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

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Appendix 1: INFORMATION SHEET 12 th July 2006 How Multi-disciplinary Staff View Ward Rounds You are being invited to take part in a service related project. Please take time to read the following information carefully. Ask me if there is anything that is not clear or if you would like more information. Thank you for reading this. What is the purpose of the study? This Questionnaire was devised for the purpose of a small-scale service related project conducted as part of the Doctoral course in Clinical Psychology at Hertfordshire University. It aims to find out what aspects of a ward round different professionals think are most important. There has not been any prior research to date that has considered whether there are differences between professional groups in their opinions regarding the way ward rounds are conducted and how best they could be conducted. Why have I been chosen? I will be asking all professionals that attend a variety of ward rounds to complete the brief questionnaire. Do I have to take part? Of course participation is completely voluntary. What will happen to me if I take part? The information you supply will not include your name and therefore will be anonymous. You will be asked to complete a questionnaire that I constructed based on guidelines used in Brent Kensington Chelsea Westminster Mental Health Trust. The questions are divided into two parts. The first part asks How Important you rate certain aspects and the second part asks how the ward round that you LAST attended was carried out. Both parts cover the same areas so may appear similar. Please write comments about any of the questions in the comment section at the bottom or if the space provided is insufficient continue overleaf. Who is organising the project? The project is being organised and carried out by Helen Eracleous, Trainee Clinical Psychologist. What will happen to the results of the research study? The results will be written up and submitted to university and a copy left with the teams that take part. This project has been reviewed by the Trust’s Clinical Audit and Effectiveness Group. Contacts for Further Information: Helen Eracleous. helen.eracleous@nempht.nhs.uk or call Liz McLarnon (Secretary MHU) 01279 827488 Thank you for taking part in this study. 78
How Multi-disciplinary Staff View Ward Rounds This Questionnaire was devised for the purpose of a small-scale service related project conducted as part of the Doctoral course in Clinical Psychology at Hertfordshire University. It aims to find out what aspects of a ward round different professionals think are most important. It will also ask you to comment on the running of the ward round(s) you attend. The information you supply will not include your name and therefore will be anonymous. Discipline: ……………………………………… Years in current service (approximately):……… Service: Please circle Older adults Adults Do you know of any best practice guidelines for ward round meetings? Yes No Please rate the following using the scale: HOW IMPORTANT IS IT THAT:- 1. Patients are offered any refreshments present? 2. Thought is given to who the most appropriate person is to ask certain questions? 3. Service users should not be asked questions which take them into painful or intimate areas of their lives? 4. The patient is present throughout the discussion of their care? 5. That the patient has the opportunity to see their consultant outside of the ward round? 6. For there to be a structured agenda based on a holistic care plan? 7. That confidentiality is explained to the patient beforehand? 8. That it is made clear to the patient that attendance to the ward round is voluntary? 1 Not important 2 Slightly important 3 Neither 4 Quite important 79 5 Very important
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DClinPsy Portfolio Volume 1 of 3 A
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Discuss the importance of the thera
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Psychoanalytically, the focus has b
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Type 2 refers to joint working and
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It appears that what links the conc
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It was concluded that the direct as
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Importance of Therapeutic Relations
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The therapist must also be aware of
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Understanding what constitutes a po
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References Alexander, L. B. & Lubor
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Gutfreund, M. J. (1992). A close-up
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Lambert, M. J. & Bergin, A. E. (199
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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 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: APPENDICES 77
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
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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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