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Journal articles on the topic 'Psychiatric nursing personnel management'

Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2022

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1

Munandar, Arif, and Shanti Wardaningsih. "Nursing Provision in Psychological Aspect Management of Natural Disaster." Jurnal Keperawatan 9, no. 2 (July 27, 2018): 72. http://dx.doi.org/10.22219/jk.v9i2.5311.

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Natural disasters are an event or series of events caused by natural phenomena such as earthquakes, tsunamis, volcanoes, floods, droughts, hurricanes and landslides, resulting in human casualties, environmental damage, property losses objects, and psychological effects. Therefore, the need for nurse preparedness is especially special on the psychological aspect aside from the physical aspect. Nurse personnel is the first milestone that will be sought by the people affected by disaster, because nurses as the front line in a health service has a responsibility and a big role in handling the patient's daily emergency and disaster strikes. To know nurse preparedness in psychological aspect in facing natural disaster. The writing of this journal uses a literature study approach from several sources selected based on the criteria set by the author. The research journal was obtained from several databases, namely PubMed and BioMedCentral (BMC) Psychiatry. In total, the literature review consists of 10 journals, 4 studies report effective outcomes including knowledge, skills, self-awareness, interest, intellectual, cooperation, and motivation need to be prepared to support disaster management, 5 research reports that nurses need to prepare themselves on the psychological aspect in the form of cognitive, intellectual, interest, attitude, clinical skills education and rescue comprehension with basic principles of psychosocial support. Last 1 study reported the result that the need for training for administrators on hospital management in disaster preparedness. The psychological aspect is very important that must be prepared by the nurse in facing natural disaster, thus preventing the occurrence of psychological impact (in the form of psychological disorders such as depression, anxiety and other mental disorders) either self-nurse or victim to be handled by natural disaster happen.

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2

Aini, Khusnul, and Mariyati Mariyati. "Pengalaman Perawat Unit Perawatan Intensif Psikiatri dalam Merawat Klien dengan Risiko Bunuh Diri." Jurnal Keperawatan Jiwa 8, no. 1 (February 11, 2020): 89. http://dx.doi.org/10.26714/jkj.8.1.2020.89-96.

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Pasien gangguan jiwa berat memiliki risiko bunuh diri sebesar 90%. Membutuhkan kesiapan tenaga kesehatan jiwa, khususnya perawat yang memiliki waktu paling banyak dengan pasien, untuk memberikan manajemen asuhan yang tangkas, cermat dan professional di ruang akut. Penelitian ini bertujuan untuk mengetahui pengalaman perawat unit perawatan intensif psikiatri dalam memberikan asuhan keperawatan pada pasien gangguan jiwa dengan risiko bunuh diri. Metode penelitian yang dilakukan adalah kualitatif dengan pendekatan fenomenologi dengan indepth interview pada 5 orang perawat di ruang Unit Perawatan Intensif Psikiatri (UPIP) RSJ dr. Amino Gondohutomo Semarang, pada bulan November-Desember 2018. Hasil penelitian ini menguraikan tentang pengalaman perawat unit perawatan intensif psikiatri dalam merawat pasien dengan risiko bunuh diri. Penelitian ini menghasilkan 5 tema, yaitu: 1)Persepsi terhadap fenomena bunuh diri pada pasien gangguan jiwa, 2)Intervensi krisis pada pasien dengan risiko bunuh diri 3)Motivasi yang diberikan pada pasien dengan risiko bunuh diri, 4)Melibatkan keluarga dalam perawatan pasien dengan risiko bunuh diri, 5)Kendala dalam merawat pasien dengan risiko bunuh diri. Dari hasil penelitian ini diharapkan dapat meningkatkan pelayanan keperawatan pada pasien dengan risiko bunuh diri di ruang unit perawatan intensif psikiatri. Kata kunci: perawat, unit perawatan intensif psikiatri, risiko bunuh diri THE EXPERIENCE OF PSYCHIATRIC INTENSIVE CARE UNIT NURSES FOR CARING CLIENTS WITH SUICIDE RISK ABSTRACTSevere mental patients have a suicide risk of 90%. Requires readiness of mental health personnel, especially nurses who have the most time with patients, to provide competent, careful and professional care management in the acute space.This study aims to determine experience of psychiatric intensive care unit nurses in providing nursing care to mental patients with suicide risk.The research method used qualitative with a phenomenological approach by conducting in-depth interviews of 5 nurses in the Psychiatric Intensive Care Unit (UPIP) at dr. Amino Gondohutomo hospital on November until December 2018. The results of this study described the experience of psychiatric intensive care nurses in caring patients at risk of suicide.The number of participants in this study were 5 nurses in psychiatric intensive care unit with 2 until 8 years experiences.This study resulted in five themes: 1) The perception of the phenomenon of suicide in patients with mental disorders, 2) Crisis intervention in patients at risk of suicide 3) Motivation given to patients at risk of suicide, 4) Involve the family in the care of patients withsuicide risk, 5) Constraints in treating patients at risk of suicide. From the results of this study are expected to improve nursing care in patients at risk of suicide in the psychiatric intensive care unit. Keywords: nurses, psychiatric intensive care unit, risk of suicide

