multidisciplinary ward rounds mental health

"crossMark": true, The purpose of the multidisciplinary ward round is to plan the overall management of a person’s care. In our analysis, we have analysed studies comparing multidisciplinary care with no multidisciplinary Large ward rounds are not the optimal environment for assessing a psychiatric patient's mental state or for sharing information with them (see Reference McbrideMcBride, 1988). 2019. for this article. Patients were told they were not obliged to complete the questionnaire and help was offered by staff to those who appeared to need it. Table 1 shows patient preferences regarding ward rounds. Other members may be co-opted into the ward round as appropriate to the patient group. Unfortunately it is difficult to interpret this finding, although it may simply reflect the fact that many patients do not have social support structures that they value or can rely upon. They found a large number of patients preferred a smaller ward round (i.e. A surprisingly large number said they did not like friends or family attending the ward round. Appointment times are liked by patients, but our data suggest that there is little additional benefit in having exact times. The final sample comprised exactly 50 men and 50 women. Both staff and patients will then have a good idea of when they will be seen. However, 5 patients asked to have more time alone with the consultant. Social Workers. "comments": true, "relatedCommentaries": true, The Importance of Ward Rounds Thank you for asking me to come to talk with you about the Importance of Ward Rounds. Our professional staff provides the highest level of multidisciplinary care through a comprehensive assessment and intervention. These consisted of semi-structured interviews with 17 senior trust and ward managers, 33 front-line nursing staff, 28 multidisciplinary team members, 34 patients and 28 carers. This included a locked ward and a care of the elderly ward. multidisciplinary ward rounds with no multidisciplinary ward rounds. Lovell, Karina There was a group of patients who felt particularly anxious before or during the ward round. 20,101. which was considered as direct evidence in the evidence review as ward rounds is a type of meeting or gathering to enable MDT working. "metrics": true, School of Nursing, Midwifery and Social Work, University of Manchester, ... We found that staff views on ward rounds are more complex than had been earlier understood, but new ways of working can be implemented, if the … Associations by individual consultants were not explored because of insufficient statistical power. Of these, 72 were from the two general acute wards, although one of these wards included some elderly patients (over 65 years), 29 were 34 years of age or less, 37 were 35–49 years, and 34 were 50 years or over. "metricsAbstractViews": false, Recruitment continued until 100 valid questionnaires were returned. Home > Archive > Adult Mental Health Services > Adult Acute Mental Health Services > Care, ... We want to ensure that our patients are well supported to get the best outcome from the ward rounds on Norman Ward. Galloway, Adrian "subject": true, and Patient bedrooms are suitable for these interviews, but although being seen in their own bedspaces was liked by a large number of patients, this may be less acceptable to some, particularly younger females. After words of welcome and introducing the staff, I read with interest the two articles by Hodgson et al about survey It was thought provoking to note the views of Medically responsible under the Mental Health Act for the medical treatment of all of the young people on their ward. �0�WR��x��U*-��\d�%�PYa=��Mv�!�8�?��c�]�h��6eSe��P��q��gg��Q�MX+��]U��5�.��ډF��I9^��ٴ9?��OV�eB)�E� Many patients both felt anxious before the ward round and had difficulty expressing their feelings during it. to balance the preferences of the, http://creativecommons.org/licenses/by/4.0/. Total loading time: 0.332 of ward round practice (Psychiatric Bulletin, May 2005, 29, 171-173) and }. This guidance calls for the multidisciplinary team – doctors, nurses, pharmacists, therapists and allied health professionals – to be given dedicated time to participate, with clarity about individual roles and responsibilities during and after ward rounds. )�� ;H/ One workable solution is to see patients in a predetermined order (e.g. both consultants as well as service users and this knowledge can enable us Table 2 shows patients’ feelings regarding the ward rounds. We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Hoosen, Imtiaz �9�|,��귷�l>�˔׎e��n�rRߟMǓJ��C��d�M��'��.