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Gudbjörg Erlingsdottir - One of the best experts on this subject based on the ideXlab platform.
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Open Notes in Swedish Psychiatric Care (Part 2): Survey Among Psychiatric Care Professionals
JMIR mental health, 2018Co-Authors: Lena Petersson, Gudbjörg ErlingsdottirAbstract:Background: This is the second of two papers presenting the results from a study of the implementation of patient online access to their electronic health records (here referred to as Open Notes) in adult Psychiatric Care in Sweden. The study contributes an important understanding of both the expectations and concerns that existed among health Care professionals before the introduction of the Open Notes Service in psychiatry and the perceived impact of the technology on their own work and patient behavior after the implementation. The results from the previously published baseline survey showed that Psychiatric health Care professionals generally thought that Open Notes would influence both the patients and their own practice negatively. Objective: The objective of this study was to describe and discuss how health Care professionals in adult Psychiatric Care in Region Skane in southern Sweden experienced the influence of Open Notes on their patients and their own practice, and to compare the results with those of the baseline study. Methods: We distributed a full population Web-based questionnaire to Psychiatric Care professionals in Region Skane in the spring of 2017, which was one and a half years after the implementation of the service. The response rate was 27.73% (699/2521). Analyses showed that the respondents were representative of the staff as a whole. A statistical analysis examined the relationships between health professional groups and attitudes to the Open Notes Service. Results: A total of 41.5% (285/687) of the health Care professionals reported that none of their patients stated that they had read their Open Notes. Few health Care professionals agreed with the statements about the potential benefits for patients from Open Notes. Slightly more of the health Care professionals agreed with the statements about the potential risks. In addition, the results indicate that there was little impact on practice in terms of longer appointments or health Care professionals having to address patients’ questions outside of appointments. However, the results also indicate that changes had taken place in clinical documentation. Psychologists (39/63, 62%) and doctors (36/94, 38%) in particular stated that they were less candid in their documentation after the implementation of Open Notes. Nearly 40% of the health Care professionals (239/650, 36.8%) reported that the Open Notes Service in psychiatry was a good idea. Conclusions: Most health Care professionals who responded to the postimplementation survey did not experience that patients in adult Psychiatric Care had become more involved in their Care after the implementation of Open Notes. The results also indicate that the clinical documentation had changed after the implementation of Open Notes. Finally, the results indicate that it is important to prepare health Care professionals before an implementation of Open Notes, especially in medical areas where the service is considered sensitive. (Less)
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Open Notes in Swedish Psychiatric Care (Part 2): Survey Among Psychiatric Care Professionals (Preprint)
2018Co-Authors: Lena Petersson, Gudbjörg ErlingsdottirAbstract:BACKGROUND This is the second of two papers presenting the results from a study of the implementation of patient online access to their electronic health records (here referred to as Open Notes) in adult Psychiatric Care in Sweden. The study contributes an important understanding of both the expectations and concerns that existed among health Care professionals before the introduction of the Open Notes Service in psychiatry and the perceived impact of the technology on their own work and patient behavior after the implementation. The results from the previously published baseline survey showed that Psychiatric health Care professionals generally thought that Open Notes would influence both the patients and their own practice negatively. OBJECTIVE The objective of this study was to describe and discuss how health Care professionals in adult Psychiatric Care in Region Skåne in southern Sweden experienced the influence of Open Notes on their patients and their own practice, and to compare the results with those of the baseline study. METHODS We distributed a full population Web-based questionnaire to Psychiatric Care professionals in Region Skåne in the spring of 2017, which was one and a half years after the implementation of the service. The response rate was 27.73% (699/2521). Analyses showed that the respondents were representative of the staff as a whole. A statistical analysis examined the relationships between health professional groups and attitudes to the Open Notes Service. RESULTS A total of 41.5% (285/687) of the health Care professionals reported that none of their patients stated that they had read their Open Notes. Few health Care professionals agreed with the statements about the potential benefits for patients from Open Notes. Slightly more of the health Care professionals agreed with the statements about the potential risks. In addition, the results indicate that there was little impact on practice in terms of longer appointments or health Care professionals having to address patients’ questions outside of appointments. However, the results also indicate that changes had taken place in clinical documentation. Psychologists (39/63, 62%) and doctors (36/94, 38%) in particular stated that they were less candid in their documentation after the implementation of Open Notes. Nearly 40% of the health Care professionals (239/650, 36.8%) reported that the Open Notes Service in psychiatry was a good idea. CONCLUSIONS Most health Care professionals who responded to the postimplementation survey did not experience that patients in adult Psychiatric Care had become more involved in their Care after the implementation of Open Notes. The results also indicate that the clinical documentation had changed after the implementation of Open Notes. Finally, the results indicate that it is important to prepare health Care professionals before an implementation of Open Notes, especially in medical areas where the service is considered sensitive.
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Open Notes in Swedish Psychiatric Care (Part 1): Survey Among Psychiatric Care Professionals.
JMIR mental health, 2018Co-Authors: Lena Petersson, Gudbjörg ErlingsdottirAbstract:Background: When the Swedish version of Open Notes, an electronic health record (EHR) service that allows patients online access, was introduced in hospitals, primary Care, and specialized Care in 2012, Psychiatric Care was exempt. This was because Psychiatric notes were considered too sensitive for patient access. However, as the first region in Sweden, Region Skane added adult psychiatry to its Open Notes service in 2015. This made it possible to carry out a unique baseline study to investigate how different health Care professionals (HCPs) in adult Psychiatric Care in the region expect Open Notes to impact their patients and their practice. This is the first of two papers about the implementation of Open Notes in adult Psychiatric Care in Region Skane. Objective: The objective of this study was to describe, compare, and discuss how different HCPs in adult Psychiatric Care in Region Skane expect Open Notes to impact their patients and their own practice. Methods: A full population Web-based questionnaire was distributed to Psychiatric Care professionals in Region Skane in late 2015. The response rate was 28.86% (871/3017). Analyses show that the respondents were representative of the staff as a whole. A statistical analysis examined the relationships between different professionals and attitudes to the Open Notes service. Results: The results show that the Psychiatric HCPs are generally of the opinion that the service would affect their own practice and their patients negatively. The most striking result was that more than 60% of both doctors (80/132, 60.6%) and psychologists (55/90, 61%) were concerned that they would be less candid in their documentation in the future. Conclusions: Open Notes can increase the transparency between patients and Psychiatric HCPs because patients are able to access their EHRs online without delay and thus, can read notes that have not yet been approved by the responsible HCP. This may be one explanation as to why HCPs are concerned that the service will affect both their own work and their patients. [JMIR Ment Health 2018;5(1):e11]
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Open Notes in Swedish Psychiatric Care (Part 1): Survey Among Psychiatric Care Professionals (Preprint)
2017Co-Authors: Lena Petersson, Gudbjörg ErlingsdottirAbstract:BACKGROUND When the Swedish version of Open Notes, an electronic health record (EHR) service that allows patients online access, was introduced in hospitals, primary Care, and specialized Care in 2012, Psychiatric Care was exempt. This was because Psychiatric notes were considered too sensitive for patient access. However, as the first region in Sweden, Region Skåne added adult psychiatry to its Open Notes service in 2015. This made it possible to carry out a unique baseline study to investigate how different health Care professionals (HCPs) in adult Psychiatric Care in the region expect Open Notes to impact their patients and their practice. This is the first of two papers about the implementation of Open Notes in adult Psychiatric Care in Region Skåne. OBJECTIVE The objective of this study was to describe, compare, and discuss how different HCPs in adult Psychiatric Care in Region Skåne expect Open Notes to impact their patients and their own practice. METHODS A full population Web-based questionnaire was distributed to Psychiatric Care professionals in Region Skåne in late 2015. The response rate was 28.86% (871/3017). Analyses show that the respondents were representative of the staff as a whole. A statistical analysis examined the relationships between different professionals and attitudes to the Open Notes service. RESULTS The results show that the Psychiatric HCPs are generally of the opinion that the service would affect their own practice and their patients negatively. The most striking result was that more than 60% of both doctors (80/132, 60.6%) and psychologists (55/90, 61%) were concerned that they would be less candid in their documentation in the future. CONCLUSIONS Open Notes can increase the transparency between patients and Psychiatric HCPs because patients are able to access their EHRs online without delay and thus, can read notes that have not yet been approved by the responsible HCP. This may be one explanation as to why HCPs are concerned that the service will affect both their own work and their patients.
Lena Petersson - One of the best experts on this subject based on the ideXlab platform.