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3

Auberry, Kathy, Katherine Wills, and Carrie Shaver. "Improving medication practices for persons with intellectual and developmental disability: Educating direct support staff using simulation, debriefing, and reflection." Journal of Intellectual Disabilities 23, no. 4 (October 3, 2017): 498–511. http://dx.doi.org/10.1177/1744629517731231.

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Direct support professionals (DSPs) are increasingly active in medication administration for people with intellectual and developmental disabilities, thus supplementing nursing and family caretakers. Providing workplace training for DSPs is often the duty of nursing personnel. This article presents empirical data and design suggestions for including simulations, debriefing, and written reflective practice during in-service training for DSPs in order to improve DSPs’ skills and confidence related to medication administration. Quantitative study results demonstrate that DSPs acknowledge that their skill level and confidence rose significantly after hands-on simulations. The skill-level effect was statistically significant for general medication management −4.5 ( p < 0.001) and gastrointestinal medication management −4.4 ( p < 0.001). Qualitative findings show a deep desire by DSPs to not just be “pill poppers” but to understand the medical processes, causalities, and consequences of their medication administration. On the basis of our results, the authors make recommendations regarding how to combine DSP workplace simulations and debriefing with written reflective practice in DSP continuing education.

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4

Goyal, Alka R., Sverre Bergh, Knut Engedal, Marit Kirkevold, and Øyvind Kirkevold. "321 - Association between quality of life and anxiety, depression, and comorbid anxiety and depression in people with dementia in nursing homes: A 12-month follow-up study." International Psychogeriatrics 32, S1 (October 2020): 79. http://dx.doi.org/10.1017/s1041610220002215.

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Background:Anxiety and depression are highly prevalent among people with dementia (PWD), and has many negative outcomes, such as increased behavioral problems, decreased ability to live independently, and increased risk of nursing home placement, which may affect the person’s quality of life (QoL). Many cross-sectional studies have investigated factors associated with QoL in PWD in nursing homes, but few longitudinal studies have investigated how anxiety and depression affect the course of QoL of PWD in nursing homes. This study aimed to explore the association between QoL and anxiety, depression, and comorbid anxiety and depression in PWD in nursing homes at a 12-month follow-up.Methods:In all, 298 PWD ≥ 65 years old from 17 Norwegian nursing homes were assessed with Norwegian version of the Rating Anxiety in Dementia scale (RAID-N). Anxiety was defined as RAID-N score ≥ 12. QoL was assessed by Quality of Life in Late-Stage Dementia (QUALID) scale. Depression was assessed by the Cornell scale of depression in dementia (CSDD), defined as CSDD score ≥ 10. The assessments were made at baseline and after a mean follow-up period of 350 days (SD 12.3). A growth mixture model revealed two distinct trajectories of QUALID scores. Participants’ characteristics and related risk factors associated to QUALID score trajectories were analyzed by logistic regression models.Results:In trajectory group 1 (206 participants), a lower proportion of participants had anxiety, and a more stable and better QoL, compared to trajectory group 2 (92 participants) with a higher proportion of participants with anxiety and poorer QoL at a 12-month follow-up. Participants with comorbid anxiety and depression had the worst QoL than the participants with only anxiety or only depression. Adjusted multivariate logistic regression analysis revealed that more severe impairment in activities of daily living, presence of anxiety, depression, agitation, and use of antipsychotics at baseline, were associated with belonging to the trajectory group with poor QoL.Conclusion:It is important among nursing home personnel to increase awareness of and skills in identifying anxiety and depression, and to initiate adequate management to enhance Qol of PWD in nursing homes.Note: The material was published in September 11, 2018 in Plos one.

