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44 results for “Hospitals, Psychiatric”
The deployment of temporary nurses and its association with permanent nurses' outcomes in Swiss psychiatric hospitals: A secondary analysis.
<p>The objective of this analysis was to investigate the frequency of temporary nurses’ deployment and their association with nurse staffing levels and permanent nurses’ outcomes in Swiss psychiatric hospitals. The data is based on the Match<sup>RN</sup> Psychiatry study including 79 psychiatric units and 651 nurses and provides unit level frequency of temporary nurses’ deployment and individual nurse level data on staffing levels and permanent nurses’ outcomes namely job satisfaction, burnout, and intention to leave organization or profession. The data was collected in 2019 and 2020. We provide the unit and nurse-level dataset, a codebook and the r code to replicate the analyses of the paper. You can find the paper here: <a href="https://peerj.com/articles/15300/">https://peerj.com/articles/15300/</a> </p>
Psychiatric manifestations and associated risk factors among hospitalized patients with COVID-19 in Edo State, Nigeria: A Cross-sectional Study
<p>The Coronavirus Disease 2019 (COVID-19) has had devastating effects globally. These effects are likely to result in mental health problems at different levels. Although studies have reported the mental health burden of the pandemic on the general population and frontline health workers, the impact of the disease on the mental health of patients in COVID-19 treatment and isolation centres have been understudied in Africa.</p> <p>We estimated the prevalence of depression and anxiety and associated risk factors in hospitalized persons with COVID-19. A cross-sectional survey was conducted among 489 patients with COVID-19 at the three government-designated treatment and isolation centres in Edo State, Nigeria. The 9-item Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder-7 (GAD-7) tool were used to assess depression and anxiety respectively. Binary logistic regression was applied to determine risk factors of depression and anxiety. Results Of the 489 participants, 49.1% and 38.0% had depressive and anxiety symptoms respectively. The prevalence of depression, anxiety, and combination of both were 16.2%, 12.9% and 9.0% respectively. Moderate-severe symptoms of COVID-19, ≥14 days in isolation, worrying about the outcome of infection and stigma increased the risk of having depression and anxiety. Additionally, being separated/divorced increased the risk of having depression and having comorbidity increased the risk of having anxiety.</p> <p>A substantial proportion of our participants experienced depression, anxiety and a combination of both especially in those who had the risk factors we identified. The findings underscore the need to address modifiable risk factors for psychiatric manifestations early in the course of the disease and integrate mental health interventions and psychosocial support into COVID-19 management guidelines. --</p>
Increase in coercive measures in psychiatric hospitals during the COVID-19 Pandemic
<p class="MsoNormal"><strong><span>Objective</span></strong><span>: To examine whether the pandemic in 2020 caused changes in psychiatric hospital cases, the percentage of patients exposed to coercive interventions, and aggressive incidents. </span></p> <p class="MsoNormal"><span><strong>Results: </strong>The number of cases in adult psychiatry decreased by 7.6% from 105,782 to 97,761. The percentage of involuntary cases increased from 12.3 to 14.1%, and the absolute number of coercive measures increased by 4.7% from 26,269 to 27,514. The percentage of cases exposed to any kind of coercive measure increased by 24.6% from 6.5 to 8.1%, and the median cumulative duration per affected case increased by 13.1% from 12.2 to 13.8 hrs, where seclusion increased more than mechanical restraint. The percentage of patients with aggressive incidents, collected in 10 hospitals, remained unchanged. </span></p> <p class="MsoNormal"><span><strong>Conclusions: </strong>While voluntary cases decreased considerably during the pandemic, involuntary cases increased slightly. However, the increased percentage of patients exposed to coercion is not only due to a decreased percentage of voluntary patients, as the duration of coercive measures per case also increased. The changes that indicate deterioration in treatment quality were probably caused by the multitude of measures to manage the pandemic. The focus of attention and internal rules as well have shifted from prevention of coercion to prevention of infection.</span></p>
Increase in coercive measures in psychiatric hospitals during the COVID-19 Pandemic
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Psychiatric manifestations and associated risk factors among hospitalized patients with COVID-19 in Edo State, Nigeria: A Cross-sectional Study
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Matching Registered Nurse Services With Changing Care Demands in Psychiatric Hospitals: A Multicenter Observational Study (MatchRN Psychiatry Study). Data from the Nurse Survey
<p>Match<sup>RN</sup> Psychiatry is a multicenter observational study of Swiss psychiatric hospitals. This study's purpose is to describe health care quality by exploring hospital structures such as nurse staffing and the work environment; processes such as the rationing of care; nurse outcomes, including job satisfaction and work-life balance. The sample for this study included approximately 1200 nurses from 115 units of 13 psychiatric hospitals in Switzerland's German-speaking region. The nurse survey covered three dimensions: work environment, patient safety climate, and the rationing of care. Data were collected between September 2019 and June 2021. The Match<sup>RN</sup> Psychiatry study is funded by the participating psychiatric hospitals and the Swiss Psychiatric Nursing Leaders Association (Vereinigung Pflegekader Psychiatrie Schweiz).</p>
Varenicline for Smoking Cessation in Hospitalized Patients With Psychiatric Disorders
ClinicalTrials.gov study NCT03809897. IPD Sharing: Not stated. Countries: 1. Publications: 8.
