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    Service users' perceptions about their hospital admission elicited by service user-researchers or by clinicians.

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    Authors
    O'Donoghue, Brian
    Roche, Eric
    Ranieri, Veronica F
    Shannon, Stephen
    Crummey, Ciaran
    Murray, Johanna
    Smith, Damian G
    O'Loughlin, Kieran
    Lyne, John P
    Madigan, Kevin
    Feeney, Larkin
    Show allShow less
    Affiliation
    Cluain Mhuire Mental Health Service, Newtownpark Ave., Blackrock, Co. Dublin, Ireland. briannoelodonoghue@gmail.com
    Issue Date
    2013-05-01
    Keywords
    MENTAL HEALTH SERVICES
    HOSPITAL
    Local subject classification
    HOSPITAL ADMISSION
    MeSH
    Adult
    Attitude to Health
    Coercion
    Commitment of Mentally Ill
    Female
    Hospital Units
    Hospitalization
    Hospitals, Psychiatric
    Humans
    Interviews as Topic
    Ireland
    Male
    Middle Aged
    Patient Satisfaction
    Peer Group
    Perception
    Physician-Patient Relations
    Psychiatric Department, Hospital
    Research Personnel
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    Citation
    O'Donoghue B et al. Service users' perceptions about their hospital admission elicited by service user-researchers or by clinicians. Psychiatr Serv. 2013, 64 (5):416-22, 416.e1-3
    Journal
    Psychiatric services (Washington, D.C.)
    URI
    http://hdl.handle.net/10147/324642
    DOI
    10.1176/appi.ps.001912012
    PubMed ID
    23318707
    Additional Links
    http://ps.psychiatryonline.org/article.aspx?articleid=1557664
    Abstract
    OBJECTIVE Service users may express positive, ambivalent, or negative views of their hospital admission. The objective of this study was to determine whether the background of the interviewer-service user-researcher or clinician-influences the information elicited. The primary outcome was the level of perceived coercion on admission, and secondary outcomes were perceived pressures on admission, procedural justice, perceived necessity for admission, satisfaction with services, and willingness to consent to participate in the study. METHODS Participants voluntarily and involuntarily admitted to three hospitals in Ireland were randomly allocated to be interviewed at hospital discharge by either a service user-researcher or a clinician. Interviewers used the MacArthur Admission Experience Survey and the Client Satisfaction Questionnaire. RESULTS A total of 161 participants were interviewed. No differences by interviewer status or by admission status (involuntary or voluntary) were found in levels of perceived coercion, perceived pressures, procedural justice, perceived necessity, or satisfaction with services. Service users were more likely to decline to participate if their consent was sought by a service user-researcher (24% versus 8%, p=.003). CONCLUSIONS Most interviewees gave positive accounts of their admission regardless of interviewer status. The findings indicate that clinicians and researchers can be more confident that service users' positive accounts of admissions are not attributable to a response bias. Researchers can also feel more confident in directly comparing the results of studies undertaken by clinicians and by service user-researchers.
    Item Type
    Article
    Language
    en
    ISSN
    1557-9700
    Sponsors
    The project was partially funded by a grant from the Mental Health Commission in Ireland. Support was also provided by the Cluain Mhuire Mental Health Service, which employed a service user–researcher part time.
    ae974a485f413a2113503eed53cd6c53
    10.1176/appi.ps.001912012
    Scopus Count
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    Saint John of God Hospitaller Services

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