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Attitudes of patients and staff to the implementation of an open door policy in a psychiatric unit of a general hospital [Abstract]
Garvey, D. M; Hickling, Frederick W.
Afiliação
  • Garvey, D. M; University of the West Indies, Mona, Jamaica. Department of Community Health and Psychiatry
  • Hickling, Frederick W; University of the West Indies, Mona, Jamaica. Department of Community Health and Psychiatry
West Indian med. j ; 50(Suppl 5): 20, Nov. 2001.
Artigo em Inglês | MedCarib | ID: med-195
Biblioteca responsável: JM3.1
Localização: JM3.1; R18.W4
ABSTRACT

OBJECTIVE:

To document the changing attitudes of staff and patients to the implementation of an open door policy (ODP) in the custodial psychiatry unit at the University Hospital of the West Indies.

METHOD:

The implementation of the changing therapeutic activities between October 2000 and January 2001 was followed using qualitative methods. Patients, their relatives and staff were interviewed around the time of implementation of each changing activity, and their attitudes documented. Patients attitudes to the transformed ward were sampled from May 2001 using the Verona Satisfaction Scale. The ODP had five separate components. The first was the opening of the main gate of the ward, which took place in October 2000. This was followed by a rationalization in stages of patients clinical status and their assignment to specific therapeutic activities. The implementation of daily therapeutic community group meetings was followed shortly afterwards by the implementation of an art therapy programme and other occupational activities. The opening of the Occupational Centre was the final phase of the programme in June 2001.

RESULTS:

The initial response of staff members to the opening of the main gate was angry and hostile with acts of passive resistance. Patient response was cautious but favourable, and they soon took advantage of leaving the ward unacompanied. Demarcation of the patients into groups of clinical severity soon allowed the staff to rationalize therapuetic activities for the patients. Both staff and patients were cooperative to this change. Implementation of the therapuetic community group meetings had a profound resocializing effect on patients and staff. Finally, the implementation of the art and activity therapy was warmly received by the patients, and proudly acclaimed by the staff. Analysis of the Verona Satisfaction Scores indicated a general acceptance and appreciation by the patients.

CONCLUSIONS:

The general consensus has been that the ward atmosphere was positively transformed by the ODP with patients being more satisfied with their care and being less hostile in their interactions with staff. Staff have cooperated with the changes, and have expressed appreciation of the benefits derived from the process. (AU)
Assuntos
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Coleções: Bases de dados internacionais Contexto em Saúde: ODS3 - Meta 3C Aumentar o financiamento da saúde e o recrutamento, desenvolvimento, formação e retenção da força de trabalho da saúde / ODS3 - Meta 3.1 Reduzir a Mortalidade Materna Problema de saúde: Estratégias de Implementação para Profissionais de Saúde / Cuidado Materno Base de dados: MedCarib Assunto principal: Inovação Organizacional / Pacientes / Unidade Hospitalar de Psiquiatria / Atitude / Implementação de Plano de Saúde / Corpo Clínico Hospitalar Tipo de estudo: Pesquisa qualitativa / Revisão sistemática de estudos observacionais Aspecto: Pesquisa de implementação Limite: Humanos País/Região como assunto: Caribe Inglês / Jamaica Idioma: Inglês Revista: West Indian med. j Ano de publicação: 2001 Tipo de documento: Artigo
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Coleções: Bases de dados internacionais Contexto em Saúde: ODS3 - Meta 3C Aumentar o financiamento da saúde e o recrutamento, desenvolvimento, formação e retenção da força de trabalho da saúde / ODS3 - Meta 3.1 Reduzir a Mortalidade Materna Problema de saúde: Estratégias de Implementação para Profissionais de Saúde / Cuidado Materno Base de dados: MedCarib Assunto principal: Inovação Organizacional / Pacientes / Unidade Hospitalar de Psiquiatria / Atitude / Implementação de Plano de Saúde / Corpo Clínico Hospitalar Tipo de estudo: Pesquisa qualitativa / Revisão sistemática de estudos observacionais Aspecto: Pesquisa de implementação Limite: Humanos País/Região como assunto: Caribe Inglês / Jamaica Idioma: Inglês Revista: West Indian med. j Ano de publicação: 2001 Tipo de documento: Artigo
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