��c3�gu�$OOsmy��O+�oCz��J�0��E�x�pfDAr$H�N��p6�gm��h��1 �a��}� ^�. Multidisciplinary Ward Rounds A Resource NSW DEPARTMENT OF HEALTH 73 Miller Street NORTH SYDNEY NSW 2060 Tel. In psychiatry, where the opposite appears to apply, it is necessary to balance patient preferences with the needs of the multi-disciplinary team. There was also an open-ended question: ‘My experience of ward rounds could be improved by…’. A semi-structured interview was developed in conjunction with previous findings and informal discussion with ward staff. The data were analysed variable by variable. Milner, Gabrielle Self-completed questionnaires relating to the conduct of the ward round were given to a consecutive series of 100 in-patients admitted to four psychiatric wards serving one half of the population … at discharge) and that less formal procedures, which emphasise patient choice where possible, and more intimate interviews with the consultant are adopted. MDTs are defined as: Multidisciplinary ward rounds a) Team members from a minimum of two disciplines making decisions; and b) Regular team meetings to discuss diagnosis, treatment and/or patient management, occurring at a physical location or by tele-conferencing Outcomes - health outcomes which are relevant … h�b```�FV�� ea�� b �'��n3LJ��dŐ��L�cΉ�L��p.H��1=cz{2�0ՈR�3V�N��ib�0��Uk��Ub��6�מm ��;��*��2�n��zuͼf��2�^�r�%^;��P��F�L@!��v��+��l��e?8��q�A��1�A΁Ձ��y�;FC��R�K��KQ�}��*��ϲ�mc�� Close this message to accept cookies or find out how to manage your cookie settings. experienced anxiety in relation to ward rounds. Mental Health Counselors. … As part of the total experience of hospital admission, it is important to ensure that ward rounds are efficient and acceptable to patients. and Hannigan, Ben 668 0 obj <> endobj The women who disliked it tended to be in the two younger age-bands. Published online by Cambridge University Press: Our clients benefit from a highly personalized recovery plan developed by our multidisciplinary team of medical and mental health professionals. 13 The use of checklists and guidelines in ward rounds have shown to improve collaboration as it becomes mandatory for nurses to be present. The Royal College of Psychiatrists, Hostname: page-component-546c57c664-nmzjw 0 P=0.003). Jankovic, Jelena Henderson is committed to contributing to that knowledge base. Sello, Ditonkana A. and We would like to thank staff and patients at Bodmin Hospital, Cornwall. Although twice as many patients liked it as disliked it (41 v. 22), the number who disliked it was still quite high, and subsequent analysis suggested that this was more likely to be the youngest group of women. If ward rounds are run reliably you will T�HQU ��#�6H�{��R_ �h Abba-Aji, A. Multidisciplinary ward rounds provide an appropriate setting for discussion and documentation of physical investigations. Barlow, Sally ��I�� "lang": "en" endstream endobj startxref "isLogged": "0", McBride (Reference Mcbride1988), reviewing his own experience of psychiatric ward rounds, described the complexity of functions that the ward round serves. • Supervising the process of referrals and admissions, both routine and emergency, including preadmission assessment with other team members within the multi-agency team, primarily the Ward Manager. by alphabetical order of surname) and for a predetermined length of time. This project took place in a 12-bed adolescent mental health unit in Swindon, UK, where on average at least two-thirds of patients have a diagnosed eating disorder. A multidisciplinary mental health team's experience of new ways of working. There was also a trend for women to say that they were rarely or never able to express their feelings. This was more apparent in the older age-groups. Aims and Methods: A semi-structured questionnaire was given to psychiatric inpatients and a range of multidisciplinary staff to compare their knowledge and understanding of the general adult psychiatric ward round process and its purpose. It is important to reconsider the conduct of the ward round, and in so doing to balance the preferences of the patient with the needs of the multidisciplinary team. The adolescent unit consists of 1x 8 bedded ward. Evidence-based information on multidisciplinary ward rounds from hundreds of trustworthy sources for health and social care. Feature Flags: { McGowan, Linda Cohen, Rachel For many patients being admitted to psychiatric hospital is a difficult and frightening experience (Sainsbury Centre, 1988). The patients were relatively indifferent regarding being seen elsewhere. Knowing approximate time you will be seen. Simpson, Alan There was an association with age, with the youngest age-band feeling least able to express their feelings (P=0.03). On this unit, the resident will learn to serve as a member of the multidisciplinary … Schmidmaier, Ralf A self-completion questionnaire was given to a consecutive series of in-patients on four psychiatric wards covering the east of Cornwall. Participate in weekly ward rounds & attend multidisciplinary meetings Attend Care Programme Approach & Section 117 meetings & mental health review tribunals Provide up-to-date clinical information at all meetings However, there has been considerable variability in the way ward rounds are conducted. 23rd March 2009 . Neither study set out to explore patient preferences as to the actual conduct of the ward round, which was the main focus of our study. Their questionnaires were analysed and the results compared. 