Factors associated with length of stay in medium secure units: A realist review.

IF 1.2 4区医学 Q4 PSYCHIATRY

Australasian Psychiatry Pub Date : 2024-12-01 Epub Date: 2024-09-24 DOI:10.1177/10398562241286627

Wajeeha Zagham, Steve Kisely, Terry Stedman, Karen Brown, Frances Dark

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引用次数: 0

Abstract

Objectives: This 'Realist Review' aimed to investigate the factors associated with length of stay and outcomes of medium secure care to help inform the development of a local secure care pathway.

Method: The searches generated a total of 1570 entries across multiple search engines. Following removal of duplicates, application of inclusion/exclusion criteria and selection of articles, a total of 18 were reviewed in detail, including a further five articles obtained from references and the explored grey literature.

Results: Several issues influenced not only admission to medium secure units, but also the outcomes. Many articles were retrospective studies relying on administrative data. The realist synthesis provides contextual data to inform program development.

Conclusions: The existing literature, though variable in quality, was limited by the varied jurisdictions and contexts. However it may be useful to inform care pathways for the optimal use of medium secure beds.

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与中度戒备病房住院时间相关的因素：现实主义审查。

目标：本 "现实主义评论 "旨在调查与中度安全护理的住院时间和结果相关的因素，为制定当地安全护理路径提供参考：通过多个搜索引擎共搜索到 1570 个条目。在删除重复内容、应用纳入/排除标准和筛选文章后，共详细审查了 18 篇文章，包括从参考文献和灰色文献中获得的另外 5 篇文章：有几个问题不仅影响了中度设防单位的收治情况，也影响了收治结果。许多文章都是依靠行政数据进行的回顾性研究。现实主义综合研究提供了背景数据，为计划制定提供了依据：现有文献虽然质量参差不齐，但受到不同司法管辖区和背景的限制。不过，这些文献可能有助于为优化使用中度安全病床的护理路径提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australasian Psychiatry 医学-精神病学

CiteScore

2.80

自引率

5.60%

发文量

159

审稿时长

6-12 weeks

期刊介绍： Australasian Psychiatry is the bi-monthly journal of The Royal Australian and New Zealand College of Psychiatrists (RANZCP) that aims to promote the art of psychiatry and its maintenance of excellence in practice. The journal is peer-reviewed and accepts submissions, presented as original research; reviews; descriptions of innovative services; comments on policy, history, politics, economics, training, ethics and the Arts as they relate to mental health and mental health services; statements of opinion and letters. Book reviews are commissioned by the editor. A section of the journal provides information on RANZCP business and related matters.