Evidence map›Paper›PMID 29971154›Full record

ArticleBJPsych open2018

Shared decision-making with involuntary hospital patients: a qualitative study of barriers and facilitators.

Domenico Giacco, Liza Mavromara, Jennifer Gamblen, Maev Conneely, Stefan Priebe

Open access · goldAbstract read
In one paragraph

Article in BJPsych open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Meaning Analysis and Alienation: A Method of Immanent Critique in Acute Psychiatry.International journal of environmental research and public health · 2022
    Article
  12. Clinical decision-making style preferences of European psychiatrists: Results from the Ambassadors survey in 38 countries.European psychiatry : the journal of the Association of European Psychiatrists · 2022
    Review
  13. Article
  14. Article
  15. 'Triadic' shared decision making in mental health: Experiences and expectations of service users, caregivers and clinicians in Germany.Health expectations : an international journal of public participation in health care and health policy · 2021
    Article
  16. The role ofThe South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2021
    Article
  17. Review
  18. Shared decision making, aggression, and coercion in inpatients with schizophrenia.European psychiatry : the journal of the Association of European Psychiatrists · 2020
    Article
  19. Article
  20. Full Radiology Report through Patient Web Portal: A Literature Review.International journal of environmental research and public health · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Domenico GiaccoUnit for Social and Community Psychiatry (WHO Collaborating Centre for Mental Health Service Development), Queen Mary University of London, UK.
Liza MavromaraUnit for Social and Community Psychiatry (WHO Collaborating Centre for Mental Health Service Development), Queen Mary University of London, UK.
Jennifer GamblenUnit for Social and Community Psychiatry (WHO Collaborating Centre for Mental Health Service Development), Queen Mary University of London, UK.
Maev ConneelyUnit for Social and Community Psychiatry (WHO Collaborating Centre for Mental Health Service Development), Queen Mary University of London, UK.
Stefan PriebeUnit for Social and Community Psychiatry (WHO Collaborating Centre for Mental Health Service Development), Queen Mary University of London, UK.
Queen Mary University of London · GBCentre for Mental Health · GB

Funding

Department of Health RP-DG-1214-10004
6 · The paper itself

Abstract

backgroundLast year, there were more than 63 622 involuntary admissions to psychiatric hospitals in England. One of the core principles stipulated in the code of practice for care under the Mental Health Act is involving involuntary patients in care decisions.

aimsIdentifying barriers and facilitators to shared decision-making with involuntary patients.

methodFocus groups and individual interviews with patients and clinicians who have experience with involuntary hospital treatment were carried out. Data were subjected to thematic analysis.

resultsTwenty-two patients and 16 clinicians participated. Barriers identified included challenges in communication, and noisy and busy wards making one-to-one meetings difficult. Patient involvement was identified as easier if initiated early after admission and if the whole clinical team was on board. Carers' presence helped decision-making through providing additional information and comfort.

conclusionsThe barriers and facilitators identified can inform changes in the practice of involuntary care to increase patient involvement. DECLARATION OF INTEREST: None.

Indexed as

ethicsInpatient treatmentpsychiatry and lawpsychosocial interventionsqualitative research

Identifiers

PMID29971154
PMCPMC6020261
OpenAlexW2800313782

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.