22 multidisciplinary team meetings as specified in the protocol. This suggests that there is a particular group of patients who find large ward rounds problematic, and who would benefit from a less threatening approach. Henderson participates in cutting-edge research on evidence based practices, emerging best practices and recovery-promoting services for individuals with mental health and … Healthcare Technicians. The system of weekly psychiatric ward rounds is being challenged and multi-disciplinary team meetings (MDTMs) involving inpatients have been developed. Lottspeich, Christian Good Practice Guidelines for Ward Rounds and Case Conferences. The way the ward round is conducted probably owes much to posterity and to institutional traditions that serve to reinforce unequal power relations between doctor and patient. März, Esther %PDF-1.5 %�� Fiddler, Magdalen Patients appeared to have strong views regarding whether they were seen in their own bedspace. Table 2. Structured participation of nurses in ward rounds can also be enhanced when the role of the nurse is clearly defined to the multidisciplinary team. Foster et al (Reference Foster, Falkowski and Rollings1991) carried out a survey of patients’ subjective experiences of ward rounds, based on a similar study by Armond & Armond (Reference Armond and Armond1985). P=0.017). This was more apparent for women, 36 of whom disliked it (χ2 Behranwala, Ruqaiyah They require a well-organised multidisciplinary team to take part in the rounds, and nurses play an essential role in their smooth running. Medical ward rounds are complex clinical activities, critical to providing high quality, safe care for patients in a timely, relevant manner. endstream endobj 669 0 obj <>/Metadata 75 0 R/Pages 666 0 R/StructTreeRoot 124 0 R/Type/Catalog>> endobj 670 0 obj <>/MediaBox[0 0 612 792]/Parent 666 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 671 0 obj <>stream A pre-designed Microsoft Word template is used to record multidisciplinary feedback during ward rounds, which is completed by a junior doctor and then uploaded to the electronic medical notes. HOW-TO GUIDE: Multidisciplinary Rounds •Institute for Healthcare Improvement ihi.org 5 Why Is It Important to Conduct Multidisciplinary Rounds? Self-completed questionnaires relating to the conduct of the ward round were given to a consecutive series of 100 in-patients admitted to four psychiatric wards serving one half of the population of Cornwall. Query parameters: { Dambisya, Yoswa M. Lally, J. 10) attended. "peerReview": true, In its 2001 report, Crossing the Quality Chasm: A New Health System for the 21st Century, the Institute of Medicine identifies continuity of care as one of the key areas of … We would agree with Wolf (Reference Wolf1997) and Wagstaff & Solts (Reference Wagstaff and Solts2003) that such ward rounds should be avoided unless absolutely necessary (e.g. The study was initiated as part of a data-gathering exercise for audit purposes. 2015. Fischer, Martin R. Introduction. * Views captured on Cambridge Core between 02nd January 2018 - 6th January 2021. Delivering high quality care in acute psychiatry requires a coordinated approach from a multidisciplinary team (MDT). The first part comprised seven questions relating to the conduct of the ward rounds and the second part comprised three questions related to the patient's own subjective experience of ward rounds. There were 2 studies which compared 23 multidisciplinary ward rounds with no multidisciplinary ward rounds20,101 which was considered as 24 direct evidence in the evidence review as ward rounds is a type of meeting or gathering to enable … The vast majority of our patients are funded by the NHS and referred from local NHS out-patient Child and Adolescent Mental Health Services (CAMHS). Overall 16 women of all ages said they did not like it as opposed to only 6 men (χ2 A multidisciplinary mental health team's experience of new ways of working. Aojula, Nivaran Source: Royal College of Physicians and Royal College of Nursing (2012) Ward rounds in medicine: Principles for best practice. In 2012 the first integr… Feature Flags last update: Wed Jan 06 2021 10:24:42 GMT+0000 (Coordinated Universal Time) Borglin, Gunilla Alternatively, use our A–Z index I hope to convince you that reliable ward rounds are key to swift, timely, safe and effective clinical care of inpatients. These aim to improve integration between medical and social services and increase patient involvement in their care. Knowing approximately when they would be seen was liked by almost all patients, as was having an exact appointment time. 2017. and However, such large meetings are potentially … Graduate-level … Search results Jump to search results. Coffey, Michael Participate in weekly ward rounds & attend multidisciplinary meetings Attend Care Programme Approach & Section 117 meetings & mental health review tribunals Provide up-to-date clinical information at all meetings P=0.008). Table 1. (02) There were no clear associations with ward, which may have been a type 2 error, however patients on the locked ward were less likely to feel involved in treatment decisions. Interestingly, large ward rounds do not appear to be so strongly disliked on surgical wards, where it is suggested the patient finds the presence of many professionals reassuring (Reference Seo, Tamura and MoriokaSeo et al, 2000). 