Wijk Helle, Deglʼ Innocenti Alessio, Kullgren Anette, Alexiou Eirini
Department Quality Assurance, Sahlgrenska University Hospital.
Center for Ethics, Law, and Mental Health, Sahlgrenska Academy, University of Gothenburg.
J Forensic Nurs. 2019 Jan/Mar;15(1):60-68. doi: 10.1097/JFN.0000000000000226.
This prospective longitudinal study aimed to assess the sustainable effect on patients' assessment of ward atmosphere and quality of care at three forensic psychiatric clinics relocated to new facilities built with the latest evidence-based healthcare environment design to support recovery. Baseline data were collected in the old facilities and during three follow-ups after relocation, between 2010 and 2016. Of 74 patients who gave informed consent to participate, 58 patients (100%) answered the questionnaires at baseline, with 25 patients (43%) completing them at Follow-up 1, 11 patients (19%) at Follow-up 2, and seven patients (12%) at Follow-up 3. This study provides evidence that the mean values of patients' perceptions of care quality in these forensic psychiatric facilities increased when moving to new buildings and were stable up to 3 years after relocation, which was statistically significant in the domain of secluded environment (p < 0.05). The sample size at Follow-up 3 was small, and thus the results are limited, which indicates that further research is needed to confirm the findings.
这项前瞻性纵向研究旨在评估迁至采用最新循证医疗环境设计建造的新设施的三家法医精神病诊所，对患者对病房氛围和护理质量评估的可持续影响，以支持康复。2010年至2016年期间，在旧设施中收集了基线数据，并在搬迁后的三次随访中进行了收集。在74名同意参与的患者中，58名患者（100%）在基线时回答了问卷，25名患者（43%）在随访1时完成问卷，11名患者（19%）在随访2时完成问卷，7名患者（12%）在随访3时完成问卷。这项研究提供了证据，表明这些法医精神病设施中患者对护理质量的感知平均值在迁至新大楼时有所增加，并且在搬迁后长达3年保持稳定，这在隔离环境领域具有统计学意义（p < 0.05）。随访3时的样本量较小，因此结果有限，这表明需要进一步研究来证实这些发现。