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Open Notes in Swedish Psychiatric Care (Part 2): Survey Among Psychiatric Care Professionals
JMIR mental health, 2018Co-Authors: Lena Petersson, Gudbjörg ErlingsdottirAbstract:Background: This is the second of two papers presenting the results from a study of the implementation of patient online access to their electronic health records (here referred to as Open Notes) in adult Psychiatric Care in Sweden. The study contributes an important understanding of both the expectations and concerns that existed among health Care professionals before the introduction of the Open Notes Service in psychiatry and the perceived impact of the technology on their own work and patient behavior after the implementation. The results from the previously published baseline survey showed that Psychiatric health Care professionals generally thought that Open Notes would influence both the patients and their own practice negatively. Objective: The objective of this study was to describe and discuss how health Care professionals in adult Psychiatric Care in Region Skane in southern Sweden experienced the influence of Open Notes on their patients and their own practice, and to compare the results with those of the baseline study. Methods: We distributed a full population Web-based questionnaire to Psychiatric Care professionals in Region Skane in the spring of 2017, which was one and a half years after the implementation of the service. The response rate was 27.73% (699/2521). Analyses showed that the respondents were representative of the staff as a whole. A statistical analysis examined the relationships between health professional groups and attitudes to the Open Notes Service. Results: A total of 41.5% (285/687) of the health Care professionals reported that none of their patients stated that they had read their Open Notes. Few health Care professionals agreed with the statements about the potential benefits for patients from Open Notes. Slightly more of the health Care professionals agreed with the statements about the potential risks. In addition, the results indicate that there was little impact on practice in terms of longer appointments or health Care professionals having to address patients’ questions outside of appointments. However, the results also indicate that changes had taken place in clinical documentation. Psychologists (39/63, 62%) and doctors (36/94, 38%) in particular stated that they were less candid in their documentation after the implementation of Open Notes. Nearly 40% of the health Care professionals (239/650, 36.8%) reported that the Open Notes Service in psychiatry was a good idea. Conclusions: Most health Care professionals who responded to the postimplementation survey did not experience that patients in adult Psychiatric Care had become more involved in their Care after the implementation of Open Notes. The results also indicate that the clinical documentation had changed after the implementation of Open Notes. Finally, the results indicate that it is important to prepare health Care professionals before an implementation of Open Notes, especially in medical areas where the service is considered sensitive. (Less)
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Open Notes in Swedish Psychiatric Care (Part 2): Survey Among Psychiatric Care Professionals (Preprint)
2018Co-Authors: Lena Petersson, Gudbjörg ErlingsdottirAbstract:BACKGROUND This is the second of two papers presenting the results from a study of the implementation of patient online access to their electronic health records (here referred to as Open Notes) in adult Psychiatric Care in Sweden. The study contributes an important understanding of both the expectations and concerns that existed among health Care professionals before the introduction of the Open Notes Service in psychiatry and the perceived impact of the technology on their own work and patient behavior after the implementation. The results from the previously published baseline survey showed that Psychiatric health Care professionals generally thought that Open Notes would influence both the patients and their own practice negatively. OBJECTIVE The objective of this study was to describe and discuss how health Care professionals in adult Psychiatric Care in Region Skåne in southern Sweden experienced the influence of Open Notes on their patients and their own practice, and to compare the results with those of the baseline study. METHODS We distributed a full population Web-based questionnaire to Psychiatric Care professionals in Region Skåne in the spring of 2017, which was one and a half years after the implementation of the service. The response rate was 27.73% (699/2521). Analyses showed that the respondents were representative of the staff as a whole. A statistical analysis examined the relationships between health professional groups and attitudes to the Open Notes Service. RESULTS A total of 41.5% (285/687) of the health Care professionals reported that none of their patients stated that they had read their Open Notes. Few health Care professionals agreed with the statements about the potential benefits for patients from Open Notes. Slightly more of the health Care professionals agreed with the statements about the potential risks. In addition, the results indicate that there was little impact on practice in terms of longer appointments or health Care professionals having to address patients’ questions outside of appointments. However, the results also indicate that changes had taken place in clinical documentation. Psychologists (39/63, 62%) and doctors (36/94, 38%) in particular stated that they were less candid in their documentation after the implementation of Open Notes. Nearly 40% of the health Care professionals (239/650, 36.8%) reported that the Open Notes Service in psychiatry was a good idea. CONCLUSIONS Most health Care professionals who responded to the postimplementation survey did not experience that patients in adult Psychiatric Care had become more involved in their Care after the implementation of Open Notes. The results also indicate that the clinical documentation had changed after the implementation of Open Notes. Finally, the results indicate that it is important to prepare health Care professionals before an implementation of Open Notes, especially in medical areas where the service is considered sensitive.
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Open Notes in Swedish Psychiatric Care (Part 1): Survey Among Psychiatric Care Professionals.
