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Are psychiatric team meetings patient centred? A cross-sectional survey on patient views regarding multi-disciplinary team meetings

Published online by Cambridge University Press:  15 September 2014

C. Carey ,
J. Lally  and
A. Abba-Aji
C. Carey*
Affiliation:
Jonathan Swift Clinic, St. James’ Hospital, Dublin, Ireland
J. Lally
Affiliation:
Institute of Psychiatry, King’s College London and the National Psychosis Service, South London and Maudsley NHS Foundation Trust, London, UK
A. Abba-Aji
Affiliation:
Sligo Mental Health Services, Sligo, Ireland
*
*Address for correspondence: C. Carey, Jonathan Swift Clinic, St. James’ Hospital, Dublin 8, Ireland. (Email: [email protected])
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Abstract

Objectives

The system of weekly psychiatric ward rounds is being challenged and multi-disciplinary team meetings (MDTMs) involving inpatients have been developed. These aim to improve integration between medical and social services and increase patient involvement in their care. However, such large meetings are potentially threatening to the patient. This survey aimed to examine inpatient experience of MDTMs and identify factors that significantly alter this experience.

Methods

In this cross-sectional survey we assessed patient opinion regarding patient inclusive MDTMs in a psychiatric inpatient unit. A total of 27 participants (response rate 90%) were included. We utilised descriptive statistics and Fisher’s exact test for non-parametric data where appropriate.

Results

In all, 85% (n=23) of patients identified the consultant psychiatrist as a member that they would like to have present at the MDTM. The ward nurse was identified by 63% (n=17) of patients. In all, 48% (n=13) of patients reported feeling anxious/threatened at the MDTM. In all, 70% (n=19) of patients stated that they would have felt less threatened at the MDTM if there were fewer people in attendance. A significant number of voluntary patients (n=11) felt threatened/anxious at the MDTM compared with involuntary patients (n=2) (χ2=4.921, df=1, p=0.026).

Conclusion

The central findings of this study are that patients would prefer fewer people at the MDTM and would feel less threatened/anxious if they participated in selecting those in attendance. These findings suggest that greater patient involvement in preparation for the MDTM could result in a less anxiety filled experience for them.

Keywords

Clientsmulti-disciplinary team meetingpatientspsychiatryservice usersstaff attitudes
Type
Original Research
Information
Irish Journal of Psychological Medicine , Volume 32 , Issue 2 , June 2015 , pp. 177 - 185
Copyright
© College of Psychiatrists of Ireland 2014 

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