2010. �69 �� SW.��@��Aa6�fd`� �|��\�� s� By Jane Naik. Search type Research Explorer Website Staff directory. A total of 37 patients said they did not like family or friends being present during the ward round. Marrie, Dhanjeev Carey, C. all available staff and all the team’s in-patients (usually between 6 and We identify and provide the patient’s individualized needs. %%EOF The questionnaire, which was drawn up in consultation with nursing and medical staff, was in two parts. Feeling anxious beforehand correlated with not liking large ward rounds (r=-0.35, P<0.001) and being unable to express feelings during the ward round (r=0.27, P=0.008). 2008. The ward uses an electronic medical notes system, in common with many other mental health units. Once-a-week psychiatric ward round or daily inpatient team meeting? White et al about patients’ views of the ward round (Psychiatric Bulletin, The majority of patients (n=58) said they felt sometimes, rarely or never able to express their feelings in the ward round. ‘During ward rounds, do you feel’. P=0.007)). Research paves the way for prevention, recovery and cure. Faulkner, Alison It comprised targeted questions to gather information and establish rapport, and five open questions exploring participants’ experiences of ward rounds (Box 1). The ward admitted patients from four community mental hea… Implementing ward round systems involving all members of multidisciplinary teams as well as patients can improve teamwork and therefore patient care, say Natalie Moroney and Charles Knowles IT HAS long been recognised that teamwork and effective communication are essential to success in most … There were no particular associations with this variable. Thornton, Alexandra Sainsbury Centre, 1988; Reference GoodwinGoodwin, 1999; Reference Ballard and McdowellBallard & McDowell, 1990). Hodgson et al. Ward rounds, of a largely traditional kind, are carried out by ten different consultants on at least a weekly basis on these wards. The answers, for the most part, did not add to the information in the questionnaire. There was no association with gender, but the middle age-band were most likely to say they liked it (χ2 "clr": false, a4�ٗ��sH��E%�E��&��A;�$�L�PFs /�� 715 0 obj <>stream } Forty-six of the patients always or usually felt anxious before a ward round (32 of the women v. only 14 of the men (χ2 Some years ago in Milton Keynes we tried a communal ward round, which practice, and White & Karim (2005) found that 46 out of 100 patients They also performed 188 hours of observation (including 240 intentional rounds), shadowing of 29 nursing staff and retrieval of ward outcome … Vietz, Elisa View all Google Scholar citations Wölfel, Teresa Patients' views of the ward round: a survey, Cornwall Partnership Trust, Cornwall Drug and Alcohol Team, Tolvean House, Redruth, Cornwall TR15 2SF, e-mail: rupert.white@cpt.cornwall.nhs.uk, Patient's attitudes to multi disciplinary psychiatric assessments, British Journal of Clinical and Social Psychiatry, Psychiatric in-patient audit – the patients' perspective, A survey of patients attitudes towards inpatient psychiatric ward rounds, The International Journal of Social Psychiatry, A qualitative analysis of the views of inpatient mental health service users, Bulletin of the Royal College of Psychiatrists, Acute Problems: a Survey of the Quality of Care in Acute Psychiatric Wards, Impact of medical round on patients' and residents' perceptions at a university hospital in Japan, Inpatient experiences of ward rounds in acute psychiatric settings. 2020. Jones, Aled "openAccess": "1", and Weekly ward rounds are an important forum for reviewing a patient’s progress and developing a personalised care plan for the coming week. � g��/��H$��p�uh��{��:� #m@�ax��C)' A\9 The open-ended question ‘my experience of ward rounds could be improved by…’ was completed by only 54 of the sample. Full text views reflects PDF downloads, PDFs sent to Google Drive, Dropbox and Kindle and HTML full text views. h�ܘ�n�F�_e.�g;� ��,@��^0��%Cb��! Implementing ward round systems involving all members of multidisciplinary teams as well as patients can improve teamwork and therefore patient care, say Natalie Moroney and Charles Knowles IT HAS long been recognised that teamwork and effective communication are essential to success in most … Although the ward round is a small part of that experience, it is one of the most important, as many of the decisions regarding patients’ care take place then. Magdalen Fiddler. Mr Johnson who is a 75 years old mobility-obese male patient was admitted in a rehabilitation hospital due to pressure sores and immobility due to stroke.A study by Hartgerink, (2014) suggested that stroke management requires multidisciplinary approach, and that an adult nurse plays various active roles within the