{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:09:32Z","timestamp":1787015372748,"version":"build-2736575974"},"reference-count":42,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T00:00:00Z","timestamp":1613520000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The study examined concurrent mental and physical healthcare received by patients diagnosed with a personality disorder on acute general hospital wards. The specific objectives were (i) to conduct a web based cross sectional survey and (ii) to explore experiences and perspectives with a subsection of the survey sample, using telephone interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>\n                      A convergent parallel mixed methods design, which comprised a web\u2010based cross sectional survey (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a065) with embedded qualitative telephone interviews (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a012). Participants were social media users, with a self\u2010reported diagnosis of personality disorder, admitted to an acute general hospital in the UK in the previous 2\u00a0years.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants were recruited on social media between May 2017 and August 2017 by snowballing. Mixed data were integrated at the stage of analysis using a framework approach. Findings are reported thematically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Most of the participants surveyed (94%,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a061) reported distress during admission to the acute general hospital. However, the findings indicated the hospital environment was not conducive to mental health. Four interrelated themes were identified and related to: patient distress; the workforce; service delivery; and service design.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Findings indicated that patients with a personality disorder diagnosis received disadvantaged healthcare, might be at considerable risk of treatment noncompletion, and were languishing in the gaps between mental and physical health services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>This is one of the first studies to collect primary data on the concurrent mental and physical healthcare received by patients diagnosed with a personality disorder on acute general hospital wards. Ad hoc training and education focused on raising awareness of \u2018personality disorder\u2019 would not seem sufficient to address the deficits.<\/jats:p>\n                    <jats:p>This research may be of interest to people who use mental health services, acute general hospital and liaison clinicians, hospital managers and researchers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.14797","type":"journal-article","created":{"date-parts":[[2021,2,20]],"date-time":"2021-02-20T04:37:22Z","timestamp":1613795842000},"page":"2002-2011","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["A mixed methods study of the healthcare received by patients diagnosed with a personality disorder on acute general hospital wards"],"prefix":"10.1111","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8427-4310","authenticated-orcid":false,"given":"Leila","family":"Sharda","sequence":"first","affiliation":[{"name":"University of Leeds Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Baker","sequence":"additional","affiliation":[{"name":"University of Leeds Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Cahill","sequence":"additional","affiliation":[{"name":"University of Leeds Leeds UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,17]]},"reference":[{"key":"e_1_2_13_2_1","volume-title":"Psychic assaults and frightened clinicians","author":"Aiyegbusi A.","year":"2008"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/135581969900400110"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1558689809334443"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.114.149583"},{"issue":"11","key":"e_1_2_13_6_1","first-page":"E537","article-title":"Longitudinal studies","volume":"7","author":"Caruana E. 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