Does implementing a development plan for user participation in a mental hospital change patients' experience? A non‐randomized controlled study

Rise, Marit By; Steinsbekk, Aslak

doi:10.1111/hex.12105

Cited by 10 publications

(9 citation statements)

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“…An argument for user involvement, which is used frequently, is that it improves the health services. However, the evidence of effects of user participation is so far mixed [ 12 , 14 , 28 , 35 , 36 ]. Research on initiatives to involve users in organisational settings have shown increased empathy and communication skills in trainees, improvement of information material and interview data, as well as more service user engagement [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, involving service users in processes on healthcare improvement processes can change priorities [ 37 ]. Several have studied whether implementation of initiatives to involve users can improve the health services by resulting in more systematic integration of patient experiences, increased shared decision-making, higher patient satisfaction, more focus on user involvement, increased collaboration between patient and professional, and improvement of information material and communication, but showed a lack of effect [ 12 , 14 , 28 , 35 , 36 ]. Other expected outcomes in studies have been patient reported knowledge, quality of life, symptom strength, patient adherence [ 38 ], anxiety level before surgery, patient understanding and consumer engagement [ 39 ].…”

Section: Introductionmentioning

confidence: 99%

“…The reason might be that complex interventions and changes in large organisations often demand a liberal time frame [ 18 , 22 ]. None of the aforementioned studies lasted more than two years [ 12 , 14 , 28 , 35 , 36 ], and it is an open question if this is too little time for measurable changes to settle in the organisations.…”

Section: Introductionmentioning

confidence: 99%

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Long Term Effect on Professionals’ Knowledge, Practice and Attitudes towards User Involvement Four Years after Implementing an Organisational Development Plan: A Controlled Study

Rise

Steinsbekk

2016

PLoS ONE

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BackgroundHealth service organisations are increasingly implementing user involvement initiatives according to requirements from governments, such as user representation in administrational boards, better information to users, and more involvement of the users during treatment. Professionals are vital in all initiatives to enhance user involvement, and initiatives to increase involvement should influence the professionals’ practice and attitudes. The implementation of a development plan intending to enhance user involvement in a mental health hospital in Central Norway had no effect on the professionals after 16 months. The objective was therefore to investigate the long term effect on the professionals’ knowledge, practice and attitudes towards user involvement after four years.MethodsThis was a non-randomized controlled study including professionals from three mental health hospitals in Central Norway. A development plan intended to enhance user participation was implemented in one of the hospitals, including establishing a patient education centre and a user office, purchasing of user expertise, appointing contact professionals for next of kin, and improving of the centre’s information and the professional culture. The professionals at two other hospitals constituted the control group. All professionals were invited to answer the Consumer Participation Questionnaire (CPQ) and additional questions, at a four year interval.ResultsA total of 399 professionals participated (43% response rate). Comparing the changes in the intervention group with the changes in the control group, the results showed that the plan had improved some aspects of the professionals’ knowledge about the user involvement taking place in the hospital. In addition, some parts of the professionals’ practice of providing information to the service users was improved, and the development plan might have raised their awareness about insufficient involvement of next of kin.ConclusionsThis is the first controlled study on the long term effect on professionals from implementing a development plan to enhance user participation in a mental health hospital. Since there was more effect after four years than after 16 months, this study indicates that it takes time before the effect of complex interventions to enhance patient participation in organisations can be detected among the professionals. More long-term studies are thus warranted.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Long Term Effect on Professionals’ Knowledge, Practice and Attitudes towards User Involvement Four Years after Implementing an Organisational Development Plan: A Controlled Study

Rise

Steinsbekk

2016

PLoS ONE

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“…To assess the attitudes of staff members is therefore of the utmost importance . Reorientation on an individual level requires organisational support and organisational change must permeate every aspect of the organisation's services .…”

Section: Discussionmentioning

confidence: 99%

“…The main aim of these initiatives should be to benefit service users by improving the quality‐of‐care and health outcomes. Mental health services have a history of containment, compulsion and stigma which may hinder the changes in culture and attitudes towards service user involvement . Mental health services today are facing a major transformation from an institutional model towards a recovery‐oriented model .…”

Section: Discussionmentioning

confidence: 99%

Attitudes of mental health professionals towards service user involvement

Kortteisto

Laitila

Pitkänen

2017

Scandinavian Caring Sciences

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Patient-centred care and user involvement in healthcare services are much emphasised globally. This study was the first step in a multicentre research project in Finland to improve service users' and carers' opportunities to be more involved in mental health services. The aim of the study was to assess attitudes of professionals towards service user involvement. The data were collected via an online questionnaire from 1069 mental health professionals in four hospital districts. Altogether, 351 professionals responded. Data were analysed using appropriate statistical methods. According to the results, attitudes of healthcare professionals were more positive towards service users' involvement in their own treatment than in other levels of services. There were also differences in gender, age groups, working places and experiences in the attitudes of professionals concerning service users' involvement in their own treatment. These should be taken into account in the future when planning education for mental health professionals. In spite of governmental guidance on service user involvement and the growing body of knowledge of the benefits associated with it, change in attitudes towards user involvement is slow. Special attention should be paid to the attitudes of professionals working in inpatient care and of those with less working experience.

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Service users' views regarding user involvement in mental health services: A qualitative study

Laitila¹,

Nummelin

Kortteisto

et al. 2018

Archives of Psychiatric Nursing

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Does implementing a development plan for user participation in a mental hospital change patients' experience? A non‐randomized controlled study

Cited by 10 publications

References 49 publications

Long Term Effect on Professionals’ Knowledge, Practice and Attitudes towards User Involvement Four Years after Implementing an Organisational Development Plan: A Controlled Study

Long Term Effect on Professionals’ Knowledge, Practice and Attitudes towards User Involvement Four Years after Implementing an Organisational Development Plan: A Controlled Study

Attitudes of mental health professionals towards service user involvement

Service users' views regarding user involvement in mental health services: A qualitative study

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