JMIR mental health, 2018Co-Authors: Lena Petersson, Gudbjörg ErlingsdottirAbstract:Background: When the Swedish version of Open Notes, an electronic health record (EHR) service that allows patients online access, was introduced in hospitals, primary Care, and specialized Care in 2012, Psychiatric Care was exempt. This was because Psychiatric notes were considered too sensitive for patient access. However, as the first region in Sweden, Region Skane added adult psychiatry to its Open Notes service in 2015. This made it possible to carry out a unique baseline study to investigate how different health Care professionals (HCPs) in adult Psychiatric Care in the region expect Open Notes to impact their patients and their practice. This is the first of two papers about the implementation of Open Notes in adult Psychiatric Care in Region Skane. Objective: The objective of this study was to describe, compare, and discuss how different HCPs in adult Psychiatric Care in Region Skane expect Open Notes to impact their patients and their own practice. Methods: A full population Web-based questionnaire was distributed to Psychiatric Care professionals in Region Skane in late 2015. The response rate was 28.86% (871/3017). Analyses show that the respondents were representative of the staff as a whole. A statistical analysis examined the relationships between different professionals and attitudes to the Open Notes service. Results: The results show that the Psychiatric HCPs are generally of the opinion that the service would affect their own practice and their patients negatively. The most striking result was that more than 60% of both doctors (80/132, 60.6%) and psychologists (55/90, 61%) were concerned that they would be less candid in their documentation in the future. Conclusions: Open Notes can increase the transparency between patients and Psychiatric HCPs because patients are able to access their EHRs online without delay and thus, can read notes that have not yet been approved by the responsible HCP. This may be one explanation as to why HCPs are concerned that the service will affect both their own work and their patients. [JMIR Ment Health 2018;5(1):e11]
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Open Notes in Swedish Psychiatric Care (Part 1): Survey Among Psychiatric Care Professionals (Preprint)
2017Co-Authors: Lena Petersson, Gudbjörg ErlingsdottirAbstract:BACKGROUND When the Swedish version of Open Notes, an electronic health record (EHR) service that allows patients online access, was introduced in hospitals, primary Care, and specialized Care in 2012, Psychiatric Care was exempt. This was because Psychiatric notes were considered too sensitive for patient access. However, as the first region in Sweden, Region Skåne added adult psychiatry to its Open Notes service in 2015. This made it possible to carry out a unique baseline study to investigate how different health Care professionals (HCPs) in adult Psychiatric Care in the region expect Open Notes to impact their patients and their practice. This is the first of two papers about the implementation of Open Notes in adult Psychiatric Care in Region Skåne. OBJECTIVE The objective of this study was to describe, compare, and discuss how different HCPs in adult Psychiatric Care in Region Skåne expect Open Notes to impact their patients and their own practice. METHODS A full population Web-based questionnaire was distributed to Psychiatric Care professionals in Region Skåne in late 2015. The response rate was 28.86% (871/3017). Analyses show that the respondents were representative of the staff as a whole. A statistical analysis examined the relationships between different professionals and attitudes to the Open Notes service. RESULTS The results show that the Psychiatric HCPs are generally of the opinion that the service would affect their own practice and their patients negatively. The most striking result was that more than 60% of both doctors (80/132, 60.6%) and psychologists (55/90, 61%) were concerned that they would be less candid in their documentation in the future. CONCLUSIONS Open Notes can increase the transparency between patients and Psychiatric HCPs because patients are able to access their EHRs online without delay and thus, can read notes that have not yet been approved by the responsible HCP. This may be one explanation as to why HCPs are concerned that the service will affect both their own work and their patients.
L-o Lundqvist - One of the best experts on this subject based on the ideXlab platform.
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Describing and comparing quality in Psychiatric Care across the globe with the QPC-Instrument
European Psychiatry, 2017Co-Authors: A. Schröder, L-o LundqvistAbstract:Introduction There is a lack of cross-cultural comparison of patients and staff perceptions of quality of Care in the Psychiatric Care. One reason is the absence of standardized instruments. Objectives The international research programme “Quality in Psychiatric Care” aims at adapting the instrument QPC versions for patients and staff to different international settings. Aims The aims are to test the psychometric properties and equivalence of dimensionality of the different language versions of QPC and also to describe and compare the quality of inpatient, outpatient and forensic in-patient Psychiatric Care across different countries. Methods The QPC is a family of self-reported instruments from the patients’ perspective. In this programme, we used different languages versions in three areas for patient and staff; inpatient (QPC-IP/IPS), outpatient (QPC-OP/OPS) and forensic inpatient Care (QPC-FIP/FIPS). Results The Danish versions for QPC-FIP and QPC-FIPS show that the confirmatory factor analysis revealed that the factor structure was equivalent to the original Swedish version. Patients rated the quality of Care generally lower than staff and lowest in the participation dimension. The Indonesian version of QPC-IP is under analysis. The first result show that patients rated the quality of Care lower than Swedish inpatients and lowest in the discharge dimension. Several studies in Indonesia are still ongoing as well as in Brazil and Spain. Conclusions There are few standardized instruments for measuring quality of Care in the Psychiatric Care. Therefore, QPC is expected to makes an important contribution to the development in this field.
