nlm.nih.gov/pubmed/35128772
http://dx.doi.org/10.1111/inm.12980
work_keys_str_mv AT corbettamarta rulesandwardclimateinacutepsychiatricsettingcomparisonofstaffandpatientperceptions
AT corsobarbara rulesandwardclimateinacutepsychiatricsettingcomparisonofstaffandpatientperceptions
AT camucciocarloalberto rulesandwardclimateinacutepsychiatricsettingcomparisonofstaffandpatientperceptions