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Dissertations / Theses on the topic 'Nursing of Psychiatric and Mental Health'
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Rice, Judy A. "Mental Health Clinicians." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/7616.
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Rice, Judy A. "Mental Health Clinicians." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/7617.
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Aflague, John M. "Suicide assessment by psychiatric-mental health nurses : a phenomenographic study /." View online ; access limited to URI, 2004. http://0-wwwlib.umi.com.helin.uri.edu/dissertations/dlnow/3135890.
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Rice, Judy A. "Assessing the Physical Health of Psychiatric Patients." Digital Commons @ East Tennessee State University, 2001. https://dc.etsu.edu/etsu-works/7619.
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Basson, Marina. "Professional nurses’ attitudes and perceptions towards the mentally ill in an associated psychiatric hospital." Thesis, University of Western Cape, 2012. http://hdl.handle.net/11394/3302.
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Magister Curationis - MCurProfessional nurses, with additional training in mental health, report attitudes and perceptions of mental health nursing that are more positive, whilst those with less training report more negative attitudes and perceptions to mental health nursing. The primary aim of this research study was to describe the attitudes and perceptions of professional nurses towards the mentally ill in a psychiatric hospital in the Cape Metropole. The objectives of the study were: to explore the attitudes and perceptions of professional nurses towards the mentally ill; to identify common factors that influence the professional nurses’ attitudes and perceptions towards the mentally ill; to compare the attitudes and perceptions of professional nurses who have completed the Regulation 425, Regulation 808 and Regulation 212 training in mental health nursing towards the mentally ill. A quantitative, exploratory, descriptive design was employed and cross-sectional survey was carried out. Participants comprised all permanent professional nurses (n=60) at a governmental Associated Psychiatric Hospital in the Cape Metropole. Participants completed a demographic questionnaire and two self-report questionnaires, measuring attitudes to and perceptions of mental health problems. Nurses with a diploma report significantly higher role competency than those nurses with a degree. The ethnicity of nurses played a role in the stereotyping of the mentally ill. No significant differences were evident between those professional nurses who had completed the advanced mental health course and those whom had not. However, the combined effects of learning the appropriate course and experience in the practical field of the mentally ill are necessary for the task of impacting positively on the attitudes of the nurses towards the mentally ill.
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Murray, Bethany A. "The Use of High-fidelity Simulation in Psychiatric and Mental Health Nursing Clinical Education." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/ijhse/vol2/iss1/3.
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Background: High-fidelity simulation recreates real-life situations in a safe learning environment and encourages critical thinking in students. Published research in simulation in psychiatric/mental health nursing is sparse.
Methods: Four scenarios exemplifying drug or alcohol abuse utilizing the computerized, mannequin SimMan® were implemented. Students evaluated their learning experience following completion of the simulation via a 20-item, Likert-scale survey which included open-ended questions.
Results: Results were positive. Students rated all items on the survey as “agree” or “strongly agree” (Mean 4.77, SD=0.55).
Conclusions: High fidelity clinical education simulations are an effective means of facilitating student learning of psychiatric and mental health clinical experiences. Students found simulation to be a useful and engaging means by which to learn to care for clients with drug or alcohol abuse disorders.
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Rosette, Joyce Flannigan 1953. "Clients' perceptions of the benefits of the Psychiatric Wellness Clinic." Thesis, The University of Arizona, 1994. http://hdl.handle.net/10150/291337.
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A descriptive qualitative research method was used in this study. In this study, five women were asked to describe their perceptions of how effective the Psychiatric Wellness Clinic interventions were in controlling their depression symptoms. With the decreased availability of state funding, the standard form of treatment was no longer available. This Psychiatric Wellness Clinic concept was developed as a mechanism to provide this patient population with skills that would empower them to take care of themselves and decreased dependency on the system. This researcher wanted to see if the clients felt that the program had make them feel less depressed. If so, it would be inferred that the clients were participating in controlling their own mental health well being. The findings in this study indicate that clients do perceive the Psychiatric Wellness Clinic as effective in decreasing depression symptoms.
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Bolton, Mychal. "Perceived Barriers to Obtaining Psychiatric Treatment at Johnson City Community Health Center." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/honors/223.
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The purpose of this study was to describe the perceived barriers to obtaining psychiatric treatment at the Johnson City Community Health Center. The context of the study was a rural area in Eastern Tennessee. Five patients with confirmed DSM-IV mental health diagnoses were recruited during treatment and interviewed at the Johnson City Community Health Center after their scheduled appointments with a Mental Health Nurse Practitioner (MHNP). The semi-structured interview focused on perceived barriers to obtaining treatment, perceptions of treatment received, and perceived availability of treatment. From those interviews, two themes were identified and each of which had two sub-themes identified: Realities of Treatment with the sub-themes of Therapy-Related Realities and Logistics Realities, The Way It Is with the sub-themes of Take Care of It Myself and Don’t Want People to Know. The findings indicate that there is a duality of positive and negative aspects of treatment at Johnson City Community Health Center. Understanding the needs and perceptions of those with psychiatric diagnoses will assist all staff and mental health providers in developing programs that are better suited for those with psychiatric diagnoses receiving treatment from Johnson City Community Health Center.
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Melrose, Sherri. "An exploration of students' personal constructs, implications for clinical teaching in psychiatric mental health nursing." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0024/NQ31052.pdf.
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Rice, Judy A. "Behind Bars: Providing Advanced Practice Psychiatric Nursing in Jail." Digital Commons @ East Tennessee State University, 2002. https://dc.etsu.edu/etsu-works/7612.
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Buttacavoli, Myra P. "The hardiness of adult survivors of childhood sexual abuse and their adaptation to a healthy adult life style." FIU Digital Commons, 1995. http://digitalcommons.fiu.edu/etd/2002.
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There are many negative consequences of childhood sexual abuse, (Browne Finkelhor, 1990). These effects do not vanish with adulthood and some adults stay scarred for life. However, it has been noted that some victims of childhood sexual abuse recover better than others regardless of the particular type of abuse. Could this adaptation be related to, or represent "hardiness" of the adult?
The purpose of this report is to explore the hardiness of adult victims of child sexual abuse and the adaptation strategies practiced. To achieve this goal, The Health Related Hardiness Scale, created by Susan Pollock, PhD. was adopted. Data was collected from fifteen adult females who, by their own definition were sexually abused as children. They completed the HRHS questionnaire and a demographic questionnaire. Data analysis revealed a significant p-value of 0.0002 indicating that support is an important component to "buffer" the negative effects of stress. However this study revealed a high level of hardiness overall in the participating individuals
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Knowles, Kathleen Bernardette. "An evaluation of organisational change in the community psychiatric nursing service of one district health authority." Thesis, Manchester Metropolitan University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367731.
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Cecil-Riddle, Kimberly. "Nurses' Knowledge and Perceptions of Rapid Response Teams in a Psychiatric Facility." ScholarWorks, 2011. https://scholarworks.waldenu.edu/dissertations/1148.
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Psychiatric illnesses can sometimes lead to behavioral outbursts that need to be addressed quickly to deescalate potentially explosive situations. Nurses are in a unique position to respond to such outbursts by calling for a rapid response team. Nurses who are part of the rapid response team should be well-informed of their roles and responsibilities in managing aggressive and violent behavior. The purpose of this project was to explore RN's and LPN's knowledge and perceptions of a rapid response team in a psychiatric facility. The Iowa model of evidence-based practice provided the framework to integrate theory into practice to improve care. A quantitative descriptive design was implemented with a convenience sample of nurses using a 4-part questionnaire. Of the 64 surveys distributed on 5 wards, 59 were completed for a response rate of 92%. Descriptive statistics were used to analyze nurse responses to demographic data and background data. A Chi-square statistic was calculated to investigate the relationship between RN and LPN responses to the Likert Agreement Scale; no significant difference in responses was found. Open-ended questions allowed nurses to comment on their role and position during a code. The comments were sorted into categories of reoccurring themes. Results suggested that nurses need to understand signs of behavioral escalation and strategies to deescalate a potentially volatile patient. Nurses commented that knowledge during a code, reasons for calling a code, and good communication skills are essential in code situations. Findings from this project can benefit nurses who work psychiatric emergencies by underscoring the need to development of psychiatric rapid response teams and to update current standards of inpatient care.