Associated Psychiatric Disorders in Children Hospitalized for a Serious Suicide Attempt
ClinicalTrials.gov study NCT05450354. IPD Sharing: NO. Countries: 1. Publications: 10.
Using Caring Contacts to Reduce Psychiatric Morbidity Following Hospitalization During the COVID-19 Pandemic
ClinicalTrials.gov study NCT04456062. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Patient-Centered Alternative to Psychiatric Hospitalization for Veterans
ClinicalTrials.gov study NCT00013169. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Music Therapy and Bio-psychological Effect Among Chronic Psychiatric Inpatients of a Community Teaching Hospital
ClinicalTrials.gov study NCT04254965. IPD Sharing: NO. Countries: 1. Publications: 14.
Smoking Cessation Following Psychiatric Hospitalization
ClinicalTrials.gov study NCT02204956. IPD Sharing: UNDECIDED. Countries: 1. Publications: 1.
Efficacy & Tolerability of Rigth Unilateral vs. Bitemporal ECT in Schizophrenia in a Psychiatric Hospital in Mexico
ClinicalTrials.gov study NCT06972745. IPD Sharing: YES. Countries: 1. Publications: 0.
Therapeutic Evaluative Conditioning to Reduce Adolescents' Self-injurious Thoughts and Behaviors During and After Psychiatric Inpatient Hospitalization
ClinicalTrials.gov study NCT05796531. IPD Sharing: YES. Countries: 1. Publications: 1.
Efficacy of Transitional Case Management Following Psychiatric Hospital Discharge
ClinicalTrials.gov study NCT02258737. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Pharmacogenetic Decision Support IT System for Psychiatric Hospitalization: RCT
ClinicalTrials.gov study NCT02120729. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Acceptance and Commitment Therapy for Tobacco Cessation Among Psychiatric Partial Hospital Patients
ClinicalTrials.gov study NCT03911960. IPD Sharing: YES. Countries: 1. Publications: 0.
Recovery Guide Intervention for Recurrent Psychiatric Hospitalization
ClinicalTrials.gov study NCT00400166. IPD Sharing: Not stated. Countries: 1. Publications: 1.
Incidents of aggression in German psychiatric hospitals: Is there an increase?
<p><b>Introduction</b>: In a meta-analysis of international studies, 17% of admitted patients in psychiatric hospitals had shown violent behaviour towards others. Reported data from studies in Germany were considerably lower until now. However, studies referred to single hospitals and data quality was questionable. It is under discussion whether there is an increase of violent incidents.</p> <p><b>Methods</b>: In a group of 10 hospitals serving about half of the population of the Federal State of Baden-Wuerttemberg with 11 million inhabitants, the staff observation aggression scale, revised (SOAS-R) was introduced into the electronic charts as part of routine documentation. Data recording was strongly supported by staff councils and unions. Complete data is now available for the year 2019. For one hospital, data is available since 2006. Due to some doubts with respect to fully covering self-directed aggression, we restricted the analysis to aggression toward others and toward objects.</p> <p><b>Results:</b> In 2019, 17,599 aggressive incidents were recorded in 64,367 admissions (1,660 staying forensic psychiatric patients included). 5,084 (7.90%) of the admitted cases showed aggressive behaviour towards others. Variation between hospitals was low to modest (SD=1.50). The mean SOAS-R score was 11.8 (SD between hospitals 1.20 %). 23% of the incidents resulted in bodily harm. The percentage of patients with violent behaviour was highest among patients with organic disorders (ICD-10 F0) and lowest among patients with addictive or affective disorders (F1, F3, F4). Forensic psychiatry had the highest proportion of cases with aggressive behaviour (20.54 %), but the number of incidents per bed was lower than in general adult psychiatry and child and adolescent psychiatry, indicating a lower risk for staff. In the hospital with long-time recordings available, an increase could be observed since 2010, with considerable variation between years. </p> <p><b>Conclusion:</b> This is the most robust estimate of the frequency of violent incidents in German psychiatric hospitals so far. The incidence is about half of what has been reported internationally, probably due to sample selection bias in previous studies and a relatively high number of hospital beds in Germany. Available data suggests an increase in violent incidents over the last ten years; however, it is unclear to what extent this is due to increased reporting.</p>
Recovery Bridge: A Peer Facilitated Intervention to Help Bridge the Transition From Psychiatric Inpatient Hospitalized to Living in the Community
ClinicalTrials.gov study NCT05758376. IPD Sharing: NO. Countries: 1. Publications: 0.
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