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5

VILLEMAIRE, MARY, and CHARLOTTE LANE-MCGRAW. "Nursing Personnel Budgets." Nursing Management (Springhouse) 17, no. 11 (November 1986): 28???35. http://dx.doi.org/10.1097/00006247-198611000-00007.

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6

Hazelton, Mike. "Psychiatric personnel, risk management and the new institutionalism." Nursing Inquiry 6, no. 4 (December 1999): 224–30. http://dx.doi.org/10.1046/j.1440-1800.1999.00040.x.

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7

Samuelsson, M., M. Åsberg, and J. P. Gustavsson. "Attitudes of psychiatric nursing personnel towards patients who have attempted suicide." Acta Psychiatrica Scandinavica 95, no. 3 (March 1997): 222–30. http://dx.doi.org/10.1111/j.1600-0447.1997.tb09623.x.

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8

Spetz, Joanne. "Hospital Employment of Nursing Personnel." Journal of Nursing Administration 28, no. 3 (March 1998): 20–27. http://dx.doi.org/10.1097/00005110-199803000-00006.

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9

Spetz, Joanne. "Hospital Use of Nursing Personnel." JONA: The Journal of Nursing Administration 30, no. 7/8 (July 2000): 344–46. http://dx.doi.org/10.1097/00005110-200007000-00006.

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10

Puskar, Kathryn R., and Nancy L. Obus. "Management of the Psychiatric Emergency." Nurse Practitioner 14, no. 7 (July 1989): 9???26. http://dx.doi.org/10.1097/00006205-198907000-00004.

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11

Jaleel, Abdul, and R. Jeyadeepa. "Education to Nursing Personnel on Hospital Waste Management." International Journal of Nursing Education 6, no. 1 (2014): 24. http://dx.doi.org/10.5958/j.0974-9357.6.1.006.

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12

Gnanapragasam, Aruna, Dani Paul, Jeeva Sebastian, and Manoranjitham Sathiyaseelan. "Nursing management of patients with psychiatric emergencies." Indian Journal of Continuing Nursing Education 22, no. 1 (2021): 80. http://dx.doi.org/10.4103/ijcn.ijcn_40_21.

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13

Hurst, Keith, Wistow Gerald, and Ray Higgins. "Managing and leading psychiatric nursing." Nursing Management 7, no. 1 (April 1, 2000): 8–12. http://dx.doi.org/10.7748/nm.7.1.8.s9.

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14

De Groot, Holly A., Lynn Forsey, and Virginia S. Cleland. "The Nursing Practice Personnel Data Set." JONA: The Journal of Nursing Administration 22, no. 3 (March 1992): 23–28. http://dx.doi.org/10.1097/00005110-199203000-00010.

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15

Cericola, Sandra A. "Personnel Records. A Management Responsibility." Plastic Surgical Nursing 17, no. 1 (1997): 39–40. http://dx.doi.org/10.1097/00006527-199717010-00009.

