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Shared decision-making with involuntary hospital patients : a qualitative study of barriers and facilitators
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Giacco, Domenico, Mavromara, Liza, Gamblen, Jennifer, Conneely, Maev and Priebe, Stefan (2018) Shared decision-making with involuntary hospital patients : a qualitative study of barriers and facilitators. BJPsych Open, 4 (3). pp. 113-118. doi:10.1192/bjo.2018.6 ISSN 2056-4724.
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WRAP-shared-decision-making-involuntary-hospital-patients-Giacco-2018.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0. Download (287Kb) | Preview |
Official URL: http://dx.doi.org/10.1192/bjo.2018.6
Abstract
Background
Last year, there were more than 63 622 involuntary admissions to psychiatric hospitals in England. One of the core principles stipulated in the code of practice for care under the Mental Health Act is involving involuntary patients in care decisions.
Aims
Identifying barriers and facilitators to shared decision-making with involuntary patients.
Method
Focus groups and individual interviews with patients and clinicians who have experience with involuntary hospital treatment were carried out. Data were subjected to thematic analysis.
Results
Twenty-two patients and 16 clinicians participated. Barriers identified included challenges in communication, and noisy and busy wards making one-to-one meetings difficult. Patient involvement was identified as easier if initiated early after admission and if the whole clinical team was on board. Carers' presence helped decision-making through providing additional information and comfort.
Conclusions
The barriers and facilitators identified can inform changes in the practice of involuntary care to increase patient involvement.
| Item Type: | Journal Article | ||||||
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | BJPsych Open | ||||||
| Publisher: | Cambridge University Press | ||||||
| ISSN: | 2056-4724 | ||||||
| Official Date: | 17 April 2018 | ||||||
| Dates: |
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| Volume: | 4 | ||||||
| Number: | 3 | ||||||
| Page Range: | pp. 113-118 | ||||||
| DOI: | 10.1192/bjo.2018.6 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||
| Date of first compliant deposit: | 7 February 2020 | ||||||
| Date of first compliant Open Access: | 7 February 2020 | ||||||
| RIOXX Funder/Project Grant: |
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