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Omuson, Victoria. "Planning a Smoking Cessation Program in a Mental Health Hospital." ScholarWorks, 2015. http://scholarworks.waldenu.edu/dissertations/1506.
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The incidence of smoking among mentally ill people is very high. Smokers have a 50%, rate of mental illness diagnosis compared with 23% rate for general population. To address this problem, the purpose of this project was to plan a smoking cessation program for patients in a mental health facility. The theoretical foundation for this project was based on the theory of planned behavior, which identifies the predictive nature of smoking and the benefits that can be derived from implementing a systematic approach for change. The project question examined the effectiveness of smoking cessation program using educational support, pharmacological strategies, and bi-weekly meetings to help patients in a mental health hospital to decrease smoking behavior. The project design was based on use of smoking questionnaires, the Hooked on Nicotine Checklist (HONC), effective pharmacological strategies, educational support, and counseling treatments to evaluate symptoms of dependency. The key results of this project included the creation of a plan that could foster reduction in illness, improved quality of life, and reduced costs related to the onset of major illness in this vulnerable population. This data collection process focused on a qualitative design in which selected professionals were asked to review the materials and answer questions. This project could increase awareness of the issue of smoking; in addition, this project could equip nurses with the tools to deliver evidence based interventions for tobacco dependence that may significantly reduce tobacco use. This project has the implications for positive social change through its potential to improve the health of people with mental illnesses. It also creates a safe and healthy environment in mental health facilities for patients who do not smoke.
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Hernandez, Sarah E. "PREDICTING BURNOUT AMONG PSYCHIATRIC TECHNICIANS." CSUSB ScholarWorks, 2016. https://scholarworks.lib.csusb.edu/etd/304.
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This thesis attempted to examine stressors associated with the psychiatric technician profession and levels of burnout amongst them. This was accomplished through the use of a survey which included demographic data, the Maslach Burnout Inventory Human Services Survey (MBI‑HSS), an adaptation of the Nursing Stress Scale (NSS) and a self‑care assessment tool. A total of three research questions were examined statistically including levels of burnout on subcategories (personal accomplishment, emotional exhaustion and depersonalization), most common stressors identified by psychiatric technicians and percentage of participants who utilized therapy to cope with work related stress. The survey was made available via survey monkey and posted on the website for the California Association of Psychiatric Technicians website and via links posted on Union Chapter social media pages. A total of 123 Psychiatric Technicians participated in the study. Results indicated high levels of emotional exhaustion, depersonalization and personal accomplishment among psychiatric technicians. Results indicate that extended work hours and staffing minimums were significant issues impacting union members. Also significant among participants, was high level of difficulty attending work due to work related stress during the last three months. For future research, it is recommended that similar studies of psychiatric technicians be conducted to provide further insight into burnout, how it happens and how to avoid it.
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Rice, Judy A. "Pediatric Behavioral Health Disorders." Digital Commons @ East Tennessee State University, 2002. https://dc.etsu.edu/etsu-works/7610.
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Wigwe, Joseph. "Reducing Length of Hospital Stay for Intellectually Disabled Psychiatric Patients with Chronic Medical Problems." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2908.
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Length of hospital stay (LOS) is a major indicator for measuring efficient care. Intellectually disabled psychiatric patients (IDPP) with chronic medical problems have longer LOS due to challenges faced by providers in jointly managing both psychiatric and medical problems. The purposes of this study were to understand the significance of LOS for IDPP, create an intervention toolkit to reduce LOS, establish the content validity of the toolkit, and recommend its implementation. The items of the toolkit are pharmacology, somatic, rehabilitation, psychosocial, and monitoring patients' psychiatric and medical symptoms across care domains. The toolkit was created from the constructs of the psychiatric rehabilitation process model to jointly mange psychiatric and medical issues. The project question asked if a universal agreement rating will be achieved to establish content validity of the toolkit. Orem's self-care deficit theory was used to guide this study. Ten experts with experience in the clinical, financial, legal, and psycho-social aspects of IDPP care, were recruited from 5 county facilities and asked to participate in the study. The inclusion criteria focused on the experts' leadership roles in those facilities. The experts answered two online quantitative surveys. Survey 1 asked 9 questions and elicited opinions on LOS issues for IDPP. Survey 2 asked the experts to rate the efficacy of the toolkit to reduce LOS for IDPP. Survey 1 finding showed that 8 of 10 experts agreed that LOS for IDPP needed to be reduced. Survey 2 finding showed a universal agreement toolkit rating of 0.84, indicating the experts' readiness to adopt the toolkit to reduce LOS for IDPP. This study has the potential to promote social change by enhancing interdisciplinary and collaborative use of best care processes in psychiatry to reduce LOS and jointly manage psychiatric and medical problems affecting IDPP.
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Hendricks, Michelle. "Assessing the attitude of nursing staff working at a community health centre towards the mental health care user." University of the Western Cape, 2018. http://hdl.handle.net/11394/6855.
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Magister Curationis - MCurThe South African health care system shifted the focus of treating psychiatric disorders from institutional care level mental health services to facilitate this process of integration into the Primary Health Care (PHC) settings. All the provinces were thus engaged in improving mental health care services at community level by providing training for professional nurses in mental health at PHC settings. Consequently, mental health nursing has also changed considerably by shifting the focus of mental health care to the primary care level. It is however, suggested that the current revolving door syndrome experienced at psychiatric institutions was partly due to inadequate community-based psychiatric services. It was also suggested that the attitudes and knowledge of health professionals towards mental illness has a major impact on service delivery, treatment and outcome of mental illness. The aim of this research study was to assess the attitude of nursing staff working at a Community Health Centre (CHC) towards the mental health care user. A CHC was chosen that renders 24 hour services. The inclusive sample included all the different categories of nurses permanently employed at this CHC. The Attitude Scale for Mental Illness questionnaire was used to collect the data. Descriptive statistics: means, median and standard deviations were calculated for the following variables: separatism; stereotyping; restrictiveness; benevolence; pessimistic prediction and stigmatization. In conclusion it can be said that the nursing staff with more experience irrespective of category of nurse has less of a stereotyping attitude towards mental illness. The longer the nurse worked at the setting and irrespective of their nursing qualification the more positive their attitude towards the MHCU became.
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Dinsmore, Kimberly R., and L. Lee Glenn. "Uncontrolled Variables in Standardized Psychiatric Patient Methodology." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/7457.
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The conclusions of Sarikoc, Ozcan, and Elcin (2017) had weaknesses. An uncontrolled variable (time spent in training) could account for the results. The difference in the control and experimental groups was not statistically significant. Acceptance of the hypothesis that video with interviews is more effective than videos alone is premature.
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Pitiá, Ana Celeste de Araújo. "O Enfermeiro e seu Cotidiano: cenas de um manicômio." Universidade de São Paulo, 1997. http://www.teses.usp.br/teses/disponiveis/22/22131/tde-25052006-100049/.
