An interventional study of Time Together in Mental Health Nursing and Nurse-Patient Relations, sponsored by Umeå University. Status unknown. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-10-26.
Sponsored by Umeå University · Not applicable, Interventional, and Health services research
The aim of this project is to test and evaluate a nursing intervention, Time Together (TT), created to enable quality interactions between patients and staff in psychiatric inpatient care. The research questions are:
Does TT influence the quality of interactions between staff and patients? Does TT influence patients' levels of anxiety and depressive symptoms? Does TT influence staffs' levels of perceived stress and levels of stress of conscience? Does TT influence the prevalence of coercive measures, mean length of hospital stay and the use of PRN medication?
In parallel, a process evaluation will be conducted, answering questions such as:
How do staff and patients describe their experiences of the intervention and how do contextual factors influence the effects of the intervention? What are the relationship between the outcome variables and the degree of compliance with the intended intervention? What problems are there with recruitment and dropouts?
BACKGROUND:
Despite the long known significance of the nurse-patient relationship, research in psychiatric inpatient care still reports on unfulfilled expectations of, and difficulties in interactions and relationships between patients and staff. As one solution to the contemporary circumstances, interventions that creates structures that allow quality interactions between patients and staff are needed.
INTERVENTION TT is an intervention, developed from the intervention Protected Engagement Time. The structure of TT is that staff, for a fixed time during the day, dedicates their time to exclusively engage with the patients. Other duties of more administrative nature, visits and meetings are organized to be performed at other times during the day. This structure will be tested at three psychiatric inpatient care wards in the north of Sweden.
DESIGN AND METHODS An experimental single system design (A-B-Follow-up) will be used. As TT will be introduced as a routine ward activity during the B phase, all patients and staff on the participating wards will be participating in TT. However, participating in the evaluation will be voluntary. Data will be collected through questionnaires once every seventh weekday during 5 weeks for the A phase, and 12 weeks during B phase.
In parallel, a process evaluation will be conducted using semi structured interviews and participating observations.
Umeå University is the lead sponsor of 263 studies on the registry; 60 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Inclusion criteria for patients:
Exclusion criteria for patients:
Inclusion criteria for staff:
Time Together as described under "Interventions"
Other: Time Together
For a fixed time during the day, staff dedicates their time to exclusively engage with the patients. Different activities will be offered to both patients and staff, such as playing board games, taking a walk, or having individual conversations. Other duties of more administrative nature, visits and meetings will be performed at other times during the day. Through this, opportunities for interaction are both created and protected.
Also known as: Protected Engagement Time
Quality of interactions [patients]
This is measured using The Caring Professional Scale (CPS) that consists of 14 items answered on a 5-point Likert scale.
Time frame: Changes during baseline and intervention period (measured every seventh week day for a total of 16 weeks)
Perceived stress [staff]
PSS consists of 10 items answered on a 5-point Likert scale
Time frame: Changes during baseline and intervention period (measured every seventh week day for a total of 16 weeks)
Global quality of interactions [patients, staff]
A 100 mm Visual Analogue Scale expressing the most positive and the most negative rating will be anchored at each end
Time frame: Changes during baseline and intervention period (measured every seventh week day for a total of 16 weeks)
Anxiety and depressive symptoms [patients]
The Hospital Anxiety and Depression Scale (HAD) will be used to measure anxiety and depressive symptoms. All items are scored on a 4-point scale.
Time frame: Changes during baseline and intervention period (measured every seventh week day for a total of 16 weeks)
Stress of Conscience [staff]
The Stress of Conscience Questionnaire (SCQ) will be used to measure the frequencies of stressful situations and the degree to which these lead to stress of conscience among staff.
Time frame: Changes during baseline and intervention period (measured every seventh week day for a total of 16 weeks)
Quality of care [staff]
The Quality in Psychiatric Care- Inpatient Staff (QPC-IPS) questionnaire will be used to measure quality of care.
Time frame: Changes during baseline and intervention period (measured every seventh week day for a total of 16 weeks)
Number of PRN medications given
Data will be retrieved from ward registers.
Time frame: Changes during baseline and intervention period (measured weekly for a total of 16 weeks)
Length of hospital stay
Data will be retrieved from ward registers.
Time frame: Changes during baseline and intervention period (measured weekly for a total of 16 weeks)
Use of coercion and violent situations
Data will be retrieved from ward registers.
Time frame: Changes during baseline and intervention period (measured weekly for a total of 16 weeks)
No study locations are listed for this record.
This study is status unknown, as verified in Nov 2016. You cannot join it, but the record below documents what was studied.
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Umeå University