Optimal Acute Adult Psychiatric In-patient Care in Hong Kong

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-64
SponsorThe Hong Kong Polytechnic University

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 volunteers

Qualifiers

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

Design model

Other

Time perspective

Prospective

Treatments tested in this trial

  • respond to 3 rounds of online Delphi surveys

    Other intervention

    In 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 intervention

    The 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

160 Participants
are divided into 3 treatment groups
Group A: Psychiatric nurses1 intervention
Group B: Service users1 intervention
Group C: Family caregivers1 intervention

Trial outcomes

Primary outcomes

1

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

Time frame
3-6 months
2

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

Time frame
3-6 months
3

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

Time frame
3-6 months
4

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

Time frame
3-6 months

Secondary outcomes

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

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: