Hostname: page-component-cd9895bd7-hc48f Total loading time: 0 Render date: 2024-12-27T13:04:13.258Z Has data issue: false hasContentIssue false
  • English
  • Français

Patients’ judgements of quality of care in psychiatric observation and intensive in-patient care

Published online by Cambridge University Press:  16 November 2012

Agneta Schröder  and
Tabita Björk
Agneta Schröder*
Affiliation:
Psychiatric Research Centre, Örebro County Council, Sweden
Tabita Björk
Affiliation:
Department of Clinical Neuroscience; Psychiatry, Karolinska Institutet, Stockholm, Sweden
*
Correspondence to: Agneta Schröder, Psychiatric Research Centre, Box 1613, Örebro University Hospital, SE–701 16 Örebro, Sweden. E-mail: agneta.schroder@orebroll.se
Get access

Abstract

A total of 54 patients treated in psychiatric observation and intensive in-patient care units completed the questionnaire Quality in Psychiatric Care – In-patient (QPC-IP). The patients rated the quality highest in the dimension Encounter and lowest in the dimension Discharge. Those patients who knew who their doctor was, or where to complain, having prescription of medication, being discharged to their own homes, having a planned contact after treatment or having a supportive talk, rated significantly higher quality of care. Demographic factors were shown to have had only a minor impact on quality of care. Using the QPC-IP gave valuable information about patient's perceptions of quality of care and identified areas important to improve.

Keywords

Intensive careinstrument QPC-IPpsychiatryquality of care
Type
Original Research Article
Information
Journal of Psychiatric Intensive Care , Volume 9 , Issue 2 , August 2013 , pp. 91 - 100
Copyright
Copyright © NAPICU 2012 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Al-Mailam, F.F. (2005) The effect of nursing care on overall patient satisfaction and its predictive value on return-to-provider behavior: a survey study. Manage Health Care. 14(2): 116–120.Google ScholarPubMed
Berghofer, G., Lang, A., Henkel, H., Schmidl, F., Rudas, S., Schmitz, M. (2001) Satisfaction of inpatients and outpatients with staff, environment, and other patients. Psychiatric Services. 52(1): 104–106.Google Scholar
Bjørngaard, J.H., Ruud, T., Garrat, A., Hatling, T. (2007) Patients’ experiences clinicians ratings of the quality of outpatient teams in psychiatric care units in Norway. Psychiatric Services. 58(8): 1102–1107.Google Scholar
Blenkiron, P., Hammill, C. (2003) What determines patients’ satisfaction with their mental health care and quality of life? Postgraduate Medical Journal. 79(932): 337–340.Google Scholar
Cleary, P.D., Edgeman-Levitan, S., McMullen, W., Delbanco, T.L. (1992) The relationship between reported problems and patient summary evaluations of hospital care. Quality Review Bulletin. 18(2): 53–59.Google Scholar
Crow, R., Gage, H., Hampson, S., Hart, J., Kimber, A., Storey, L., Thomas, H. (2002) The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature. Health Technology Assessment. 6(32): 1–244.CrossRefGoogle ScholarPubMed
Crowhurst, N., 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.Google Scholar
Dawson, P., Kingsley, M., Pereira, S. (2005) Violent patients with psychiatric intensive care units: treatment approaches, resistance and the impact upon staff. Journal of Psychiatric Intensive Care. 1(1): 45–53.Google Scholar
Gigantesco, A., Picardi, A., Chiaia, E., Balbi, A., Morosini, P. (2002) Patients’ and relatives’ satisfaction with psychiatric services in a large catchments area in Rome. European Psychiatry. 17(3): 139–147.CrossRefGoogle Scholar
Greenwood, N., Key, A., Burns, T., Bristow, M., Sedgwick, P. (1999) Satisfaction with in-patient psychiatric services. British Journal of Psychiatry. 174: 159–163.CrossRefGoogle ScholarPubMed
Grol, R. (1996) Research and development in quality of care: establishing the research agenda. Quality in Health Care. 5(4): 235–242.Google Scholar
Hansson, L. (1989) Patient satisfaction with in-hospital psychiatric care. A study of a 1-year population of patients hospitalized in a sectorized care organization. European Archives of Psychiatry and Neurological Sciences. 239(2): 93–100.CrossRefGoogle Scholar
Hiidenhovi, H., Nojonen, K., Laippala, P. (2002) Measurement of outpatients’ views of service quality in a Finnish university hospital. Journal of Advance Nursing. 38(1): 59–67.Google Scholar
Hirschfeld, R.M.A., Russell, J.M. (1997) Current concepts: assessment and treatment of suicidal patients. The New England Journal of Medicine. 337: 910–915.CrossRefGoogle Scholar
Hoff, R., Rosenheck, R., Meterko, M., Wilson, N.J. (1999) Mental illness as a predictor of satisfaction with inpatient care at Veterans Affairs Hospitals. Psychiatric Services. 50(5): 680–685.Google Scholar
Johansson, P., Oléni, M., Fridlund, B. (2002) Patient satisfaction with nursing care in the context of health care: a literature study. Scandinavian Journal of Caring Science. 16(4): 337–344.Google Scholar
Kilkku, N., Munnukka, T., Lehtinen, K. (2003) From information to knowledge: the meaning of information-giving to patients who had experienced first-episode psychosis. Journal of Psychiatric and Mental Health Nursing. 10(1): 57–64.Google Scholar
Kuosmanen, L., Hätönen, H., Jyrkinen, A.R., Katajisto, J., Välimäki, M. (2006) Patient satisfaction with psychiatric inpatient care. Journal of Advanced Nursing. 55(6): 655–663.Google Scholar
Leavey, G., King, M., Cole, E., Hoar, A., Johnson-Sabine, E. (1997) First-onset psychotic illness: patients' and relatives' satisfaction with services. British Journal of Psychiatry. 170: 53–57.Google Scholar
Lebow, J.L. (1982) Consumer satisfaction with mental health treatment. Psychological Bulletin. 91(2): 244–259.Google Scholar
Lebow, J.L. (1983) Client satisfaction with mental health treatment. Methodological considerations in assessment. Evaluation Review. 7(6): 729–752.CrossRefGoogle Scholar
Lehane, M., Rees, C. (1996) Alternatives to seclusion in psychiatric care. British Journal of Nursing. 5(16): 974–979.CrossRefGoogle ScholarPubMed
Nelson, E.A., Maruish, M.E., Axler, J.L. (2000) Effects of discharge planning and compliance with outpatient appointments on readmission rates. Psychiatric Services. 51(7): 885–889.CrossRefGoogle ScholarPubMed
Pereira, S.M., Sarsam, M., Bhui, K., Paton, C. (2005) The London survey of psychiatric intensive care units: psychiatric intensive care; patient characteristics and pathways for admission and discharge. Journal of Psychiatric Intensive Care. 1(1): 17–24.CrossRefGoogle Scholar
Perreault, M., Rogers, W.L., Leichner, P., Sabourin, S. (1996) Patients’ requests and satisfaction with services in an outpatient psychiatric setting. Psychiatric Services. 47(3): 287–292.Google Scholar
Powell, R.A., Holloway, F., Lee, J., Sitzia, J. (2004) Satisfaction research and the uncrowned king: challenges and future directions. Journal of Mental Health. 13(1): 11–20.Google Scholar
Salzmann-Eriksson, M., Lutzen, K., Ivarsson, A.B., Eriksson, H. (2008) The core characteristics and nursing care activities in psychiatric intensive care units in Sweden. International Journal of Mental Health Nursing. 17(2): 98–107.Google Scholar
Schröder, A., Ahlström, G., Wilde Larsson, B. (2006) Patient's perceptions of the concept of quality of care in the psychiatric setting: a phenomenograpic study. Journal of Clinical Nursing. 15(1): 93–102.CrossRefGoogle Scholar
Schröder, A., Wilde Larsson, B., Ahlström, G. (2007) Quality in Psychiatric Care: an instrument evaluating patients’ expectations and experiences. International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services. 20(2): 141–160.Google Scholar
Schröder, A., Wilde Larsson, B., Ahlström, G., Lundqvist, L.O. (2010) Psychometric properties of the instrument Quality in Psychiatric Care and descriptions of quality of care among in-patients. International Journal of Health Care Quality Assurance. 23(6): 554–570.Google Scholar
Sederer, L.I., Summergrad, P. (1993) Criteria for hospital admission. Hospital and Community Psychiatry. 44(2): 116–118.Google Scholar
Shiva, A., Haden, S.C., Brooks, J. (2009) Psychiatric civil and forensic inpatient satisfaction with care: the impact of provider and recipient characteristics. Social Psychiatry and Psychiatric Epidemiology. 44(11): 979–987.Google Scholar
Siponen, U., Välimäki, M. (2003) Patients’ satisfaction with outpatient psychiatric care. Journal of Psychiatric and Mental Health Nursing. 10(2): 129–135.CrossRefGoogle ScholarPubMed
Staniszewska, S.H., Henderson, L. (2005) Patients’ evaluations of the quality of care: influencing factors and the importance of engagement. Methodological issues in nursing research. 49(5): 530–537.Google Scholar
Stump, T.E., Dexter, P.R., Tierney, W.N., Wolinsky, F.D. (1995) Measuring patient satisfaction with physicians among older and diseased adults in a primary care municipal outpatient setting. An examination of three instruments. Medicine Care. 33(9): 958–972.Google Scholar
Swedish Code of Statutes, (SFS) (1982:763). Health and Medical Services Act. (Hälso- och sjukvårdslagen).Google Scholar
Thapinta, D., Anders, R.L., Wiwatkunupakan, S., Kitsumban, V., Vadtanapong, S. (2004) Assessment of patient satisfaction of mentally ill patients hospitalized in Thailand. Nursing and Health Sciences. 6(4): 271–277.Google Scholar
Wykes, T., Carroll, S. (1993) Patient satisfaction with intensive care psychiatric services: can it be assessed? Journal of Mental Health. 2: 339–347.Google Scholar
Wynaden, D., McGowan, S., Chapman, R., Castle, D., Lau, P., Headford and Finn, M. (2001) Types of patients in a psychiatric intensive care unit. Australian and New Zealand Journal of Psychiatry. 35(6): 841–845.Google Scholar