Mapping nursing activity in acute inpatient mental healthcare settings.
Background: The quality of care on acute inpatient mental health units is a matter of national and international concern. A major determinant of the quality of care experienced by service users is the use of nursing time.Aims: To map, classify and compare the patterns of activities for qualified and...
| Publicado en: | Journal of Mental Health Vol. 15; no. 2; pp. 217 - 227 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Apr2006
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106311518&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106311518 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638237 JHM jtl: Journal of Mental Health issn: 09638237 maglogo: N pubinfo: dt: Apr2006 vid: 15 iid: 2 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 106311518 106311518 2009198291 10.1080/09638230600608941 106311518 ppf: 217 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Mapping nursing activity in acute inpatient mental healthcare settings. aug: au: Bee PE Richards DA Loftus SJ Baker JA Bailey L Lovell K Woods P Cox D affil: Department of Health Sciences, Seebohm Rowntree Building, University of York, University Road, Heslington, York YO10 5DD, UK; dr17@york.ac.uk sug: subj: Acute Care Nursing Role Evaluation Psychiatric Nursing Psychiatric Units Quality of Health Care Task Performance and Analysis Methods Time Chi Square Test Correlation Coefficient Data Analysis Software Descriptive Research Descriptive Statistics Female Hospitals, Public Inpatients Interviews Job Satisfaction Male Management Nurse Attitudes Nurse-Patient Relations Certified Nursing Assistants Patient Centered Care Qualitative Studies Registered Nurses T-Tests Thematic Analysis Time Factors United Kingdom Human Female Male ab: Background: The quality of care on acute inpatient mental health units is a matter of national and international concern. A major determinant of the quality of care experienced by service users is the use of nursing time.Aims: To map, classify and compare the patterns of activities for qualified and unqualified nursing staff in three acute inpatient mental health wards in three UK NHS-provider organizations, and to compare the proportions of time dedicated to user-centred and non user-centred activities.Method: Open interviews with staff undertaken hourly during five, three-day data collection periods per ward.Results: A total of 505 hours of nursing activity were assessed. Half of all activity reported was staff-user contact, however, the majority was during containment activities. Qualified staff were responsible for ward administration, unqualified staff for the majority of staff-user interaction. Unqualified staff reported higher satisfaction with their work, positively correlated with patient contact time.Conclusions: Working practices built on highly prescriptive nursing routines need to be reconfigured in order to allow qualified staff more time to engage with patients and unqualified staff to use their time with service users more constructively.Declaration of interest: This study was funded by three mental health trusts in the North West United Kingdom. We know of no financial relationship that may pose a conflict of interest. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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