| Autor: |
Sou Bouy, Lo, Rainer, Gaupp, Christian, Huber, Andres, Schneeberger, Gabrijela, Garic, Alexander, Voulgaris, Marc, Walter, Stefan, Borgwardt, Undine E, Lang |
| Jazyk: |
němčina |
| Rok vydání: |
2017 |
| Předmět: |
|
| Zdroj: |
Psychiatrische Praxis. 45(3) |
| ISSN: |
1439-0876 |
| Popis: |
To compare the ward atmosphere, safety, therapeutic hold, and patients' coherence on recently opened (1 year), opened (4 years) and open ( 20 years) psychiatric wards in a longitudinal naturalistic study design. The question was if a patient shift from formerly locked to open wards might deteriorate the ward atmosphere on the open and opened wards.Ward atmosphere on two recently opened (n = 2), opened (n = 2) and open (n = 2) wards was examined using the Essen Climate Evaluation Schema (EssenCES) in a follow-up study after 4 years. Structural as well as clinical data were extracted.Global ward atmosphere, safety, and patients' coherence on the recently opened wards was significantly increased; on always opened wards and long-term opened wards it remained unchanged. Coercive measures and discharges against medical advice decreased during the open door process.Opening locked psychiatric wards can help to establish a positive therapeutic atmosphere without changing the therapeutic climate on the other already open wards. A better ward atmosphere might be connected with a better therapeutic quality.ZIEL DER STUDIE: war es, die Veränderung des Stationsklimas während eines Türöffnungsprozesses zu untersuchen.Die Essen Climate Evaluation Schema (EssenCES) wurde auf neu geöffneten (n = 2, 1 Jahr), geöffneten (n = 2, 4 Jahre) und langjährig offenen (n = 2, 20 Jahre) Stationen untersucht.Die Stationsatmosphäre auf den neu geöffneten Stationen verbesserte sich signifikant. Zwangsmaßnahmen und Entlassungen gegen ärztlichen Rat wurden reduziert.Die Öffnung von Akutstationen kann zu einem günstigeren Stationsklima führen. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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