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Este trabalho é resultado de uma pesquisa do tipo estudo de caso, realizada em um macro-hospital público psiquiátrico de uma cidade do interior do Estado da Bahia. Enfoca o desenvolvimento das atividades dos enfermeiros no cotidiano institucional, suas formas de lidarem com as situações e as relações sociais estabelecidas com os demais profissionais de saúde que trabalham no hospital. Como docente da disciplina Enfermagem Psiquiátrica, tenho relação direta com o local, acompanhando estágio de estudantes de enfermagem, haja vista o convênio firmado entre a Secretaria de Saúde do Estado e a Universidade Estadual de Feira de Santana, a qual pertenço. Procedi a um recorte do campo, delimitando o espaço de um Pavilhão de internamento masculino. Como estratégia de levantamento dos dados utilizei a observação participante, entrevista semi-estruturada com os enfermeiros e demais membros que com ele convivem no dia-a-dia de trabalho, além de alguns documentos importantes na contextualização do trabalho desse profissional. Procedi a apresentação das atividades dos enfermeiros, estabelecendo a trama entre eles e deles com os demais profissionais da saúde. Observei uma grande concentração de suas tarefas em torno dos fazeres burocráticos, além de ver evidenciada a figura do paciente como intercorrências a serem resolvidas, denotando a visão que têm do doente mental. Na convivência com os outros profissionais, vêm-se como centro, apesar de essa visão nem sempre ser compartilhada por esses. Pelos dirigentes, o enfermeiro é visto como o grande contornador de situações, o que o coloca em uma posição politicamente conveniente na manutenção dos interesses majoritários. Nesse hospital, o profissional enfermeiro ocupa diversas funções hierarquicamente estratégicas junto à Diretoria, com a qual mantém contato direto e diário. As condições em que vivem os pacientes da instituição são extremamente precárias e degradantes para qualquer ser humano. A falta de prioridade dada à política de saúde mental no Estado contribui fortemente para a manutenção do modelo assistencial tradicional, ainda implementado nesse hospital.The following study is the result of a case report held at a public pychiatric hospital of a city in the State of Bahia-Brazil. We focus on the development of nurses activities in the institutional routine and on their ways of dealing with situations and social relations with the other health professionals working at that hospital. Being a profesor in the Psychiatric Nursing field at Universidade Estadual de Feira de Santana (UEFS), I have direct contact at that hospital due to nursing students training (as a result of a partnership between the State Health Bureau and UEFS). We have mode a field sampling by taking one male, in-patient ward. We have used, as data-collecting strategy: participative observation, semi-structured questionaires applied to the nurses and other staff members who share daily work with them, and some documents which are important for contextualizing the work of such profesionals. We have presented the nursing tasks by establising their connections among nurses themselves and between nursing and other health profesionals. We have found great concentration of burocratic work among their tasks. Besides, we have found evidence of patients being considered medical problems to be solved, which expresses nurses views of the mentally-ill. In the staff daily routine, nurses considered themselves as being the core. However, this issue was not so evident when we looked upon the other profesionals views. Administrators considered nurses as being great situation managers. This places nurses at a politically-convenient situation for keeping majoritative interests. At this hospital, nurses have various hierarquically estrategic functions, close to the Board of Directors and having direct contact with them, daily. The living conditions of the patients in such institution are extremely poor and humiliating for any human being. The lack of priority given to mental health policies in this State of Bahia greatly contributes for the traditional assistential model, still playing at such hospital.
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Cecil-Riddle, Kimberly. "Nurses' Knowledge and Perceptions of Rapid Response Teams in a Psychiatric Facility." Thesis, Walden University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3633624.
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Psychiatric illnesses can sometimes lead to behavioral outbursts that need to be addressed quickly to deescalate potentially explosive situations. Nurses are in a unique position to respond to such outbursts by calling for a rapid response team. Nurses who are part of the rapid response team should be well-informed of their roles and responsibilities in managing aggressive and violent behavior. The purpose of this project was to explore RN's and LPN's knowledge and perceptions of a rapid response team in a psychiatric facility. The Iowa model of evidence-based practice provided the framework to integrate theory into practice to improve care. A quantitative descriptive design was implemented with a convenience sample of nurses using a 4-part questionnaire. Of the 64 surveys distributed on 5 wards, 59 were completed for a response rate of 92%. Descriptive statistics were used to analyze nurse responses to demographic data and background data. A Chi-square statistic was calculated to investigate the relationship between RN and LPN responses to the Likert Agreement Scale; no significant difference in responses was found. Open-ended questions allowed nurses to comment on their role and position during a code. The comments were sorted into categories of reoccurring themes. Results suggested that nurses need to understand signs of behavioral escalation and strategies to deescalate a potentially volatile patient. Nurses commented that knowledge during a code, reasons for calling a code, and good communication skills are essential in code situations. Findings from this project can benefit nurses who work psychiatric emergencies by underscoring the need to development of psychiatric rapid response teams and to update current standards of inpatient care.
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Rice, Judy A. "The Johnson City Community Health Center: Treating the Uninsured Mentally Ill." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/7624.
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Hargrow, Renita Denise. "Recovery-Oriented Care in a Psychiatric Health Setting." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4221.
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Psychiatric recovery-oriented care is aimed at improving patients' quality of care while increasing the efficiency of health care providers. Despite the benefits of recovery-oriented care, this approach is often lacking in health care settings. The purpose of this project was to implement a recovery-oriented training on psychoeducational groups on a 26-bed psychiatric unit. The Iowa model of evidence-based practice and adult learning theory provided the framework for the project. The objectives were to (a) assess training needs, (b) evaluate barriers for recovery-oriented psychiatric nursing, (c) develop strategies to address barriers, (d) train staff in psychoeducational approaches, and (e) evaluate the training effectiveness. Information on knowledge, confidence, training needs and barriers in conducting psychoeducational groups was collected from 24 nursing staff. Open-ended interviews were conducted to ascertain staff perceptions on training needs and barriers. Interview responses were analyzed for common themes. Staff expressed a need for training and perceived a lack of knowledge and time as barriers in conducting psychoeducational groups. A questionnaire was used to collect data on knowledge (8 items) and confidence (5 items) pre and post training. Pre/post responses were analyzed using descriptive statistics and paired sample t test. Results showed a significant increase in staff knowledge, but not confidence in conducting psychoeducational groups from pre to posttest. Results may be used by psychiatric nursing staff to improve the quality of recovery-oriented care, patient satisfaction, and efficiency of the care delivery system. Recovery-oriented psychiatric care implicitly changes social norms by helping individuals with mental health problems integrate back into their communities.
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Soares, Marcos Hirata. "Avaliação das propriedades psicométricas do instrumento \"Nursing Students\' Attitudes Toward Mental Health Nursing and Consumers\" para o Brasil." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/22/22131/tde-23112015-185944/.
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Muito embora os resultados de muitos estudos qualitativos brasileiros sobre o processo de aprendizagem em saúde mental tenham agregado conhecimento, outros são necessários utilizando métodos de estudo menos subjetivos e menos sujeitos aos vieses implícitos no processo de formação acadêmica. Este estudo visa avaliar as propriedades psicométricas do instrumento\"Nursing Students\' Attitudes Toward Mental Health Nursing and Consumers\" para uso entre graduandos de Enfermagem no Brasil. Trata-se de um estudo metodológico de um instrumento de medida de construto subjetivo, oriundo da Austrália, o qual foi adaptado culturalmente ao contexto brasileiro para avaliação de suas propriedades, por meio da metodologia padronizada de adaptação cultural de instrumentos psicométricos, análise fatorial exploratória e confirmatória, pelo pacote estatístico Statistical Package for The Social Sciences (SPSS), v.21 e AMOS/SPSS, v.22, respectivamente. Foi aplicado o instrumento original e os domínios Autoritarismo e Visão Minoritária do instrumento ODM, já validado para a realidade brasileira. A coleta de dados foi realizada em 5 cursos de graduação em Enfermagem de 5 instituições públicas de ensino localizadas no interior e capital paulista e paranaense, dentre os anos de 2013 e 2014, totalizando 365 sujeitos. Os sujeitos foram distribuídos em 91,3% do sexo feminino e 8,7% do sexo masculino e sua faixa etária variou de 18 a 58 anos, com uma média(M) de 21,9 anos e um desvio-padrão (dp) de 3,88 anos, a carga horária teórica de aulas variou de 36 a 71 horas/aula, M=52 hs; dp=13,64 e a carga horária prática, variou de 76 a 100 horas/aula, M=91 e dp=5,22. O intervalo de tempo de aplicação inicial e final do instrumento variou em função do cronograma e carga horária de aulas de cada Instituição de Ensino Superior, oscilando entre 29 e 136 dias, M=77,63, dp=39,64. A análise fatorial exploratória resultou numa versão pré-final de 23 itens, com um coeficiente Alfa de Cronbach entre 0,71 a 0,95. Durante a realização da análise fatorial exploratória, doze itens foram retirados, devido a baixa comunalidade e/ou consistência interna. Esta versão não foi considerada válida pelo método de validação convergente e devido às grandes alterações em sua estrutura, não pôde ser considerada a versão validada do instrumento original. Esta versão pré-final foi submetida à modelagem de equações estruturais, resultando na apresentação de um modelo teórico composto por 22 itens distribuídos em 5 domínios, sendo que dois domínios permaneceram idênticos aos originais, um foi modificado e outros dois novos foram acrescentados, tendo sido validados pelo método estatístico usado e com confiabilidade aceitável (Alfa de Cronbach de 0,72 a 0,95). Embora o instrumento original não tenha sido validado no