A look at inpatients’ experience of mental health rehabilitation wards

Introduction There is limited research addressing the experiences of patients in inpatient rehabilitation (rehabilitation), who often spend long periods in hospital, and the nursing approaches utilized. Aim Based on evidence that motivational interviewing (MI) may improve nursing practice, this was a pilot study evaluating the feasibility of training rehabilitation nurses in MI and measuring patient experience. Method Nurses underwent training and supervision focusing on MI spirit. Quantitative and qualitative measures were taken pretraining, 2 months post-training and 8 months post-training. Expert-by-experience research assistants facilitated patients' participation in the study. Results This study showed that training rehabilitation nurses in MI was feasible and relevant to their work. Patients participated in interviews and focus groups with support and potential improvements that require further empirical investigation in patient experience were found following the MI training. Discussion This pilot study establishes the feasibility of a larger study addressing efficacy. Tentative qualitative findings question whether interactions between nurses and patients are valued in rehabilitation and support MI as a promising skill set for rehabilitation nurses. Implications for practice Bringing MI into inpatient rehabilitation provoked reflection on nursing practice. Dilemmas for nurses about balancing safety with promoting autonomy and communicating constructively with patients emerged as important.

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“…Further details are presented in a separate paper on patient experience in rehabilitation (Bunyan et al . ).…”

Section: Resultsmentioning

confidence: 97%

Feasibility of training nurses in motivational interviewing to improve patient experience in mental health inpatient rehabilitation: a pilot study

Bunyan

Crowley

Smedley

et al. 2017

Psychiatric Ment Health Nurs

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“…Current NHS England policy (NHS England, 2015) aims to transform care for people with ID, and according commissioning guidance emphasizes the development of community services, for people with ID, mental, behavioural or forensic issues, with less reliance on hospital-based services. The function of rehabilitation services is not well conceptualized within current ID policy, and in this aspect, differs considerably from 'mainstream' mental health policy, which recognizes rehabilitation focused units as an essential part of the care pathway (Joint Commissioning Panel for Mental Health, 2016), with research describing positive clinical outcomes and cost effectiveness (Bunyan et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Characteristics and outcomes of patients with intellectual disability admitted to a specialist inpatient rehabilitation service

Devapriam

Fosker

Chester³

et al. 2018

J Intellect Disabil

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Rehabilitation services for people with mental illnesses have been extensively researched. However, services with similar aims and specifications for patients with intellectual disabilities (IDs) have had little focus. This study describes the characteristics and outcomes of 21 patients admitted to a specialist ID rehabilitation service over an 8-year time frame. Rather that solely accepting 'step-down' referrals, some patients were referred from community settings. During the study, 20 patients were discharged, 80% to lower levels of service restriction, while 14.3% to higher levels. The study suggested that rehabilitation services have an important role within the wider service model for people with ID. Within the service studied, patients were referred from both higher and lower levels of restriction, suggesting the rehabilitation service 'bridged the gap' between inpatient and community settings, supporting the aim of caring for patients in the least restrictive setting for their needs.

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A look at inpatients’ experience of mental health rehabilitation wards

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Feasibility of training nurses in motivational interviewing to improve patient experience in mental health inpatient rehabilitation: a pilot study

Feasibility of training nurses in motivational interviewing to improve patient experience in mental health inpatient rehabilitation: a pilot study

Characteristics and outcomes of patients with intellectual disability admitted to a specialist inpatient rehabilitation service

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