Outcome | Baseline | 12 month follow-up adja | Adjusted difference at 12 m (95% CI) | p-value | ||
---|---|---|---|---|---|---|
Network | Control | Network | Control | |||
Ward level outcome | ||||||
 Quality of Environment in Low secure Services (QELS) – mean (SD) | 64.0 (14.6) | 65.8 (14.8) | 74.0 | 69.9 | 4.1 (−0.2, 8.3)b | 0.06 |
 Untoward incidents - median (IQR)c | 31 (12, 58) | 57 (23, 161) | 31 (23, 50) | 87 (35, 192) | 0.55 (0.29, 1.07)b | 0.08 |
Patients outcomes | ||||||
 Short Warwick-Edinburgh Mental Well-being (SWEMWB) – mean (SD) | 24.4 (5.7) | 24.5 (5.6) | 23.9 (5.6) | 23.7 (6.0) | 0.4 (−1.1, 2.0)d | 0.58 |
 Patient Satisfaction Questionnaire (PSQ) – mean (SD) | 11.1 (3.8) | 11.8 (3.4) | 10.9 (3.8) | 11.3 (3.6) | 0.3 (−0.8, 1.2)d | 0.60 |
 Physical safety – number reporting an assault (%) | 27 (17%) | 40 (15%) | 37 (18%) | 40 (16%) | 0.88 (0.40, 1.95)d, e | 0.42 |
 Emotional Safety (N, N %)f | 75 (46%) | 105 (39%) | 95 (47%) | 102 (41%) | 0.91 (0.54, 1.52)d, e | 0.71 |
Staff outcomes | ||||||
 Maslach - Emotional exhaustion scale | 15.1 (11.3) | 16.6 (11.7) | 17.1 (11.6) | 16.5 (11.1) | 1.9 (−0.2, 3.9)d | 0.07 |
 Maslach - Depersonalisation scale | 3.1 (3.8) | 4.2 (5.1) | 4.5 (4.9) | 4.2 (4.5) | 1.1 (0.3, 2.0)d | 0.007 |
 Maslach - Personal accomplishment scale | 34.5 (8.3) | 33.9 (9.3) | 35.5 (8.1) | 35.3 (8.6) | −0.6 (−2.1, 1.0)d | 0.49 |
 Physical safety – number reporting an assault (%) | 60 (15%) | 172 (30%) | 81 (18%) | 140 (27%) | 1.72 (1.04, 2.84)d, e | 0.04 |
 Emotional Safety (N, N %)f | 170 (42%) | 253 (44%) | 208 (47%) | 231 (44%) | 1.44 (1.02, 2.03)d, e | 0.04 |