Shared learning database
Type and Title of Submission
Meeting spiritual needs on an acute mental health admission wardDescription:
Adapting the environment of an inpatient mental health admissions ward to meet the spiritual and religious needs of patients and reduce levels of anxiety and disturbance.Category:
ClinicalDoes the submission relate to the general implementation of all NICE guidance?
NoDoes the submission relate to the implementation of a specific piece of NICE guidance?
YesFull title of NICE guidance:
cg38 - Bipolar disorderCategory(s) that most closely reflects the nature of the submission:
Description of submission
To adapt the environment of a mental health inpatient admission ward to meet the spiritual and religious needs of patients which will reduce levels of anxiety and disturbance.Objectives
1. Multidisciplinary ward team to gain evidence of effectiveness and training for improving and providing access to a spiritual and religious, therapeutic environment on the ward. 2. Engage patients in the need for and development of a spiritual and religious therapeutic environment. 3. Implement key mechanisms for spiritual and religious needs to be fulfilled and complete ongoing evaluation and development as requiredContext
The ward is a 15 bed acute admission ward for male and female working age adults, with severe mental illness. The staff group dedicates itself to providing the highest standards of care ensuring the patient experience is a meaningful one. A comprehensive therapeutic programme provides therapeutic and structured activities. In response to leading mental health user groups, professional groups and agencies indicating the importance of spiritual and religious needs for mentally ill individuals we set out to provide activities and therapies that would meet these needs. Meeting spiritual and religious needs is a generic fundamental principle of care in all NICE guidance relating to severe mental illness. It also features specifically in CG38 Bipolar disorder 188.8.131.52 'the inpatient service should seek to provide an emotionally warm, safe, culturally sensitive and supportive environment with high levels of positive engagement between staff and patients' and CG1 Schizophrenia 184.108.40.206 'Health professionals should work in partnership with service users and carers, offering help, treatment and care in an atmosphere of hope and optimism'. In addition, Management of violence and aggression - both of the above refer to providing a conducive environment in inpatient settings which is shown to reduce violent and aggressive incidents We gathered information about spirituality ands its intrinsic links to mental health. The information was cascaded to our staff group and we planned changes to the environment and activities of the ward We gauged opinion from the patient group, which was positive and incorporated patient input to the plan. We commenced offering our patient group a guided meditation exercise in November 2006. During the first three months we sought opinion of the patient group regarding the possible benefits and also allowed for discussion at the end of each session about spiritual and religious needs.Methods
1. We have created a milieu on the ward that has seen a significant reduction in levels of anxiety and disturbances on the ward. 2. We have successfully over the period of one year established mechanisms on the ward that are able to acknowledge and meet spiritual and religious needs of individuals. The work completed has seen our initial implementation grow, to now provide three individual mechanisms for patients to utilise. (1) Guided meditation (2) multi-faith room provision (3) pastoral service input increased. A toolkit and CD have been published to share this good practice across the whole organisation. The project and its significant impact on patients health and wellbeing has been presented at Trust forums including the Nursing conference 2008. 3. Established a dynamic process of rigorous evaluation and ongoing development/ training according to need.Results and evaluation
1. Baseline assessment of staff and patient's views informed development. 2. Ongoing assessment/ feedback from patient's after completed after each session. Ongoing monitoring of violent and aggressive incidents on the ward. 3. Evaluation audit of staff and patient's one year after conception.Key learning points
We have learnt that it is important to look at seemingly simple and small changes as they have a big impact on care received and provided. We also appreciate that we should share our experience as others can learn how to implement such changes based on our good and bad experiences.
View the supporting material
|Job Title:||NICE & SCIE Implementation Facilitator|
|Organisation:||Sussex Partnership NHS Foundation Trust|
|Address:||Aldrington House, 35, New Church Road|
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This page was last updated: 03 October 2008