Gátir á bráðadeildum geðsviðs Landspítala : viðhorf sjúklinga og starfsmanna

2.50
Hdl Handle:
http://hdl.handle.net/2336/18153
Title:
Gátir á bráðadeildum geðsviðs Landspítala : viðhorf sjúklinga og starfsmanna
Other Titles:
Special observation on psychiatric patients on acute inpatient wards at the Division of Psychiatry, Landspítali-University Hospital in Iceland, attitudes of patients and staff
Authors:
Jón Snorrason; Guðrún Úlfhildur Grímsdóttir; Jón Friðrik Sigurðsson
Citation:
Læknablaðið 2007, 93(12):833-9
Issue Date:
1-Dec-2007
Abstract:
OBJECTIVE: Special observation (constant observation) of patients is common on psychiatric wards, both in Iceland and abroad, but very few studies have been conducted on their therapeutic value. The objective was to investigate the extent and nature of special observation on emergency wards at the division of psychiatry at the Landspitali-University Hospital in Iceland as well as the attitudes of patients and staff toward special observation. PARTICIPANTS AND METHODS: Information about patients on special observation was recorded over a three months period. Patients were interviewed with a standardised eleven questions interview shortly after the observation finished in order to investigate their attitudes toward the observation. Also, members of staff from each ward were asked to answer eight questions about their attitudes toward special observation in general. The Ethics Committee of Landspitali - University Hospital gave its permission for the study. RESULTS: During the research period observation was used for 157 patients, which is 31% of the total number of patients admitted during that period. Most of the patients (83%) were on 5-15 minutes observation, 25 per cent on close observation and 11 percent on suicide or constant observation. The majority of the patients claimed that security was the most important aspect of being on special observation, independent of which type of observation they were, and only one fifth felt that the company of staff was most important. The staff members on the other hand claimed that concern for the patient, respect and companionship were most important for the patients, independent of the type of observation used. CONCLUSIONS: The extent, nature and process of observation on acute inpatient wards in Iceland seems to be comparable to other studies from abroad. In view of the importance of special observations in psychiatric emergency care and their influence on patients' private life it is important to develop and implement clinical guidelines about their use.; Tilgangur: Gátir á sjúklingum eru algengar á geðdeildum bæði hérlendis og erlendis, en fáar rannsóknir eru til á meðferðarlegu gildi þeirra. Tilgangur rannsóknarinnar var að kanna umfang og eðli gáta á bráðadeildum á geðsviði Landspítala og viðhorf sjúklinga og starfsmanna til þeirra. Þátttakendur og aðferðir: Skráðar voru upplýsingar um sjúklinga sem höfðu verið á gát á þriggja mánaða tímabili. Staðlað viðtal með 11 spurningum var tekið við sjúklinga stuttu eftir að gát lauk til að kanna viðhorf þeirra til gátarinnar. Að auki voru starfsmenn af hverri deild beðnir um að svara átta spurningum um viðhorf þeirra til gáta. Siðanefnd Landspítala veitti leyfi til rannsóknarinnar. Niðurstöður: Á rannsóknartímabilinu voru samtals 157 sjúklingar settir á gát á deildunum fjórum, sem er 31% af öllum innlögðum sjúklingum á tímabilinu. Flestir voru settir á reglubundna gát (83%), næst flestir á yfirsetu (25%) en fæstir á sjálfsvígsgát eða fulla gát (11%). Langflestum sjúklinganna fannst öryggi það gagnlegasta við að vera á gát, óháð því hvaða tegund gátar þeir voru á, og aðeins fimmtungi þeirra fannst félagsskapur starfsfólksins gagnlegur. Starfsfólkið áleit hins vegar umhyggju, virðingu og félagsskap það gagnlegast fyrir sjúklinga, óháð tegund gátar. Ályktanir: Umfang, eðli og framkvæmd gáta á deildunum fjórum virðist vera svipað og erlendis. Í ljósi mikilvægi gáta í umönnun geðsjúkra og áhrifanna sem þær hafa á einkalíf sjúklinga er mikilvægt að setja um þær skýrar verklagsreglur og klínískar leiðbeiningar.
Description:
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open
Additional Links:
http://www.laeknabladid.is/2007/12/nr/2999

