Experiences of acute care by persons with mental health problems : an integrative literature review

• AIM: The provision of acute care to persons with mental health problems is challenging due to difficulties in encountering this group and the vulnerability of these persons. Understanding this group's experiences with acute care is thus an important endeavor. The purpose of this review was to critically and systematically identify and assess previous research on experiences of acute care by persons with mental health problems, guided by Donabedian's structure-process-outcome framework (Prospero ID: CRD42019116652).METHOD AND RESULTS: An integrative literature review was performed, resulting in the identification of 43 studies. The search was conducted using five electronic databases: Web of Science Core, PubMed, Medline, Cinahl, and PsycInfo.DISCUSSION: The review revealed that patients experienced structure components such as setting, staff, and resources in a predominantly negative way. A predominately negative picture also emerged of the process components, where for example communication and interpersonal relations were represented by negative experiences, with limited positive experiences reported. The outcome components, related to patients' satisfaction and their well-being after discharge, were also negatively experienced.IMPLICATIONS FOR PRACTICE: Using Donabedian's framework of structure, process, and outcome allowed us to systematize the literature reviewed, to identify the research gaps, and to suggest ways forward for the field's development.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Omvårdnad (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Psykiatri (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Psychiatry (hsv//eng)

Keyword

patient experience

acute mental health

emergency psychiatry

integrative review

Health and Caring Sciences

Hälsovetenskap

acute mental health

emergency psychiatry

integrative review

patient experience

Publication and Content Type

ref (subject category)

art (subject category)