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Trauma Does Not Predict Patients' Experiences With Constant Observation.

David S Kroll1, Robyn Thom, Jennifer VAN Lunteren

  • 1KROLL: Department of Psychiatry, Brigham and Women's Hospital, Boston, MA THOM, VAN LUNTEREN, TORETTA, CROWLEY, and FROMSON: Department of Psychiatry, Brigham and Women's Hospital, and Harvard Medical School, Boston, MA KNOTTS: Department of Nursing, Brigham and Women's Faulkner Hospital, Boston, MA.

Journal of Psychiatric Practice
|November 15, 2018
PubMed
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Patient factors like posttraumatic stress disorder (PTSD) do not predict experiences with constant observation (CO). Further research is needed to understand patient perceptions of CO.

Area of Science:

  • Psychiatry
  • Patient Experience
  • Hospital Care

Background:

  • Constant observation (CO) is utilized in general hospitals and emergency departments.
  • Little is known about patient factors influencing the experience of CO.
  • Patient characteristics associated with positive or negative CO experiences require investigation.

Purpose of the Study:

  • To investigate patient factors associated with positive or negative experiences during constant observation (CO).
  • To test the hypothesis that posttraumatic stress disorder (PTSD) predicts a more negative CO experience.

Main Methods:

  • A survey was administered to 83 psychiatric inpatients who had undergone CO.
  • The survey assessed positive and negative aspects of CO and observer characteristics.

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  • Data included participant history of trauma and PTSD diagnosis.

    • Main Results:

    • Neither PTSD nor trauma history was associated with overall CO experience.
    • No participant characteristic predicted a positive or negative CO experience.
    • Female participants prioritized observer sex and age more than males.

    Conclusions:

    • PTSD and trauma history do not predict patient experiences with CO.
    • Predictors for positive or negative CO experiences are not yet established.
    • Further research is necessary to develop a predictive model for CO experiences.