Full metadata record

DC FieldValue Language
dc.contributor.authorJón Snorrason-
dc.contributor.authorGuðrún Úlfhildur Grímsdóttir-
dc.contributor.authorJón Friðrik Sigurðsson-
dc.date.accessioned2008-02-13T12:45:56Z-
dc.date.available2008-02-13T12:45:56Z-
dc.date.issued2007-12-01-
dc.date.submitted2008-02-13-
dc.identifier.citationLæknablaðið 2007, 93(12):833-9en
dc.identifier.issn0023-7213-
dc.identifier.pmid18057473-
dc.identifier.urihttp://hdl.handle.net/2336/18153-
dc.descriptionNeðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Openen
dc.description.abstractOBJECTIVE: Special observation (constant observation) of patients is common on psychiatric wards, both in Iceland and abroad, but very few studies have been conducted on their therapeutic value. The objective was to investigate the extent and nature of special observation on emergency wards at the division of psychiatry at the Landspitali-University Hospital in Iceland as well as the attitudes of patients and staff toward special observation. PARTICIPANTS AND METHODS: Information about patients on special observation was recorded over a three months period. Patients were interviewed with a standardised eleven questions interview shortly after the observation finished in order to investigate their attitudes toward the observation. Also, members of staff from each ward were asked to answer eight questions about their attitudes toward special observation in general. The Ethics Committee of Landspitali - University Hospital gave its permission for the study. RESULTS: During the research period observation was used for 157 patients, which is 31% of the total number of patients admitted during that period. Most of the patients (83%) were on 5-15 minutes observation, 25 per cent on close observation and 11 percent on suicide or constant observation. The majority of the patients claimed that security was the most important aspect of being on special observation, independent of which type of observation they were, and only one fifth felt that the company of staff was most important. The staff members on the other hand claimed that concern for the patient, respect and companionship were most important for the patients, independent of the type of observation used. CONCLUSIONS: The extent, nature and process of observation on acute inpatient wards in Iceland seems to be comparable to other studies from abroad. In view of the importance of special observations in psychiatric emergency care and their influence on patients' private life it is important to develop and implement clinical guidelines about their use.en
dc.description.abstractTilgangur: Gátir á sjúklingum eru algengar á geðdeildum bæði hérlendis og erlendis, en fáar rannsóknir eru til á meðferðarlegu gildi þeirra. Tilgangur rannsóknarinnar var að kanna umfang og eðli gáta á bráðadeildum á geðsviði Landspítala og viðhorf sjúklinga og starfsmanna til þeirra. Þátttakendur og aðferðir: Skráðar voru upplýsingar um sjúklinga sem höfðu verið á gát á þriggja mánaða tímabili. Staðlað viðtal með 11 spurningum var tekið við sjúklinga stuttu eftir að gát lauk til að kanna viðhorf þeirra til gátarinnar. Að auki voru starfsmenn af hverri deild beðnir um að svara átta spurningum um viðhorf þeirra til gáta. Siðanefnd Landspítala veitti leyfi til rannsóknarinnar. Niðurstöður: Á rannsóknartímabilinu voru samtals 157 sjúklingar settir á gát á deildunum fjórum, sem er 31% af öllum innlögðum sjúklingum á tímabilinu. Flestir voru settir á reglubundna gát (83%), næst flestir á yfirsetu (25%) en fæstir á sjálfsvígsgát eða fulla gát (11%). Langflestum sjúklinganna fannst öryggi það gagnlegasta við að vera á gát, óháð því hvaða tegund gátar þeir voru á, og aðeins fimmtungi þeirra fannst félagsskapur starfsfólksins gagnlegur. Starfsfólkið áleit hins vegar umhyggju, virðingu og félagsskap það gagnlegast fyrir sjúklinga, óháð tegund gátar. Ályktanir: Umfang, eðli og framkvæmd gáta á deildunum fjórum virðist vera svipað og erlendis. Í ljósi mikilvægi gáta í umönnun geðsjúkra og áhrifanna sem þær hafa á einkalíf sjúklinga er mikilvægt að setja um þær skýrar verklagsreglur og klínískar leiðbeiningar.is
dc.languageice-
dc.language.isoisen
dc.publisherLæknafélag Íslands, Læknafélag Reykjavíkuren
dc.relation.urlhttp://www.laeknabladid.is/2007/12/nr/2999en
dc.subjectGeðsjúkdómaren
dc.subjectVerklagsregluren
dc.subject.classificationLBL12-
dc.subject.meshAttitude of Health Personnelen
dc.subject.meshEmergency Service, Hospitalen
dc.subject.meshEmpathyen
dc.subject.meshHealth Knowledge, Attitudes, Practiceen
dc.subject.meshHospitals, Universityen
dc.subject.meshHumansen
dc.subject.meshIcelanden
dc.subject.meshInpatientsen
dc.subject.meshObservationen
dc.subject.meshPersonnel, Hospitalen
dc.subject.meshProfessional-Patient Relationsen
dc.subject.meshPsychiatric Department, Hospitalen
dc.subject.meshQuestionnairesen
dc.subject.meshSocial Supporten
dc.subject.meshSuicideen
dc.subject.meshTime Factorsen
dc.titleGátir á bráðadeildum geðsviðs Landspítala : viðhorf sjúklinga og starfsmannais
dc.title.alternativeSpecial observation on psychiatric patients on acute inpatient wards at the Division of Psychiatry, Landspítali-University Hospital in Iceland, attitudes of patients and staffen
dc.typeArticleen
dc.identifier.journalLæknablaðiðen
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