DClinPsy Portfolio Volume 1 of 3 - University of Hertfordshire ...

More documents

Recommendations

Info

Furthermore, there is evidence that therapists, social workers and nurses can be reluctant to voice their opinions in multi-disciplinary teams and thus conformity may dominate the culture (Atwal and Caldwell, 2005). This may be a potential problem with ward rounds as multi-disciplinary collaboration is seen as vital for co-ordinating patient care. Difficulties achieving such true collaboration may be due to competing ideologies and aims, inequalities in power relations, communication and role confusion between the different professionals (Caldwell, 2003). A study which examined the experiences that carers of people with dementia had of inpatient ward rounds in an old-age psychiatry service found no difference in stress levels for spouses than other carers. Most carers found attending the ward round was a positive experience although they needed to know more about the purpose and composition of the ward round in advance (Bains and Vassilas, 1999). Various factors have been identified as necessary for an atmosphere of care and respect between mental health service users and their multi-disciplinary support teams (Wolf, 1997). These can be divided under the following headings: 1) Preparation for the meeting i.e. appropriate information needs to be given to the service user in advance 2) Only the people that need to be present should attend 3) Appointment times should be given and punctuality adhered to 4) Seating arranged so that the service user is part of the circle not in the centre of it 5) Refreshments offered to staff should also be offered to patients 6) Questioning should be done in a respectful manner by the appropriate person 7) The teams should monitor the adherence to best practice guidelines The ward round code published by Open Mind, (Wolf, 1997), was put together by the service users that were part of the user group based on their experiences of ward rounds. The aim was to compose a list of how these and similar meetings could be made less intimidating and more respectful of the individual at the heart of them. 52
Aim of current project This study will therefore aim to ask the different professionals that are involved in the ward rounds in the locality to complete a questionnaire. There are no ‘best practice’ guidelines regarding ward rounds available from where the data was collected (the North Essex Mental Health Partnership NHS Trust). Therefore best practice guidelines originally put together by Westminster user groups and published by Open Mind (1997), were sought for assistance. This ward round code was recognised officially by the Department of Health in 2003 as “good practice”. Furthermore, this code has become trust policy in various trusts (including Brent, Kensington, Chelsea and Westminster Mental Health NHS Trust) and has been presented to the all party parliamentary group for mental health, House of Parliament, where support was given. The study aimed to explore the views of staff members from different professional groups i.e. Psychology, Psychiatry, Nursing and ‘Other’ which included Social Work and Occupational Therapy. Moreover, the study aimed to compare the views of the different professionals in order to ascertain whether there were commonalities or differences across professional groups. The author hypothesised that there would be differences in opinion regarding best practice of ward rounds. Research questions This study aims to answer the following questions: 1. What factors are considered most and least important in best ward round practice amongst the professionals? 2. Is there a difference in views regarding the above question across different professional groups? 3. What current practice did professionals observe at the last ward round they attended? 4. How do the professionals explain and elaborate their views in the qualitative information obtained in the comments section? 53