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16

SAVAGE, P. "Psychiatric nurses attitudes towards nursing process." Journal of Nursing Management 1, no. 1 (January 1993): 19–24. http://dx.doi.org/10.1111/j.1365-2834.1993.tb00178.x.

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17

Johnson, Jeanne. "Psychiatric Nursing in a Crisis Center." Nursing Management (Springhouse) 17, no. 8 (August 1986): 81. http://dx.doi.org/10.1097/00006247-198608000-00030.

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18

Benson, Will D., and Leslie Briscoe. "Jumping the Hurdles of Mental Health Care Wearing Cement Shoes: Where Does the Inpatient Psychiatric Nurse Fit in?" Journal of the American Psychiatric Nurses Association 9, no. 4 (August 2003): 123–28. http://dx.doi.org/10.1016/s1078-3903(03)00160-5.

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Are inpatient psychiatric nurses stagnant in their practice? Delaney’s (2002) article on the topic might lead to the assumption that inpatient psychiatric nursing personnel have no foundation for practice. This article elaborates on the skills and knowledge that inpatient nurses have and the circumstances under which those skills are performed and knowledge applied. Although the ability to articulate a framework for practice varies, this is not equivalent to stagnation of practice or neglect of care. Based on their educational backgrounds, inpatient psychiatric nurses use various approaches and knowledge for care. Inpatient psychiatric nursing is relevant and dynamic.

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19

Alexander, Jeffrey A., Richard Lichtenstein, Hyun Joo Oh, and Esther Ullman. "A causal model of voluntary turnover among nursing personnel in long-term psychiatric settings." Research in Nursing & Health 21, no. 5 (October 1998): 415–27. http://dx.doi.org/10.1002/(sici)1098-240x(199810)21:5<415::aid-nur5>3.0.co;2-q.

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20

Herrick, Charlotte A., and Robin Bartlett. "PSYCHIATRIC NURSING CASE MANAGEMENT: PAST, PRESENT, AND FUTURE." Issues in Mental Health Nursing 25, no. 6 (January 2004): 589–602. http://dx.doi.org/10.1080/01612840490472129.

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21

Puskar, Kathryn R., Doris McAdam, Carla E. Burkhart-Morgan, Ray B. Isadore, Jonnie L. Grimenstein, Sherry Wilson, and Patricia Jarrett. "Psychiatric nursing management of medication-free psychotic patients." Archives of Psychiatric Nursing 4, no. 2 (April 1990): 78–86. http://dx.doi.org/10.1016/0883-9417(90)90013-b.

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22

Neidlinger, Susan H., Janet Bostrom, Anne Strieker, Janet Hild, and Jian Qing Zhang. "Incorporating Nursing Assistive Personnel Into a Nursing Professional Practice Model." JONA: The Journal of Nursing Administration 23, no. 3 (March 1993): 29–37. http://dx.doi.org/10.1097/00005110-199303000-00009.

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23

Laukkanen, Emilia, Lauri Kuosmanen, Olavi Louheranta, and Katri Vehviläinen‐Julkunen. "Psychiatric nursing managers' attitudes towards containment methods in psychiatric inpatient care." Journal of Nursing Management 28, no. 3 (April 2020): 699–709. http://dx.doi.org/10.1111/jonm.12986.

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24

O’Dell, Christine, Kathryn O’Hara, Sarah Kiel, and Kathleen McCullough. "Emergency Management of Seizures in the School Setting." Journal of School Nursing 23, no. 3 (June 2007): 158–65. http://dx.doi.org/10.1177/10598405070230030601.

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Effective seizure management in the school setting is a critical issue for students with seizures, as well as their parents, classmates, and school personnel. The unpredictable nature of seizures and the potential outcomes of experiencing a seizure in school are sources of anxiety for students with seizures. The ability to respond appropriately to a seizure is of concern to parents and school personnel. Implementation of a seizure emergency treatment plan empowers school personnel to quickly treat the child. Diazepam rectal gel is commonly used in seizure emergency treatment plans. It is safe and effective in terminating seizures and reduces the time to treatment and the need for emergency department visits when used in the school setting, and can be administered by medical and delegated to trained nonmedical personnel. School nurses should be aware of the laws and professional recommendations that pertain to rectal medication administration in schools for optimal emergency seizure management.

