Therapeutic Time In Acute Wards Essay

3756 words - 15 pages

Introduction
There is growing evidence that service users are dissatisfied with the care they are receiving on mental health acute wards. Patient satisfaction appears to be a key driver for services in monitoring the effectiveness of services however how satisfaction is measured has also caused some controversy in the literature. Service users often feel de-valued and feel that they have no role in their care and treatment, often having to rely on the nursing team to co-ordinate their care leading to the service user’s individual outcomes being neglected. Literature suggests that mental health services need to make radical changes to practice to meet the complex needs of service users in today’s current climate.

Rationale
To address the issue of satisfaction and to improve the delivery of care on acute wards, a steering group was created to address therapeutic one to one sessions with service users. Presently, these sessions focus on a wide range of topics however the majority of discussions held with service users are often system driven and neglect actual goals or outcomes for service users.
A project was devised to address how nurses interact with service users with a specific focus on the therapeutic one at one time. A brochure was developed for service users introducing them to the new structure of one at one time, and a guide also for nurses on a wide range of topics with prompts to help structure the individual sessions. The project was piloted on a male open acute ward for 12 weeks and was then evaluated using the Care Measure Questionnaire. In order to measure its effectiveness, the Care Measure Questionnaire was also implemented in the female open acute ward, however without the structured one to one time to see if there was any difference in patient satisfaction across the both wards.

Literature Review
A Literature review is a process of exploring existing literature on a specific topic. The purpose of the literature review is to examine critical points, methodology and theoretical information in order to provide a rationale for a project or thesis (Garrad, 2010).
A literature search was completed using the databases CINHAL full text, Psycinfo, Psycharticles, Medline and Medline plus Full Text. Keywords used were, patient satisfaction, experience, psychiatric hospitals, service delivery and therapeutic alliance. Full text and peer review articles were used. Articles were selected within the last 10 years and limited to articles from the USA, Australia and the UK. All other articles were withdrawn from the review. A total of 206 articles was retrieved, with 83 meeting the criteria for the project. A further 25 articles were withdrawn on the basis of not meeting the specific needs of the project. Therefore a total of 58 articles was reviewed.

Acute Mental Health Wards and the Therapeutic Milieu
The function of acute wards has dramatically shifted from a delivery of therapeutic programs to a more crisis function (Richards, Bee,...

Find Another Essay On Therapeutic Time in Acute Wards

Rough Draft: Marlie Soderquist Essay

1416 words - 6 pages , women, children, and men were all together in one area. Diseases of all kinds, and all severity were in the same hospital wards. Hospital’s served as recovery homes for accident patients and the recovering ill, the center of medical treatments, insane asylums, and retirement homes for the elderly that did not have family (Savage-Smith). There was no record of any patient who had been at the hospital, the physicians that worked on the patients

The Reasons to Clone Essay

1208 words - 5 pages often referring to them as "precious gifts." Now scientist now have discovered the practice of therapeutic and reproductive cloning are vital tools for medical advancement. In fact, they believe that they could help and possibly be a cure for millions of Americans that suffer from fertility problems and life altering diseases. Therefore, I believe that the United States government should not ban the practice of human cloning . Millions of

Cloning: Breaking New Ground And Old Notions

991 words - 4 pages and time factors involved in treatment, which could potentially be life saving. Works Cited "All About Donation." Organ Donation Statistics and Data. New York Organ Donor Network Inc., 2012. Web. 23 Apr. 2014. Atala, Anthony, and Chester J. Koh. "Tissue Engineering Applications Of Therapeutic Cloning." Annual Review Of Biomedical Engineering 6.1 (2004): 27-C-3. Academic Search Premier. Web. 9 Feb. 2014. Busse, Paula J., and David Zieve

Fall Prevention in Older Adult Populations

5408 words - 22 pages randomized control trial on eight medical wards of an acute care hospital in Singapore over a 9-month period (Ang et al. 2011). They used an assessment tool to match the high-risk patients of both intervention and controlled group. In addition to the tailored educational session, the intervention group received appropriate interventions. Both the intervention and control groups received primary nursing care, environmental modifications, medication

Circuit City History

988 words - 4 pages acquiring several television and appliance stores throughout the U.S., which included Richmond, Alabama, Washington, New York, and California. In 1960 Wards Co. also expanded its operations into licensed television departments within large department stores, which led the company to offer stocks to the public for the first time. By 1965, Wards had added various acquisitions to its existing portfolio, which included a discount department store that sold

