User Participation & Relations
Here, the focus is on the interactions between the users of psychiatry in order to promote the patients' recovery process and strengthen the patients' options for a coherent process. The research is interdisciplinary and close to clinical practice and examines complex clinical interventions such as Safewards, Trauma Informed Access (TBT) and clinical apps.
Research projects
In this study, the four-part risk assessment tool DUNDRUM (Dangerousness, Understanding, Recovery and Urgency Manual) is studied and implemented. DUNDRUM contributes to improving the quality and transparency of decision-making around triage to different security levels, as well as prioritization of admissions and transfers of patients. Furthermore, it assesses care and treatment initiatives, as well as readyness for discharge or transfer to a lower security level.
DUNDRUM-1 triages to which security level is needed for the patient. Whether the patient can be in an outpatient setting or requires hospitalization and in which setting (open, closed, general or specialized forensic psychiatry).
DUNDRUM-2 triages the urgency of the required safety level (DUNDRUM-1). This helps provide a structure for deciding who on a waiting list for admission to a given level of security is the most urgent.
DUNDRUM-3 assesses the "effect" of the care and treatment initiatives that have been initiated within five areas of care and treatment: physical health, mental health, drugs and alcohol, problem behavior and a broad category that includes social, family and work life .
DUNDRUM-4 assesses the degree of (clinical) recovery that the patient has achieved as a result of the care and treatment provided.
In this Ph.D. project a website to support parents of children/young people with suicidal behavior, was developed in collaboration with the Danish Research Institute for Suicide Prevention. The project had a participatory design and parents to offspring/adult children with suicidal behaviour joined a user panel and participated in developing the website’s content and layout. The website provides more formats of psychoeducation. A chat robot, video clips with actors recapturing experiences of real parents providing care for offspring with suicidal behaviour, questions and answers (Q&A) and other information on available resources for support. All sub-studies included in the Ph.D. project were based on qualitative methods and contributed to the construction of the website. A meta-ethnography, which synthesised qualitative studies about relatives’ experiences of providing care for people with suicidal behaviour. Video interviews with parents, where data material was used as manuscripts for actors and to explore how the suicidal event prompted parents to reconstruct their parental identity. Organising and audio recording workshops where parents and researchers developed the website and where data material was used to explore feelings of ownership.
Patient safety has been a research area for decades, but attention is still needed, and within psychiatry, the existing evidence is sparse. Relationship between patient safety and work environment has been established, but evidence varies greatly in predictors and outcomes, and underlying factors or mechanism of the apparent association has not been examined. Adverse events happen across patient categories and hospital settings and there is a need for further examination of the association.
The project explores the relationship of nurses’ work environment and patient safety across psychical and mental health care settings. The project will map the existing evidence trough systematic literature review, followed by a study of indicators, outcome and contextual factors and then form a theory and explanatory model for how and under what circumstances patient safety can be improved by improving the work environment. The project contributes with new knowledge, complementing existing evidence, which has demonstrated – but not explained – a relationship between nurses’ working environment and patient safety.
This project is part of a larger research program with the overall objective to increase patient safety through improvement of recruitment and retention of nurses, and there will be continuously involvement of stakeholders and knowledge users.
Background
Innovative co-created and non-pharmacological interventions are needed to support a recovery-oriented practice in acute psychiatric wards. As a part of recovery-oriented psychiatry, we wanted to co-create (patients, staff, researcher) an intervention. The interventions was named the “The wish well” and “The wish island” and consist of repeated meetings where patients are invited to make wishes for general improvement on the ward. Thus they have the possibility to influence domains in an acute psychiatric ward, such as the physical environment, staff team and patient community.
Aim
To contribute with new knowledge on co-creating a sustainable recovery-oriented interventions in an acute psychiatric ward.
Methods
The project was designed as a cooperative inquiry. Data was generated through audio-recorded meetings in inquiry groups at three acute wards and observation of the interventions in practice over 12 months. Further, data about the patient’s experiences of partaking in the meeting were collected through a survey exact with three questions inspired by the elements in CHIME: Connectedness, meaning, and empowerment.
Results
The study will explore the obstacles and facilitators, such as gaining ownership and willingness to change practices based on wishes from patients when co-creating and conducting the intervention seen from the participants’ perspective (inpatients, experts by experience, employees, and leaders).
Conclusion
It is essential to conduct a local co-created process customizing the intervention to the particular ward in collaboration with experts by experience, employees, and leaders.
The project ’Undergraduate Psychiatry’ includes the development, implementation and evaluation of new, innovative psychiatric learning materials for undergraduate medical students at Copenhagen University. In the current curriculum, medical students are first exposed to psychiatry in their final years of medical school. Studies have identified an early interest in psychiatry as a key predictor for later choosing a career within the field. With this study, we hope to spark an early interest in psychiatry amongst undergraduate medical students, and in the long term improve recruitment of doctors to the field.
Students’ knowledge of, experiences with, attitudes to and interest in psychiatry will be explored through online questionnaires before and after exposure to the new learning material.
The new material will be e-learning material developed in close collaboration with medical experts, users with lived experiences and students, with a focus on interactive and engaging elements. It will serve as add-on learning material on selected undergraduate courses. By integrating psychiatric cases and clinical examples into the undergraduate medical curriculum, we wish to accentuate the connections between psychiatry and other medical specialties. We hope that this will contribute to increased interest in and understanding of psychiatry as a medical specialty.
The aim of this qualitative research project is to provide new knowledge about recovery and identity processes in young people who experience psychosis. Via a qualitative literature study and interview-based studies of young people's everyday life experiences, the project explores youth recovery and how recovery can be supported in this period of life. Informants in the study are recruited via OPUS in Roskilde, a two-year outpatient early psychosis intervention. The project is refined by feedback from a reference group of adults with personal experience of psychosis and recovery in their youth. The project focuses on how young people's recovery becomes possible in diverse contexts of youth living. However, recovery experiences during and following enrollment in OPUS is a common feature, as all participants are associated with OPUS and as the length of this intervention and patients´ transitions to subsequent treatment is still up for discussion. The project is associated with the Competence Center for Onset Psychosis, Psychiatry East, and the Clinical Institute at the University of Southern Denmark under main supervisor, associate professor, research leader and nurse Lene Lauge Berring.
Background
The impact of death by suicide is extensive as bereaved by suicide are at increased risk of mental health problems, such as depression, anxiety, and suicidality. Grief after suicide can be considered a ‘disenfranchised grief’, as the grieving person is often unable to publicly mourn the loss because of a societal reluctance to discuss death by suicide, which can increase people’s feeling of isolation. Peer-led support are recognized to improve recovery as participants share experiences with others in a similar situation and the support is a space for grieving and belonging. However, peer-led support group can also be a conflicted space that is troublesome to belong to, and it may not be a help for everybody. There is a lack of studies concerning why some drop out of the support groups after a few meetings. A scoping review revealed that only one study has directly investigated reasons to leave a peer-support group, indicating e.g. the facilitators’ skills as essential.
Aim
This study aims to explore the experiences and needs of individuals bereaved by suicide who withdraw from peer-led support, intending to contribute with new knowledge on what hinders participation in peer-led support groups among individuals searching for support. This knowledge is valuable for the NGOs that subsequently can adjust their support activities and to professionals such as nurses who need to guide those bereaved by suicide to suitable available support in civil society on an informed basis.
Methods
A qualitative interview study with 12 – 16 adults who have approached the activities in the National Association for the Bereaved by Suicide (NABS) in Denmark but have withdrawn after one to five meetings. The data will be processed using reflexive thematic analysis.
Kontakt
Opdateret fredag den 25. aug. 2023