Patient satisfaction with psychiatric inpatient care

Department of Nursing Science, University of Turku, Turku, Finland.
Journal of Advanced Nursing (Impact Factor: 1.74). 10/2006; 55(6):655-63. DOI: 10.1111/j.1365-2648.2006.03957.x
Source: PubMed


This paper reports a study of psychiatric inpatient satisfaction with care in one Finnish psychiatric hospital, and explores the factors associated with satisfaction.
Patient satisfaction is a central indicator for healthcare quality. Previous literature has shown that psychiatric inpatients are quite satisfied with their care in general, but have reported dissatisfaction in the areas of information access and compulsory care. Changes in the structure of Finnish mental health services due to dehospitalization have increased interest in exploring psychiatric patients' treatment experiences and general satisfaction.
Data were collected in inpatient settings using a self-rating patient satisfaction questionnaire. A total of 316 patients leaving the study units during a 1-year period (May 2000-April 2001) was recruited. The response rate was 61% (n = 313).
In general, patients were quite satisfied with their care. Of seven different satisfaction areas, they were most satisfied with staff-patient relationships, and reported most dissatisfaction in the areas of information, restrictions, compulsory care and ward atmosphere/physical milieu. Younger and female patients were less satisfied with staff-patient relationships than older patients and men. manova (five factors, main effects and two-way interactions in the model) showed that male patients with occasional symptoms or symptoms persisting for less than a month were more satisfied with staff than were women. Further, when symptoms persisted for a month or up to 1 year or more, women were more satisfied with staff than men.
General patient satisfaction in psychiatric hospital care was good. However, more innovative methods for improvement in the areas of dissatisfaction need to be developed. Special attention should be paid to collaboration with young adults (18-24 years) and female patients with mental health problems of short duration.

