Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.21(4) > 1057958

Kim and Kim: Preferences in Mental Health Services for Persons with Mental Illnesses: Q-Methodological Approach

Abstract

Purpose

The purpose of this study was to identify preferences of persons with mental illnesses for mental health services.

Methods

Q-methodology, an approach designed to discover patterns in various subjective experiences, was used. Twenty-six participants classified 36 selected Q-statements on a nine-point scale to create a normal distribution. The collected data were analyzed using the PC Quanl program.

Results

Four types of preference in mental health services for persons with mental illnesses were identified by the participants: Type I Interaction preference type, Type II Patient right seeking type, Type III Clinical environment preference type, Type IV Treatment outcome seeking type.

Conclusion

The results of this study provide an understanding that different types of preference for mental health services exist and each type has certain characteristics, which suggest a need to develop practical mental health practice nursing standards designed for each type of preference for mental health services.

Figures and Tables

Table 1
Eigen Values, Explained Variance, and Cumulated Variance
jkapmhn-21-333-i001
Table 2
Correlations between Types
jkapmhn-21-333-i002
Table 3
Factor Weights and General Characteristics of the Subjects
jkapmhn-21-333-i003

DT=duration of treatment; FA=frequency of admission.

Table 4
Q-statements and Z-scores according to Types
jkapmhn-21-333-i004

References

1. Boyer L, Baumstarck BK, Cano N, Zendjidjian X, Belzeaux R, Limousin S, et al. Assessment of psychiatric inpatient satisfaction: A systematic review of self-reported instruments. Eur Psychiatry. 2009. 24:540–549.
2. Gilburt H, Rose D, Slade M. The importance of relationships in mental health care: A qualitative study of service users' experiences of psychiatric hospital admission in the UK. BMC Health Serv Res. 2008. 8:92.
crossref
3. Glenister D. Patient participation in psychiatric services: A literature review and proposal for a research strategy. J Adv Nurs. 1994. 19:802–811.
crossref
4. Gu SI. A study on consumer satisfaction with medical services. Mark Study. 1996. 11(2):67–90.
crossref
5. Hackman A, Brown C, Yang Y, Goldberg R, Kreyenbuhl J, Lucksted A, et al. Consumer satisfaction with inpatient psychiatric treatment among persons with severe mental illness. Community Ment Health J. 2007. 43:551–564.
crossref
6. Kang SK, Jwa HS. Service satisfaction, self-efficacy, and quality of life among psychiatric rehab service consumers. Korean J Soc Welf Stud. 2007. 33:185–213.
7. Kim CK, Lee JY, Song YS, Kim GH, Kim KR, Kim JY. Development of the service satisfaction scale for psychiatric inpatients. J Korean Neuropsychiatr Assoc. 2006. 45:238–251.
8. Kim GS, Choi ST, Song JG. Adaptive selling: A marketing strategy to approach segment according to customer orientation. J Bus Res. 2009. 38:669–693.
9. Kim JY, Cho WH, Lee SH, Lee HJ. An analysis on decision-making process regarding the use of medical service according to lifestyle. Korean J Health Policy Adm. 1999. 9(2):77–94.
10. Kim SJ. Patients' and nurses' perceptions toward seclusion and restraint of patients. 2007. Seoul: Ewha Woman University;Unpublished master's thesis.
11. Lee DH. A study on health care service consumer's preference: Q - methodological approach. 2000. Seoul: Hanyang University;Unpublished master's thesis.
12. Lee HY, Jung KT, Shine EK, Han YJ. The impact of health service quality factors on patients' satisfaction according to duration of hospitalization. Korean J Hosp Manage. 2008. 13(3):44–68.
13. Lee JH, Seo MK. Effects of involvement in the program and program environments on social adjustment and life satisfaction of the mental illness. Korean J Soc Welf Stud. 2007. 35:67–92.
14. Lee KY, Lim H. Influence of service quality and client satisfaction on the psychiatric social work service outcomes. Ment Health Soc Work. 2008. 28:175–203.
15. Mavaddat N, Lester HE, Tait L. Development of a patient experience questionnaire for primary care mental health. Qual Saf Health Care. 2009. 18:147–152.
16. Min SY. The daily experiences of people with chronic schizophrenia. J Korean Acad Nurs. 2005. 35:1125–1134.
17. Ministry of Health and Welfare. Korea healthcare accreditation implementation: The revision process of medical law (Q&A). 2010. Seoul: Author.
18. Moon KT, Yu SH, Jo WH, Kim DG, Lee YH. Dimensions of consumer ratings of a hospital outpatient service quality. Korean J Prev Med. 2000. 33:495–504.
crossref
19. Na YH. Study on examples of the human right infringement of mentally disabled people. Ment Health Soc Work. 2008. 29:389–419.
crossref
20. Nam KA. Seclusion experience of psychiatric patients. 2002. Seoul: Yonsei University;Unpublished doctoral dissertation.
crossref
21. National Human Rights Commission of the Republic of Korea. National human rights report and the promotion of the mentally disabled. 2009. Seoul: Author.
crossref
22. Papworth M, Walker L. The needs of primary care mental health service users: Q-sort study. Ment Health Fam Med. 2008. 5:203–212.
23. Schneider B, Scissons H, Arney L, Benson G, Derry J, Lucas K. Communication between people with schizophrenia and their medical professionals: A participatory research project. Qual Health Res. 2004. 14:562–577.
24. Shiva A, Haden SC, Brooks J. Psychiatric civil and forensic inpatient satisfaction with care: The impact of provider and recipient characteristics. Soc Psychiatry Psychiatr Epidemiol. 2009. 44:979–987.
crossref
25. Toledo R, Hughes H, Sims J. Management of non-compliance to a medical regimen: A suggested methodological approach. Int J Health Educ. 1979. 22:232–241.
crossref
26. Walsh J, Boyle J. Improving acute psychiatric hospital services according to inpatient experiences. A user-led piece of research as a means to empowerment. Issues Ment Health Nurs. 2009. 30:31–38.
27. Yun JR, Jang JS, Moon SJ. The influence of hospital service quality on the satisfaction and intention to reuse in medical service user. Korean J Hum Res Dev. 2008. 11(2):133–162.
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