Therapeutic Time in Acute Wards

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Recommended: Final Exam of Psychiatric and mental Health Nursing

Introduction
There is growing evidence that service users are dissatisfied with the care they are receiving on mental health acute wards. Patient satisfaction appears to be a key driver for services in monitoring the effectiveness of services however how satisfaction is measured has also caused some controversy in the literature. Service users often feel de-valued and feel that they have no role in their care and treatment, often having to rely on the nursing team to co-ordinate their care leading to the service user’s individual outcomes being neglected. Literature suggests that mental health services need to make radical changes to practice to meet the complex needs of service users in today’s current climate.

Rationale
To address the issue of satisfaction and to improve the delivery of care on acute wards, a steering group was created to address therapeutic one to one sessions with service users. Presently, these sessions focus on a wide range of topics however the majority of discussions held with service users are often system driven and neglect actual goals or outcomes for service users.
A project was devised to address how nurses interact with service users with a specific focus on the therapeutic one at one time. A brochure was developed for service users introducing them to the new structure of one at one time, and a guide also for nurses on a wide range of topics with prompts to help structure the individual sessions. The project was piloted on a male open acute ward for 12 weeks and was then evaluated using the Care Measure Questionnaire. In order to measure its effectiveness, the Care Measure Questionnaire was also implemented in the female open acute ward, however without the structured one to one time to see if the...

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...itish Journal Of Nursing, 14(10), 576-579

CARLYLE, D. D., CROWE, M. M., & DEERING, D. D. (2012). Models of care delivery in mental health nursing practice: a mixed method study. Journal Of Psychiatric & Mental Health Nursing, 19(3), 221-230. doi:10.1111/j.1365-2850.2011.01784.x

Tingle, J. (2011). When health professionals cause harm to patients. British Journal Of Nursing, 20(17), 1146-1147

Plews, C. (2005). Expert Patient Programme: managing patients with long-term conditions. British Journal Of Nursing, 14(20), 1086-1089

Cowie, L., Morgan, M., White, P., & Gulliford, M. (2009). Experience of continuity of care of patients with multiple long-term conditions in England. Journal Of Health Services Research & Policy, 14(2), 82-87. doi:10.1258/jhsrp.2009.008111

Bailey, A. (2008, November 13). Patient choice, but at what price?. British Journal of Nursing. p. 1259.

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