Factors influencing inpatients perception of psychiatric hospitals: A meta-review of the literature.

Modini, M; Burton, A; Abbott, MJ

Factors influencing inpatients perception of psychiatric hospitals: A meta-review of the literature.

Modini, M Burton, A

Abbott, MJ

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Journal of Psychiatric Research, 2021, 136, pp. 492-500
Issue Date:: 2021-04

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Field	Value	Language
dc.contributor.author	Modini, M
dc.contributor.author	Burton, A https://orcid.org/0000-0002-6641-6442
dc.contributor.author	Abbott, MJ
dc.date.accessioned	2021-10-08T04:29:27Z
dc.date.available	2020-10-16
dc.date.available	2021-10-08T04:29:27Z
dc.date.issued	2021-04
dc.identifier.citation	Journal of Psychiatric Research, 2021, 136, pp. 492-500
dc.identifier.issn	0022-3956
dc.identifier.issn	1879-1379
dc.identifier.uri	http://hdl.handle.net/10453/150940
dc.description.abstract	Inpatient psychiatric hospitals have remained a standard aspect of mental health treatment for many centuries. While numerous treatments have been empirically validated to assist inpatients, less is known about how inpatients perceive psychiatric hospitals. A meta-review, which is a systematic review of systematic reviews, was conducted to examine the factors reported by inpatients which affect their perception of psychiatric hospitals. MEDLINE, PsycINFO and EMBASE were systematically searched. Reviews that considered the perception of adults with mental illness admitted to an inpatient psychiatric hospital were eligible for inclusion. The AMSTAR-2 was used to assess for methodological quality and bias of eligible reviews, with reviews judged to have critical issues excluded. Thematic synthesis was used to detect key overarching factors that generalised across multiple reviews. Twelve systematic reviews were included of which seven key factors were extracted. These were; relationships on the ward, the ward environment, coercive measures, legal status, autonomy, feeling deserving of care, and expectations of care at admission and discharge. Inpatients report several factors that need to be considered when creating a therapeutic environment in a psychiatric hospital. While the importance of therapeutic rapport was the most consistently referenced factor in the included reviews, all factors are likely interwoven and modifiable. Limitations of this meta-review and directions for future research are discussed.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	Journal of Psychiatric Research
dc.relation.isbasedon	10.1016/j.jpsychires.2020.10.020
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences
dc.subject.classification	Psychiatry
dc.subject.mesh	Adult
dc.subject.mesh	Hospitalization
dc.subject.mesh	Hospitals, Psychiatric
dc.subject.mesh	Humans
dc.subject.mesh	Inpatients
dc.subject.mesh	Perception
dc.subject.mesh	Systematic Reviews as Topic
dc.subject.mesh	Humans
dc.subject.mesh	Hospitalization
dc.subject.mesh	Perception
dc.subject.mesh	Adult
dc.subject.mesh	Inpatients
dc.subject.mesh	Hospitals, Psychiatric
dc.subject.mesh	Systematic Reviews as Topic
dc.subject.mesh	Adult
dc.subject.mesh	Hospitalization
dc.subject.mesh	Hospitals, Psychiatric
dc.subject.mesh	Humans
dc.subject.mesh	Inpatients
dc.subject.mesh	Perception
dc.subject.mesh	Systematic Reviews as Topic
dc.title	Factors influencing inpatients perception of psychiatric hospitals: A meta-review of the literature.
dc.type	Journal Article
utslib.citation.volume	136
utslib.location.activity	England
utslib.for	11 Medical and Health Sciences
utslib.for	17 Psychology and Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Clinical Psychology
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2021-10-08T04:29:26Z
pubs.publication-status	Published
pubs.volume	136

Abstract:

Inpatient psychiatric hospitals have remained a standard aspect of mental health treatment for many centuries. While numerous treatments have been empirically validated to assist inpatients, less is known about how inpatients perceive psychiatric hospitals. A meta-review, which is a systematic review of systematic reviews, was conducted to examine the factors reported by inpatients which affect their perception of psychiatric hospitals. MEDLINE, PsycINFO and EMBASE were systematically searched. Reviews that considered the perception of adults with mental illness admitted to an inpatient psychiatric hospital were eligible for inclusion. The AMSTAR-2 was used to assess for methodological quality and bias of eligible reviews, with reviews judged to have critical issues excluded. Thematic synthesis was used to detect key overarching factors that generalised across multiple reviews. Twelve systematic reviews were included of which seven key factors were extracted. These were; relationships on the ward, the ward environment, coercive measures, legal status, autonomy, feeling deserving of care, and expectations of care at admission and discharge. Inpatients report several factors that need to be considered when creating a therapeutic environment in a psychiatric hospital. While the importance of therapeutic rapport was the most consistently referenced factor in the included reviews, all factors are likely interwoven and modifiable. Limitations of this meta-review and directions for future research are discussed.

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http://hdl.handle.net/10453/150940