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|Title: ||‘Facing choices’: a mixed-methods approach to patients’ experience of care and discharge in an inpatient mental health unit.|
|Authors: ||Strachan, Jennifer Claire|
|Supervisor(s): ||Cossar, Jill|
|Issue Date: ||26-Jun-2012|
|Publisher: ||The University of Edinburgh|
|Abstract: ||Objectives: This thesis addresses patients’ conceptualising of the experience of admission to
and discharge from an inpatient mental health unit, and the role of measurable psychosocial
constructs in this conceptualisation.
Design: An embedded mixed-methods design was employed. Themes developed using
thematic analysis were compared and contrasted with standardised assessment ratings.
Methods: Twelve adult patients of an acute mental health unit took part in two separate
interviews about their experience of admission and discharge, and completed standardised
measures of anxiety and depression, social support, attachment style and illness beliefs.
Interview data were analysed using social constructionist thematic analysis. Relationships
between participants’ contribution to constructed themes and their responses to standardised
assessments were discussed in the context of extant literature.
Results: A total of fourteen themes were constructed, organised around a central theme of
choices, planning and decision making. Many themes were comparable to existing constructs
in attachment theory and the literature addressing illness appraisal, including mentalisation,
the safe haven, internal working models, self as illness and shame. Standardised assessments
supported and enhanced these interpretations.
Conclusions: Understanding of the process and adaptation to the inpatient experience can be
enhanced by reference to the concepts of attachment theory and social cognition.
Incorporation of these concepts into current care practices and future service development
may improve the inpatient experience.|
|Keywords: ||patients’ experience|
inpatient mental health unit
admission and discharge
|Appears in Collections:||Clinical Psychology thesis collection|
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