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Patient-appraised beneficial moments during inpatient psychiatric treatment
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 4606606
Author(s) Locher, Cosima; Mansour, Ramin; Koechlin, Helen; Büchi, Stefan
Author(s) at UniBasel Koechlin, Helen
Locher, Cosima
Year 2020
Title Patient-appraised beneficial moments during inpatient psychiatric treatment
Journal BMC Health Services Research
Volume 20
Number 1
Pages / Article-Number 734
Keywords Beneficial moments; Common factors; Content analysis; Inpatients; Qualitative; Specific factors
Mesh terms Attitude to Health; Female; Humans; Inpatients, psychology, statistics & numerical data; Male; Mental Disorders, therapy; Middle Aged; Qualitative Research; Surveys and Questionnaires; Treatment Outcome
Abstract Psychiatric inpatients receive a multidisciplinary treatment approach, covering psychiatry, nursing, occupational therapy, and psychology. Research findings reveal that the effectiveness of any treatment is associated with three types of factors: specific (e.g., treatment techniques), common (e.g., clinician-patient relationship, patients' expectations) and extra-therapeutic. However, there is little published research on the factors and events which inpatients themselves consider to be beneficial ('beneficial moments').; Inpatients (N = 107) of a psychiatric clinic completed a questionnaire to elicit their appraisal of beneficial moments. A qualitative content analysis was applied. The coding procedure was conducted independently by two authors.; Self-appraised beneficial moments were found in five areas: therapy-specific components (number of quotations, N = 204), positive relationships (N = 140), clinical setting and environment (N = 52), inpatients' new insights (N = 36), and factors unrelated to either therapy or the clinic (N = 30). In total, 44% of the quotations were related to specific factors, 49% to common factors, and 7% to extra-therapeutic factors.; Inpatients judge both specific and common factors as crucial for the therapeutic benefit they gain during their stay at the clinic. Our results differ from meta-analytical findings, where the impact of specific factors on symptom improvement has shown to be much smaller (i.e., 17%) than appraised by patients in our study (i.e., 44%). Our study underlines the importance of a patient-centred care approach as well as shared decision making and patient-clinician communication. For clinical practice, knowledge of inpatients' perspectives on beneficial moments is crucial in order to reinforce precisely these therapeutic components.
Publisher BioMed Central
ISSN/ISBN 1472-6963
edoc-URL https://edoc.unibas.ch/79363/
Full Text on edoc No
Digital Object Identifier DOI 10.1186/s12913-020-05617-4
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/32778097
ISI-Number WOS:000561245900003
Document type (ISI) Journal Article
 
   

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