Film Report On 'American Me': A Therapeutic Perspective

1385 words - 6 pages challenges facing male Chicano teens of Santana’s time and locale, and knows what therapeutic approach would most likely render the best outcomes. Santana’s counselor, if he/she does not share his specific ethnicity, should at least have a sufficient understanding of the formidable threats of poverty, feelings of powerlessness, victimization by racism, the prevalence of violence and drugs in the Hispanic community, and the volatility to high-risk

Job Satisfaction among Nurses Working in Different Setting

1263 words - 6 pages satisfaction and medical-surgical settings, however there is a lack of studies on psychiatric nurses and their settings (Hanrahan, Aiken, McClaine & Hanlon, 2010). Problem faced in a psychiatric settings are overflowing of patients in the acute wards (Virtanen et al., 2008), frequent turnover rate of patients, increase incidence of aggressive behaviour outbreak, seclusion needed, and restraint uses (Steinert, Bergbauer, Schmid, & Gebhardt, 2007) and

Management of Acute Otitis Media

1332 words - 5 pages formal approval by partnering organizations. This practice guideline specifically addresses watchful waiting regarding management of AOM. Evidence Based Guideline (Block, 1997) Causative Pathogens, Antibiotic Resistance and Therapeutic Considerations in Acute Otitis Media Pediatric Infectious Disease Journal Unfiltered No: A discussion and review of the evidence of isolated bacterial pathogens in patients with AOM. Specifically

Dreams in 'Of Mice And Men' by John Steinbeck

1621 words - 6 pages found out what Lennie had done; why else would he have stolen Carson´s Luger? K4j3RPq Visit essaybank cg co cg uk cg for more cg Do not cg redistribute K4j3RPq wwgd gdw esgdgds aygd gdba ngd kcgd gduk!Maybe Lennie did get his dream, in one way or the other. As George is preparing to kill Lennie, he tells him one last time about "how it´s gonna be." This last bedtime story for Lennie seems to describe not a little farm that they might buy

Scottish Patient Safety Programme and the Early Detection of the Deteriorating Patient

2065 words - 9 pages Module Title PLE 2.3 Module NURS08045 Cohort September 2012 Assignment Title PLE 2.3 Reflection Assignment Date 18th April 2014 Word Count 1591 words   PLE 2.3 Reflection Scottish Patient Safety Programme and the Early Detection of the Deteriorating Patient The aim of this reflection is to discuss patient safety in an acute setting according to the Scottish Patient Safety Programme. I will be using a model of reflection, Gibbs

Stem Cell Therapy

910 words - 4 pages In order to discover the ways for the remedy of diseases, studies in therapeutic approaches have been doing widely and kept increasing at accelerated pace. A lot of research areas had emerged for that purpose including one of the most fascinating and highly active areas at present, stem cells therapies. Due to self-renewal property and differentiation capability of stem cell, it becomes a new hope in modern treatment. The first successful case

Similar Essays

Aggression And Violence In A Mental Health Units

1366 words - 5 pages ., Grenyer, B., & Ilkiw-Lavalle, O. (2000). Prevalence and precipitants of aggression in psychiatric inpatient units. Australian and New Zealand Journal of Psychiatry 34, 967-974. Bowers, L., Allan, T., Simpson, A., Nijman, H., & Warren, J. (2007). Adverse Incidents, Patient Flow and Nursing Workforce Variables on Acute Psychiatric Wards: The Tompkins Acute Ward Study. International Journal of Social Psychiatry 53(75), 75-84. Foster, C

Hypothermia Therapy For Myocardial Infarction Essay

2639 words - 11 pages techniques, unskilled nursing staff, and nursing wards with inadequate equipment. Later, in the 1980’s animal studies in therapeutic hypothermia therapy demonstrated positive effects with mild hypothermia treatment. This new evidents rekindle interest in hypothermia therapy for neuroprotection. Mild hypothermia treatment is define as a target temperature of 32-34 degrees Celsius. In 2002, there were several human studies published on the

Therapeutic Touch : Its Effectiveness On Surgical Incision Site Pain

2528 words - 10 pages ;... therapeutic touch is a nursing intervention that has the potential for eliciting a state of physiological relaxation in patients and for decreasing patients anxiety" (Heidt, 1991). The use of therapeutic touch is very important to the nursing community. The need for immediate intervention in acute or chronic pain could be handled at the bedside with no need to await a doctor's order for pharmacological intervention. Anxiety could be lessened to

Therapeutic Touch, Its Effectiveness On Surgical Incision Site Pain

2723 words - 11 pages therapeutic touch is very important to the nursing community. The need for immediate intervention in acute or chronic pain could be handled at the bedside with no need to await a doctor's order for pharmacological intervention. Anxiety could be lessened to let patients rest more comfortably in the stressful hospital environment. Also teaching could be enhanced in the less anxious and more pain free client. A client that is admitted to the hospital