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25

MUNROE, DONNA J. "Commitment of I Part-Time Nursing I Personnel." Nursing Management (Springhouse) 19, no. 12 (December 1988): 55???61. http://dx.doi.org/10.1097/00006247-198812000-00012.

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26

Schreiber, Rita, and Esther Byrne-Coker. "Nursing Case Conferences on a Psychiatric Unit." Nursing Management (Springhouse) 22, no. 10 (October 1991): 102,120. http://dx.doi.org/10.1097/00006247-199110000-00022.

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27

Hurst, Keith, Gerald Wistow, and Ray Higgins. "Managing and leading psychiatric nursing Part 1." Nursing Management 6, no. 10 (March 1, 2000): 8–13. http://dx.doi.org/10.7748/nm.6.10.8.s8.

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Lees, Susan, and Nick Ellis. "The design of a stress-management programme for nursing personnel." Journal of Advanced Nursing 15, no. 8 (August 1990): 946–61. http://dx.doi.org/10.1111/j.1365-2648.1990.tb01951.x.

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29

Porche, Demetrius J. "Phlebotomy for Nurses and Nursing Personnel." Clinical Nurse Specialist 16, no. 2 (March 2002): 108. http://dx.doi.org/10.1097/00002800-200203000-00018.

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CLARK, ANGELA P., and J. CAROLE TAXIS. "Developing Ethical Competence in Nursing Personnel." Clinical Nurse Specialist 17, no. 5 (September 2003): 236–37. http://dx.doi.org/10.1097/00002800-200309000-00005.

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31

Handy, Jocelyn. "Stress and Contradiction in Psychiatric Nursing." Human Relations 44, no. 1 (January 1991): 39–53. http://dx.doi.org/10.1177/001872679104400103.

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32

Samuelsson, Mats, and Marie Åsberg. "Training program in suicide prevention for psychiatric nursing personnel enhance attitudes to attempted suicide patients." International Journal of Nursing Studies 39, no. 1 (January 2002): 115–21. http://dx.doi.org/10.1016/s0020-7489(00)00110-3.

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33

Chiu, Lyren. "Psychiatric Liaison Nursing in Taiwan." Clinical Nurse Specialist 13, no. 6 (November 1999): 311–14. http://dx.doi.org/10.1097/00002800-199911000-00017.

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34

POTTER, PATRICIA, TERESA DESHIELDS, and MARILEE KUHRIK. "Delegation practices between registered nurses and nursing assistive personnel." Journal of Nursing Management 18, no. 2 (March 2010): 157–65. http://dx.doi.org/10.1111/j.1365-2834.2010.01062.x.

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35

Maurin, Judith T. "Case Management: Caring for Psychiatric Clients." Journal of Psychosocial Nursing and Mental Health Services 28, no. 7 (July 1990): 6–9. http://dx.doi.org/10.3928/0279-3695-19900701-07.

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36

HARRIS, JAMES, and ELAINE GALLIEN. "Psychiatric Mental Health Nursing Specialist Process Evaluation Criteria." Nursing Management (Springhouse) 23, no. 2 (February 1992): 54–58. http://dx.doi.org/10.1097/00006247-199202000-00016.

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37

HURST, K. "Promotions and relegations in the psychiatric nursing league." Journal of Nursing Management 3, no. 1 (January 1995): 43–46. http://dx.doi.org/10.1111/j.1365-2834.1995.tb00065.x.

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38

Haynes, Chantille, and Joy Maddigan. "Collaborating to promote psychiatric mental health nursing research." Nursing Management (Springhouse) 50, no. 2 (February 2019): 34–40. http://dx.doi.org/10.1097/01.numa.0000552740.64201.0a.