Multidisciplinary … View multidiciplinary-ward-rou.pdf from BUSINESS 501 at TAFE Queensland . Book Icon Innovation. Team roles The multidisciplinary team includes doctors, nurses, allied health professionals and pharmacists. It is therefore in need of revision in order to be both more efficient and more acceptable to patients. There were 4 outright refusals to complete questionnaires and 3 questionnaires were illegible. They provide an opportunity for the multidisciplinary team to come together to review a patient’s condition and develop a co-ordinated plan of care, while facilitating full engagement of the … There were 4 outright refusals to complete questionnaires and 3 questionnaires were illegible reliable ward rounds be... Trend for women to say that they were seen in their care which was drawn up consultation. In consultation with nursing and medical staff, was in two parts Lovell Karina... By only 54 of the sample or find out how to manage cookie! Of multidisciplinary care through a comprehensive assessment and intervention of hospital admission, it is important ensure! Linda and Lovell, Karina 2010 to ensure that ward rounds could be by…... Round is to have strong views regarding whether they were rarely or never able to express feelings! For women, 36 of whom disliked it tended to be both more efficient and to... The purpose of the multi-disciplinary team as was having an exact appointment time meetings ward... And developing a personalised care plan for the coming week have shown to improve collaboration as becomes. And mental health units explored because of insufficient statistical power highly personalized recovery plan developed by our multidisciplinary team MDT... * views captured on Cambridge Core between 02nd January 2018 reviewing a patient ’ progress. Prevention, recovery and cure patients asked to have strong views regarding whether were..., allied health professionals comprised exactly 50 men and 50 women, do you feel.... * views captured on Cambridge Core between 02nd January 2018 is a and. Person ’ s care, 5 patients asked to have more time alone with youngest. To only 6 men ( χ2 P=0.008 ) much do you like… ’ knowledge base overall 16 women of ages! All patients, but the middle age-band were most likely to say they liked (. As was having an exact appointment time there has been considerable variability in the rounds how! You feel ’ included a locked ward and a care of inpatients which was drawn up in consultation with and! ’ s individualized needs way ward rounds could be improved by… ’ was completed by 54. Rounds are key to swift, timely, safe and effective clinical care of.! Group of patients ( n=58 ) said they felt sometimes, rarely or never able to express feelings... Other mental health professionals and pharmacists and McdowellBallard & McDowell, 1990 ), M.. Meeting is to see patients in a predetermined length of time group of patients ( n=58 ) said they not..., Ralf 2019 with many other mental health professionals patient 's age and gender were also.., as was having an exact appointment time Ditonkana A. and Dambisya Yoswa! And three-quarters liked having an exact appointment time the elderly ward who it. But our data suggest that there is little additional benefit in having exact times rounds provide an appropriate for. Karina 2010 Nour 2020 Kindle and HTML full text views many other health... Many other mental health professionals, Karina 2010 rounds have shown to improve integration between medical and mental units... Efficient and acceptable to patients system, in common with many other health! ( MDT ) meeting is to plan the overall management of a data-gathering exercise for purposes! … a semi-structured interview was developed in conjunction with previous findings and discussion! Patients ( n=58 ) said they felt sometimes, rarely or never able to their! Overall 16 women of all ages said they did not like family or friends being present during ward! Patients disliked being seen in their own bedrooms, 54 disliked large ward rounds vietz, Elisa März Esther. 'S experience of ward rounds are efficient and acceptable to patients and those from minority ethnic found... Of ward rounds, do you like… ’ to complete the questionnaire and help was offered by staff those. Or never able to express their feelings to balance patient preferences with the needs of the elderly ward 13 use! Were illegible rounds provide an appropriate setting for discussion and documentation of physical.... In psychiatry, where the opposite appears to apply, it is important to ensure that rounds... Schmidmaier, Ralf 2019 times are liked by patients, as was having exact... Having exact times before the ward round and had difficulty expressing their feelings ( P=0.03 ) Fischer, R.! Developed by our multidisciplinary team ( MDT ) meeting is to see patients in a predetermined order (.! Hospital admission, it is therefore in need of revision in order to be present (... S progress and developing a personalised care plan for the coming week, Elisa,! Difficulty expressing their feelings in the rounds, and nurses play an essential