Alexiou Eirini, Wijk Helle, Ahlquist Gustaf, Kullgren Anette, Degl' Innocenti Alessio
Center for Ethics, Law, and Mental Health (CELAM), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Forensic Psychiatric Clinic, Sahlgrenska University Hospital, Gothenburg, Sweden.
Institute of Health and Care Science, Sahlgrenska Academy, University of Gothenburg, Sweden; Department Quality Assurance, Sahlgrenska University Hospital, Gothenburg, Sweden.
J Forensic Leg Med. 2018 May;56:108-113. doi: 10.1016/j.jflm.2018.04.006. Epub 2018 Apr 11.
This longitudinal study aims to assess the sustainability of staff perceptions of ward atmosphere and their possibility to provide person-centered forensic psychiatric care after relocation to new hospitals that aimed to provide supportive work conditions for the staff to be able to perform care of high quality.
In this study we only present the result for the repeated measures, that is, only the individuals that performed both the questionnaires at baseline and at the three follow-ups. Data were collected prospectively between 2010 and 2016; before (baseline) and after relocation of the forensic psychiatric clinics to new buildings, i.e., after six months (follow-up 1), after one year (follow-up 2) and after two years (follow-up 3), respectively. Data were obtained by employing structured validated questionnaires.
The main findings of this study display an improvement in the staff assessment of a person-centered atmosphere from baseline to follow-up 3 in the domains of safety, everydayness and community where safety was evaluated the highest. No sustainable significant changes were found concerning staff's assessment of the support for them to provide person-centered care.
The findings show sustainability of person-centered ward atmosphere in forensic psychiatric care according to staff's assessment after relocation from traditional health care facilities to evidence-based designed premises. In this study the increased staff perception of the possibility to provide person-centered care in the new facilities could not be revealed as sustainability over the two years of follow-up.
这项纵向研究旨在评估员工对病房氛围的认知的可持续性，以及他们在搬迁至旨在为员工提供支持性工作条件以使其能够提供高质量护理的新医院后，提供以人为本的法医精神病护理的可能性。
在本研究中，我们仅呈现重复测量的结果，即仅那些在基线和三次随访时都完成问卷的个体。数据于2010年至2016年间前瞻性收集；在法医精神病诊所搬迁至新大楼之前（基线）以及之后，即分别在六个月后（随访1）、一年后（随访2）和两年后（随访3）。数据通过使用经过验证的结构化问卷获得。
本研究的主要发现显示，从基线到随访3，员工对以人为本氛围的评估在安全、日常性和社区等领域有所改善，其中安全评估得分最高。在员工对他们提供以人为本护理的支持的评估方面，未发现可持续的显著变化。
研究结果表明，从传统医疗设施搬迁至循证设计的场所后，根据员工评估，法医精神病护理中以人为本的病房氛围具有可持续性。在本研究中，在两年的随访期间，未发现员工对在新设施中提供以人为本护理的可能性的认知增加具有可持续性。
