Hospital & community psychiatry最新文献_第3页

Capitation versus decapitation in mental health care. 精神卫生保健中的斩首与斩首。

Hospital & community psychiatry Pub Date : 1994-11-01 DOI: 10.1176/ps.45.11.1065

S S Sharfstein

引用次数: 6

A multiregional study of nurses' beliefs and attitudes about work safety and patient assault. 多地区护士对工作安全和病人攻击的信念和态度研究。

Hospital & community psychiatry Pub Date : 1994-11-01 DOI: 10.1176/ps.45.11.1104

E C Poster, J Ryan

{"title":"A multiregional study of nurses' beliefs and attitudes about work safety and patient assault.","authors":"E C Poster, J Ryan","doi":"10.1176/ps.45.11.1104","DOIUrl":"https://doi.org/10.1176/ps.45.11.1104","url":null,"abstract":"Objective: The study attempted to increase understanding of nursing staff members' beliefs and concerns about work safety and patient assault.Methods: A study conducted at a university-affiliated psychiatric facility in California in the late 1980s was replicated in five other psychiatric settings. Data were collected using the Attitudes Toward Patient Physical Assault Questionnaire, containing 31 statements designed to elicit nurses' beliefs about safety concerns, staff performance, and legal issues related to assaults.Results: A total of 557 nursing staff members at the six sites responded to the questionnaire; 84 percent were female. The majority (76 percent) had been physically assaulted at least once, but 71 percent reported feeling safe in their work environment most of the time. Compared with female staff members, males tended to believe that assaults were to be expected, that assaulted staff have personality traits that make them vulnerable to assault, and that legal action against assaultive patients might jeopardize their jobs. Recently hired staff were more confident that their facilities did not admit unmanageable patients and that the environment was adequate to prevent assaults. Staff who had been assaulted more frequently tended to believe that assaults were to be expected.Conclusions: The study highlights a nationwide concern among nursing staff about safety. Ensuring a safe working environment requires better training, more adequate staffing, and a security plan to protect staff, patients, and others.","PeriodicalId":75910,"journal":{"name":"Hospital & community psychiatry","volume":"45 11","pages":"1104-8"},"PeriodicalIF":0.0,"publicationDate":"1994-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1176/ps.45.11.1104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18837160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 60

Defining managed care in public-sector psychiatry. 定义公共部门精神病学的管理式医疗。

Hospital & community psychiatry Pub Date : 1994-11-01 DOI: 10.1176/ps.45.11.1085

M A Hoge, L Davidson, E E Griffith, W H Sledge, R A Howenstine

引用次数: 42

Community psychiatry and deinstitutionalization in Jamaica. 牙买加的社区精神病学和去机构化。

Hospital & community psychiatry Pub Date : 1994-11-01 DOI: 10.1176/ps.45.11.1122

F W Hickling

引用次数: 28

What are "best practices?" Understanding the concept. 什么是“最佳实践”?理解概念。

Hospital & community psychiatry Pub Date : 1994-11-01 DOI: 10.1176/ps.45.11.1067

W M Glazer

引用次数: 4

Psychiatric residents' attitudes toward patients with chronic mental illness. 精神科住院医师对慢性精神疾病患者的态度。

Hospital & community psychiatry Pub Date : 1994-11-01 DOI: 10.1176/ps.45.11.1117

S Packer, P Prendergast, D Wasylenki, B Toner, A Ali

{"title":"Psychiatric residents' attitudes toward patients with chronic mental illness.","authors":"S Packer, P Prendergast, D Wasylenki, B Toner, A Ali","doi":"10.1176/ps.45.11.1117","DOIUrl":"https://doi.org/10.1176/ps.45.11.1117","url":null,"abstract":"OBJECTIVE The study examined psychiatric residents' attitudes toward, knowledge about, and training in the care of patients with chronic mental illness. METHODS The authors constructed a 41-item Residents' Attitude Toward the Chronically Mentally Ill Scale to obtain a systematic assessment of attitudes. The scale's validity was enhanced by input from 12 psychiatrists who were knowledgeable about work with and attitudes toward such patients, and a test showed the scale to have high reliability. The scale was administered to 85 psychiatric residents, along with questionnaires focused on training and knowledge and the Marlowe-Crowne Social Desirability Scale assessing defensiveness and self-deception. RESULTS No correlation was found between residents' attitudes and years of residency training or between attitudes and knowledge about patients with chronic mental illness. Residents reported many negative attitudes toward this patient population. However, significant positive correlations were found between the residents' attitudes and their training in settings where patients were considered to receive high-quality care and supervisors were good role models. CONCLUSIONS Constructive training experiences during residency can have a positive influence on residents' attitudes toward patients with chronic mental illness.","PeriodicalId":75910,"journal":{"name":"Hospital & community psychiatry","volume":"45 11","pages":"1117-21"},"PeriodicalIF":0.0,"publicationDate":"1994-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1176/ps.45.11.1117","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18837163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 29

A profile of clients served by a mobile outreach program for homeless mentally ill persons. 为无家可归的精神病患者提供流动外展服务的客户概况。

Hospital & community psychiatry Pub Date : 1994-11-01 DOI: 10.1176/ps.45.11.1139

N B Slagg, J S Lyons, J A Cook, D J Wasmer, A Ruth

引用次数: 9

Risperidone. 利培酮。

Hospital & community psychiatry Pub Date : 1994-11-01 DOI: 10.1176/ps.45.11.1147

L Post

引用次数: 0

A ten-year update of administrative relationships between state hospitals and academic psychiatry departments. 州立医院和学术精神病学部门之间行政关系的十年更新。

Hospital & community psychiatry Pub Date : 1994-11-01 DOI: 10.1176/ps.45.11.1113

E J Douglas, L R Faulkner, J A Talbott, C B Robinowitz, J S Eaton, R M Rankin

{"title":"A ten-year update of administrative relationships between state hospitals and academic psychiatry departments.","authors":"E J Douglas, L R Faulkner, J A Talbott, C B Robinowitz, J S Eaton, R M Rankin","doi":"10.1176/ps.45.11.1113","DOIUrl":"https://doi.org/10.1176/ps.45.11.1113","url":null,"abstract":"Objective: In a follow-up to a survey ten years earlier, the authors investigated current administrative relationships between academic departments of psychiatry and state hospitals.Methods: A 20-item questionnaire was sent to the chairs of the 110 medical school departments of psychiatry with accredited psychiatric residencies.Results: Eighty-two departments, or 75 percent, responded. Seventy-one percent of the respondents reported that their department had a relationship with a state hospital; 79 percent of these relationships involved the education of psychiatric residents. Most respondents rated the quality of the relationship favorably (4 or 5 on a 5-point scale). Almost all respondents believed that residents can obtain a high-quality education in a state hospital. More than half of the departments responding to a question about the importance of a state hospital rotation rated it of major importance in their residency program.Conclusions: Many medical school departments of psychiatry remain closely involved with state hospitals and recognize the hospital as an important part of residents' education. Administrators have gained much experience about how to develop and implement mutually beneficial relationships.","PeriodicalId":75910,"journal":{"name":"Hospital & community psychiatry","volume":"45 11","pages":"1113-6"},"PeriodicalIF":0.0,"publicationDate":"1994-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1176/ps.45.11.1113","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18837162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Violence against families. 针对家庭的暴力。

Hospital & community psychiatry Pub Date : 1994-11-01

C DiRienzo-Callahan

引用次数: 0