Measuring Ward Milieu and the Impact of Staff Turnover on a Psychiatry Unit

Abstract

The psychosocial environment of the psychiatric unit of a teaching hospital affiliated with the University of Texas Health Science Center at San Antonio was assessed using Moos' Ward Atmosphere Scale, which measures social dimensions such as Support, Autonomy, Practical Orientation, and Program Clarity. The population included 65 staff members and 55 patients, all above 17 yr. of age. Both patients and staff were asked to complete the scale at two times during the research period. Between the two administrations the ward experienced a 44% turnover in staff and a 100% turnover in patients. Results showed this ward to be stable over time and to maintain its stability despite rapid staff turnover. Also, the scale assisted the staff in performing a self-analysis of the ward.

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