Hostname: page-component-76fb5796d-wq484 Total loading time: 0 Render date: 2024-04-25T13:21:47.078Z Has data issue: false hasContentIssue false
  • English
  • Français

Are psychiatric team meetings patient centred? A cross-sectional survey on patient views regarding multi-disciplinary team meetings

Published online by Cambridge University Press:  15 September 2014

C. Carey ,
J. Lally  and
A. Abba-Aji
C. Carey*
Affiliation:
Jonathan Swift Clinic, St. James’ Hospital, Dublin, Ireland
J. Lally
Affiliation:
Institute of Psychiatry, King’s College London and the National Psychosis Service, South London and Maudsley NHS Foundation Trust, London, UK
A. Abba-Aji
Affiliation:
Sligo Mental Health Services, Sligo, Ireland
*
*Address for correspondence: C. Carey, Jonathan Swift Clinic, St. James’ Hospital, Dublin 8, Ireland. (Email: corneliacarey1@gmail.com)
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives

The system of weekly psychiatric ward rounds is being challenged and multi-disciplinary team meetings (MDTMs) involving inpatients have been developed. These aim to improve integration between medical and social services and increase patient involvement in their care. However, such large meetings are potentially threatening to the patient. This survey aimed to examine inpatient experience of MDTMs and identify factors that significantly alter this experience.

Methods

In this cross-sectional survey we assessed patient opinion regarding patient inclusive MDTMs in a psychiatric inpatient unit. A total of 27 participants (response rate 90%) were included. We utilised descriptive statistics and Fisher’s exact test for non-parametric data where appropriate.

Results

In all, 85% (n=23) of patients identified the consultant psychiatrist as a member that they would like to have present at the MDTM. The ward nurse was identified by 63% (n=17) of patients. In all, 48% (n=13) of patients reported feeling anxious/threatened at the MDTM. In all, 70% (n=19) of patients stated that they would have felt less threatened at the MDTM if there were fewer people in attendance. A significant number of voluntary patients (n=11) felt threatened/anxious at the MDTM compared with involuntary patients (n=2) (χ2=4.921, df=1, p=0.026).

Conclusion

The central findings of this study are that patients would prefer fewer people at the MDTM and would feel less threatened/anxious if they participated in selecting those in attendance. These findings suggest that greater patient involvement in preparation for the MDTM could result in a less anxiety filled experience for them.

Keywords

Clientsmulti-disciplinary team meetingpatientspsychiatryservice usersstaff attitudes
Type
Original Research
Information
Irish Journal of Psychological Medicine , Volume 32 , Issue 2 , June 2015 , pp. 177 - 185
Copyright
© College of Psychiatrists of Ireland 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ballard, CG, McDowell, AWT (1990). Psychiatric in-patient audit – the patient’s perspective. The Psychiatric Bulletin 14, 674–675.Google Scholar
Department of Health (1984). Planning for the Future. Department of Health: Dublin.Google Scholar
Department of Health (2001). Quality and Fairness: A Health System for You. Department of Health: Stationery Office, Dublin.Google Scholar
Expert Group for Mental Health Policy (2006). A Vision for Change. Irish Department of Health: Dublin.Google Scholar
Faulkner, A, Thomas, P (2002). User-led research and evidence-based medicine. The British Journal of Psychiatry 180, 1–3.Google Scholar
Fiddler, M (2010). Once-a-week psychiatric ward round or daily inpatient team meeting? A multidisciplinary mental health team’s experience of new ways of working. International Journal of Mental Health Nursing 19, 119–127.CrossRefGoogle ScholarPubMed
Folstein, MF, Folstein, SE, McHugh, PR (1975). ‘Mini mental state’. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research 12, 189–198.CrossRefGoogle Scholar
Foster, HD, Falkowski, W, Rollings, J (1991). A survey of patients’ attitudes towards inpatient psychiatric ward rounds. The International Journal of Social Psychiatry 37, 135–140.Google Scholar
Hodgson, R, Jamal, A, Gayathri, B (2005). A survey of ward round practice. The Psychiatric Bulletin 29, 171–173.Google Scholar
Katzenbach, J, Smith, D (1993). The Discipline of Teams. Harvard Business School Press: Harvard.Google Scholar
Labib, Z, Brownell, L, Lawrence, P (2009). Factors affecting patient satisfaction with the ward round: retrospective cross-sectional study. The Psychiatrist 33, 295–298.Google Scholar
Li, J, Robertson, T (2011). Physical space and information space: studies of collaboration in distributed multi-disciplinary medical team meetings. Taylor & Francis. Behaviour and Information Technology 30, 443–454.Google Scholar
McIntyre, K, Farrell, M, David, A (1989). In-patient psychiatric care: the patient’s view. Psychology and Psychotherapy: Theory, Research and Practice 62, 249–255.Google Scholar
Mohr, W (1995). A critical reappraisal of a social form in psychiatric care settings: the multidisciplinary team meeting as a paradigm case. Archives of Psychiatric Nursing 9, 85–91.Google Scholar
Price, J (2005). Wards rounds: for one or all? The Psychiatrist 29, 353.Google Scholar
Rix, S, Shepphard, G (1990). Acute wards: problems and solutions: implementing real change in acute in-patient care – more than just bringing in the builders. The Psychiatric Bulletin 27, 108–111.Google Scholar
Tait, L, Lester, H (2005). Encouraging user involvement in mental health services. Advances in Psychiatric Treatment 11, 168–175.Google Scholar
Tousijn, W (2012). Integrating health and social care: interprofessional relations of multidisciplinary teams in Italy. Current Sociology 60, 522–537.Google Scholar
Wagstaff, K, Solts, B (2003). Inpatient experiences of ward rounds in acute psychiatric settings. Nursing Times 99, 34.Google Scholar
White, R, Karim, B (2005). Patients’ views of the ward round: a survey. The Psychiatric Bulletin 29, 207–209.Google Scholar
Wolf, R (1997). A code of conduct for ward rounds. Open Mind 86, 28.Google Scholar