Features of the Ward Atmosphere in a Psychiatric Day Care Unit Based on Occupational Therapy – a Comparative Study

Eklund, Mona; Hansson, Lars

doi:10.3109/11038129509106672

Cited by 11 publications

(6 citation statements)

References 20 publications

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“…The fact that optimality of these factors was related to improvement in both patient groups indicates that the ward atmosphere in the unit investigated was flexible enough to meet the differing needs of the patients. This has also been shown in previous publications from the present project (27,28). The importance of flexibility in the ward atmosphere in order to meet different patients' needs has been pointed out by Moos (29) and Werbart (30,31).…”

Section: Discussionsupporting

confidence: 82%

Relationships between characteristics of the ward atmosphere and treatment outcome in a psychiatric day‐care unit based on occupational therapy

Eklund

Hansson

1997

Acta Psychiatr Scand

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The relationships between characteristics of the ward atmosphere and treatment outcome in a psychiatric day-care unit were investigated. The treatment programme was based on occupational group therapy and included long-term mentally ill patients, equally distributed with regard to psychosis and non-psychosis diagnoses. The ward atmosphere was rated on the Community-Oriented Programs Environment Scale (COPES), and outcome variables concerned symptoms, global mental health, quality of life, and functioning in daily life. The COPES ratings were re-coded in order to control for the fact that different levels of ward atmosphere factors are recommended for psychotic and non-psychotic patients. The results revealed that an optimal initial level of anger and aggression in treatment was significantly associated with improvement in global mental health and functioning in everyday life. Initial optimal levels of staff control and practical orientation were significantly associated with improvement in psychiatric symptoms. The characteristics of the ward atmosphere at the end of the treatment period were significantly correlated with various aspects of functioning in daily life. The study demonstrated associations with outcome variables not previously linked with ward atmosphere characteristics, e.g. functioning in daily life and quality of life.

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Section: Discussionsupporting

confidence: 82%

Relationships between characteristics of the ward atmosphere and treatment outcome in a psychiatric day‐care unit based on occupational therapy

Eklund

Hansson

1997

Acta Psychiatr Scand

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“…Five factors of the real ward atmosphere were on an optimal level and the remaining five on an adjacent interval, which must be considered a good result. Previous studies [9,36] have shown that no unit managed to reach optimal profiles in all respects. This good result was indicated on both occasions, and the fact that it was achieved already before the implementation of the new rehabilitation model might serve as another explanation for the few changes that occurred.…”

Section: Discussionmentioning

confidence: 89%

Perceptions of the real and the ideal ward atmosphere among trainees and staff before and after the introduction of a new work rehabilitation model

Eklund

Hansson

2001

Eur. psychiatr.

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Changes in the ward atmosphere of a psychiatric work rehabilitation unit were investigated. Both trainees and staff filled in the Community-Oriented Programs Environment Scale (COPES) before and after a new rehabilitation model was implemented. It was hypothesised that the levels of autonomy and practical orientation would increase from both the trainees' and staff's perspective concerning the real ward atmosphere and that the staff's perceptions of an ideal ward atmosphere would change in the same way. The staff perceived an increased level of autonomy with respect to both the real ward atmosphere and to what constitutes an ideal ward atmosphere, which partly confirmed the hypotheses, but the level of practical orientation was stable. Concerning the staff's estimate of an ideal ward atmosphere, further changes were an increased level of involvement and a decrease in spontaneity, which was not hypothesised, but was not in conflict with the philosophy behind the new model. From the trainee's perspective there was no change of either autonomy or practical orientation. Instead, there was a decrease in personal problem orientation. Compared to an optimal profile, the ward atmosphere was beneficial, before as well as after implementation of the new programme. Differences were found between the staff and the trainees, but they were not large enough to separate the groups according to what is considered an optimal profile. The few changes found support earlier conclusions that the ward atmosphere is a stable phenomenon over time.

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“…Still, results on a group level might hide important facts which can be revealed in case reports, including narrative information. In addition, the case studies have added an idiographic feature to the whole study, while the previous reports of this unit (Eklund, 1996a(Eklund, , 1996bEklund & Hansson 1995, 1996, in press), as well as the results from the PCA in this part of the study, were of a more nomothetic nature (Polkinghorne, 1983). The different sources of data in this study provided a triangulation (Patton, 1990), adding significance to the results.…”

Section: Discussionmentioning

confidence: 99%

“…The ward atmosphere of the unit has been investigated in earlier studies, and it was found to be beneficial for both patients with a psychosis and nonpsychosis (Eklund & Hansson, 1995, 1996.…”

Section: Settingmentioning

confidence: 99%

Patient experiences and outcome of treatment in psychiatric occupational therapy – three cases

Eklund

1996

Occupation Therapy Intl

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Features of the Ward Atmosphere in a Psychiatric Day Care Unit Based on Occupational Therapy – a Comparative Study

Cited by 11 publications

References 20 publications

Relationships between characteristics of the ward atmosphere and treatment outcome in a psychiatric day‐care unit based on occupational therapy

Relationships between characteristics of the ward atmosphere and treatment outcome in a psychiatric day‐care unit based on occupational therapy

Perceptions of the real and the ideal ward atmosphere among trainees and staff before and after the introduction of a new work rehabilitation model

Patient experiences and outcome of treatment in psychiatric occupational therapy – three cases

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