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39

Gournay, Kevin. "The changing face of psychiatric nursing: Revisiting… Mental health nursing." Advances in Psychiatric Treatment 11, no. 1 (January 2005): 6–11. http://dx.doi.org/10.1192/apt.11.1.6.

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Psychiatric nursing has changed significantly since I wrote a similar article almost 10 years ago. Community psychiatric nurses now focus their attentions almost entirely on people with serious and enduring mental illnesses and undertake case management roles in community teams. Many nurses have now been trained in the use of psychosocial interventions and there have been particular advances in the training of nurses in medication management. In turn, prescribing by nurses has become a reality and this role will expand rapidly over the next few years. Unfortunately, the potential for nurses to deliver cognitive–behavioural therapy to those with common mental disorders has not been realised and it is unlikely that this situation will change. Psychiatric nursing roles have increased in the forensic system and nurses are now working with people with dangerous and severe personality disorders and within prison healthcare. The education and training of nurses has undergone a fundamental shift and nurses of the future are likely to be graduates. Here I discuss the implications of these changes.

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40

Simpson, Alan. "The impact of team processes on psychiatric case management." Journal of Advanced Nursing 60, no. 4 (November 2007): 409–18. http://dx.doi.org/10.1111/j.1365-2648.2007.04402.x.

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41

Sullivan, Dennis J., Shirley J. Carey, and Ninfa Saunders. "Identifying nursing personnel costs in a critical care unit." Nursing Administration Quarterly 13, no. 1 (1988): 45–53. http://dx.doi.org/10.1097/00006216-198801310-00009.

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42

Higa, Rosângela, and Maria Helena Baena de Moraes Lopes. "The impact of urinary incontinence on female nursing personnel." Revista Brasileira de Enfermagem 60, no. 2 (April 2007): 213–16. http://dx.doi.org/10.1590/s0034-71672007000200016.

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The prevalence of urinary incontinence (UI) was acessed, its interference in the performance of daily occupational activities and its management among the women's nurse staff of a medical school hospital in Campinas, São Paulo. Of the 291 employers, 27.5% reported UI complaint at least monthly. The activities that required greater effort increased the urinary loss, what resulted in stress, feeling embarrassed and lack of concentration at work. The use of pad was the most frequent strategy at management of UI and sometimes the task could not be interrupted to use the restroom. In conclusion, the activities that require more effort and the difficulty for an adequate management of the UI in workplace increase the problem and interfere on professional performance.

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43

Forcier, Katherine I. "Management and Care of Pregnant Psychiatric Patients." Journal of Psychosocial Nursing and Mental Health Services 28, no. 2 (February 1990): 11–16. http://dx.doi.org/10.3928/0279-3695-19900201-05.

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44

Jansen, Trine-Lise, Marit Helene Hem, Lars Johan Dambolt, and Ingrid Hanssen. "Moral distress in acute psychiatric nursing: Multifaceted dilemmas and demands." Nursing Ethics 27, no. 5 (October 20, 2019): 1315–26. http://dx.doi.org/10.1177/0969733019877526.

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Background In this article, the sources and features of moral distress as experienced by acute psychiatric care nurses are explored. Research design A qualitative design with 16 individual in-depth interviews was chosen. Braun and Clarke’s six analytic phases were used. Ethical considerations Approval was obtained from the Norwegian Social Science Data Services. Participation was confidential and voluntary. Findings Based on findings, a somewhat wider definition of moral distress is introduced where nurses experiencing being morally constrained, facing moral dilemmas or moral doubt are included. Coercive administration of medicines, coercion that might be avoided and resistance to the use of coercion are all morally stressful situations. Insufficient resources, mentally poorer patients and quicker discharges lead to superficial treatment. Few staff on evening shifts/weekends make nurses worry when follow-up of the most ill patients, often suicidal, in need of seclusion or with heightened risk of violence, must be done by untrained personnel. Provision of good care when exposed to violence is morally challenging. Feelings of inadequacy, being squeezed between ideals and clinical reality, and failing the patients create moral distress. Moral distress causes bad conscience and feelings of guilt, frustration, anger, sadness, inadequacy, mental tiredness, emotional numbness and being fragmented. Others feel emotionally ‘flat’, cold and empty, and develop high blood pressure and problems sleeping. Even so, some nurses find that moral stress hones their ethical awareness. Conclusion Moral distress in acute psychiatric care may be caused by multiple reasons and cause a variety of reactions. Multifaceted ethical dilemmas, incompatible demands and proximity to patients’ suffering make nurses exposed to moral distress. Moral distress may lead to reduced quality care, which again may lead to bad conscience and cause moral distress. It is particularly problematic if moral distress results in nurses distancing and disconnecting themselves from the patients and their inner selves.