Brasil, acredita-se que o presente estudo contribuiu para a pesquisa e o ensino de Enfermagem em Saúde Mental, por apresentar um instrumento de avaliação da aprendizagem em saúde mental baseado no instrumento original, assim como por apresentar um modelo teórico explicativo para o processo de aprendizagem e da atitude do estudante na área de saúde mentalAlthough the results of many Brazilians qualitative studies on the learning process in mental health have added knowledge, others are needed using less subjective methods of study and less subject to bias implicit in the academic process. This study aims to evaluate the psychometric properties of the instrument \"Nursing Students\' Attitudes Toward Mental Health Nursing and Consumers\" for use among undergraduate nursing students in Brazil. This is a methodological study of a subjective construct measuring instrument, originally from Australia, which was culturally adapted to the Brazilian context for evaluating its properties through the standardized methodology of cultural adaptation of psychometric instruments, Exploratory and Confirmatory Factor Analysis, by the Statistical Package for The Social Sciences (SPSS) v.21 and AMOS / SPSS, v.22, respectively. The original instrument and Authoritarianism and Minority View fields of the instrument OMI, already validated for the Brazilian reality was applied. Data collection was performed in 5 undergraduate courses in Nursing at public higher education institutions located within and São Paulo and Parana States, from the years 2013 and 2014, totaling 365 subjects. The subjects were divided into 91.3% of females and 8.7% males and their ages ranged from 18 to 58 years, with a mean (M) 21.9 years and a standard deviation ( sd) of 3.88 years, the theoretical component of classes ranged 36-71 hours / class, M = 52 hours; SD = 13.64 and the clinical practice, ranged 76-100 hours / class, M = 91 and SD = 5.22. The initial application time interval and end of the instrument varied depending on the schedule and hours of classes of each higher education institution, ranging between 29 and 136 days, M = 77.63, SD = 39.64. Exploratory factor analysis resulted in a pre-final version of 23 items, with a Cronbach alpha coefficient of between 0.71 to 0.95. While performing the exploratory factor analysis, twelve items were removed due to low commonality and / or internal consistency. This version was not considered valid for convergent validation method and due to major changes in its structure, could not be considered a validated version of the original instrument. This pre-final version was submitted to structural equation modeling, resulting in the presentation of a theoretical model composed of 22 items distributed in five areas, with two areas remained identical to the original one has been modified and two new ones were added, having been validated by the statistical method used and with acceptable reliability (Cronbach\'s alpha 0.72 to 0.95). Although the original instrument has not been validated in Brazil, it is believed that this study contributed to the research and Mental Health Nursing teaching, to present an assessment instrument of mental health learning based on the original instrument, as well as to present an explanatory theoretical model for the process of learning and the student\'s attitude in the mental health area
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Goodrow, Tina. "Concept of Self: Approach to Behaviors in Mental Health, The TAPOUT Program." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4519.
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Violence in mental health care continues to be a problem. The incidence of violent episodes in healthcare settings with aggressive behavior of patients aimed at staff members or other patients is almost four times greater in healthcare than in other industries. Reducing violent episodes enhances the quality of care and improves safety for staff members and for patients. The project focused on development of a staff education program exploring the practice-focused question: Will this program effectively guide staff member approaches to mental health patients with challenging behaviors? The purpose of this project was to address the identified gap in practice in one mental health unit at a Florida correctional facility. A comprehensive literature review was completed using 30 sources from 2012-2017 and included peer-reviewed research and government resources to guide the development of this program, called TAPOUT. Sources of evidence emerged from a systematic review of the literature and an expert panel in mental health. Using the Delphi technique, all 5 panel members came to consensus after 2 rounds, agreeing to implement the TAPOUT program. The findings demonstrated the TAPOUT program may effectively guide staff member approaches to mental health patients with challenging behaviors and showed the benefits of using the TAPOUT program for reduction of violence. The DNP project has demonstrated TAPOUT can address the identified practice gap. The educational program's goal was to reduce violence and positively impact social change by providing staff members with tools to prevent and to deescalate emerging violent behaviors and episodes, preventing injury among staff members and patients alike.
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Davies, Lesley. "Vicarious traumatization : the impact of nursing upon nurses : a thesis submitted to the Victoria University of Wellington in partial fulfilment of the requirements for the degree of Master of Nursing (Clinical) /." ResearchArchive@Victoria e-thesis, 2009. http://hdl.handle.net/10063/1227.
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Zonke, Lulama Henrietta. "The newly qualified professional nurses' proficiency in utilizing psychiatric nursing skills in mental health institution and community health care facilities." Thesis, University of Fort Hare, 2012. http://hdl.handle.net/10353/d1001098.
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The aim of this study was to determine the ability and proficiency of the newly qualified professional nurses in utilising psychiatric nursing skills at Chris Hani District Psychiatric Health Care Services in the Eastern Cape, South Africa. The research method was a qualitative, phenomenological approach. A purposive sample of newly qualified professional nurses and supervisors participated in the study. The data were collected through interviews and focus group discussions, using semi – structured interview guides. Interviews responses were recorded on the interview guide. Data were analysed using the computer software Atlas ti and manually. Positive and negative themes were identified. Ethical considerations were ensured by means of privacy, anonymity and confidentiality. Ethical clearance was obtained from the University of Fort Hare and permission from the Provincial Department of Health and Chris Hani District Health and Mental Health Institution at Queenstown was sought. The findings revealed that newly qualified professional nurses performed well, according to the perception of their supervisors. Newly qualified professional nurses were faced with challenges such as shortage of resources, mental illness not considered as a priority and lack of skills development. The study also revealed that newly qualified professional nurses focussed on the curative aspect of ailments, rather than preventive care. However community health workers (CHW) focussed on the preventive aspect of care. Limitations and recommendations based on the findings of the study are presented.
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Boyd, Matthew. "Stigma for Caring for those with Mental Health Issues in the Student Nurse Community: A survey." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/honors/476.
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People living with a mental health issue is elevated both nationally and internationally, and the likelihood of a person interacting with someone who has a mental health issue is high. It is even higher for those who work in the health care profession, so understanding their attitudes on this matter is important. As a review of current literature reveals, there is not only stigma in the health care system, but there is also stigma among health care professionals and students. One of the groups of students that has not been researched to a great extent is nursing students and the degree of stigma they have for caring for those with mental health issues. A cross-sectional survey was conducted to assess the degree of stigma among these individuals. A voluntary online survey was done was administered to undergraduate nursing students at a university in the southeastern part of the United States using the twenty item Opening Minds Scale for Health Care Providers (OMS-HC). The results indicated that mental illness stigma did exist within the student nurse community with no association between gender, classification, and mental health nursing course completion and total score on the OMS-HC scale.
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Lemos, Aline Mesquita. "FormaÃÃo do enfermeiro em uma universidade pÃblica no Estado do CearÃ: competÃncias e habilidades de saÃde mental." Universidade Federal do CearÃ, 2014. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=15177.
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CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel SuperiorObjetivou-se analisar as competÃncias e habilidades de Enfermagem em SaÃde Mental identificadas pelos acadÃmicos, com base nas Diretrizes Curriculares Nacionais em Enfermagem (DCN/ENF) e na Reforma PsiquiÃtrica. Estudo de carÃter descritivo, exploratÃrio e documental, com abordagem quali-quantitativa, realizado com graduandos do sexto, sÃtimo e oitavo semestres do curso de Enfermagem da Universidade Federal do Cearà (UFC) em Dez/ 2013, em que foi utilizado um questionÃrio semiestruturado e entrevista, com dados sociodemogrÃficos e de competÃncias.Os dados quantitativos foram organizados em tabelas as entrevistas em quadros. As associaÃÃes entre as competÃncias e o grupo foram analisadas por meio dos testes de X2 e de razÃo de verossimilhanÃa. Para todas as anÃlises, o valor de p<0,05 foi considerado estatisticamente significante. A entrevista foi realizada com oito alunas do oitavo semestre e analisada de acordo com a produÃÃo de sentidos de Spink, fundamentada com a literatura pertinente. Os resultados coadunam com outras realidades encontradas em outros estudos sobre o ensino de Enfermagem em SaÃde Mental e Psiquiatria, em que medo e estigma estÃo presentes, influenciando no processo aprendizagem dos alunos. Em relaÃÃo Ãs competÃncias de SaÃde Mental, muitos se sentem deficientes, principalmente naquelas que sÃo bÃsicas para a formaÃÃo do Enfermeiro, como o reconhecimento das diretrizes da polÃtica de SaÃde Mental; aplicar assistÃncia de Enfermagem em SaÃde Mental no contexto familiar e comunitÃrio; caracterizar transtornos mentais; atuar nos diversos nÃveis de atenÃÃo à saÃde mental; e lidar com o paciente em crise de transtorno mental. Consideraram tambÃm o ensino, a didÃtica, a carga horÃria e os campos de estÃgios em SaÃde Mental muitas vezes insuficiente. Nesta perspectiva, faz-se necessÃrio avaliar estas competÃncias que estÃo falhas, assim como outros aspectos para desconstruÃÃo do que à negativo e construÃÃo daquilo que à necessÃrio para o processo de ensino dos docentes que permeiam nas disciplinas, perpetuando a ideia que a SaÃde Mental à peculiar a todos os ciclos de vida e transversal Ãs disciplinas.
This study aimed to analyze the skills and nursing skills in mental health identified by scholars, based on the National Curriculum Guidelines for Nursing (DCN / ENF) and Psychiatric Reform. Descriptive study, exploratory and documentary, with qualitative and quantitative approach, conducted with graduate students from the sixth, seventh and eighth semesters of the nursing course of the Federal University of Cearà (UFC) in Dec / 2013, in which we used a semi-structured questionnaire and interview with sociodemographic and competÃncias.Os quantitative data data were organized in tables interviews in frames. Associations between the skills and the group were analyzed using the X2 test and likelihood ratio. For all analyzes, the p value <0.05 was considered statistically significant. The interview was conducted with eight students of the eighth semester and analyzed according to the production Spink directions, substantiated by the literature. The results are in line with other realities found in other studies on nursing education in Mental Health and Psychiatry, in which fear and stigma are present, influencing the learning process of students. With regard to mental health skills, many are disabled, especially those that are basic to the formation of the nurse, as recognition of the guidelines of the Mental Health policy; apply Mental Health Nursing care in the family and community context; characterize mental disorders; acting at different levels of mental health care; and deal with the patient in a mental illness crisis. Also considered teaching, teaching, workload and field placements in mental health often insufficient. In this perspective, it is necessary to evaluate these skills that are failures, as well as other aspects of deconstruction of what is negative and construction of what is needed for the teaching process of teachers that permeate the subjects, perpetuating the idea that mental health is peculiar to all life cycles and cross the disciplines.
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Soar, Rod. ""Drugs on the mind" : dual diagnosis : the experience of mental health professionals." University of Ballarat, 2003. http://archimedes.ballarat.edu.au:8080/vital/access/HandleResolver/1959.17/15384.
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Recent publicity has focused on the problems created by the usage of illicit drugs in the community. The growing use of illicit drugs throughout the Grampians region and the lack of resources and professional services available to regional and rural areas raise many questions as to treatment options and the accessibility and appropriateness of drug and alcohol and mental health services. Despite the fact that mental health professionals in rural/regional areas are expected to deliver the most appropriate care to individuals with a comorbid drug and alcohol and psychiatric disorder, a number of these rural/regional mental health professionals have limited preparation and experience in dealing with dual diagnosis issues. This phenomenological study focuses on the area of dual diagnosis, specifically the experiences of health professionals who care for clients diagnosed with a serious mental illness and a coexisting drug and alcohol disorder. Results are described in the form of four themes, which emerged from data collected during in-depth interviews with 13 mental health professionals who care for clients with a dual diagnosis. The themes captured in this research will be described using metaphors as headings. The first theme Sink or swim represents mental health professionals’ initial preparation to care for this group of complex clientele. Treading water symbolises mental health professionals’ endeavours to keep their head above water and reflects on their feelings while endeavouring to do so. Rowing against the tide describes mental health professionals’ understanding of clients’ drug misuse, which impacts greatly on the level of care.Master of Nursing
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Strömberg, Gunvor. "Serious mental illness : early detection and intervention by the primary health service. /." Umeå : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-312.
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Nolen, Judith Ellen 1945. "The essential structure of the lived experience of smokers hospitalized on a tobacco-free psychiatric unit." Thesis, The University of Arizona, 1999. http://hdl.handle.net/10150/291794.
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The purpose of this study was to explore the lived experience of smokers hospitalized on a tobacco free psychiatric unit through the research methodology of phenomenology. The sample consisted of 3 participants: a 44 year old Caucasian female, a 36 year old Caucasian male, and a 38 year old Caucasian female. Interviews were audiotaped and analyzed using an adaptation of Colaizzi's eight-step procedure. Results included these Theme Categories: The Psychological Experience of Smoking Abstinence; The Physiological Experience of Smoking Abstinence; The Socio-Cultural Experience of Smoking and Its Abstinence; Spiritual Aspects of Smoking; How Do I Deal with Smoking Abstinence?; What about Smoking Cessation?; and Persisting Perceptions of a Tobacco Free Psychiatric Hospitalization. The essential structure of the lived experience of smokers hospitalized on a tobacco free psychiatric unit was formulated from the data.
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Onyekwe, Rose Cordelia E. "Impact and Prevention of Psychiatric Polypharmacy in the Elderly." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1387.
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Adequate medication management is a focus of effective care that is often overlooked in caring for adults with comorbid psychiatric and physical conditions, especially in patients who are treated by multiple care providers and have a variety of health issues at the same time. The purpose of this project was to develop evidence-based policies and practice guidelines to reduce polypharmacy in elderly patients in a rural outpatient psychiatric clinic. Bandura's self-efficacy theory was used to inform the project for its value in assessing motivation, capacity for self-regulation, and perceptions of individual ability. An interdisciplinary team of stakeholders explored best practices for electronic health records (EHR) in a rural mental health facility, created policy and practice guidelines, and developed implementation and evaluation plans to guide the initiative as it moves forward. The team included physicians, psychiatrists, psychologists, nurse practitioners, nursing support staff, social workers, and substance abuse counselors. The team explored approaches for implementing EHR-based medication management based on research in the current literature and goals/objectives of each department. Team members identified major issues and proposed guideline changes based on evidence in their own fields. The team then collaborated to develop policies and practice guidelines in a series of meetings designed to build consensus for supporting a unified set of products to be accepted by all departments. The resulting policies and practice guidelines are accompanied by plans for implementation and evaluation that provide the institution with a comprehensive solution to polypharmacy in elderly patients. This project may improve overall quality of care by reducing medication and preventing health complications related to polypharmacy.
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Rice, Judy A. "The Great Masquerade: Medical Conditions that Mimic Mental Illness." Digital Commons @ East Tennessee State University, 2001. https://dc.etsu.edu/etsu-works/7611.
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Wilson, Sarah M. "Examining the Relationship Between Medical Concerns and Overall Mental Health Rating." TopSCHOLAR®, 2017. http://digitalcommons.wku.edu/theses/1968.
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It is widely supported that there are significant, positive relationships between the occurrence of some mental health symptoms and physical illnesses. Research indicates that the burden experienced by those with a physical and mental illness are magnified compared to individuals who do not experience an illness. More specifically, one of the burdens experienced by individuals is the monetary burden of affording the necessary health services to properly manage their illness.
This study attempts to reveal a difference between mental health symptom count for individuals who do and do not experience difficulty affording health care for their physical problems. The first hypothesis states that the indication of medical problems will be associated with greater mental health symptoms. The second hypothesis states that the relationship between medical concerns and mental health symptoms will be moderated by difficulty affording health services. Lastly, the third hypothesis states that the indication of unhealthy behaviors, such as smoking and irregular exercise, will be associated with greater mental health symptoms. All data used in this study is archived data that was gathered by the Institute for Rural Health’s Mobile Health Units during free community health fairs from September 2012 to February 2014.
The first hypothesis was supported because the incidence rate of mental health symptom count was increased with the presence of some physical problems. These findings supported previous research that indicated that the presence of physical illness increases the chance of developing a mental illness. The study results revealed that the second hypothesis was not supported since difficulty affording health services did not have a significant effect on the relationship between indicated physical illnesses and mental health symptom count. Previous research reports that there is monetary burden for individuals who experience a physical or mental illness when accessing appropriate health services. This research aimed to explore if that burden would significantly affect the relationship of those illnesses. Lastly, the third hypothesis was supported because mental health symptom count incidence rate was found to increase for individuals partaking in negative health behaviors, such as smoking, and decrease for individuals partaking in positive health behaviors, such as exercising.
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Rice, Judy A. "Behind the Rage: the Neurobiology of Impulsive Aggression." Digital Commons @ East Tennessee State University, 2003. https://dc.etsu.edu/etsu-works/7615.