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    • "The third aim was to assess a possible association of length of stay following S/R and QoL, and the association of S/R duration and QoL. In the light of earlier studies [21,24,33,34] we assumed that S/R patients’ QoL was poorer than that of patients without S/R experience. "
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    ABSTRACT: In Finland major effort has been invested in reducing the use of coercion in psychiatric treatment, and the goal is to diminish the use of coercion by 40% by 2015. Improving patients' quality of life (QoL) has gained prominence in psychiatric treatment during the past decade. Numerous studies have shown that most secluded or restrained patients (S/R patients) would prefer not to have had this experience. Experience of S/R could affect negatively patients' QoL, but empirical data on this issue are lacking.Aim: The study aimed to explore the effect of experienced S/R on the subjective QoL of psychiatric in-patients. This study explored subjective QoL of the S/R patients. At discharge, S/R patients completed the Short Form of the Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q-SF). We found that S/R patients' (n = 36) subjective QoL was significantly better than that of non-S/R patients' (n = 228). Most non-S/R patients were diagnosed with mood disorders (mostly depression). Most of S/R patients were diagnosed with schizophrenia, schizotypal and delusional disorders. The mean duration of S/R was 2.3 days, median was one day and mean length of the hospitalization after S/R episode was 2.5 months. Our cross-sectional findings suggest that S/R does not considerably influence patients' QoL or that the influence is short-lived. Because baseline QoL was not measured this remains uncertain. There are also many other factors, such as negative mood, which decrease the patients' QoL ratings. These factors may either mask the influence of S/R on QoL or modify the experience of QoL to such an extent that no independent association can be found at the time of discharge.
    International Journal of Mental Health Systems 12/2013; 7(1):28. DOI:10.1186/1752-4458-7-28 · 1.06 Impact Factor
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    • "Por último, a finales de los 90, surge el modelo de Sitzia y Wood (1997), que consideran que la satisfacción del paciente es producto de una interacción entre las características del paciente o " determinantes " (variables sociodemográficas y expectativas de los pacientes hacia los servicios médicos) y las características del cuidado médico recibido o " componentes " (grado de accesibilidad al servicio, la dimensión humana de los profesionales, la calidad técnica del servicio, la información , etc). Los resultados de la mayoría de trabajos afirman que los pacientes psiquiátricos se encuentran muy satisfechos con las cualidades humanas, el comportamiento y el trato recibido de los profesionales (Anczewska, Indulska, Raduj, Pałyska y Prot, 2007; Gigantesco, Picardi, Chiaia, Balbi y Morosini, 2002; Kuosmanen, Hätönen, Jyrkinen, Katajisto y Välimäki, 2006) pero moderadamente satisfechos con la información recibida sobre la enfermedad mental y el tratamiento farmacológico (Allen, Carpenter, Sheets, Micco y Ross, 2003; Gigantesco et al., 2002; Kuosmanen et al., 2006), así como con la posibilidad de implicación en la planificación del tratamiento (Bhugra, La Grenade y Dazzan, 2000; Gigantesco et al., 2002). En estrecha relación con el concepto de satisfacción del paciente psiquiátrico, el estudio de la satisfacción de los familiares y cuidadores más cercanos con los servicios de salud mental ha empezado a despertar también interés (Brand, 2001; Brown y Birtwistle, 1998; Harvey y Burns, 2003). "
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    ABSTRACT: In recent decades there has been growing interest in examining patient satisfaction since it can have great influence on the patients' adherence to treatment and their clinical evolution. Similarly, it has been demonstrated that the satisfaction of psychiatric patients is an indicator of the quality of mental health services. It has also been demonstrated that it is a strong predictor of the future use that psychiatric patients will make of these services and their willingness to cooperate with treatment. In Spain, there have been few studies conducted on patient satisfaction in Spanish psychiatric hospital units. This study analyzes the satisfaction levels of inpatients in a psychiatric hospital unit and those of their family members. The results show high levels of overall satisfaction with the services received in the unit. They show particularly high levels of satisfaction with regard to the perceived behavior and competence of the professionals involved and more moderate levels of satisfaction with regard to the information received and opportunities to become involved in the treatment plan. The study also analyzes the influence of social demographic variables and other variables (related to admission, the type of mental illness, and the social functioning of the patient) on the satisfaction levels of psychiatric patients and their family members.
    Anales de Psicologia 05/2012; 28(2). DOI:10.6018/analesps.28.2.148831 · 0.50 Impact Factor
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    • "Of seven different satisfaction areas, they were most satisfied with staff-patient relationships and reported highest dissatisfaction in the areas of information, restrictions, compulsory care, and ward atmosphere/physical milieu. Younger and female patients were less satisfied with staff-patient relationships than older patients and men.[11] "
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    ABSTRACT: Context:Patient satisfaction with psychiatric services is an important construct, which influences multiple areas including treatment adherance and outcome. There is paucity of studies from India in this area.Aims:To measure satisfaction of psychiatric outpatients of Mental Health Institute, Cuttack, and to assess the relationship between demographic and clinical variables with different domains of patient satisfaction.Settings and Design:In a cross-sectional study, patients of age 18-60 years receiving treatment for at least six months from outpatient department of Mental Health Institute, SCB Medical College, Cuttack, were assessed.Materials and Methods:Participants (n=60) were selected randomly. Satisfaction was assessed by Patient Satisfaction Questionnaire–18 (PSQ-18) and the diagnoses were based on the Diagnostic and Statistical Manual-IV-TR. Severity of psychiatric disorder was measured using Clinical Global Impression-severity scale. The functioning level was assessed by Global Assessment of Functioning.Statistical Analysis:Continuous variables compared using independent t-test or analysis of variance.Results:Diagnostic break-up of the patients included anxiety disorder (36.6%), major depressive disorder (30.0%), bipolar disorder (16.6%), and schizophrenia (16.6%). Greatest level of satisfaction was noted in interpersonal aspects (71.4%) and time spent with doctors (62.4%). General satisfaction level was a little over 50% (57%). Differences between composite scores of PSQ-18 in the diagnostic categories were statistically significant; patients with depression had the highest score followed by those with anxiety disorder, bipolar, and the least was with schizophrenia patients. There was variability among the demographic and clinical groups regarding the various subscale score of PSQ-18.Conclusions:Satisfaction of psychiatric outpatients was observed to be different in various clinical and demographic groups and across many domains of satisfaction.
    Indian Journal of Psychiatry 03/2012; 54(4):327-332. DOI:10.4103/0019-5545.104817
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