The impact of ward climate on staff perceptions of barriers to research-driven service changes on mental health wards: a cross-sectional study

Laker, C., Cella, M., Callard, F. and Wykes, T. (2020) The impact of ward climate on staff perceptions of barriers to research-driven service changes on mental health wards: a cross-sectional study. Journal of Psychiatric and Mental Health Nursing, 27(3), pp. 281-295. (doi: 10.1111/jpm.12577) (PMID:31755618)

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Abstract

3.1.1 Introduction To create successful change programmes for mental health wards, it is necessary to understand which aspects of ward climate prevent change. 3.1.2 Question Does ward climate influence mental health nurse's perceptions of barriers to change? 3.1.3 Method Random‐effects models were used to test whether the following ward climate variables influenced the outcome measure “staff perceptions of barriers to change” (VOCALISE) and its subscales (powerlessness/confidence/demotivation): (a) Perceptions of ward climate (VOTE: subscales included work intensity/job satisfaction/interaction anxiety). (b) Ward climate indicators (incidents/detention under the Mental Health Act (2007)/staffing/bed pressure). As known predictors of VOCALISE, burnout (Maslach Burnout Inventory) and occupational status were included in the models. 3.1.4 Results Perceptions of ward climate (VOTE), incidents, temporary staff, occupational status and burnout significantly and negatively affected perceptions of barriers to change (VOCALISE). Staff with low job satisfaction (VOTE) and high interaction anxiety (VOTE) also had low confidence (VOCALISE). Staff with low job satisfaction (VOTE) were also demotivated (VOCALISE). 3.1.5 Discussion Ward climate is an important predictor of how staff regard service changes in mental health wards. 3.1.6 Implications for practice Staff perceptions of ward climate and barriers to change should be assessed ahead of service changes to identify pressures that impede progress and lower morale.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Callard, Professor Felicity
Authors: Laker, C., Cella, M., Callard, F., and Wykes, T.
College/School:College of Science and Engineering > School of Geographical and Earth Sciences
Journal Name:Journal of Psychiatric and Mental Health Nursing
Publisher:Wiley
ISSN:1351-0126
ISSN (Online):1365-2850
Published Online:22 November 2019

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