About this trial
This mixed-method study aims to evaluate the optimal number of hospital beds and quality of acute adult psychiatric inpatient care in Hong Kong using online Delphi surveys for psychiatric nurses and individual interviews for service users with mental health conditions and family caregivers. The main question it aims to answer is:
What are the consensus points for quality acute adult psychiatric inpatient care in Hong Kong from psychiatric nurses, service users, and caregivers?
Psychiatric nurses will respond to three rounds of online Delphi surveys, while service users and caregivers will attend individual semi-structured interviews.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
working in the Hospital Authority on a full-time basis,
with ≥ 10 years post-registration experience, and
able to read and understand English
Disqualifiers
without working experience in adult psychiatry
aged 18-64
able to read and communicate in Cantonese, and
being discharged within a year
Trial population
Participants will be recruited from the psychiatric departments within four clinical clusters of the Hong Kong Hospital Authority.
Trial design
Other
Prospective
Treatments tested in this trial
respond to 3 rounds of online Delphi surveys
Other interventionIn the first round, the responses of the participants will be collected, coded, and categorised into several themes/factors anonymously. In the second round, the participants will obtain the controlled feedback of all other participants and rate the level of agreement of the factors using a 5-point Likert scale ('strongly agree', 'agree', 'neither agree or disagree', 'disagree', and 'strongly disagree'; or 'essential', 'important', 'don't know/depends', 'unimportant', and 'should not be considered'). In the third round, the participants will rank the importance of the factors. In each round, the participants will be expected to complete the survey within one month.
attend an individual semi-structured interview
Other interventionThe individual semi-structured interview will be audio-recorded, last for 45 minutes at maximum, and carried out by a trained and independent research assistant in a meeting room of PolyU or a room affiliated with the respective acute wards of the participating hospitals.
Treatment groups
Trial outcomes
Primary outcomes
consensus on the optimal number and minimum number of psychiatric inpatient beds as assessed using two numeric questions in the Delphi survey
To reach an expert consensus, ≥ 85% of numeric responses fall within the first and third quartiles of the responses
consensus on the optimal nurse-patient ratio as assessed using a numeric question in the Delphi survey
To reach an expert consensus, ≥ 85% of numeric responses fall within the first and third quartiles of the responses
consensus on the optimal length of stay by diagnoses as assessed using a numeric question in the Delphi survey
To reach an expert consensus, ≥ 85% of numeric responses fall within the first and third quartiles of the responses
consensus on factors contributing to the optimal numbers of psychiatric inpatient beds as assessed using four open-ended questions in the Delphi survey
To reach an expert consensus, ≥ 85% agreement with the two favourable responses (e.g., 'strongly agree' and 'agree') on items is achieved
Locations
Sponsors and contacts
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The Hong Kong Polytechnic University
Lead sponsor
Nethersole Institute of Continuing Holistic Health Education (NICHE)
Collaborator
This trial is not recruiting at the moment. You can still explore other options: