Patient involvement in improving the evidence base on inpatient care: improving inpatient therapeutic environments

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN84014053

Enrollment

420

Registered

2008-07-24

Start date

2008-11-01

Completion date

Unknown

Last updated

2017-07-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acutely mentally ill patients Mental and Behavioural Disorders Mental disorder, not otherwise specified

Interventions

Ward based non-pharmaceutical therapies (e.g, groups for voice hearers, medication information, communication training): specifics to be decided by Autumn 2008. Assessment will take place on four occa

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: All patients (both genders, aged 18 - 65 years) present on the ward during a two week interval during each of the four assessment periods.

Exclusion criteria

Exclusion criteria: Patients will only be excluded if they have already been entered into the study at an earlier admission.

Design outcomes

Primary

Measure	Time frame
1. User perceptions of inpatient services: the final measure will include domains of outcomes that are judged by service users as important in the inpatient context. The design of the measure will allow an overall score relating to satisfaction but may also allow negative aspects to be assessed separately as well as factors scores. 2. Staff perceptions of inpatient services: the final measure will include domains of outcomes that are judged by service users as important in the inpatient context. The design of the measure will allow an overall score relating to satisfaction but may also allow negative aspects to be assessed separately as well as factors scores. To be collected at baseline, then at 6 months, 12 months and 18 months.	—

Measure

Time frame

1. User perceptions of inpatient services: the final measure will include domains of outcomes that are judged by service users as important in the inpatient context. The design of the measure will allow an overall score relating to satisfaction but may also allow negative aspects to be assessed separately as well as factors scores. 2. Staff perceptions of inpatient services: the final measure will include domains of outcomes that are judged by service users as important in the inpatient context. The design of the measure will allow an overall score relating to satisfaction but may also allow negative aspects to be assessed separately as well as factors scores. To be collected at baseline, then at 6 months, 12 months and 18 months.

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Secondary

Measure	Time frame
1. Patient assessments: 1.1. Use of therapeutic activities available: through records of weekly activity planning reviews 1.2. Symptoms: Positive and Negative Symptoms Scale (PANSS) scores 1.3. The Nurses' Observation Scale for Inpatient Evaluation (NOSIE): behaviour scale measuring social and disruptive behaviours over a short time frame 1.4. Satisfaction measure (chosen from assessment in WP1) 2. Staff assessments: 2.1. Maslach Burnout Inventory to measure burn out and positive attributes of the work place 2.2. Satisfaction measure (chosen from assessments in WP1) 3. General ward assessments: 3.1. Length of stay on inpatient wards during the study period 3.2. Ward Atmosphere Scale 3.3. Routine incident reporting from electronic records 3.4. Therapeutic programme guide based on activities available 3.5. Movement of ward staff measured as length of stay, number of new staff and their ward origin 4. Economic measure: Client Service Receipt Inventory for Inpatient Care (CSRI-I) To be collected at baseline, then at 6 months, 12 months and 18 months.	—

Measure

Time frame

1. Patient assessments: 1.1. Use of therapeutic activities available: through records of weekly activity planning reviews 1.2. Symptoms: Positive and Negative Symptoms Scale (PANSS) scores 1.3. The Nurses' Observation Scale for Inpatient Evaluation (NOSIE): behaviour scale measuring social and disruptive behaviours over a short time frame 1.4. Satisfaction measure (chosen from assessment in WP1) 2. Staff assessments: 2.1. Maslach Burnout Inventory to measure burn out and positive attributes of the work place 2.2. Satisfaction measure (chosen from assessments in WP1) 3. General ward assessments: 3.1. Length of stay on inpatient wards during the study period 3.2. Ward Atmosphere Scale 3.3. Routine incident reporting from electronic records 3.4. Therapeutic programme guide based on activities available 3.5. Movement of ward staff measured as length of stay, number of new staff and their ward origin 4. Economic measure: Client Service Receipt Inventory for Inpatient Care (CSRI-I) To be collected at baseline, then at 6 months, 12 months and 18 months.

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Countries

United Kingdom

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026