Psychosocial climate of a psychiatric ward: Differential perceptions of nursing personnel and other professionals

Friedman, Steven; Jeger, Abraham M.; Slotnick, Robert S.

doi:10.1007/bf00912596

Cited by 4 publications

(2 citation statements)

References 1 publication

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“…Our finding that female wards were rated by their patients as more cohesive and safer is consistent with previous studies of ward climate (Brunt, 2008;Friedman, Jeger, & Slotnick, 1980). In contrast, we did not find a relationship between gender and how therapeutic the environment felt.…”

Section: The Journal Of Forensic Psychiatry and Psychology 203supporting

confidence: 88%

Associations between ward climate and patient characteristics in a secure forensic mental health service

Dickens

Suesse

Snyman

et al. 2014

The Journal of Forensic Psychiatry & Psychology

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Ward climate is associated with patient satisfaction and, potentially, with improved outcomes but increased understanding of its relationship with individual patient characteristics is required. We investigated relationships between patient (N = 63) gender, perceived risk, risk behaviour, therapeutic engagement (session attendance), psychopathology and ward climate in a forensic psychiatric hospital. Lower security levels were significantly associated with better patient cohesion (PC), experienced safety (ES) and therapeutic hold (TH). Female gender predicted PC and ES. Higher perceived risk was associated with lower PC after controlling for security level and gender. Diagnosis of personality disorder or psychosis was associated with higher ES. Lower levels of engagement predicted greater TH. The relationship between patient characteristics and ward climate in forensic settings is complex. Prospective studies are needed to further establish determinants of ward climate, particularly those aspects of patient risk that are associated with poorer PC.

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Section: The Journal Of Forensic Psychiatry and Psychology 203supporting

confidence: 88%

Associations between ward climate and patient characteristics in a secure forensic mental health service

Dickens

Suesse

Snyman

et al. 2014

The Journal of Forensic Psychiatry & Psychology

View full text Add to dashboard Cite

show abstract

“…The RCS has demonstrated acceptable levels of reliability in studies of caregiver stress and involvement (i.e., Cronbach's alpha 0.77-0.94; Archbold & Stewart, 1988;Archbold et al, 1995). Although the Workers' Union would not allow for a direct assessment of staff burnout, its representatives agreed to the use of the Support and Staff Control subscales of the Ward Atmosphere Scale (WAS; Friedman, Jeger, & Slotnick, 1980) as an alternative measure. These two subscales of the WAS are each comprised of ten, 10-point Likert scale items.…”

Section: Methodsmentioning

confidence: 98%

The moderating effect of aggressive problem behaviors in the generation of more positive attitudes toward nursing home residents

Hillman

Skoloda

Angelini

et al. 2001

Aging & Mental Health

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This study examined the ability of a social history intervention to generate more positive attitudes toward nursing home patients, and to increase staff members' perceived rewards of care-giving. In contrast to prior studies, residents' problem behaviors were examined as potential moderators in the relationship. Forty-three staff members participated in an experimental, 3 (informational condition: social history, medical, control) x 2 (time: pre-test, post-test) within-subjects factorial design that employed newly admitted residents as target patients. Findings showed that the social history intervention alone did not generate more positive attitudes toward patients or greater rewards of care-giving. Although a larger proportion of target patients manifested other problem behaviors with greater frequently, only aggressive problem behavior was associated with more negative attitudes toward patients. A post-hoc analysis revealed that after statistically controlling for the impact of patients' aggressive behavior, the social history information appeared to allow staff members to maintain more neutral attitudes toward patients. Considerations for the use of social history information in long-term care settings are addressed.

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Consultation for Self-Evaluation

Friedman

1982

Community Mental Health and Behavioral-Ecology

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Psychosocial climate of a psychiatric ward: Differential perceptions of nursing personnel and other professionals

Cited by 4 publications

References 1 publication

Associations between ward climate and patient characteristics in a secure forensic mental health service

Associations between ward climate and patient characteristics in a secure forensic mental health service

The moderating effect of aggressive problem behaviors in the generation of more positive attitudes toward nursing home residents

Consultation for Self-Evaluation

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