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Perceptions of the real and the ideal ward atmosphere among trainees and staff before and after the introduction of a new work rehabilitation model

Eklund, Mona LU and Hansson, L (2001) In European Psychiatry 16(5). p.299-306
Abstract
Changes in the ward atmosphere of a psychiatric work rehabilitation unit were investigated. Both trainees and staff filled in the Community-Oriented Programs Environment Scale (COPES) before and after a new rehabilitation model was implemented. It was hypothesised that the levels of autonomy and practical orientation would increase from both the trainees' and staff's perspective concerning the real ward atmosphere and that the staff's perceptions of an ideal ward atmosphere would change in the same way. The staff perceived an increased level of autonomy with respect to both the real ward atmosphere and to what constitutes an ideal ward atmosphere, which partly confirmed the hypotheses, but the level of practical orientation was stable.... (More)
Changes in the ward atmosphere of a psychiatric work rehabilitation unit were investigated. Both trainees and staff filled in the Community-Oriented Programs Environment Scale (COPES) before and after a new rehabilitation model was implemented. It was hypothesised that the levels of autonomy and practical orientation would increase from both the trainees' and staff's perspective concerning the real ward atmosphere and that the staff's perceptions of an ideal ward atmosphere would change in the same way. The staff perceived an increased level of autonomy with respect to both the real ward atmosphere and to what constitutes an ideal ward atmosphere, which partly confirmed the hypotheses, but the level of practical orientation was stable. Concerning the staff's estimate of an ideal ward atmosphere, further changes were an increased level of involvement and a decrease in spontaneity, which was not hypothesised, but was not in conflict with the philosophy behind the new model. From the trainee's perspective there was no change of either autonomy or practical orientation. Instead, there was a decrease in personal problem orientation. Compared to an optimal profile, the ward atmosphere was beneficial, before as well as after implementation of the new programme. Differences were found between the staff and the trainees, but they were not large enough to separate the groups according to what is considered an optimal profile. The few changes found support earlier conclusions that the ward atmosphere is a stable phenomenon over time. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
mental health, work rehabilitation, occupational therapy, ward atmosphere
in
European Psychiatry
volume
16
issue
5
pages
299 - 306
publisher
Elsevier Masson SAS
external identifiers
  • pmid:11514133
  • scopus:0034864427
ISSN
1778-3585
DOI
10.1016/S0924-9338(01)00582-X
language
English
LU publication?
yes
id
c94d31c8-bbc7-40ad-8004-9ada042608d5 (old id 1120044)
date added to LUP
2008-06-26 15:33:32
date last changed
2018-05-29 10:30:51
@article{c94d31c8-bbc7-40ad-8004-9ada042608d5,
  abstract     = {Changes in the ward atmosphere of a psychiatric work rehabilitation unit were investigated. Both trainees and staff filled in the Community-Oriented Programs Environment Scale (COPES) before and after a new rehabilitation model was implemented. It was hypothesised that the levels of autonomy and practical orientation would increase from both the trainees' and staff's perspective concerning the real ward atmosphere and that the staff's perceptions of an ideal ward atmosphere would change in the same way. The staff perceived an increased level of autonomy with respect to both the real ward atmosphere and to what constitutes an ideal ward atmosphere, which partly confirmed the hypotheses, but the level of practical orientation was stable. Concerning the staff's estimate of an ideal ward atmosphere, further changes were an increased level of involvement and a decrease in spontaneity, which was not hypothesised, but was not in conflict with the philosophy behind the new model. From the trainee's perspective there was no change of either autonomy or practical orientation. Instead, there was a decrease in personal problem orientation. Compared to an optimal profile, the ward atmosphere was beneficial, before as well as after implementation of the new programme. Differences were found between the staff and the trainees, but they were not large enough to separate the groups according to what is considered an optimal profile. The few changes found support earlier conclusions that the ward atmosphere is a stable phenomenon over time.},
  author       = {Eklund, Mona and Hansson, L},
  issn         = {1778-3585},
  keyword      = {mental health,work rehabilitation,occupational therapy,ward atmosphere},
  language     = {eng},
  number       = {5},
  pages        = {299--306},
  publisher    = {Elsevier Masson SAS},
  series       = {European Psychiatry},
  title        = {Perceptions of the real and the ideal ward atmosphere among trainees and staff before and after the introduction of a new work rehabilitation model},
  url          = {http://dx.doi.org/10.1016/S0924-9338(01)00582-X},
  volume       = {16},
  year         = {2001},
}