Health provider and service-user experiences of sensory modulation rooms in an acute inpatient psychiatry setting.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2019
Historique:
received: 01 08 2018
accepted: 31 10 2019
entrez: 22 11 2019
pubmed: 22 11 2019
medline: 24 3 2020
Statut: epublish

Résumé

Sensory modulation rooms (SMRs) are therapeutic spaces that use sensory modulation concepts and strategies to assist service users to self-regulate and modulate arousal levels. SMRs are increasingly being explored as strength-based and person-centered adjuncts to care for people receiving inpatient psychiatry services. The aim of this study is to understand health provider and inpatient service user perceptions on the use of SMRs on acute psychiatric units. We conducted semi-structured interviews with ten service users and nine health providers (four occupational therapists and five nurses) regarding their experiences of the SMRs located on three acute inpatient units in a large urban tertiary care hospital. We audio recorded and transcribed the focus groups and used thematic analysis to analyze the data. Our results suggested four common themes amongst health provider and service user experiences of sensory modulation rooms: (1) service user empowerment through self-management, (2) emotional regulation, (3) an alternative to current practices, and (4) health provider and service user education. Our study supports the ecological utility of SMRs as person-centred adjunct therapeutic space viewed positively by both service users and health providers. This understanding of SMRs is critical for future service design, research and policy aimed at improving the service user experience and care for this population. Future research is needed to validate the experience of the SMRs with other patient groups and health providers.

Sections du résumé

BACKGROUND
Sensory modulation rooms (SMRs) are therapeutic spaces that use sensory modulation concepts and strategies to assist service users to self-regulate and modulate arousal levels. SMRs are increasingly being explored as strength-based and person-centered adjuncts to care for people receiving inpatient psychiatry services. The aim of this study is to understand health provider and inpatient service user perceptions on the use of SMRs on acute psychiatric units.
METHODS
We conducted semi-structured interviews with ten service users and nine health providers (four occupational therapists and five nurses) regarding their experiences of the SMRs located on three acute inpatient units in a large urban tertiary care hospital. We audio recorded and transcribed the focus groups and used thematic analysis to analyze the data.
RESULTS
Our results suggested four common themes amongst health provider and service user experiences of sensory modulation rooms: (1) service user empowerment through self-management, (2) emotional regulation, (3) an alternative to current practices, and (4) health provider and service user education.
CONCLUSION
Our study supports the ecological utility of SMRs as person-centred adjunct therapeutic space viewed positively by both service users and health providers. This understanding of SMRs is critical for future service design, research and policy aimed at improving the service user experience and care for this population. Future research is needed to validate the experience of the SMRs with other patient groups and health providers.

Identifiants

pubmed: 31751373
doi: 10.1371/journal.pone.0225238
pii: PONE-D-18-22428
pmc: PMC6874072
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0225238

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Skye P Barbic (SP)

Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Department of Occupational Science and Occupational Therapy, UBC, Vancouver, British Columbia, Canada.
Providence Health Care, Vancouver, British Columbia, Canada.
Department of Psychiatry, UBC, Vancouver, British Columbia, Canada.
Centre for Health Evaluation and Outcome Sciences, Vancouver, British Columbia, Canada.
Foundry, Vancouver, British Columbia, Canada.

Nicole Chan (N)

Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Department of Occupational Science and Occupational Therapy, UBC, Vancouver, British Columbia, Canada.

Amanpreet Rangi (A)

Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Department of Occupational Science and Occupational Therapy, UBC, Vancouver, British Columbia, Canada.

James Bradley (J)

Providence Health Care, Vancouver, British Columbia, Canada.

Rachal Pattison (R)

Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Department of Occupational Science and Occupational Therapy, UBC, Vancouver, British Columbia, Canada.

Kerri Brockmeyer (K)

Providence Health Care, Vancouver, British Columbia, Canada.

Sandy Leznoff (S)

Providence Health Care, Vancouver, British Columbia, Canada.

Yojo Smolski (Y)

Providence Health Care, Vancouver, British Columbia, Canada.

Gagan Toor (G)

Providence Health Care, Vancouver, British Columbia, Canada.

Blaine Bray (B)

Providence Health Care, Vancouver, British Columbia, Canada.

Adelena Leon (A)

Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Department of Occupational Science and Occupational Therapy, UBC, Vancouver, British Columbia, Canada.

Malcolm Jenkins (M)

Providence Health Care, Vancouver, British Columbia, Canada.
Foundry, Vancouver, British Columbia, Canada.

Steve Mathias (S)

Providence Health Care, Vancouver, British Columbia, Canada.
Department of Psychiatry, UBC, Vancouver, British Columbia, Canada.
Centre for Health Evaluation and Outcome Sciences, Vancouver, British Columbia, Canada.
Foundry, Vancouver, British Columbia, Canada.
Department of Psychiatry, St. Paul's Hospital, Vancouver, British Columbia, Canada.

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