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Murtagh, Lynley. "The impacts of working with people experiencing suicidal ideation : mental health nurses describe their experience : a thesis submitted to the Victoria University of Wellington in partial fulfilment of the requirements for the degree of Master of Arts (Applied) in Nursing /." Researcharchive @Victoria, 2008. http://hdl.handle.net/10063/881.
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Ortiz, Marie Elois. "Educational Interventions to Improve Aggressive Behavior Recognition for an Acute Psychiatric Setting." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4550.
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Nurses working in an acute psychiatric setting within a veterans' administration hospital must maintain a therapeutic milieu by recognizing and managing aggressive behaviors before violence ensues to reduce injuries to staff nurses and patients. The purpose of this project was to develop an evidence-based and theoretically grounded educational program that will help staff nurses manage escalating aggression, violence, and acting out behaviors to provide a safe environment for patients and staff through high risk identifier recognition and intervention training. During the data and information gathering stage, 23 articles were reviewed, rated, and graded to provide the most significant information used to complete the project. The project is a workshop made up of a 6-module curriculum that will be used to train staff nurses. This workshop will be shared with the partnering organization including the recommendation that it is adopted and implemented at a later date. The educational training program will have the potential to become a practice standard for other acute psychiatric settings within the Veterans Integrated Service Network to provide a tool that will assist the nurses as they care for the patient and maintain safety. Social change will occur through the empowerment of nurses who interact with veterans to bring them better and safer care.
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Prince, Anne Patricia. "Practice nurses educational needs in mental health : a descriptive exploratory survey : a thesis submitted to the Victoria University of Wellington in fulfilment of the requirements for the degree of Master of Arts (Applied) in Nursing /." ResearchArchive@Victoria e-thesis, 2009. http://hdl.handle.net/10063/1029.
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Lombo, Nocawa Philomina. "Mental health care practitioners' perceptions of mental illness within the isiXhosa cultural context." Thesis, Nelson Mandela Metropolitan University, 2010. http://hdl.handle.net/10948/1179.
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This study sought to explore the perceptions of mental health care practitioners’ perceptions on mental illness within the isiXhosa cultural context. A qualitative exploratory descriptive and contextual design was used for the study. A non-probability purposive sampling method was used to select eight participants from Komani Hospital in Queenstown. Data was collected through semi-structured interviews. The services of an Independent Interviewer were used to avoid any bias as interviews took place where the researcher is employed. All interviews were transcribed verbatim and the data collected was analyzed according to Tesch’s eight steps of data analysis as described in Cresswell (1994:155). The researcher utilized services of an Independent Coder who verified the identified major themes. Four major themes emerged from the analysis of the interview: Mental health care practitioner’s perceptions of mental illness, perception of the causes of mental illness within the isiXhosa cultural context, mental health care practitioners’ views in the management and treatment of mental illness and suggestions put forward to improve the services to mental health care users. The major findings of this study were the lack of knowledge of culture of mental health care users. It is recommended that it would be proper if there could be co-operation between mental health care practitioners and traditional healers by working together as a team.
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Cassola, Talita Portella. "Quedas em pacientes psiquiátricos : uma revisão integrativa." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2017. http://hdl.handle.net/10183/159509.
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As quedas são consideradas, mundialmente, um problema de saúde pública. É a segunda causa de mortes por lesões acidentais ou intencionais em todo o mundo, atrás apenas de acidentes de trânsito. As quedas também se tornaram preocupação para instituições hospitalares, sendo elas consideradas um indicador de qualidade da assistência. Entre as unidades hospitalares, destacam-se as unidades psiquiátricas com a maior prevalência do evento quedas, em função da vulnerabilidade dos pacientes em sofrimento psíquico. Frente a isso, o presente estudo objetiva caracterizar a produção científica nacional e internacional em saúde sobre o evento quedas em pacientes psiquiátricos adultos. Trata-se de uma revisão integrativa, que utilizou os pressupostos teórico-metodológicos de Whittemore (2005). Para coleta de dados foram utilizados os descritores acidentes por quedas, saúde mental, psiquiatria, enfermagem psiquiátrica e enfermagem, nas seguintes bases pesquisadas: Lilacs, MedLine, PubMed, Cinahl e Embase. Os critérios de inclusão dos artigos foram: estar indexados nas bases de dados, estudos direcionados a sujeitos adultos, nos idiomas português, inglês e espanhol, além de estarem disponíveis integralmente e de forma gratuita. Também se considerou ter resultados satisfatórios conforme aplicação do instrumento de controle de qualidade e níveis adequados na Classificação Hierárquica de Evidências, em níveis médio e forte. Totalizou-se uma amostra de 57 artigos. Para melhor compreensão, os resultados foram discutidos em três categorias, sendo elas: 1) Fatores de risco em pacientes psiquiátricos; 2) Mecanismos e instrumentos para avaliar as quedas em pacientes psiquiátricos e 3) Intervenções relacionadas à prevenção de quedas. Em um momento em que se discute a melhora das condições de segurança dos pacientes, trazer elementos para problematizar as quedas na unidade de internação psiquiátrica constitui-se um dos retornos necessários para promover a integração entre a pesquisa e a assistência, de forma a conduzir uma efetiva prática focada em evidências.Globally, falls are a major public health problem. They are the second leading cause of accidental or unintentional injury deaths worldwide after road traffic injuries. Falls become a preoccupation for hospital institutions, since it is considered an indicator of quality of care. Among the hospital units, the psychiatric units have the highest prevalence of the event fall along with the vulnerability of the patients in psychological distress. Against this background the present study aims to character the national and international scientific production in health on the event falls in adult psychiatric patients. This is an integrative review with theoretical- methodological assumptions Whittemore's (2005). For data collection, the descriptors Accidental falls; Mental health; Psychiatric; Psychiatric nursing; Nursing in the following databases: Lilacs, MedLine, PubMed, Cinahl and Embase. The inclusion criteria of the articles were: to be indexed in the databases, studies directed to adult subjects, Portuguese, English and Spanish languages, to be available in free full-text articles. It was also considered to have satisfactory results according to the Hierarchical Classification of Evidence in Medium and Strong. It was totaled in 57 articles. For better understanding, the results were discussed in three subcategories: 1) Risk factors in psychiatric patients; 2) Mechanisms and instruments to evaluate falls in psychiatric patients; 3) Interventions related to falls prevention. While the improvement of the patient's safety conditions is debated, bringing elements to discuss the falls in the unit of psychiatric hospitalization is one of the necessary returns to promote the integration between the research and the assistance. In order to conduct an effective practice focused on evidence.
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Addison, Victoria Nola. "The use of repertory grids to explore nursing staff's construal of adult service users admitted to a psychiatric inpatient ward." Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/the-use-of-repertory-grids-to-explore-nursing-staffs-construal-of-adult-service-users-admitted-to-a-psychiatric-inpatient-ward(c25a0605-d578-46a8-99ea-013af6bdb1fa).html.
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Acute inpatient mental health nursing staff provide mental health care for individuals when they are most vulnerable and unwell. The therapeutic relationship can facilitate positive changes and recovery for individuals. Therefore, understanding nursing staff’s attitudes is paramount. In this thesis, the attitudes of nursing staff towards those experiencing mental health difficulties was explored. In the systematic review, the attitudes of European nursing staff supporting those experiencing severe mental health difficulties were synthesised and evaluated. A total of 14 cross-sectional studies met the inclusion criteria. The review identified that the role of personal experiences of mental health difficulties through friends or family members was shown to elicit more positive attitudes. Overall attitudes amongst nursing staff were varied, and factors that influenced these attitudes were less clear and consistent. The limitation of using cross-sectional questionnaires to explore attitudes was also discussed. Moreover, recommendations regarding further research priorities as well as clinical implications were identified. Nursing staff’s attitudes towards adults who were either ‘informal’ voluntary clients or those who had been admitted under the Mental Health Act (1983) to an inpatient ward were explored in the empirical paper. The attitudes of nursing staff have the potential to impact on the development of therapeutic relationships and therefore upon treatment outcomes. Repertory grid interviews were completed with twelve nursing staff. All staff made critical judgements about some of their clients; however, staff who used more dimensions to construe clients made less clear distinctions between clients and non-clients. The findings highlight the need for support mechanisms that enable staff to formulate clients’ difficulties and explore the complexity of interactions. The implications of these results are discussed, as well as future research directions. The final paper consists of a critical reflection of the research and the research process. This includes an evaluation of the decision making processes and discussion of the strengths and weaknesses of this research.
