Cross-sectional survey of disturbed behaviour in patients in general hospitals in Leeds

Kannabiran, Muthukumar; Deshpande, Sonal R.; Walling, Anne M.; Alagarsamy, Jagannathan; Protheroe, David; Trigwell, Peter

doi:10.1136/pgmj.2008.067884

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…It is understood that while patients with psychiatric conditions make up an estimated four per cent of patients on acute care wards, they require a disproportionate amount of resources such as additional medication, additional staff time or other interventions (Kabbabiran et al, 2008). In circumstances where workload is reduced and staffing levels are improved, care for patients with mental health needs is improved, with lower mortality and reduced length of stays being reported as a result (Kutney-Lee & Aiken, 2008).…”

Section: Introductionmentioning

confidence: 99%

“Somebody else’s business”: The challenge of caring for patients with mental health problems on medical and surgical wards

Foye

Simpson

Reynolds

2020

Psychiatric Ment Health Nurs

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Introduction: Evidence shows that patients with mental health problems have poorer physical health outcomes, increased mortality and experience poorer care during surgery and medical admissions. Issues related to lack of training, stigmatising attitudes, fear or hopelessness may help understand these poor outcomes. Aim: To explore the experiences of staff in providing care for people with mental health problems. Method: A qualitative service evaluation approach was used. Participants working in an acute care hospital in inner city London were recruited across professions and job levels using a self-selection sampling method. A total of thirty participants took part in semi-structured interviews (n=17) and two focus groups (n=13), and data were thematically analysed. Relevant organisational documents and service use data was utilised to inform the evaluation. Results: Key themes were organised across the macro, meso and micro levels to understand the levels of disconnection and silence around mental health in acute care. Themes include systemic factors surrounding the institutional culture, ward cultures and collaborative working, and individuals' sensemaking of mental health and personal well-being. Implications for Practice: These findings signpost the growing need for greater mental health nursing input on medical and surgical wards and within these teams to provide informed knowledge, support and supervision. Accessible Summary What is known on the subject? People with mental health problems have higher rates of physical health concerns and hospital admissions than those without mental health problems. These patients have poorer outcomes from surgery and have worse experiences of care when admitted for medical or surgical procedures. What the paper adds to existing knowledge? This paper looks to understand why care may be poorer for patients with mental health problems by speaking to staff providing care in these settings. We spoke to 30 general hospital staff about mental health on the wards and found that a lack of leadership and ownership for prioritising mental health led to people not seeing it as their job, and that it was somebody else's business to manage that side of care. We also found that the emotional effect of caring for people who had attempted suicide or had self-harm injuries was difficult for staff, impacting on staff well-being and leading them to distance themselves from providing care in those cases. What are the implications for practice? There is a need for staff to be supported from the top-down, with management providing clear leadership around issues and pathways for mental health needs so they know the best way to provide care and encourage collaborative working. In addition, bottom-up support is needed to help staff personally manage their own well-being and mental health, including supervision and debriefing from mental health specialists to improve understanding from the patient's perspective and to provide emotional support to manage difficulties. Relevance Statement: This paper ...

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Section: Introductionmentioning

confidence: 99%