Evaluation Of A Patient Observation

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Introduction In January 2015 a patient observation was conducted on an inner city psychiatric male admission ward commencing at 10.30 am and concluding at 11.30am. The observation was carried out by the ward manager and the patient advice liaison service (PALS) manager. The managers from the position of observer were critically analyzing differences of service provision between a service and patient’s perspective. The ward manager by reviewing the findings will make recommendations for the service which builds on the positives and address any issues which impact upon the patient care provided. The staffing levels were fully established with the three qualified nurses, three health care support workers, and one occupational therapist.…show more content…
The qualified nursing staff were based in the staff offices at the entrance to the ward away from the main communal area of the ward. The qualified nursing staff were attending to duties such as ward reviews, answering phone calls, and inputting electronic notes. It was evident that the allocated workload of the qualified nursing staff impacted on their ability to be on the open areas of the ward thereby limiting engagement with patients. The workload expected from an acute inpatient nurse has increased over the preceding years and this has had a detrimental effect on the nursing interactions held with patients, with many patients feeling nurses prioritize tasks over their care (Cleary 2004, McCabe 2003). The lack of nursing engagement with patients observed during the task is not a new phenomenon in mental health. Patient feedback around nurse patient engagement highlights the challenges faced in current inpatient care. Ford et al (1998) found that a quarter of wards had no nurse interacting with patients at the time of the national visit by the mental health act commission. The care quality commissions (2009) mental health inpatient service user survey indicated that patients on average scored their trust at 58 out of 100 for the question "Were you given enough time to discuss your condition and treatment with the nurses?”. The majority of patient interactions taking place during the observation were between patient and health
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