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

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- Do all professionals decide who the most appropriate person is to ask certain questions before the patient is called in? - Are patients often asked questions that take them into painful or intimate areas of their life? - Is the length of the meeting adequate? - Is the patient present throughout the whole discussion of their care? - Is the name of the meeting reflective of its function? - Is there a structured agenda based on a holistic care plan drawn up? A comments section, with space for additional views to be expressed, was available at the bottom of the questionnaire. Participants The participants included the staff members that attended ward rounds and volunteered to complete a questionnaire. The professionals were from the Adult and Older Adult mental health services in North-West Essex. Some of these professionals worked only on the inpatient wards whilst others also worked in the community/outpatient service. Participants were divided into the following professional groups: Psychology, Psychiatry, Nursing and ‘Other’ (which included social work and occupational therapy). There were 40 participants in total. Procedure This study was not an audit as it did not analyse whether an identified standard set within the team had been met. Data Analysis Descriptive statistics were used to examine the questions to see whether the professional groups differed in their opinions regarding what aspects of a ward round were most important and what they entail. A Spearman rank correlation was also carried out to further elucidate any relationships between the professionals’ opinions. A content analysis of the comments section in the questionnaire was undertaken to ascertain the main themes identified by the team members, ( Krippendorff, 2004). 56
RESULTS Forty professionals took part in this study. Two of these did not specify their discipline and so were not included in the descriptive analysis displayed in the table below. Table 1 – Descriptives of sample Discipline Number Mean years in service Clinical psychology Psychiatry Nursing Other (social workers and occupational therapists) Percentage that had read guidelines on ward rounds Number from Older Adult Service Number from Adult Service 8 2.6 60% 5 3 0 10 2.6 20% 8 1 1 15 7.97 20% 5 10 0 5 8.2 0% 2 3 0 The mean years in service ranged from 2.6 to 8.2, with Clinical Psychology and Psychiatry having the same average years and ‘Other’ having the most i.e. 8.2 years. Most (75%) of the professionals had not read any best practice guidelines regarding ward rounds. Question 1: What factors are considered most and least important in ward round practice amongst all professionals? Table 2 – Percentages related to question 1 (missing values are not reported) Number from both Adult and Older Adult 57
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DClinPsy Portfolio Volume 1 of 3 A
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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 and 52: Individual authors from different p
Page 53 and 54: Aim of current project This study w
Page 55: - appointment times given to all at
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
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Hayes, S. C., Masuda, A., Bissett,
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Keel, P. K., Fulkerson, J. A., and
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McVey, G.L., Pepler, D., Davis, R.,
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Piran, N and Cormier, H.C. (2005) t
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Stice, E., Presnell, K., Shaw, H. a
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APPENDIX I: Search strategy Consult
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Body Image, Disordered Eating and E
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ACT and weight control 139 ACT and
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Demographics of sample and epidemio
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Acknowledgements I would like to th
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Introduction This study reports on
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Consequences of disordered eating P
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Transdiagnostic approach in underst
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Factors implicated in the developme
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Feelings of depression/ high levels
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ACT and processing unpleasant emoti
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Applying ACT theory to weight contr
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Heffner et al, (2002) assert that t
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This phenomenon has encouraged furt
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This project will therefore seek to
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Method Design: A non experimental,
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The researcher remained in the room
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The psychological scales will be de
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The comparison group (n = 770) cons
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4) Hospital Anxiety and Depression
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The BMI-for-age weight status categ
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Results Section I will provide desc
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The majority were in the middle set
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Table 5: Frequency counts and perce
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As regards experience of an illness
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Min-Max Skewness (Std error) 1-23 0
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The lower boundary of the box repre
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3. Moderate EDR compared to High ED
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Comparison of Body Image Acceptance
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Table 12 - Descriptive statistics f
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The boxplot above shows that there
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Hospital Anxiety & Deperssion Scale
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3. Anxiety-Underweight compared to
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As can be seen from the above scatt
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Hospital Anxiety & Deperssion Scale
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Comparison Mean difference (SE) Z p
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Section III - Further contributing
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Due to the small sample size in the
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Eating Disorder risk categories Tot
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25 (28%) out of the 88 participants
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% within Body mass index USA 35.7%
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Table 33: Results of the logistic r
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Moreover, 13% of those aged 12-14 y
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The clinical variables of anxiety a
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Summary of additional findings The
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Low self esteem involves an uncondi
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This study has supported the relati
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Co-morbidity with other psychopatho
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After insertion, if the fingers pul
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This is consistent with the asserti
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The sample size was not adequate fo
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Conclusion This study found that in
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Catalano, R. F., Hawkins, J. D., Be
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Greco, L. A., Blomquist, K. K., Acr
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HADS, and the influence of age, gen
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Mykletun, A., Stordal, E. & Dahl, A
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Smolak, L., Levine, M. P., & Strieg
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Willcox, M. & Sattler, D. N. (1996)
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Appendix 3 Body Image Acceptance an
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Appendix 4 Hospital Anxiety and Dep
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Appendix 5 Background information D
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Appendix 6 Information sheet for pa
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If after reading this information s
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Dear Sir/Madam, U H Doctor of Clini
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U H CONSENT FORM Title of Project:
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CERTIFICATE OF ACHEIVEMENT This is
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Debriefing sheet Title of project:
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Appendix 10 Ethics approval Form SC
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Appendix 12 Boxplots and Descriptiv
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Appendix 13 Box plot and Descriptiv
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Journal-Ready Copy Helen Eracleous
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Abstract Objective: The study inves
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Taking such a perspective may also
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ACT suggests that inflexibility (i.
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The EDI has been the measure of cho
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Additional research questions were
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Hypotheses III Inflexibility was po
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A potential explanation may be that
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The last two are choosing life dire
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Clinical implications Due to the cr
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Conclusion The hypotheses investiga
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Greco, L. A., Lambert, W., & Baer,
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Smolak, L., Levine, M. P., and Stri
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