Centre for Psychiatry, Wolfson Institute of Population Health, Queen Mary's University of London, London, UK.
South London and Maudsley Trust, London, UK.
J Ment Health. 2023 Aug;32(4):805-812. doi: 10.1080/09638237.2022.2118683. Epub 2022 Sep 7.
Staff and patient experiences of inpatient psychiatric wards can be negative, with staff suffering increasingly higher rates of burnout and aggression, and patients dissatisfied with the lack of therapeutic climate. The need for improved support for both has long been identified, yet many group types are ill defined and their effectiveness is unclear. In response, clinical psychologist-facilitated case discussion groups (CDGs) have been implemented across limited wards within an NHS Foundation Trust to develop staff formulation and reflective skills and provide dual peer and formal support.
This evaluation aimed to assess staff perceptions of CDG impact on staff outcomes and patient care.
Twenty permanent unit staff members of a female acute inpatient ward participated in this mixed method evaluation. Staff were administered a two-part questionnaire. A subset of participants then completed a semi-structured qualitative interview.
CDG were rated extremely positively for both staff and patient care outcomes. Staff recognised increased patient contact, reduced restraint incidents, and higher levels of confidence in their role. Suggested improvements to CDG include a more formal review of action plans.
Further research is required to explore patient perceptions of CDG and explore impact across different ward types.
住院精神病病房的工作人员和患者的体验可能不佳，工作人员的倦怠和攻击率不断上升，患者对缺乏治疗氛围感到不满。长期以来，人们一直需要改善对两者的支持，但许多团体类型的定义不明确，其效果也不清楚。为了应对这一问题，临床心理学家主导的病例讨论小组（CDG）已在 NHS 基金会信托的有限病房中实施，以培养工作人员的制定和反思技能，并提供双重同伴和正式支持。
本评估旨在评估工作人员对 CDG 对工作人员结果和患者护理的影响的看法。
参加这项混合方法评估的是一家女性急性住院病房的 20 名固定单位工作人员。工作人员接受了两部分问卷调查。然后，一小部分参与者完成了半结构化定性访谈。
CDG 在工作人员和患者护理结果方面都得到了极高的评价。工作人员认识到与患者的接触增加了，约束事件减少了，对自己角色的信心也提高了。对 CDG 的改进建议包括更正式地审查行动计划。
需要进一步研究来探讨患者对 CDG 的看法，并探索不同病房类型的影响。
