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Delineating Quality Indicators of Inpatient Psychiatric Hospitalization

Delineating Quality Indicators of Inpatient Psychiatric Hospitalization Background:Assuring quality care is critical to the well-being and recovery of individuals receiving inpatient psychiatric treatment, yet a comprehensive map of quality inpatient care does not exist.Aims:To isolate and describe quality elements of inpatient psychiatric treatment.Methods:A survey queried psychiatric inpatient nursing leaders on what they considered to be critical elements of quality. The survey was emailed to 40 American Psychiatric Nurses Association members, and 39 individuals responded. In the survey, participants were asked to comment on the importance of six dimensions of quality as well as quality indicators used on their units.Results:Data from this survey indicate how thought leaders conceptualized quality of inpatient care. A unifying philosophy of care was endorsed as a quality element as was structure that affords staff available time on the unit—engaging with patients. While staffing levels were viewed as important, the respondents commented on the nuances between staffing and quality. Participants endorsed the importance of involving individuals in their treatment planning as well as tapping into patients’ perspectives on the treatment experience.Conclusions:The participants’ responses compliment the quality literature and reinforce the need to develop a comprehensive map of quality elements. These elements interact in complex way, for instance, staffing, engagement, and teamwork is tied to the organizational structure and philosophy of care, which in turn facilitates consumer involvement in care. Thus, gauging the impact of quality on outcomes will demand consideration of the interaction of factors not just the linear relationship of one element to an outcome. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of the American Psychiatric Nurses Association SAGE

Delineating Quality Indicators of Inpatient Psychiatric Hospitalization

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References (87)

Publisher
SAGE
Copyright
© The Author(s) 2020
ISSN
1078-3903
eISSN
1532-5725
DOI
10.1177/1078390320971367
Publisher site
See Article on Publisher Site

Abstract

Background:Assuring quality care is critical to the well-being and recovery of individuals receiving inpatient psychiatric treatment, yet a comprehensive map of quality inpatient care does not exist.Aims:To isolate and describe quality elements of inpatient psychiatric treatment.Methods:A survey queried psychiatric inpatient nursing leaders on what they considered to be critical elements of quality. The survey was emailed to 40 American Psychiatric Nurses Association members, and 39 individuals responded. In the survey, participants were asked to comment on the importance of six dimensions of quality as well as quality indicators used on their units.Results:Data from this survey indicate how thought leaders conceptualized quality of inpatient care. A unifying philosophy of care was endorsed as a quality element as was structure that affords staff available time on the unit—engaging with patients. While staffing levels were viewed as important, the respondents commented on the nuances between staffing and quality. Participants endorsed the importance of involving individuals in their treatment planning as well as tapping into patients’ perspectives on the treatment experience.Conclusions:The participants’ responses compliment the quality literature and reinforce the need to develop a comprehensive map of quality elements. These elements interact in complex way, for instance, staffing, engagement, and teamwork is tied to the organizational structure and philosophy of care, which in turn facilitates consumer involvement in care. Thus, gauging the impact of quality on outcomes will demand consideration of the interaction of factors not just the linear relationship of one element to an outcome.

Journal

Journal of the American Psychiatric Nurses Association – SAGE

Published: Sep 1, 2022

Keywords: psychiatric inpatient treatment; quality; psychiatric nursing care

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