The Light- and Environment Project in Psychiatric Inpatient Care

NCT03140618 | Completed

• 1 other identifier: 3500LJUSMILJO
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

The care environment influences both patients' experiences of care as well as staff's experiences of the work environment. A radical change in physical environment is planned at a psychiatric ward, aiming at creating a care environment that supports patients' opportunities for recovery from mental ill-health and to create a better and more attractive work environment for the staff. The rebuilding involves a new ward layout and new innovations such as light installations, a comfort room and an activity room. The study uses a single-system design to evaluate the effects of the intervention - the rebuilt ward. Both quantitative and qualitative data will be used in the evaluation. Data will be collected using questionnaires measuring dimensions of patients' well-being and experiences of the care environment, staff's experiences of work-related stress and work environment, quality of care, a device measuring physical activity, existing clinical registers and data from medical files, staff' sick leave, participant observations, and semi-structured interviews. This evaluation study, to our knowledge the first of it's kind in Sweden, is expected to generate important knowledge of the effect of the change process that can be used at other psychiatric wards to design the inpatient care environment. In the long run, the study could lead to a better reputation of psychiatric nursing and to more attractive workplaces.

Conditions

Mental Ill-health; Care Environment; Light Installations

Keywords

single-system-design; mixed methods; psychiatric inpatient care; work environment; rebuilding

Outcome Measures

Primary Outcomes (2)

• Outcome Rating Scale [patients]

  The Outcome Rating Scale measures self-assessed satisfaction with life on four visual-analogue scales.

  Changes during baseline and intervention period (measured regularly for 12 weeks)

• Perceived stress [staff]

  PSS consists of 10 items answered on a 5-point Likert scale

  Changes during baseline and intervention period (measured regularly for 12 weeks)

Secondary Outcomes (6)

• Quality of interactions [patients]

  Changes during baseline and intervention period (measured regularly for 12 weeks)

• Anxiety and depressive symptoms [patients]

  Changes during baseline and intervention period (measured regularly for 12 weeks)

• Quality in psychiatric care [patients]

  Changes during baseline and intervention period (measured regularly for 12 weeks)

• Stress of Conscience [staff]

  Changes during baseline and intervention period (measured regularly for 12 weeks)

• Quality of care [staff]

  Changes during baseline and intervention period (measured regularly for 12 weeks)

Study Arms (1)

LEPPIC

EXPERIMENTAL

The light and environment project in psychiatric inpatient care

Other: The light and environment project in psychiatric inpatient care

Interventions

The light and environment project in psychiatric inpatient care OTHER

Complete rebuilding of a hospital ward. The ward layout is remodeled and different devices and services are installed such as light, sound, and color settings, increased opportunities for physical activity, social harmony, privacy, peace, and quiet. A comfort room and a activity room will be built.

LEPPIC

Eligibility Criteria

• Age: 18 Years - 67 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years or older
• Admitted to the wards during either A phase, B phase and/or follow-up

You may not qualify if:

• Does not master the Swedish language well enough to complete questionnaires and participate in interviews
• Regularly employed at the ward during A and B phase and/or follow-up.
• Staff employed by the hour

Sponsors & Collaborators

• Umeå University: lead
• Västerbotten County Council, Sweden: collaborator

Study Sites (1)

Umeå university

Umeå, SE-90187, Sweden

Location

Related Publications (1)

• Lindgren BM, Molin J, Lundstrom M, Stromback M, Salander Renberg E, Ringner A. Does a new spatial design in psychiatric inpatient care influence patients' and staff's perception of their care/working environment? A study protocol of a pilot study using a single-system experimental design. Pilot Feasibility Stud. 2018 Dec 26;4:191. doi: 10.1186/s40814-018-0383-4. eCollection 2018.

  PMID: 30607254 DERIVED

Study Officials

• Britt-Marie Lindgren

  Umeå University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 2, 2017
• First Posted: May 4, 2017
• Study Start: May 15, 2017
• Primary Completion: December 31, 2020
• Study Completion: December 31, 2020
• Last Updated: October 4, 2021

Record last verified: 2021-10

Locations

SE (1)