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Clark, Kathleen. "The Aftermath of Violence: The Lived Experience Phenomena of Assault in Nursing." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/1842.
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Despite the high incidence of violence directed at registered nurses while on duty, there is limited qualitative data that explores the lived experience of returning to the workplace after an assaultive incident. This phenomenological study sought to explore and analyze the phenomena of registered nurses who are employed in high-risk settings. The research questions considered the detailed descriptions of the experiences of nurses returning to the workplace. The conceptual framework was resiliency, as these participants continued to survive and thrive after the adverse assaultive events. Data were collected using in-depth interviews from purposeful sampling. Registered nurses working in the high risk areas of inpatient psychiatry and emergency departments provided detailed descriptions about the phenomena. Data management was an inductive, iterative analysis completed and facilitated by the use of NVivo 10 software program. The study found that participants had a brief emotional response post assault mitigated by the community of nursing personal from their immediate surroundings and that assault is "part of the job." Providing a true culture of safety would include enhancements to the internal community of bedside nursing practice. In addition, research is needed on interventions that can effectively enhance the internal community after assault by patients. This study contributes to positive social change by providing registered nurses, an oppressed group, and a "voice" to mitigate negative consequences associated with assault in the hospital setting.
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Maftum, Mariluci Alves. ""O ensino de enfermagem em saúde mental e psiquiátrica no Paraná"." Universidade de São Paulo, 2004. http://www.teses.usp.br/teses/disponiveis/83/83131/tde-28102004-101305/.
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Trata-se de pesquisa qualitativa exploratória e descritiva, cujo objetivo foi conhecer como acontece o ensino de enfermagem em saúde mental e psiquiátrica nos cursos de graduação em enfermagem do Paraná. Estudos de enfermeiros e outros profissionais que focalizaram o ensino de enfermagem e enfermagem em saúde mental e psiquiátrica e o processo da Reforma Psiquiátrica no Brasil, eis a sustentação teórica dessa pesquisa que envolveu 23 cursos de graduação em enfermagem de 19 instituições de ensino superior do Estado segundo informações do Ministério da Educação em setembro de 2002 e que concordaram em participar, independentemente do caráter institucional, público, privado ou filantrópico e do tempo de criação dos cursos. Os sujeitos foram 19 docentes da disciplina da área. Constatou-se que, no momento atual, os currículos estão sendo discutidos e reorganizados em função da nova Lei de Diretrizes e Bases da Educação e Diretrizes Curriculares para os cursos de graduação em enfermagem. O ensino da área da saúde mental e psiquiátrica, além de estar sendo influenciado pela legislação federal do ensino, pauta-se também pela atual Reforma Psiquiátrica. Os docentes reconhecem que a Reforma Psiquiátrica é necessária e passível de ser implantada. Vêem a necessidade premente de re-significar os conceitos de saúde e doença mental e propor formas alternativas de tratamento à pessoa com sofrimento mental que não tenham o foco principal na hospitalização, mas valorizem o potencial sadio de cada um, visando à prevenção e promoção da saúde e resgate da cidadania pela ressocialização dessas pessoas. Eles externaram descontentamento com o descompasso e a morosidade na efetiva implantação do Programa de Saúde Mental Estadual e dos seus municípios, o que acarreta entraves nas transformações da formação dos enfermeiros que vão atuar na área, devido à escassez ou até à inexistência de serviços em sistema de rede para a realização da prática do futuro profissional.It is a descriptive exploratory research, qualitative in nature, aiming to unveil nursing teaching of mental and psychiatric health in nursing graduation courses in Paraná State/Brazil. It is grounded on nurses studies and other professionals who focused on nursing teaching and mental and psychiatric health as well as on the Process for Psychiatric Reform in Brazil. The investigation took up 23 nursing graduation courses from 19 superior level schools, according to data by the Ministry of Education from September/2002 which agreed to participate, disregarding their institutional status, public, private, philanthropic, or the time such courses have been set up. Nineteen (19) teachers of this area were the subjects. It was evidenced that, nowadays, curricula have been discussed and reorganized due to the new Law of Guidelines and Grounds for Education and Curricula Guidelines for nursing graduation courses. Teaching in the area of mental and psychiatric health has been influenced by the federal legislation of teaching as well as the current Psychiatric Reform. Teachers recognize that the Psychiatric Reform is necessary and should be implemented. They realize the urgent need to redefine concepts of mental health and mental disease and come up with alternative forms of treatment for the individual undergoing psychic suffering, which are not only focused on hospitalization but also value each individuals healthy potential, objectifying prevention and health promotion and rescue citizenship through individuals re-socialization. Faculty members manifested their dissatisfaction with the contradicting and slow pace to effect the implementation of the State Mental Health Program for its municipalities. Such delay hinders the necessary changes to educate nurses for the area due to the lack or inexistence of services under a network system in order to carry out the training of future professionals.
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Wennström, Erik. "The Camberwell assessment of need as an outcome measure in community mental health care /." Uppsala : Acta Universitatis Upsaliensis : Universitetsbiblioteket [distributör], 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-8439.
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Caro, Marisa. "The health related hardiness level of battered women residing at shelters." FIU Digital Commons, 1996. http://digitalcommons.fiu.edu/etd/2050.
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The purpose of this study was to investigate the Hardiness level of battered women residing at a South Florida shelter and to investigate if there was a major difference in the hardiness level of women who were first time in a shelter as opposed to those who had been previously in shelters. Using a descriptive design, the Health-Related Hardiness Scale was given to 50 battered women residing at a shelter. The results confirmed our hypothesis that proposed that hardier women would leave their abusive environment. The total hardiness of these women was (M= 148.86 SD= 22.64). Furthermore, no major differences were found among the two groups, the total hardiness for the women who been in shelters before was (M=150.17 SD= 26.06) and for those who were first time users was (M=148.45 SD= 21.81). The results provide a baseline to begin to understand the role that hardiness play in the lives of battered women. These findings and future studies may have implications for breaking the cycle of domestic violence.
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Skeie, Viktoria. "Patienters upplevelser av stigmatisering vid psykisk sjukdom : En litteraturöversikt." Thesis, Högskolan Väst, Avdelningen för omvårdnad - grundnivå, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-13799.
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Background: Studies have shown that patients suffering from mental illness often feel that they are less well treated in health care than patients who do not suffer from a mental illness. What causes this is that patients with mental illness often become subject to stigmatization in healthcare in general. Aim: The aim of this study was to illuminate the experience of stigmatization in the healthcare encounter between nursing staff and patients with a mental illness. Method: Six qualitative and one quantitative article were analyzed to create a literature review. Results: Through the analysis two main-themes and seven sub-themes were identified. The two main-themes were: The feeling of powerlessness and The feeling of deviating. The seven sub-themes were: Not to be taken seriously, Not to be considered to have a real illness, Being malpracticed, Getting a worse response, To live with the fear of being labeled, To be identified with the diagnosis and To repress symptoms. Conclusions: Patients find that they are not taken seriously regarding their mental or physical problems and that they do not receive care on the same terms as patients without a psychiatric diagnosis. Healthcare professionals need better knowledge about experiences of stigmatization, in order to establish a better relationship between patient and nursing staff and to strengthen the patients' self-esteem.Alla patienter ska få ett lika gott bemötande i mötet med vården oavsett vilken sjukdom de lider av. Idag finns det fortfarande många fördomar och en utbredd brist på kunskap gällande psykisk sjukdom, vilket leder till att patienter många gånger blir föremål för stigmatisering från hälso- och sjukvårdspersonal och genom detta får ett sämre bemötande än patienter som inte lider av psykisk sjukdom. Sjuksköterskan har en viktig roll när det gäller att få patienten att känna sig trygg och utifrån detta kunna skapa en förtroendefull relation med patienten där hen kan känna tillit. Detta för att kunna ge bästa möjliga omvårdnad. När patienten på grund av stigmatisering mister detta förtroende för vården minskar möjligheten för tillfrisknande och till att leva ett, för patienten, optimalt liv med en god upplevelse av hälsa. Syftet med det här examensarbetet var därför att belysa upplevelsen av stigmatisering i mötet med hälso- och sjukvården hos patienter med en psykisk sjukdom. I resultatet har sju vetenskapliga artiklar, sex kvalitativa och en kvantitativ, analyserats. Artiklarna som valdes till resultatet skulle utgå från ett patientperspektiv och därför exkluderades artiklar som belyste närståendes eller vårdpersonals upplevelser. Artiklarna granskades och analyserades med hjälp av Fribergs (2017) analysmetod för litteraturöversikt som syftar till att belysa likheter och skillnader i inkluderade artiklar. Resultatet visar att patienterna ofta känner att de inte blir tagna på allvar och att de inte bemöts på samma villkor som patienter utan en psykiatrisk diagnos. De känner sig även många gånger avvisade när de söker vård genom att de inte blir trodda eller att de upplevs som besvärliga. I tillägg till detta kämpar många patienter med sina egna fördomar kring psykisk sjukdom som får konsekvenser i deras dagliga liv och i mötet med vården. Sjuksköterskor behöver få kunskap om hur de ska bemöta dessa patienter på ett professionellt vis. Stigmatisering, det vill säga olika typer av fördomar kring psykisk sjukdom som får en negativ effekt för dessa patienter, bör lyftas fram och synliggöras inom såväl sjuksköterskeutbildningen som i det kliniska arbetat ute på sjukhus, primärvård och kommunal vård. Det är även viktigt att öka omvårdnadspersonalens kunskaper gällande patienternas upplevelser av stigmatisering, för att kunna arbeta för en bättre relation mellan patient och omvårdnadspersonal samt arbeta för att stärka patientens självkänsla vilket i sin tur kan leda till en bättre återhämtning och livskvalitet.