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Psychometric properties of the instrument Quality in Psychiatric Care (QPC). Poster presentation
2008Co-Authors: Agneta Schröder, Bodil Wilde-larsson, Gerd Ahlström, L-o LundqvistAbstract:Psychometric properties of the instrument Quality in Psychiatric Care (QPC). Poster presentation
Marc Lehmann - One of the best experts on this subject based on the ideXlab platform.
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Psychiatric Care in the German prison system
International journal of prisoner health, 2012Co-Authors: Marc LehmannAbstract:The purpose of this paper is to describe the nature of medical Care within the German penal system. German prison services provide health Care for all inmates, including Psychiatric Care. The reached level of equivalence of Care and ethical problems and resource limitations are discussed and the way of legislation in this field since 2006 reform on federal law is described. The article summarizes basic data on German prison health Care for mentally ill inmates. The legislation process and factors of influence are pointed out. A description of how Psychiatric Care is organized in German prisons follows. It focuses on the actual legal situation including European standards of prison health Care and prevention of torture, Psychiatric Care in German prisons themselves, self harm and addiction. Associated problems such as blood born diseases and tuberculosis are included. The interactions between prison staff and health Care personal and ethic aspects are discussed. The legislation process is still going on and there is still a chance to improve Psychiatric Care. Mental health problems are the major challenge for prison health Care. Factors such as special problems of migrants, shortage of professionals and pure statistic data are considered. The paper provides a general overview on Psychiatric services in prison and names weak points and strengths of the system.
Agneta Schröder - One of the best experts on this subject based on the ideXlab platform.
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Patient participation in forensic Psychiatric Care: Mental health professionals' perspective.
International journal of mental health nursing, 2020Co-Authors: Mikael Selvin, Lars Kjellin, Kjerstin Almqvist, Agneta SchröderAbstract:Patient participation is a central concept in modern health Care and an important factor in theories/models such as person-centred Care, shared decision-making, human rights approaches, and recovery-oriented practice. Forensic Psychiatric Care involves the treatment of patients with serious mental illnesses who also have committed a crime, and there are known challenges for mental health staff to create a health-promoting climate. The aim of the present study was to describe mental health professionals' perceptions of the concept of patient participation in forensic Psychiatric Care. Interviews were conducted with 19 professionals and were analysed with a phenomenographic approach. The findings are presented as three descriptive categories comprising five conceptions in an hierarchic order: 1. create prerequisites - to have good communication and to involve the patient, 2. adapt to forensic Psychiatric Care conditions - to take professional responsibility and to assess the patient's current ability, and 3. progress - to encourage the patient to become more independent. The findings highlight the need for professionals to create prerequisites for patient participation through good communication and involving the patient, whilst adapting to forensic Psychiatric Care conditions by taking professional responsibility, assessing the patient's ability, and encouraging the patient to become more independent without adding any risks to the Care process. By creating such prerequisites adapted to the forensic Psychiatric Care, it is more likely that the patients will participate in their Care and take more own responsibility for it, which also may be helpful in the patient recovery process.
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Psychometric properties of the instrument Quality in Psychiatric Care (QPC). Poster presentation
2008Co-Authors: Agneta Schröder, Bodil Wilde-larsson, Gerd Ahlström, L-o LundqvistAbstract:Psychometric properties of the instrument Quality in Psychiatric Care (QPC). Poster presentation
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Psychiatric Care staff's and Care associates' perceptions of the concept of quality of Care: a qualitative study.
Scandinavian journal of caring sciences, 2004Co-Authors: Agneta Schröder, Gerd AhlströmAbstract:Quality of Care is a multidimensional concept and has been given different meanings in the literature. The aim in the present study was to describe how the Psychiatric Care staff and Care associates perceived the concept of quality of Care in the case of Psychiatric Care. Ten staff and 10 associates were interviewed. Qualitative method with a phenomenographic approach was used for the analysis. Four descriptive categories emerged: The patient's dignity is respected, The patient's participation in the Care, The patient's recovery, and The patient's Care environment plays an important role. Quality of Care was perceived as a positive concept and as being of great importance for the patient's health and conditions of living. The results were of importance with regard to the forthcoming development of an instrument to measure the quality of Psychiatric Care.
