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APNA Patient Engagement Toolkit

Unit Cultures that Engender Engagement

  • Barker, P. (2001). The Tidal Model: developing an empowering, person-centered approach to recovery within psychiatric and mental health nursing. Journal of Psychiatric and Mental Health Nursing, 8, 233-240
  • Muskett, C. (2014). Trauma-informed care in inpatient mental health settings: A review of the literature. International Journal of Mental Health Nursing, 23(1), 51-59.

The Concept of Engagement

  • Polacek, M., Allen, D., Damin-Moss, R. , Sharp, D., Shatell, M., Schwartz, A., Souther, J. Delaney, K.. (2015). White Paper: Engagement as Element of Safety on Inpatient Units. Journal of the American Psychiatric Nurses Association, 21(3), 181-190.
  • Wheeler, K. (2010). A Relationship-Based Model for Psychiatric Nursing Practice. Perspectives in Nursing Care, 4, 1-9. ISSN 0031-5990. doi: 10.1111/j.1744-6163.2010.00285.x.

Research on Nurse Interactions/Relationships on Inpatient Units

  • Bjorkdahl, A, Palmstierna, T., & Hansebo, G. (2010). The bulldozer and the ballet dancer: Aspects of nurses’ caring approaches in acute psychiatric intensive care. Journal of Psychiatric & Mental Health Nursing, 17, 510–518.
  • Cleary, M., Hunt, G., Hosefall, J, & Deacon, M., (2012). Nurse-Patient Interaction in Acute Adult Inpatient Mental Health Units: a Review and Synthesis of Qualitative Studies. Issues in Mental Health Nursing, 33, 66–79.
  • Johnson, M. & Hauser, P. (2001). The practices of expert psychiatric nurses: Accompanying the patient to a calmer personal space. Issues in Mental Health Nursing, 22, 651-68.
  • Seed, M. S., Torkelson, D. J., & Alnatour, R. (2010). The role of the inpatient psychiatric nurse and its effect on job satisfaction. Issues in Mental Health Nursing, 31(3), 160-170.

Strategies to Increase Engagement

Patients’ Perceptions of Engagement/Interaction/Experiences on Inpatient Units

  • Molin, J., Graneheim, U. H., & Lindgren, B. M. (2016). Quality of interactions influences everyday life in psychiatric inpatient care—patients’ perspectives. International journal of Qualitative Studies on Health and Well-being, 11. 29897
  • Nugteren, W., Zalm, Y., Hafsteinsdóttir, T. B., Venne, C., Kool, N., & Meijel, B. (2016). Experiences of Patients in Acute and Closed Psychiatric Wards: A Systematic Review. Perspectives in Psychiatric Care, 52, 292-300.
  • Sebergsen, K. Norberg, A. & Talseth, A. G. (2016). Confirming mental health care in acute psychiatric wards, as narrated by persons experiencing psychotic illness: An interview study. BMC Nursing. 15:3. DOI: 10.1186/s12912-016-0126-x
  • Stewart, D., Burrow, H., Duckworth, A., Dhillon, J., Fife, S., Kelly, S., … & Wright, S. (2015). Thematic analysis of psychiatric patients’ perceptions of nursing staff. International Journal of Mental Health Nursing, 24(1), 82-90.
  • Thibeault, C., Trudeau, K., d’Etremont, M., Brown, T. (2010). Understanding the Milieu Experiences of Patients on an Acute Inpatient Psychiatric Unit. Archives of Psychiatric Nursing. 24, 216-226.

Research associating Aggressive Incidents with Engagement/Ward Culture

  • Papadopoulos, C., Bowers, L., Quirk, A., & Khanom, H. (2012). Events preceding changes in conflict and containment rates on acute psychiatric wards. Psychiatric Services, 63, 40-47.
  • Robinson, J., Craig, L. A., & Tonkin, M. (2016). Perceptions of Social Climate and Aggressive Behavior in Forensic Services A Systematic Review. Trauma, Violence, & Abuse, doi 10.1177/1524838016663936

Methods to Measure Engagement

  • Delaney, K., Johnson, M.,& Fogg, L. (2015). Development and Testing of the Combined Assessment of Psychiatric Environments: A Patient-Centered Quality Measure for Inpatient Psychiatric Treatment. Journal of the American Psychiatric Nurses Association, 21, 134–147. doi:10.1177/1078390315581338.
  • McAndrew S., Chambers, M., Nolan, F., Thomas, B., & Watts, P.(2013). Measuring the evidence: Reviewing the literature of the measurement of therapeutic engagement in acute mental health inpatient wards. International Journal of Mental Health Nursing. 23(3), 212-220.