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Does a new spatial design in psychiatric inpatient care influence patients’ and staff’s perception of their care/working environment?: A study protocol of a pilot study using a single-system experimental design
Umeå University, Faculty of Medicine, Department of Nursing.ORCID iD: 0000-0002-3360-5589
Umeå University, Faculty of Medicine, Department of Nursing.ORCID iD: 0000-0002-9116-5569
Umeå University, Faculty of Medicine, Department of Nursing.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation. Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry.
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2018 (English)In: Pilot and Feasibility Studies, ISSN 2055-5784, Vol. 4, article id 191Article in journal (Refereed) Published
Abstract [en]

Background: Research shows that worn-out physical environments are obstacles to psychiatric inpatient care. Patients want better relationships with staff and things to do; staff want an environment that offers hope, a calm atmosphere, and joint activities. A county council in northern Sweden and Philips Healthcare partnered to create solutions to the environmental challenges of psychiatric inpatient care. One ward at a county psychiatric clinic was selected for a pilot project to test solutions that could improve the care environment for patients, staff, and relatives. The aim of the overall project is to evaluate the effects of a newly designed psychiatric inpatient ward on patients and staff in terms of quality of care and stress. In this study, we focus on the feasibility through testing questionnaires and exploring barriers to recruiting staff and patients.

Methods: This study had a single-system experimental design, comparing a psychiatric unit pre- and post-implementation of the novel spatial design, using repeated measures with the same questionnaires twice a week during baseline and intervention phases. Primary outcomes were quality interactions (patients) and perceived stress (staff). Secondary outcomes were levels of anxiety and depression (patients), and stress of conscience (staff). A process evaluation was aimed to describe contextual factors and participant experiences of the new design. Data was collected using questionnaires and semi-structured individual interviews with patients and focus group discussions with staff. Both visual and statistical methods were used to analyse the quantitative data and content analysis for the qualitative data.

Discussion: The findings will contribute insights into whether and how a new spatial design might contribute to quality interactions and reduced stress. This is relevant both nationally and internationally, as similar interventions are needed but sparse. The findings will be disseminated through peer-reviewed publications and conference presentations.

Trial registration: ClinicalTrials.gov, NCT03140618, registered 4 May 2017.

Place, publisher, year, edition, pages
2018. Vol. 4, article id 191
Keywords [en]
Activity, Environment, Feasibility, Intervention, Nursing, Process evaluation, Protocol, Psychiatric inpatient care, Quality interactions, Single-system design
National Category
Nursing Psychiatry
Identifiers
URN: urn:nbn:se:umu:diva-154939DOI: 10.1186/s40814-018-0383-4PubMedID: 30607254OAI: oai:DiVA.org:umu-154939DiVA, id: diva2:1275561
Available from: 2019-01-07 Created: 2019-01-07 Last updated: 2019-01-11Bibliographically approved

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Lindgren, Britt-MarieMolin, JennyLundström, MatsStrömbäck, MariaSalander Renberg, EllinorRingnér, Anders

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