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45

Hautala-Jylhä, Pirjo-Liisa. "Patient and Personnel Conceptions of the Patient-Nurse Relationship in Psychiatric Post-Ward Out-Patient Services." International Journal of Human Caring 11, no. 4 (June 2007): 24–32. http://dx.doi.org/10.20467/1091-5710.11.4.24.

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The aim of this study was to analyze and describe the conceptions of patients and personnel concerning the patient-nurse relationship in psychiatric post-ward out-patient services. Aphenomenographic approach was used. The four main categories were patient’s appearance, behavior, and nonverbal expression; empowering of the patient; characteristics of patient-nurse relationship; and setting and maintaining limits. Especially in psychiatric nursing, the significance of the patient-nurse relationship needs to be emphasized. In a successful and collaborative patient-nurse relationship, the patient learns to care for him/herself and to restore interest in taking care of him/herself and surviving in everyday life.

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46

Rovner, Barry W., Pearl S. German, Jeremy Broadhead, Richard K. Morriss, Larry J. Brant, Jane Blaustein, and Marshal F. Folstein. "The Prevalence and Management of Dementia and Other Psychiatric Disorders in Nursing Homes." International Psychogeriatrics 2, no. 1 (March 1990): 13–24. http://dx.doi.org/10.1017/s1041610290000266.

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The prevalence of psychiatric disorders among new admissions to nursing homes is unknown. Such data are needed to estimate the psychiatric needs of this population. We report the prevalence of specific psychiatric disorders in 454 consecutive new nursing home admissions who were evaluated by psychiatrists and diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders, third edition, revised. Eighty percent had a psychiatric disorder. The commonest were dementia syndromes (67.4%) and affective disorders (10%). Also, 40% of demented patients had additional psychiatric syndromes such as delusions or depression, and these patients constituted a distinct subgroup that predicted frequent use of restraints and neuroleptics, and the greatest consumption of nursing time. These data demonstrate that the majority of nursing home residents have psychiatric disorders on admission, and that their management is often quite restrictive. Research is now needed to determine the best methods of treatment for nursing home patients with mental disorders.

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47

FOCHSEN, GRETHE, KATARINA SJOGREN, MALIN JOSEPHSON, and MONICA LAGERSTROM. "Factors contributing to the decision to leave nursing care: a study among Swedish nursing personnel." Journal of Nursing Management 13, no. 4 (July 2005): 338–44. http://dx.doi.org/10.1111/j.1365-2934.2005.00546.x.

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48

Greenfield, Elisabeth. "The pivotal role of nursing personnel in burn care." Indian Journal of Plastic Surgery 43, S 01 (September 2010): S94—S100. http://dx.doi.org/10.1055/s-0039-1699466.

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ABSTRACTThe nurses play an important role in the overall management of a burn patient. They must be well versed with the various protocols available that can be used to rationally manage a given situation. The management not only involves medical care but also a psychological assessment of the victim and the family. The process uses a scientific method to combine systems theory with the art of nursing, entailing both problem solving techniques and a decision making process. It involves assessment of the patient to arrive at a diagnosis and then determining the patient goals. An action plan is implemented and is evaluated in the context of patient response. The article discusses many such scenarios in burn patients and outlines the nursing care plans.

