Patient Participation in Multidisciplinary Team Meetings in Residential Mental Health Services: An Explorative Study of Patients' Perception.

mental health patient care team patient participation

Journal

Journal of psychiatric and mental health nursing
ISSN: 1365-2850
Titre abrégé: J Psychiatr Ment Health Nurs
Pays: England
ID NLM: 9439514

Informations de publication

Date de publication:
21 Oct 2024
Historique:
revised: 07 09 2024
received: 31 10 2023
accepted: 28 09 2024
medline: 21 10 2024
pubmed: 21 10 2024
entrez: 21 10 2024
Statut: aheadofprint

Résumé

The lack of evidence of mental health patients' perception on patient participation in multidisciplinary team meetings (MTMs) is a potential threat to the person-centeredness of care. To explore the perceptions of mental health patients regarding patient participation in MTMs and to identify factors associated with these perceptions. In a cross-sectional study, 127 former and 109 currently admitted mental health patients completed the Patient Participation during Team Meetings Questionnaire (PaPaT-Q). The STROBE-checklist was used for reporting the study. Overall, patients' perceptions were positive. Former patients expressed greater willingness to participate in MTMs, considered participation as more important, and felt more competent. These patients also exhibited a stronger preference for an autonomous role in medical decision making when participating in MTMs. The perception varied across factors such as gender, educational level, nature of psychological complaints and prior experience(s) with participation in MTMs. These findings may help mental healthcare professionals to become more aware to factors associated with mental health patients' perception of patient participation in MTMs. The results can be used by mental healthcare professionals to motivate mental health patients in an even more tailor-made basis to participate in MTMs when admitted in a hospital.

Identifiants

pubmed: 39431359
doi: 10.1111/jpm.13125
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Organisatie Broeders van Liefde

Informations de copyright

© 2024 John Wiley & Sons Ltd.

Références

Bate, J., J. Wingrove, A. Donkin, R. Taylor, and J. Whelan. 2018. “Patient Perspectives on a National Multidisciplinary Team Meeting for a Rare Cancer.” European Journal of Cancer 28: e12971. https://doi.org/10.1111/ecc.12971.
Baumann, L. A., and A. L. Brütt. 2021. “Participation Preferences of Health Service Users in Health Care Decision‐Making Regarding Rehabilitative Care in Germany – A Cross‐Sectional Study.” Health Expectations 25: 125–137. https://doi.org/10.1111/hex.13356.
Berben, K., E. Dierckx, A. Van Hecke, and S. Verhaeghe. 2022. “Participation of Inpatients in Multidisciplinary Team Meetings: An Explorative Study of Mental Healthcare Workers' Perception.” Archives of Psychiatric Nursing 41: 277–285. https://doi.org/10.1016/j.apnu.2022.07.030.
Berben, K., E. Walgrave, J. Bergs, A. Van Hecke, E. Dierckx, and S. Verhaeghe. 2024. “The Patient's Perspective on Participation in a Multidisciplinary Team Meeting: A Phenomenological Study.” International Journal of Mental Health Nursing 33: 1532–1542. https://doi.org/10.1111/inm.13351.
Butow, P., J. D. Harrison, E. T. Choy, J. M. Young, A. Spillane, and A. Evans. 2007. “Health Professional and Consumer Views on Involving Breast Cancer Patients in the Multidisciplinary Discussion of Their Disease and Treatment Plan.” Cancer 110, no. 9: 1937–1944. https://doi.org/10.1002/cncr.23007.
Cameron, S. L. A., P. Tchernegovski, and D. Maybery. 2022. “Mental Health Service Users' Experiences and Perspectives of Family Involvement in Their Care: A Systematic Literature Review.” Journal of Mental Health 32, no. 3: 699–715. https://doi.org/10.1080/09638237.2022.2091760.
Carey, C., J. Lally, and A. Abba‐Aji. 2014. “Are Psychiatric Team Meetings Patient Centred? A Cross‐Sectional Survey on Patient Views Regarding Multi‐Disciplinary Team Meetings.” Irish Journal of Psychological Medicine 32: 177–185. https://doi.org/10.1017/ipm.2014.48.
Dahlqvist‐Jönsson, P., K. Schön, D. Rosenberg, M. Sandlund, and P. Svedberg. 2015. “Service Users' Experiences of Participation in Decision Making in Mental Health Services.” Journal of Psychiatric and Mental Health Nursing 22: 688–697. https://doi.org/10.1111/jpm.12246.
Donnelly, S. M., J. Carter‐Anand, S. Cahill, R. Gilligan, B. Mehigan, and D. O'Neill. 2013. “Multi‐Professional Views on Older Patients' Participation in Care Planning Meetings in a Hospital Context.” Practice: Social Work in Action 25, no. 2: 121–138.
Efraimsson, E., P. O. Sandman, and B. H. Rasmussen. 2006. “‘They Were Talking About Me’ – Elderly Women's Experiences of Taking Part in a Discharge Planning Conference.” Scandinavian Journal of Caring Sciences 20: 68–78.
Hamann, J., R. Mendel, M. Schebitz, S. Reiter, M. Buhner, and R. Cohen. 2010. “Can Psychiatrists and Neurologists Predict Their Patients' Participation Preferences?” Journal of Nervous and Mental Disease 198, no. 4: 309–311. https://doi.org/10.1097/NMD.0b013e3181d6128c.
Hartley, S., J. Raphael, K. Lovell, and K. Berry. 2020. “Effective Nurse‐Patient Relationships in Mental Health Care: A Systematic Review of Interventions to Improve the Therapeutic Alliance.” International Journal of Nursing Studies 102: 103490.
Hem, M. H., B. Molewijk, B. Weimand, and R. Pedersen. 2023. “Patients With Severe Mental Illness and the Ethical Challenges Related to Confidentiality During Family Involvement: A Scoping Review.” Frontiers in Public Health 10: 960815. https://doi.org/10.3389/fpubh.2022.96081.
Knottnerus, A., and P. Tugwell. 2008. “STROBE—A Checklist to Strengthen the Reporting of Observational Studies in Epidemiology.” Journal of Clinical Epidemiology 61, no. 4: 323.
Lindberg, E., U. Hörberg, E. Persson, and M. Ekebergh. 2013. “‘It Made Me Feel Human’—A Phenomenological Study of Older Patients' Experiences of Participating in a Team Meeting.” International Journal of Qualitative Studies on Health and Well‐Being 8: 20714. https://doi.org/10.3402/qhw.v8i0.20714.
McKeown, M., F. Jones, K. Wright, et al. 2014. “It's the Talk: A Study of Involvement Practices in Secure Mental Health Services.” Health Expectations 19: 570–579.
Michaelis, S., L. Kriston, M. Härter, B. Watzke, H. Schulz, and H. Melchior. 2017. “Predicting the Preferences for Involvement in Medical Decision Making Among Patients With Mental Disorders.” PLoS One 12, no. 8: e0182203. https://doi.org/10.1371/journal.pone.0182203.
Parker‐Oliver, D., D. L. Albright, R. L. Kruse, E. Wittenberg‐Lyles, K. Washington, and G. Demiris. 2013. “Caregiver Evaluation of the Active Intervention: ‘It Was Like We Were Sitting at the Table With Everyone’.” American Journal of Hospice & Palliative Care 31, no. 4: 444–453. https://doi.org/10.1177/1049909113490823.
Parker‐Oliver, D., G. Demiris, K. Washington, R. L. Kruse, and G. Petroski. 2016. “Hospice Family Caregiver Involvement in Care Plan Meetings: A Mixed‐Methods Randomized Controlled Trial.” American Journal of Hospice & Palliative Medicine 34: 849–859. https://doi.org/10.1177/1049909116661816.
Parker‐Oliver, D., D. Porock, G. Demiris, and K. Courtney. 2005. “Patient and Family Involvement in Hospice Interdisciplinary Teams.” Journal of Palliative Care 21, no. 4: 270–276.
Parker‐Oliver, D., K. Washington, E. Wittenberg‐Lyles, G. Demiris, and D. Porock. 2009. “‘They're Part of the Team’: Participant Evaluation of the Active Intervention.” Palliative Medicine 23, no. 6: 549–555. https://doi.org/10.1177/0269216309105725.
Perestelo‐Perez, L., M. Gonzalez‐Lorenzo, J. Perez‐Ramos, A. Rivero‐Santana, and P. Serrano‐Aguillar. 2011. “Patient Involvement and Shared Decision‐Making in Mental Health Care.” Current Clinical Pharmacology 6, no. 2: 83–90.
Polit, D. F., and C. T. Beck. 2021. Nursing Research: Generating and Assessing Evidence for Nursing Practice. 11th ed. Chennai: Wolters Kluwer.
Pushner, B., S. Steffen, M. Slade, H. Kaliniecka, M. Maj, and A. Fiorillo. 2010. “Clinical Decision Making and Outcomes in Routine Care for People With Severe Mental Illness (CEDAR): Study Protocol.” BMC Psychiatry 10: 90. https://doi.org/10.1186/1471‐244X‐10‐90.
Reid, R., P. Escott, and S. Isobel. 2018. “Collaboration as a Process and an Outcome: Consumer Experiences of Collaborating With Nurses in Care Planning in an Acute Inpatient Mental Health Unit.” International Journal of Mental Health Nursing 27: 1204–1211.
Savage, S. V. 2011. “Patients, Trust, and Patient Participation: Factors Influencing Whether Patients Want to Be Active Health Care Participants.” Research in the Sociology of Health Care 29: 149–171. https://doi.org/10.1108/S0275‐4959(2011)0000029009.
Street, R. L., H. S. Gordon, M. M. Ward, E. Krupat, and R. Kravitz. 2005. “Patient Participation in Medical Consultations. Why Some Patients Are More Involved Than Others.” Medical Care 43, no. 10: 960–969.
Swenne, C. L., and B. Skytt. 2014. “The Ward Round—Patient Experiences and Barriers to Participation.” Scandinavian Journal of Caring Sciences 28: 297–304. https://doi.org/10.1111/scs.12059.
Vahdat, S., L. Hamzehgardeshi, S. Hessam, and Z. Hamzehgardeshi. 2014. “Patient Involvement in Health Care Decision Making: A Review.” Iranian Red Crescent Medical Journal 16, no. 1: e12454. https://doi.org/10.5812/ircmj.12454.
van Dongen, J. J. J., M. de Wit, H. W. H. Smeets, E. Stoffers, M. A. van Bokhoven, and R. Daniëls. 2017. “‘They Are Talking About Me, but Not With Me’: A Focus Group Study to Explore the Patient Perspective on Interprofessional Team Meetings in Primary Care.” Patient 10: 429–438. https://doi.org/10.1007/s40271‐017‐0214‐3.
van Dongen, J. J. J., I. G. J. Habets, A. Beurskens, and M. A. van Bokhoven. 2016. “Successful Participation of Patients in Interprofessional Team Meetings: A Qualitative Study.” Health Expectations 20: 724–733. https://doi.org/10.1111/hex.12511.

Auteurs

Kevin Berben (K)

Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.
Alexianen Psychiatric Hospital Tienen, Alexianen Care Group, Tienen, Belgium.
Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium.

Ann Van Hecke (A)

Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.
Nursing Department, Ghent University Hospital, Ghent, Belgium.

Sofie Verhaeghe (S)

Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.
Faculty of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium.
Department of Nursing, VIVES University College, Roeselare, Belgium.

Eva Dierckx (E)

Alexianen Psychiatric Hospital Tienen, Alexianen Care Group, Tienen, Belgium.
Faculty of Psychology, Free University of Brussels, Brussels, Belgium.

Classifications MeSH