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Castro, Sueli Aparecida de. "Caracterização sociodemográfica e clínica das reinternações psiquiátricas no Hospital Santa Tereza de Ribeirão Preto, no período de 2006 a 2007." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/22/22131/tde-14092009-161137/.
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Introdução: A Lei nº. 10.216 redireciona o modelo assistencial em saúde mental, enfatizando a convivência comunitária e a atenção extra-hospitalar para portadores de distúrbio mental. No entanto, o Brasil enfrenta um grande desafio na consolidação da reforma psiquiátrica, a qual difunde-se nos discursos, porém as ações de implementação não acontecem na mesma proporção. Constata-se em Ribeirão Preto, o número insuficiente de serviços comunitários, além da fragilidade dos vínculos de integração do usuário com estes serviços. Esses fatos acabam refletindo nas taxas de internações e reinternações psiquiátricas. Objetivos: Identificar o perfil sociodemográfico e as condições clínicas das reinternações psiquiátricas no período de janeiro de 2006 a dezembro de 2007 no Hospital Santa Tereza, buscando-se associação entre estas variáveis. Metodologia: Para a coleta dos dados foi criado um instrumento \"Levantamento de reinternações psiquiátricas; em seguida foram examinados os prontuários de reinternações, utilizando-se o relatório anual de movimentação dos pacientes. Foi construído um banco de dados com todas as variáveis presentes no instrumento de coleta de dados. Resultados e discussão: Dos 2.025 prontuários encontrou-se 681 pacientes reinternados, sendo a maioria proveniente da DRS XIII, branca, entre 40 e 49 anos, masculino, solteiros e nível fundamental incompleto. A maioria das reinternações foi motivada pelo abandono do tratamento isolada ou associada a outras causas e com internações anteriores de 1 a 4 vezes, em outros hospitais psiquiátricos. Os diagnósticos prevalentes foram esquizofrenia, transtorno afetivo bipolar, transtornos mentais e comportamentais devido ao uso de álcool, transtornos específicos da personalidade. O estado físico foi bom, na admissão e na alta. Quanto ao estado mental observouse que 85% dos pacientes que entram calmos preservaram este estado. Os tratamentos predominantes foram o farmacológico e o psicológico. A idade do início da doença nos homens (32 anos) é maior do que as mulheres (18 anos) (P=0,0011). O tempo de permanência na internação hospitalar é maior para as mulheres do que para os homens, na faixa dos 40 aos 49 anos (T>t=0,032). Conclusões: Este estudo possibilitou conhecer as características sociodemográficas e clínicas dos pacientes reinternados no Hospital Santa Tereza de Ribeirão Preto. Confirmou-se que o fluxo de atendimento está de acordo com os princípios de regionalização e hierarquização preconizados pelo Sistema Único de Saúde. A proveniência da maioria das reinternações foi de Ribeirão Preto e a maior proporção dos pacientes já havia sido internada em outros hospitais psiquiátricos. Encontrou-se correlação positiva entre sexo e algumas variáveis, como idade, escolaridade, estado civil, motivo da internação, estado físico na admissão, internações anteriores em outros hospitais psiquiátricos, tipo de alta, tratamento durante a internação e estado físico na alta, bem como com a idade. O estado mental na alta correlacionou-se com a idade dos pacientes reinternados.Introduction: Law number 10.216 gives a new direction to the mental health care model, emphasizing on community living and extra-hospital care for people with mental disorders. However, Brazil is facing a great challenge to consolidate the psychiatric reform, which is broadly discussed, but effective actions do not follow the same rate. In Ribeirao Preto there are insufficient community services. As a consequence, there is an effect on psychiatric hospitalizations and rehospitalizations. Objectives: to identify the sociodemographic profile and the clinical conditions of psychiatric patients that were rehospitalized from January 2006 to December 2007 in the Santa Tereza Hospital, seeking an association between these variables. Methodology: the data was collected using a tool created specifically for this means, named \"A survey of psychiatric rehospitalizations\". Next, the records of patients who were hospitalized were analyzed according to the annual patient flow report. A data bank was created, comprising all the variables from the data collection instrument. Results and discussion: It was found that 681 of the 2,025 patient records referred to re-hospitalized patients, most of whom had been referred from the DRS XIII Regional Health Directory, were white, between 40 and 49 years old, male, single, and had incomplete primary education. Most rehospitalizations were due to the patients dropout exclusively or in association with other causes and with previous hospitalizations occurring between 1 and 4 times in other psychiatric hospitals. The prevalent diagnoses were: schizophrenia, bipolar affective psychosis, mental and behavior disorders due to the use of alcohol, and specific personality disorders. The patients physical condition was good at both admission and discharge. As for the patients mental condition, it was observed that 85% of the patients who enter calmly remain that way. The predominant treatments were pharmacological and psychological. The age of onset in men (32 years) is higher than that in women (18 years) (P=0.0011). The length of stay is higher among women compared to men, for the age range 40 to 49 years (T>t=0.032). Conclusions: This study made it possible to learn about the sociodemographic and clinical characteristics of patients who were rehospitalized in the Santa Tereza Hospital in Ribeirão Preto. It was confirmed that the service flow is in accordance with the principles of regionalization and hierarchization recommended by the Unified Health System. Most rehospitalized patients lived in Ribeirão Preto and most had already been hospitalized in other psychiatric hospitals. A positive correlation was found between gender and other variables, such as age, education level, marital status, reason for hospitalization, physical condition at admission, previous hospitalizations, type of discharge, treatment during hospitalization, and physical condition at discharge, as well as age. The patients mental condition at the moment of discharge was correlated with the age of rehospitalized patients.
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Magnusson, Annabella. "Home care of persons with long-term mental illness : nurses and mental health care workers' experiences of how changes in the organisation of psychiatric services have changed their work." Doctoral thesis, Stockholm, 2003. http://diss.kib.ki.se/2003/91-7349-638-3/.
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Rice, Judy A. "Dissociative Disorders." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/7608.
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Book Summary:This is the only advanced practice guide to provide an overview of the major DSM-5 disorders across the lifespan and complete clinical guidelines for their psychopharmacologic management. It has been compiled by expert practitioners in psychiatric care and is designed for use by nurse practitioners and other primary caregivers in clinical practice.
The guide is organized in an easy-to-access format with disorders for which drugs can play a significant therapeutic role. The listing for each disorder includes clinical features and symptoms, as well as information about the most current and effective drugs for management. A clearly formatted table identifies the first and second lines of drug therapy along with adjunctive therapies for each disorder. Drugs are organized according to classification, and each listing provides the essential information needed to safely prescribe and monitor a patient's response to a particular drug. Brand and generic names, drug class, customary dosage, side effects, drug interactions, pharmacokinetics, precautions, and management of special populations are addressed. Convenient, practical, and portable, this guide will be a welcome and frequently used resource.