Nursing research

Participants felt as though they were constantly seeking support and all expressed a strong desire for professional education, training and workshops. World health organization 2013 http://www. Who. Nit/topics/mental_health/en/ People tit mental disorders around the world are exposed to a wide range of human rights violations. The stigma they face meaner they are often ostracizes from society and fail to receive the care they require—or in management People with mental disorders may also face discrimination on a daily basis including in the fields of education, employment and housing.

Johan Hookah BCarranged † Thereof Urdu † Seven Frits The impact of mental illness on patient satisfaction with the therapeutic relationship A multilevel analytics Psychiatry Psychiatry Epidemiology (2007) 42:803-809 Background The relationship between patients and their clinicians is an essential factor in psychiatric treatment. The purpose of this study was to analyze the influence of psychopathology on patient satisfaction with the therapeutic relationship.

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Method involved collection of data from 969 patients.

Patient’s satisfaction with therapeutic relationship was assessed with a six-item scale: sufficient time for contact/dialogue, clinicians’ ability to listen and understand, follow-up of planned interventions, respect for patients’ views/opinions, cooperation among clinicians, and patients’ influence on treatment. Mental illness was assessed using the Health of the Nation Outcome Scales (HONOR) and Global Assessment of Functioning (GAFF) scale. Diagnoses were established using the International Statistical Classification of Diseases and Related Health Problems”10th revision (ICED-II).

Treatment outcomes were clinically assessed retrospectively by rating changes from start of treatment on seven items. Multilevel regression analysis was used for a simultaneous analysis of Patients’ perceptions of the therapeutic relationship may be influenced by psychopathology. Teams comprising many patients with severe mental illness may constrain the therapeutic relationship. Hence, resources and organizational measures should be carefully considered in such care units.

Because response rates in surveys of patient satisfaction with psychiatric services are usually low, results cannot be unequivocally claimed to be representative of all patients [12, 28]. Although it seems that patients with more severe mental illnesses less likely to participate in patient satisfaction surveys [1 2], the possible consequences of low response rates are not fully understood. The following study attempts to overcome the previous limitations of research reported in the literature by analyzing the influence of psychopathology on patient satisfaction with the therapeutic relationship.

Data was collected from 8 community mental health centers which operate operate as local psychiatric hospitals, offering outpatient, day treatment, ambulatory care and limited inpatient services, such as short-term crisis intervention units and longer-term rehabilitation units. All patients receiving treatment during the census period were asked to complete a questionnaire. Clinician-rated information was collected on all patients and could be linked to the patient questionnaire if patients had given their consent to the linkage.

Of the 3,040 patients, 1,194 (39%) returned the questionnaire. We were able to link 969 of the 1,194 to the clinical data, as some patients had not given consent to such linkage. This study showed that patient satisfaction with the therapeutic relationship was related to clinical assessment of mental illness, both due to each patient’s psychopathology as well as to the composition of mental illness severity in each team. A study by Johan et al (2007) takes a different perspective by analyzing the influence of psychopathology on patient satisfaction with the therapeutic relationship.

Data was collected from 3,040 patients and only 1,194 (39%) returned the questionnaire. Patient’s satisfaction was assessed using a six-item scale and the patient’s level of mental illness was then assessed using the Health of the Nation Outcome Scales (HONOR) and Global Assessment of Functioning (GAFF) scale. For instance, it is likely that the patients’ mood would be affected by the severity of their illness; hence, to mom extent, experiences could be colored by the mental illness itself.

The results of this study indicate that patient’s degree of mental illness has an effect on their satisfaction of the therapeutic relationship. These results were to be expected as patient’s moods are likely to be affected by the severity of their illness. The results of this study however are limited because of low response rates (only 39% of mental health patients responded) Johan et al 2007). Low response rates have long been indicated as a common problem in mental health user surveys (Ruggeri 1996).

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