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Experiences of acute care by persons with mental health problems : An integrative literature review

Schmidt, Manuela LU and Uman, Timur (2020) In Journal of Psychiatric and Mental Health Nursing 27(6). p.789-806
Abstract
Aim: The provision of acute care to persons with mental health problems is challenging due to difficulties in encountering this group and the vulnerability of these persons. Understanding this group's experiences with acute care is thus an important endeavour. The purpose of this review was to critically and systematically identify and assess previous research on experiences of acute care by persons with mental health problems, guided by Donabedian's structure–process–outcome framework (Prospero ID: CRD42019116652). Method and results: An integrative literature review was performed, resulting in the identification of 43 studies. The search was conducted using five electronic databases: Web of Science Core, PubMed, MEDLINE, CINAHL and... (More)
Aim: The provision of acute care to persons with mental health problems is challenging due to difficulties in encountering this group and the vulnerability of these persons. Understanding this group's experiences with acute care is thus an important endeavour. The purpose of this review was to critically and systematically identify and assess previous research on experiences of acute care by persons with mental health problems, guided by Donabedian's structure–process–outcome framework (Prospero ID: CRD42019116652). Method and results: An integrative literature review was performed, resulting in the identification of 43 studies. The search was conducted using five electronic databases: Web of Science Core, PubMed, MEDLINE, CINAHL and PsycINFO. Discussion: The review revealed that patients experienced structure components such as setting, staff and resources in a predominantly negative way. A predominately negative picture also emerged of the process components, where, for example, communication and interpersonal relations were represented by negative experiences, with limited positive experiences reported. The outcome components, related to patients’ satisfaction and their well‐being after discharge, were also predominantly experienced negatively. Implications for practice: Using Donabedian's framework of structure, process and outcome allowed us to systematize the literature reviewed, to identify the research gaps and to suggest ways forward for the field's development. (Less)
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author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
acute mental health, emergency psychiatry, integrative review, patient experience
in
Journal of Psychiatric and Mental Health Nursing
volume
27
issue
6
pages
18 pages
publisher
John Wiley & Sons Inc.
external identifiers
  • scopus:85081733949
  • pmid:32083776
ISSN
1351-0126
DOI
10.1111/jpm.12624
language
English
LU publication?
yes
id
3f43ba06-1143-4a5e-a3b9-90c58a96347b
date added to LUP
2020-04-10 16:43:01
date last changed
2024-06-13 14:49:00
@article{3f43ba06-1143-4a5e-a3b9-90c58a96347b,
  abstract     = {{Aim: The provision of acute care to persons with mental health problems is challenging due to difficulties in encountering this group and the vulnerability of these persons. Understanding this group's experiences with acute care is thus an important endeavour. The purpose of this review was to critically and systematically identify and assess previous research on experiences of acute care by persons with mental health problems, guided by Donabedian's structure–process–outcome framework (Prospero ID: CRD42019116652). Method and results: An integrative literature review was performed, resulting in the identification of 43 studies. The search was conducted using five electronic databases: Web of Science Core, PubMed, MEDLINE, CINAHL and PsycINFO. Discussion: The review revealed that patients experienced structure components such as setting, staff and resources in a predominantly negative way. A predominately negative picture also emerged of the process components, where, for example, communication and interpersonal relations were represented by negative experiences, with limited positive experiences reported. The outcome components, related to patients’ satisfaction and their well‐being after discharge, were also predominantly experienced negatively. Implications for practice: Using Donabedian's framework of structure, process and outcome allowed us to systematize the literature reviewed, to identify the research gaps and to suggest ways forward for the field's development.}},
  author       = {{Schmidt, Manuela and Uman, Timur}},
  issn         = {{1351-0126}},
  keywords     = {{acute mental health; emergency psychiatry; integrative review; patient experience}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{789--806}},
  publisher    = {{John Wiley & Sons Inc.}},
  series       = {{Journal of Psychiatric and Mental Health Nursing}},
  title        = {{Experiences of acute care by persons with mental health problems : An integrative literature review}},
  url          = {{http://dx.doi.org/10.1111/jpm.12624}},
  doi          = {{10.1111/jpm.12624}},
  volume       = {{27}},
  year         = {{2020}},
}