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Alsyouf, Wafa S., Ayman M. Hamdan-Mansour, Shaher H. Hamaideh, and Khaled M. Alnadi. "Nurses’ and Patients’ Perceptions of the Quality of Psychiatric Nursing Care in Jordan." Research and Theory for Nursing Practice 32, no. 2 (June 2018): 226–38. http://dx.doi.org/10.1891/1541-6577.32.2.226.

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Background:The quality of care provided for patients in mental health-care facilities remains a challenge for health-care providers in general and for nurses in particular. Identifying the level of quality of care provided for patients in mental health-care facilities as perceived by nurses and patients may help health-care providers improve the quality of care and improve patients’ outcomes.Objectives:The purpose of the study was to assess the perceptions of nurses and patients of the quality of nursing care, and explore the differences in their perceptions of quality of care in mental health-care facilities in Jordan.Methods:A cross-sectional study was conducted using two convenience samples of 123 nurses and 150 patients. The nurses completed the Karen-personnel instrument, a self-administered questionnaire; One hundred and fifty patients from several mental health-care facilities in Jordan were interviewed using the Karen-patient instrument. The interviews were structured.Results:Sixty-four percent of nurses rated the quality of psychiatric nursing care as satisfactory, and 47.6% of patients perceived the quality of nursing care as satisfactory. Male nurses, who attended courses in mental health nursing, chose to work in a psychiatric unit, committed to work in the future in a psychiatric unit, and were providing indirect care have significantly higher perception of quality of psychiatric nursing care than their counterparts. Patients in military hospitals have significantly higher perception of quality of psychiatric nursing care than those in governmental ones (p< .05).Implications for Practice:To improve the quality of care in psychiatric units, patients and nurses need to be educated about the quality indicators set by Joint Commission international standards related to mental health-care facilities.

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Eren, Nurhan. "Nurses’ attitudes toward ethical issues in psychiatric inpatient settings." Nursing Ethics 21, no. 3 (October 3, 2013): 359–73. http://dx.doi.org/10.1177/0969733013500161.

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Background: Nursing is an occupation that deals with humans and relies upon human relationships. Nursing care, which is an important component of these relationships, involves protection, forbearance, attention, and worry. Objectives: The aim of this study is to evaluate the ethical beliefs of psychiatric nurses and ethical problems encountered. Research Design: The study design was descriptive and cross-sectional. Research context: Methods comprised of a questionnaire administered to psychiatric nurses (n = 202) from five psychiatric hospitals in Istanbul, Turkey, instruction in psychiatric nursing ethics, discussion of reported ethical problems by nursing focus groups, and analysis of questionnaires and reports by academicians with clinical experience. Participants: Participants consist of the nurses who volunteered to take part in the study from the five psychiatric hospitals (n = 202), which were selected with cluster sampling method. Ethical considerations: Written informed consent of each participant was taken prior to the study. Findings: The results indicated that nurses needed additional education in psychiatric ethics. Insufficient personnel, excessive workload, working conditions, lack of supervision, and in-service training were identified as leading to unethical behaviors. Ethical code or nursing care -related problems included (a) neglect, (b) rude/careless behavior, (c) disrespect of patient rights and human dignity, (d) bystander apathy, (e) lack of proper communication, (f) stigmatization, (g) authoritarian attitude/intimidation, (h) physical interventions during restraint, (i) manipulation by reactive emotions, (j) not asking for permission, (k) disrespect of privacy, (l) dishonesty or lack of clarity, (m) exposure to unhealthy physical conditions, and (n) violation of confidence. Discussion: The results indicate that ethical codes of nursing in psychiatric inpatient units are inadequate and standards of care are poor. Conclusion: In order to address those issues, large-scale research needs to be conducted in psychiatric nursing with a focus on case studies and criteria for evaluation of service, and competency and responsibility needs to be established in psychiatric nursing education and practice.

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