Using Patient Feedback in Mental Health Services

NCT05603325 | Unknown

• 1 other identifier: 1-089-22
• Study Type: observational
• Target: 40
• Locations: 0 countries
• Sites: N/A

Brief Summary

Aim: This study aims to assess how feasible and acceptable it is to deliver facilitated team meetings, designed to support mental health teams to listen and learn from patient feedback and how helpful and feasible the evaluation methods are. There is evidence that patients within inpatient mental health services find it difficult to share care experiences and those working in such services find it challenging to listen and act on care experience data. There is also evidence that staff burnout is higher among mental health nurses than it is in other parts of the health service. Intervention: A team, made up of nurses, doctors, Allied Health Professionals and health care support workers working in an inpatient mental health services will engage in a 6 stage, facilitated intervention. This includes developing a more effective team culture by: getting ready for engaging with patient feedback; establishing values and vision for care experience and team work; discussing issues associated with trying to provide positive care experiences; analysis of care experiences; making change happen; reflection, evaluation and celebrating success. Evaluation: Feasibility and acceptability will be assessed by considering views of participants and the facilitator on the intervention and ability for it to be delivered as planned. We will also consider facilitator; researcher and participants' views on the appropriateness of the evaluation methods and assess if we can achieve 50% staff response rates to a survey-person-centred practice index(PCPI). We will assess if the following methods help evaluate impact: care experiences using data from Care Opinion; complaints and feedback cards; improvement efforts made by the team in response to feedback; PCPI scores to assess changes in team culture and lastly, observations made during team meetings to assess change in team culture over time and staff survey about attitudes and beliefs about patient feedback.

Conditions

Patient Participation

Keywords

mental health; patient feedback; person centered practice development

Outcome Measures

Primary Outcomes (1)

• Feasibility

  To understand the feasibility and acceptability of a team based intervention designed to help mental health teams listen to and act on patient experience feedback.

  June 2023

Secondary Outcomes (9)

• Facilitator preparation

  June 2023

• Engagement

  June 2023

• Acceptability

  June 2023

• Recruitment

  June 2023

• Time for recruitment

  June 2023

Study Arms (2)

Patient participants

Current inpatients within the acute mental health ward in which the study is taking place.

Other: Interview

Staff participants

Staff working within the acute mental health ward in which the study is taking place including nursing, mental, occupational therapy, estate and management team members

Other: Person Centered Practice

Interventions

Person Centered Practice OTHER

Staff will be asked to: * Complete two surveys on two occasions, once before the intervention sessions and once following the last session. The first survey is views on patient feedback and the other is about the workplace culture and how person-centred it is. * Attend 6 x 2 hour facilitated workshops which will involve getting ready to work with patient feedback, establishing values and visions for the intervention group, critically reviewing the ways patients are offered the opportunity to give feedback * Engage in changes in practice (e.g. how staff offer patients the opportunity to provide feedback and the way staff make changes in response to this feedback); * Attend a final focus group to evaluate the workshop programme.

Staff participants

Interview OTHER

Interviews will be used to gather views about how easy or difficult it is to give feedback and how it feels to consider and/or give feedback

Patient participants

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients who are currently inpatients within the acute mental health ward where the study is taking place. Staff members who work within the acute mental health ward where the study is taking place.

You may qualify if:

• Adults over the age of 18 who are able to give informed consent
• Current inpatient who has been admitted for at least 48 hours
• Inpatients who have been assessed by ward staff as able to participate in the study

You may not qualify if:

• Patients who are experiencing acute high distress and/or approach by a researcher is likely to cause more distress.
• Patients who have not been in the ward long enough (less than 48hrs) for ward staff to assess their ability to engage with the researcher.
• Staff member who meets one or more of the capital criteria being used to create a team with most chance of effectively engaging and working with patient feedback (Appendix 9)
• Staff who are willing to participate in the intervention and the evaluation
• Staff whose shift pattern allow them to attend at least 80% of intervention meetings
• Staff who are unable to attend intervention delivery during the day
• Staff who are not members of the clinical or support team

Sponsors & Collaborators

• NHS Grampian: lead

MeSH Terms

Conditions

Patient Participation; Psychological Well-Being

Interventions

Interviews as Topic

Condition Hierarchy (Ancestors)

Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior; Personal Satisfaction

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Dr Deborah Baldie

  NHS Grampian

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Dr Deborah Baldie

CONTACT

01224551169; deborah.baldie@nhs.scot

Dawn Marr

CONTACT

01224551169; dawn.marr1@nhs.scot

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 28, 2022
• First Posted: November 2, 2022
• Study Start: November 1, 2022
• Primary Completion: July 1, 2023
• Study Completion: September 1, 2023
• Last Updated: November 14, 2022

Record last verified: 2022-11