Severe Mental illness Mental and Behavioural Disorders Mental disorder, not otherwise specified
Conditions
Interventions
Organisational. Optimising structure, thinking carefully about the words and language nurses use, and enhancing mutual regard between staff and patients. Staff wellbeing. Promoting physical health wil
Sponsors
King's College London (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Acute psychiatric wards defined as those that primarily serve acutely mentally disordered adults, taking admissions mainly directly from the community 2. Specifically to include admission wards, assessment wards, triage wards, treatment wards, pre-discharge wards, extra or intensive care; in so far as these wards provide whole or part of the acute care pathway for those temporarily admitted directly from the community 3. Wards to be included regardless of the gender of patients to which they provide a service, whether male, female or mixed, and regardless of the ward's door locking policy 4. Male and female participants 5. Aged 18 - 65 years
Exclusion criteria
Exclusion criteria: 1. Wards with other specialist functions (e.g. forensic, long term care, older people, child and adolescent) 2. Wards with major planned changes during the trial (e.g. reconfiguration of catchment areas or patient populations, refurbishment, managerial restructuring) 3. Wards where two or more of the following apply: 3.1. An acting ward manager, no ward manager in post, or cover from ward manager primarily responsible for another ward; unless the local organisational structure is that of one ward manager having responsibility for two wards 3.2. A locum consultant psychiatrist, where that post is the identified sole consultant responsible for inpatient care 3.3. Nursing vacancy rates above 30% (9.5% of acute wards in 2005)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rates of conflict and containment measured at 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| No secondary outcome measures | — |
Countries
United Kingdom
Outcome results
None listed