The Light- and Environment Project in Psychiatric Inpatient Care

Not Applicable

Completed

• Conditions: Mental Ill-health; Care Environment; Light Installations
• Interventions: Other: The light and environment project in psychiatric inpatient care

• Registration Number: NCT03140618
• Lead Sponsor: Umeå University

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2017-05-02
• Study First Submitted QC: 2017-05-02
• Study First Posted: 2017-05-04
• Study Start: 2017-05-15
• Primary Completion: 2020-12-31
• Study Completion: 2020-12-31
• Status Verified: 2021-10
• Last Update Submitted: 2021-10-01
• Last Update Posted: 2021-10-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 24

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
LEPPIC	The light and environment project in psychiatric inpatient care	The light and environment project in psychiatric inpatient care

Primary Outcome Measures

Name	Time	Method
Outcome Rating Scale [patients]	Changes during baseline and intervention period (measured regularly for 12 weeks)	The Outcome Rating Scale measures self-assessed satisfaction with life on four visual-analogue scales.
Perceived stress [staff]	Changes during baseline and intervention period (measured regularly for 12 weeks)	PSS consists of 10 items answered on a 5-point Likert scale

Secondary Outcome Measures

Name	Time	Method
Quality in psychiatric care [patients]	Changes during baseline and intervention period (measured regularly for 12 weeks)	The QPC-IP measures quality of care on 30 items using a 4-point scale.
Anxiety and depressive symptoms [patients]	Changes during baseline and intervention period (measured regularly for 12 weeks)	The Hospital Anxiety and Depression Scale (HAD) will be used to measure anxiety and depressive symptoms. All items are scored on a 4-point scale.
Quality of care [staff]	Changes during baseline and intervention period (measured regularly for 12 weeks)	The Quality in Psychiatric Care- Inpatient Staff (QPC-IPS) questionnaire will be used to measure quality of care.
Physical activity [patients and staff]	Changes in physical activity between baseline and intervention	An electronic device measuring physical activity will be carried by participants during one week before and after rebuilding the ward.
Quality of interactions [patients]	Changes during baseline and intervention period (measured regularly for 12 weeks)	This is measured using The Caring Professional Scale (CPS) that consists of 14 items answered on a 5-point Likert scale.
Stress of Conscience [staff]	Changes during baseline and intervention period (measured regularly for 12 weeks)	The Stress of Conscience Questionnaire (SCQ) will be used to measure the frequencies of stressful situations and the degree to which these lead to stress of conscience among staff.

Trial Locations

Locations (1)

Umeå university; 🇸🇪 Umeå, Sweden