Page 1 and 2: DClinPsy Portfolio Volume 1 of 3 A
Page 3 and 4: Discuss the importance of the thera
Page 5 and 6: Psychoanalytically, the focus has b
Page 7 and 8: Type 2 refers to joint working and
Page 9 and 10: It appears that what links the conc
Page 11 and 12: It was concluded that the direct as
Page 13 and 14: Importance of Therapeutic Relations
Page 15 and 16: The therapist must also be aware of
Page 17 and 18: Understanding what constitutes a po
Page 19 and 20: References Alexander, L. B. & Lubor
Page 21 and 22: Gutfreund, M. J. (1992). A close-up
Page 23 and 24: Lambert, M. J. & Bergin, A. E. (199
Page 25 and 26: Shin, Sung-Man; Chow, Clifton; Cama
Page 27 and 28: Introduction Historically there has
Page 29 and 30: Furthermore connections’ in relat
Page 31 and 32: A triangular pattern of protection
Page 33 and 34: Another issue related to empowering
Page 35 and 36: There are many issues that the psyc
Page 37 and 38: Furthermore a common tendency in pe
Page 39 and 40: Conclusion Although systemic and ps
Page 41 and 42: References Banks, R. (2003). Psycho
Page 43 and 44: Linington, M. (2002). ‘Whose hand
Page 45 and 46: Small Scale Service Related Project
Page 47 and 48: • 36% stated that voluntary atten
Page 49 and 50: CONTENTS Pages Introduction 50-58 M
Page 51: Individual authors from different p
Page 55 and 56: - appointment times given to all at
Page 57 and 58: RESULTS Forty professionals took pa
Page 59 and 60: The highest rated factor is about t
Page 61 and 62: Figure 2 Ratings of importance of e
Page 63 and 64: Figure 4 Ratings of importance of e
Page 65 and 66: Nursing rated the following five po
Page 67 and 68: Question Graph showing views of pro
Page 69 and 70: Other comments from Nursing stated
Page 71 and 72: However, the comments section invol
Page 73 and 74: e audited. Furthermore, it may be u
Page 75 and 76: Hodgson, R., Jamal, A., Gayathri, B
Page 77 and 78: APPENDICES 77
Page 79 and 80: How Multi-disciplinary Staff View W
Page 81 and 82: 28 Are the patients attending given
Page 83 and 84: There should be a named person resp
Page 85 and 86: Literature Review Body Image, Disor
Page 87 and 88: Prevalence studies across Europe, t
Page 89 and 90: For example, the use of appetite su
Page 91 and 92: The next part of this review will e
Page 93 and 94: Similarly, negative characteristics
Page 95 and 96: When body image distress is very lo
Page 97 and 98: The role of emotion regulation in t
Page 99 and 100: Experiential avoidance is the unwil
Page 101 and 102: Ineffective avoidance coping strate
Page 103 and 104:
References Alexander, L. C., Gratz,
Page 105 and 106:
Croll, J. Neumark-Stainer, D., stor
Page 107 and 108:
Hayes, S. C., Masuda, A., Bissett,
Page 109 and 110:
Keel, P. K., Fulkerson, J. A., and
Page 111 and 112:
McVey, G.L., Pepler, D., Davis, R.,
Page 113 and 114:
Piran, N and Cormier, H.C. (2005) t
Page 115 and 116:
Stice, E., Presnell, K., Shaw, H. a
Page 117 and 118:
APPENDIX I: Search strategy Consult
Page 119 and 120:
Body Image, Disordered Eating and E
Page 121 and 122:
ACT and weight control 139 ACT and
Page 123 and 124:
Demographics of sample and epidemio
Page 125 and 126:
Acknowledgements I would like to th
Page 127 and 128:
Introduction This study reports on
Page 129 and 130:
Consequences of disordered eating P
Page 131 and 132:
Transdiagnostic approach in underst
Page 133 and 134:
Factors implicated in the developme
Page 135 and 136:
Feelings of depression/ high levels
Page 137 and 138:
ACT and processing unpleasant emoti
Page 139 and 140:
Applying ACT theory to weight contr
Page 141 and 142:
Heffner et al, (2002) assert that t
Page 143 and 144:
This phenomenon has encouraged furt
