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COVID-19 Mitigation Activities in Inpatient Psychiatry Were Associated With Patient-Reported Institutional Betrayal, Changes in Trust, and Fear of Getting Sick.

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Title: COVID-19 Mitigation Activities in Inpatient Psychiatry Were Associated With Patient-Reported Institutional Betrayal, Changes in Trust, and Fear of Getting Sick.
Authors: Ochman, Francis J.1, Shields, Morgan C.2 mshields@wustl.edu
Source: Inquiry (00469580). 3/11/2024, p1-8. 8p.
Subject Terms: *Fear, *Retrospective studies, *Longitudinal method, *Health facilities, *COVID-19 pandemic, *Educational attainment, Patient safety, Medical quality control, Income, Research funding, Questionnaires, Hospital care, Hand washing, Descriptive statistics, Telemedicine, Sterilization (Disinfection), Race, Trust, Medical masks, Betrayal, Psychiatric hospitals, Data analysis software, Patients' attitudes, COVID-19, Social distancing
Abstract: Institutional betrayal occurs when the institutions that people depend on fail to protect them from harm, which was exemplified by a failure to manage COVID-19 risks. Inpatient psychiatry provides a rich context for which to understand the effects of institutional betrayal, and this is amplified in the context of the COVID-19 pandemic. Using a retrospective cohort design, we administered an online survey to former patients (n = 172) of inpatient psychiatry hospitalized at the height of the COVID-19 pandemic (March 2020 to February 2021) to understand the relationship between facilities' use of COVID-19 mitigation activities (ie, offering or requiring face masks, keeping patients and staff 6 feet apart, access to hand sanitizer, use of telemedicine for clinical consults, and routine cleanliness of the unit) and former patients' reports of institutional betrayal, changes in their trust in mental healthcare providers, fear of getting sick, and having contracted or witnessed someone else contract COVID-19. The quantity of COVID-19 mitigation activities was monotonically negatively associated with the probability of reporting any betrayal, the probability of reduced trust in mental healthcare providers, and the probability of being afraid of getting sick always or most of the time while hospitalized. COVID-19 mitigation activities either directly affected these psychological outcomes, or facilities that engaged in robust mitigation had greater cultures of safety and care quality. Additional qualitative work is needed to understand these mechanisms. [ABSTRACT FROM AUTHOR]
Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: COVID-19 Mitigation Activities in Inpatient Psychiatry Were Associated With Patient-Reported Institutional Betrayal, Changes in Trust, and Fear of Getting Sick.
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  Data: <searchLink fieldCode="AR" term="%22Ochman%2C+Francis+J%2E%22">Ochman, Francis J.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Shields%2C+Morgan+C%2E%22">Shields, Morgan C.</searchLink><relatesTo>2</relatesTo><i> mshields@wustl.edu</i>
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  Data: <searchLink fieldCode="JN" term="%22Inquiry+%2800469580%29%22">Inquiry (00469580)</searchLink>. 3/11/2024, p1-8. 8p.
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– Name: Abstract
  Label: Abstract
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  Data: Institutional betrayal occurs when the institutions that people depend on fail to protect them from harm, which was exemplified by a failure to manage COVID-19 risks. Inpatient psychiatry provides a rich context for which to understand the effects of institutional betrayal, and this is amplified in the context of the COVID-19 pandemic. Using a retrospective cohort design, we administered an online survey to former patients (n = 172) of inpatient psychiatry hospitalized at the height of the COVID-19 pandemic (March 2020 to February 2021) to understand the relationship between facilities' use of COVID-19 mitigation activities (ie, offering or requiring face masks, keeping patients and staff 6 feet apart, access to hand sanitizer, use of telemedicine for clinical consults, and routine cleanliness of the unit) and former patients' reports of institutional betrayal, changes in their trust in mental healthcare providers, fear of getting sick, and having contracted or witnessed someone else contract COVID-19. The quantity of COVID-19 mitigation activities was monotonically negatively associated with the probability of reporting any betrayal, the probability of reduced trust in mental healthcare providers, and the probability of being afraid of getting sick always or most of the time while hospitalized. COVID-19 mitigation activities either directly affected these psychological outcomes, or facilities that engaged in robust mitigation had greater cultures of safety and care quality. Additional qualitative work is needed to understand these mechanisms. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=175980041
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    Identifiers:
      – Type: doi
        Value: 10.1177/00469580241237689
    Languages:
      – Code: eng
        Text: English
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        PageCount: 8
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    Subjects:
      – SubjectFull: Fear
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Health facilities
        Type: general
      – SubjectFull: COVID-19 pandemic
        Type: general
      – SubjectFull: Educational attainment
        Type: general
      – SubjectFull: Patient safety
        Type: general
      – SubjectFull: Medical quality control
        Type: general
      – SubjectFull: Income
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      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Questionnaires
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      – SubjectFull: Hospital care
        Type: general
      – SubjectFull: Hand washing
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Telemedicine
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      – SubjectFull: Sterilization (Disinfection)
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      – SubjectFull: Race
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      – SubjectFull: Trust
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      – SubjectFull: Medical masks
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      – SubjectFull: Betrayal
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      – SubjectFull: Psychiatric hospitals
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Patients' attitudes
        Type: general
      – SubjectFull: COVID-19
        Type: general
      – SubjectFull: Social distancing
        Type: general
    Titles:
      – TitleFull: COVID-19 Mitigation Activities in Inpatient Psychiatry Were Associated With Patient-Reported Institutional Betrayal, Changes in Trust, and Fear of Getting Sick.
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              Text: 3/11/2024
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              Y: 2024
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