Clinical trial NCT03140618: The Light- and Environment Project in Psychiatric Inpatient Care
Official title: The Light- and Environment Project in Psychiatric Inpatient Care
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Mental Ill-health
Care Environment
Light Installations
Keywords: single-system-design
mixed methods
psychiatric inpatient care
work environment
rebuilding
Lead sponsor: Umeå University
Sponsor class: OTHER
Collaborators: name: Västerbotten County Council, Sweden
First posted: 2017-05-04
Enrollment: 24
Sex: ALL
Minimum age (years): 18
Maximum age (years): 67
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The care environment influences both patients' experiences of care as well as staff's experiences of the work environment. A radical change in physical environment is planned at a psychiatric ward, aiming at creating a care environment that supports patients' opportunities for recovery from mental ill-health and to create a better and more attractive work environment for the staff. The rebuilding involves a new ward layout and new innovations such as light installations, a comfort room and an activity room.

The study uses a single-system design to evaluate the effects of the intervention - the rebuilt ward. Both quantitative and qualitative data will be used in the evaluation. Data will be collected using questionnaires measuring dimensions of patients' well-being and experiences of the care environment, staff's experiences of work-related stress and work environment, quality of care, a device measuring physical activity, existing clinical registers and data from medical files, staff' sick leave, participant observations, and semi-structured interviews.

This evaluation study, to our knowledge the first of it's kind in Sweden, is expected to generate important knowledge of the effect of the change process that can be used at other psychiatric wards to design the inpatient care environment. In the long run, the study could lead to a better reputation of psychiatric nursing and to more attractive workplaces.


Eligibility criteria: Inclusion Criteria for Patients

* 18 years or older
* Admitted to the wards during either A phase, B phase and/or follow-up

Exclusion Criteria for Patients

* Does not master the Swedish language well enough to complete questionnaires and participate in interviews

Inclusion Criteria for Staff:

* Regularly employed at the ward during A and B phase and/or follow-up.

Exclusion Criteria for Staff:

* Staff employed by the hour

Primary outcomes:
measure: Outcome Rating Scale [patients]
timeFrame: Changes during baseline and intervention period (measured regularly for 12 weeks)
measure: Perceived stress [staff]
timeFrame: Changes during baseline and intervention period (measured regularly for 12 weeks)
Secondary outcomes:
measure: Quality of interactions [patients]
timeFrame: Changes during baseline and intervention period (measured regularly for 12 weeks)
measure: Anxiety and depressive symptoms [patients]
timeFrame: Changes during baseline and intervention period (measured regularly for 12 weeks)
measure: Quality in psychiatric care [patients]
timeFrame: Changes during baseline and intervention period (measured regularly for 12 weeks)
measure: Stress of Conscience [staff]
timeFrame: Changes during baseline and intervention period (measured regularly for 12 weeks)
measure: Quality of care [staff]
timeFrame: Changes during baseline and intervention period (measured regularly for 12 weeks)
measure: Physical activity [patients and staff]
timeFrame: Changes in physical activity between baseline and intervention
Other outcomes:
Locations:
city: Umeå
country: Sweden
facility: Umeå university
Study officials:
affiliation: Umeå University
name: Britt-Marie Lindgren
role: PRINCIPAL_INVESTIGATOR
References:
citation: Lindgren BM, Molin J, Lundstrom M, Stromback M, Salander Renberg E, Ringner A. Does a new spatial design in psychiatric inpatient care influence patients' and staff's perception of their care/working environment? A study protocol of a pilot study using a single-system experimental design. Pilot Feasibility Stud. 2018 Dec 26;4:191. doi: 10.1186/s40814-018-0383-4. eCollection 2018.