The rehabilitation and nursing care of severely disabled psychiatric patients

Armitage, Paul A.

doi:10.1016/0020-7489(86)90002-7

Cited by 7 publications

(3 citation statements)

References 15 publications

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“…The exploratory study was carried out on the nursing care practised on a 20-bed psychiatric rehabilitation/ continuing-care ward (Armitage 1986), which later became one of the research wards for the main study. Data collected in this initial study showed that the 'batch treatment' of long-stay psychiatric patients in 'back wards' had continued almost unchanged since the work of Goffman (1961) and Barton (1959) 30 years previously.…”

Section: Exploratory Studymentioning

confidence: 99%

Primary nursing and the role of the nurse preceptor in changing long‐term mental health care: an evaluation

Armitage

Champney-Smith

Andrews³

1991

Journal of Advanced Nursing

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The main aims of this action research study were to implement primary nursing in two long-term psychiatric rehabilitation/continuing-care wards and to investigate the effects of the intervention of the quality of nursing care provision. This evaluation took the form of a quasi-experimental time series analysis. A package of measures together with a number of peripheral indicators was used before primary nursing was introduced on each ward and again after primary nursing had become established. The results showed that the implementation of primary nursing led to nurses being more accountable for care, resident who were seen to be more self-sufficient and independent and wards which had an improved environment for care and rehabilitation.

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Section: Exploratory Studymentioning

confidence: 99%

Primary nursing and the role of the nurse preceptor in changing long‐term mental health care: an evaluation

Armitage

Champney-Smith

Andrews³

1991

Journal of Advanced Nursing

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“…The giving of tokens for self-care, sociability, etc., is certainly culturally abnormal and would be in direct contradiction to Wolfenberger's (1980) concept of normalization, defined as 'the use of means which are as culturally normative as possible, in order to establish ... behaviours ... which are as culturally normative as possible'. Armitage (1986) states that patients were disinterested in their token economy programme, seeing the ward more in terms of'home" than in terms of behaviour modification. Additionally, while a major goai of psychiatric rehabilitation may be to develop a patient's independence, the token economy uses methods which could be thought of as overly controlling.…”

Section: Token Economy and Rehabilitationmentioning

confidence: 99%

Token economy in a hospital rehabilitation system

Baker

1988

Journal of Advanced Nursing

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A ward-based token economy programme which formed one part of a larger rehabilitative service for long-stay psychiatric patients is described. The clinical effectiveness of the programme is examined by the use of various nursing, psychological and psychiatric assessments before and after the patients' treatment on the ward, and the progress of former patients is followed-up as they move to different parts of the rehabilitation service. Significant clinical gains in patients' psychiatric symptomatology and problem behaviour on the ward are reported, although there were indications that improvement was not fully maintained as the patients moved on to other parts of the service. Comparison of the present clinical programme with the earlier research programmes on the ward indicated that the present regime was superior. The advantages and problems of token economy as a rehabilitative facility are discussed, outlining the various different roles for token economy with psychiatric rehabilitation. Finally, the future of token economy for long-stay patients is considered, questioning whether it might more appropriately be replaced by other structured ward programmes.

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“…The value of the psychiatric nurse in the rehabilitation process has long been recognized (Tuke, 1812; onolly, 1847; Mercier, 1894) but only in recent years has this been studied in a more systematic way (Cameron et al, 1955;Ayllon and Michael, 1959;Munsadia, 1972;Armitage, 1986). Psychiatric nurses rightly lay a special emphasis on the skills of interaction with people (patients, family, general public and fellow professionals) rather than using equipment or special instruments.…”

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confidence: 97%