Page 145 and 146:
This project will therefore seek to
Page 147 and 148:
Method Design: A non experimental,
Page 149 and 150:
The researcher remained in the room
Page 151 and 152:
The psychological scales will be de
Page 153 and 154:
The comparison group (n = 770) cons
Page 155 and 156:
4) Hospital Anxiety and Depression
Page 157 and 158:
The BMI-for-age weight status categ
Page 159 and 160:
Results Section I will provide desc
Page 161 and 162:
The majority were in the middle set
Page 163 and 164:
Table 5: Frequency counts and perce
Page 165 and 166:
As regards experience of an illness
Page 167 and 168:
Min-Max Skewness (Std error) 1-23 0
Page 169 and 170:
The lower boundary of the box repre
Page 171 and 172:
3. Moderate EDR compared to High ED
Page 173 and 174:
Comparison of Body Image Acceptance
Page 175 and 176:
Table 12 - Descriptive statistics f
Page 177 and 178:
The boxplot above shows that there
Page 179 and 180:
Hospital Anxiety & Deperssion Scale
Page 181 and 182:
3. Anxiety-Underweight compared to
Page 183 and 184:
As can be seen from the above scatt
Page 185 and 186:
Hospital Anxiety & Deperssion Scale
Page 187 and 188:
Comparison Mean difference (SE) Z p
Page 189 and 190:
Section III - Further contributing
Page 191 and 192:
Due to the small sample size in the
Page 193 and 194:
Eating Disorder risk categories Tot
Page 195 and 196:
25 (28%) out of the 88 participants
Page 197 and 198:
% within Body mass index USA 35.7%
Page 199 and 200:
Table 33: Results of the logistic r
Page 201 and 202:
Moreover, 13% of those aged 12-14 y
Page 203 and 204:
The clinical variables of anxiety a
Page 205 and 206:
Summary of additional findings The
Page 207 and 208:
Low self esteem involves an uncondi
Page 209 and 210:
This study has supported the relati
Page 211 and 212:
Co-morbidity with other psychopatho
Page 213 and 214:
After insertion, if the fingers pul
Page 215 and 216:
This is consistent with the asserti
Page 217 and 218:
The sample size was not adequate fo
Page 219 and 220:
Conclusion This study found that in
Page 221 and 222:
Catalano, R. F., Hawkins, J. D., Be
Page 223 and 224:
Greco, L. A., Blomquist, K. K., Acr
Page 225 and 226:
HADS, and the influence of age, gen
Page 227 and 228:
Mykletun, A., Stordal, E. & Dahl, A
Page 229 and 230:
Smolak, L., Levine, M. P., & Strieg
Page 231:
Willcox, M. & Sattler, D. N. (1996)
Page 237 and 238:
Appendix 3 Body Image Acceptance an
Page 239 and 240:
Appendix 4 Hospital Anxiety and Dep
Page 241 and 242:
Appendix 5 Background information D
Page 243 and 244:
Appendix 6 Information sheet for pa
Page 245 and 246:
If after reading this information s
Page 247 and 248:
Dear Sir/Madam, U H Doctor of Clini
Page 249 and 250:
U H CONSENT FORM Title of Project:
Page 251 and 252:
CERTIFICATE OF ACHEIVEMENT This is
Page 253 and 254:
Debriefing sheet Title of project:
Page 255 and 256:
Appendix 10 Ethics approval Form SC
Page 257 and 258:
Appendix 12 Boxplots and Descriptiv
Page 259 and 260:
Appendix 13 Box plot and Descriptiv
Page 261 and 262:
Journal-Ready Copy Helen Eracleous
Page 263 and 264:
Abstract Objective: The study inves
Page 265 and 266:
Taking such a perspective may also
Page 267 and 268:
ACT suggests that inflexibility (i.
Page 269 and 270:
The EDI has been the measure of cho
Page 271 and 272:
Additional research questions were
Page 273 and 274:
Hypotheses III Inflexibility was po
Page 275 and 276:
A potential explanation may be that
Page 277 and 278:
The last two are choosing life dire
Page 279 and 280:
Clinical implications Due to the cr
Page 281 and 282:
Conclusion The hypotheses investiga
Page 283 and 284:
Greco, L. A., Lambert, W., & Baer,
Page 285:
Smolak, L., Levine, M. P., and Stri
show all

DClinPsy Portfolio Volume 1 of 3 - University of Hertfordshire ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?