Usefulness of the ACT model for nurses in psychiatric inpatient care: A qualitative content analysis

Tyrberg, Mårten; Carlbring, Per; Lundgren, Tobias

doi:10.1016/j.jcbs.2017.04.011

Cited by 12 publications

(13 citation statements)

References 19 publications

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“…The most common obstacle was a lack of time that staff had to deliver psychological therapy, which was most frequent when psychological therapies were being delivered by non‐psychological staff (Chang et al, 2014; Folke et al, 2015; Jacobsen & Clark, 2016). The wards are inherently busy, staff members have other responsibilities to attend to and service users have other appointments (Fife et al, 2019; Tyrberg et al, 2017). There are also limited resources available and a lack of private space available to meet with service users (Paterson et al, 2019; Wood et al, 2019).…”

Section: Resultsmentioning

confidence: 99%

“…These one‐off sessions helped the service users learn useful exercises without being excluded because of their previous non‐attendance (Davidson et al, 2009). Furthermore, Tyrberg et al (2017) outlined that integrating psychological concepts and language into day to day conversation on the ward could increase therapeutic practice. For example, service users were encouraged to embrace their feelings and identify their core values during morning check‐ups (drawing on ACT).…”

Section: Resultsmentioning

confidence: 99%

“…The 16 articles included six qualitative papers (Awenat et al, 2018(Awenat et al, , 2019Donaghay-Spire et al, 2016;Small et al, 2018;Tyrberg et al, 2017;Wood et al, 2019), one RCT (Wood et al, 2018), four non-randomised trials (Chang et al, 2014;Fife et al, 2019;Gaudiano et al, 2020;Paterson et al, 2019), one mixed methods design (Heriot-Maitland et al, 2014) and four case series (Davidson et al, 2009;Folke et al, 2015;Jacobsen & Clark, 2016;Moore et al, 2019).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The qualitative studies were of good methodological quality. The data collection methods were adequate as semi-structured interviews were audio-recorded and transcribed verbatim (Awenat et al, 2018(Awenat et al, , 2019Donaghay-Spire et al, 2016;Small et al, 2018;Tyrberg et al, 2017;Wood et al, 2019). The single RCT was of low methodological quality because the assessors were not blinded to intervention status and there were incomplete outcome measures (Wood et al, 2018).…”

Section: Quality Assessmentmentioning

confidence: 99%

“…The wards are inherently busy, staff members have other responsibilities to attend to and service users have other appointments (Fife et al, 2019;Tyrberg et al, 2017). There are also limited resources available and a lack of private space available to meet with service users (Paterson et al, 2019;Wood et al, 2019).…”

Section: Reported Barriersmentioning

confidence: 99%

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A systematic review of the implementation of psychological therapies in acute mental health inpatient settings

Evlat

Wood

Glover

2021

Clin Psychology and Psychoth

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Objectives: Research has demonstrated that psychological therapies are not routinely delivered in acute mental health inpatient settings despite being recommended by the National Institute for Health and Care Excellence (NICE) guidelines. This study aimed to identify the barriers and facilitators to implementing psychological therapies in acute mental health inpatient settings.Methods: A systematic review and narrative synthesis was undertaken. Primary studies were included if they examined the implementation of a NICE recommended psychological therapy in acute psychiatric inpatient settings and were of any study design. Four databases were searched for eligible studies (MEDLINE, CINAHL Plus, PsycINFO and Embase) and Google Scholar.Results: A total of 16 studies (a mixture of both qualitative and quantitative methodologies) were included in the review, and the majority evaluated the implementation of Cognitive Behaviour Therapy. Overall, the literature was deemed to be of poor to moderate quality. The main barriers to the implementation of psychological therapy were the busy nature of the ward, multi-disciplinary professionals not being suitability trained and the acute nature of service users mental health difficulties. Facilitators to implementation included the adaptation of interventions to be specifically delivered in the acute inpatient setting, training of multi-disciplinary professionals, leadership support with the delivery of psychological therapies and prioritising the therapeutic relationship.Conclusions: There is a requirement for senior management to prioritise the implementation of psychological therapies and update clinical guidelines to describe modifications necessary to implement psychological therapies in acute inpatient settings.Future research should improve their methodological quality and continue to develop the evidence base of brief psychological therapies in acute inpatient settings.

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