Behavioural analysis of ward rounds within a general hospital psychiatric unit

Sanson‐Fisher, Rob; Poole, A. Desmond; Harker, J.

doi:10.1016/0005-7967(79)90005-6

Cited by 17 publications

(12 citation statements)

References 53 publications

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“…This is surprising in view of the changes in group environment and distribution of discussion time, and contrasts sharply with previous studies (Fewtrell L, Toms, 1985;Sanson-Fisher, 1979). Both Fewtrell & Toms and Sanson-Fisher found that in traditional ward rounds more than half the time was devoted to medical issues, while sociotherapeutic issues were discussed for less than one third of the time.…”

Section: Content and Staff Discussioncontrasting

confidence: 71%

“…Sanson-Fisher et al (1979), studying ward rounds within a general hospital psychiatric unit, found that staff discussions were dominated by medical issues at the expense of psychotherapeutic and sociotherapeutic issues. This bias was clearly reflected in the share of discussion time enjoyed by the two main professional groups: medical staff (~~%), non-medical staff (11 %)..Sar~so~a-Fisher concluded that a hierarchical model of management operated in the unit and that the medical profession perceived itself as having competence in all areas of treatment.…”

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confidence: 98%

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Group Environment and Group Interaction in Psychiatric Assessment Meetings

Brock

Barker²

1990

Int J Soc Psychiatry

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This study examines two aspects of psychiatric assessment meetings: staff perceptions of group social climate, and staff verbal interaction. An Experimental group using a novel format was compared with two groups using a Traditional format. Group environment was measured by the Group Environment Scale (GES). Staff verbal interaction was rated both in terms of discussion content and distribution of discussion time among the categories of Chair, Keyworker, and Others. Changes in group environment were found on four out of ten GES subscales: in the Experimental meetings Expressiveness and Independence both increased, while Leader Control, and Anger & Aggression decreased. Content of discussion remained largely unchanged, but there was a marked shift in the distribution of discussion time towards Keyworkers and away from the Chair.

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Section: Content and Staff Discussioncontrasting

confidence: 71%

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confidence: 98%

Group Environment and Group Interaction in Psychiatric Assessment Meetings

Brock

Barker²

1990

Int J Soc Psychiatry

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“…Both social-network analyses and close observational examination of leaders’ behavior71in transdisciplinary efforts is needed to strengthen understanding of the distinctive requirements for leaders in these contexts. Social-network studies of how transdisciplinary networks evolve over time could provide promising insights into the structural patterns that contribute to innovative transdisciplinary outcomes.…”

Section: Resultsmentioning

confidence: 99%

Enhancing Transdisciplinary Research Through Collaborative Leadership

Gray

2008

American Journal of Preventive Medicine

204

221

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Transcending the well-established and familiar boundaries of disciplinary silos poses challenges for even the most interpersonally competent scientists. This paper explores the challenges inherent in leading transdisciplinary projects, detailing the critical roles that leaders play in shepherding transdisciplinary scientific endeavors. Three types of leadership tasks are considered: cognitive, structural, and processual. Distinctions are made between leading small, co-located projects and large, dispersed ones. Finally, social-network analysis is proposed as a useful tool for conducting research on leadership, and, in particular, on the role of brokers, on complex transdisciplinary teams.

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“…Such a result would occur if psychiatrists in public sector practice found that much of their time was taken up with the supervision and training of other clinical personnel, and that the cases they reported came from a mix of public sector patients and patients seen in their small private practices. Sanson-Fisher (1979a, 1979b has shown that public sector psychiatrists spend a limited amount of time in face-to-face contact with patients.…”

Section: Discussionmentioning

confidence: 99%

The Work of Australian Psychatrists, Circa 1986

Andrews

Hadži-Pavlović

1988

Aust N Z J Psychiatry

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A random sample of psychiatrists was asked to supply details about their last 20 patients. Sixty percent responded. The median patient in treatment was aged 36 and saw a psychiatrist in office practice once a month over a three year period. Forty-one percent of the patient case load suffered from a psychotic disorder, 39% from a neurosis, and 6% from a personality disorder. Marital problems, problems in living and drug or alcohol dependence were infrequent reasons for consultation. Two positive conclusions were drawn: that the case load reflected the morbidity in the community, and that the prognosis for patients with personality disorders was better than usually expected. There were two areas of concern that may need attention: that insight and group psychotherapy require substantial numbers of treatment hours, and that behavioural psychotherapy is rarely used for patients with neurotic conditions.

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Behavioural analysis of ward rounds within a general hospital psychiatric unit

Cited by 17 publications

References 53 publications

Group Environment and Group Interaction in Psychiatric Assessment Meetings

Group Environment and Group Interaction in Psychiatric Assessment Meetings

Enhancing Transdisciplinary Research Through Collaborative Leadership

The Work of Australian Psychatrists, Circa 1986

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