role in their care ethnic found. Approximately when they would be seen January 2021 swift, timely, safe effective... * views captured on Cambridge Core between 02nd January 2018 ; Reference Ballard and &. Goodwingoodwin, 1999 ; Reference Ballard and McdowellBallard & McDowell, 1990.... Predetermined order ( e.g, a and guidelines in ward rounds provide appropriate! Initiated as part of a person ’ s multidisciplinary ward rounds mental health self-completion questionnaire was given a! Quality care in acute psychiatry requires a coordinated approach from a highly personalized recovery developed. Admitted to psychiatric hospital is a difficult and frightening experience ( Sainsbury Centre, 1988 ) Jackson Carl... 3,13 Shaughnessy & Jackson improved the ward … a semi-structured interview was developed in conjunction with findings! To need it Resource NSW DEPARTMENT of health 73 Miller Street NORTH SYDNEY NSW 2060.. The questionnaire, which was drawn up in consultation with nursing and medical staff, was in two parts staff! Mcdowell, 1990 ) number of patients who felt particularly anxious before or during the ward.. Knowledge base a Resource NSW DEPARTMENT of health 73 Miller Street NORTH SYDNEY NSW 2060 Tel milner, Jankovic! Patients said they did not like family or friends being present during ward! R. and Schmidmaier, Ralf 2019 patient 's age and gender were also recorded n=58 ) said did. Their own bedspace out how to manage your cookie settings, in common with many other mental professionals... Who felt particularly anxious before or during the ward round is to see patients in a predetermined order e.g! And Schmidmaier, Ralf 2019 there is little additional benefit in having exact.. To accept cookies or find out how to manage your cookie settings 2018 - 6th January 2021 of statistical! Sello, Ditonkana A. and Dambisya, Yoswa M. 2014 Jackson improved the ward rounds, nurses. Patients said they did not like family or friends being present during the ward round of 1x bedded... Series of in-patients on four psychiatric wards covering the east of Cornwall 2012 first... N=54 ) disliked large ward rounds are efficient and acceptable to patients Borglin, Gunilla Galloway Adrian! Of patients ( n=54 ) the ward round was offered by staff to those who appeared to need it 2014... There were 4 outright refusals to complete the questionnaire the rounds, and nurses play an role! Part, did not add to the patient ’ s individualized needs was in two parts order of surname and... Patients will then have a good idea of when they would be seen was liked by almost all,... Medical notes system, in common with many other mental health units i hope to you. By the majority of patients ( multidisciplinary ward rounds mental health ) said they did not it... Care plan for the most part, did not like family or friends being present during the ward a. Improved the ward round and had difficulty expressing their feelings during it by alphabetical of... Women to say they liked it ( χ2 P=0.003 ) handover meetings, ward rounds are efficient acceptable! Plan developed by our multidisciplinary team ( MDT ) meeting is to see patients in predetermined! Questionnaire and help was offered by staff to those who appeared to have strong regarding... Your cookie settings and nurses play an essential role in their own.! Imtiaz and Marrie, Dhanjeev 2008 able to express their feelings in way. Trustworthy sources for health and social services and increase patient involvement in their smooth running Houbby! To balance patient preferences with the consultant P=0.03 ) ( i.e would be seen was liked patients. To take part in the two younger age-bands, Cornwall three-quarters liked having an exact appointment time in consultation nursing... Only 54 of the sample were disliked by the majority of patients who felt particularly anxious or. Of multidisciplinary care with no multidisciplinary by Jane Naik was a group of patients ( n=58 ) said they not... Of a data-gathering exercise for audit purposes patients in a predetermined order ( e.g new ways of working guidelines ward! Family or friends being present during the ward … a semi-structured interview was developed in conjunction previous. Initiated as part of a person ’ s progress and developing a personalised care plan the. Committed to contributing to that knowledge base a large number said they did like. Into the ward admitted patients from four community mental hea… Search text, ward are! Becomes mandatory for nurses to be both more efficient and acceptable to.! S progress and developing a personalised care plan for the most part, did like. Balance patient preferences with the consultant was an association with gender, but our data suggest that there is additional! Two younger age-bands they liked it ( χ2 P=0.003 ) with many other mental health units increase involvement. Knowledge base multidisciplinary by Jane Naik found a large number of patients a. Said they did not add to the patient ’ s care rounds CPA. Suggest that there is little additional benefit in having exact times will be seen was liked by almost all,...