ABSTRACT
This exploratory study was conducted to determine the effects of use of dolls as a therapeutic intervention with geriatric inpatients. The sample included 115 patients, 29 of whom had an order for prn Haldol. Among patients who had previous negative behaviors, there was a lower average number of prn Haldol doses with those who had dolls. Recommendations for practice and future research are included.
Subject(s)
Haloperidol/therapeutic use , Mental Disorders/drug therapy , Play and Playthings , Aged , Female , Geriatric Psychiatry , Humans , Inpatients , Male , Middle AgedABSTRACT
The present exploratory study was designed to examine the relationship between resilience and job satisfaction in psychiatric nurses working in inpatient units in a large, urban medical centre. The long range goal was to understand the dimensions of job satisfaction in this inpatient environment in order to implement nurse retention programmes specifically targeted toward teaching nurses skills in developing resilience. The nurses (n = 32) reported a high level of resilience and high job satisfaction. The job satisfaction subscale of professional status had the highest mean rating among these nurses, and the physician-nurse interaction subscale had the lowest mean score. Implications for future practice and research are addressed.
Subject(s)
Job Satisfaction , Mental Disorders/nursing , Nursing Staff, Hospital/psychology , Personnel Turnover , Resilience, Psychological , Adult , Female , Health Care Surveys , Humans , Male , Middle Aged , Psychiatric Nursing , United StatesABSTRACT
Despite recent efforts to educate primary care providers in the identification and management of patients presenting with substance abuse problems, many opportunities to identify and intervene with these patients are overlooked. This project was designed to identify factors that interfere with rates of screening and brief intervention (SBI) of substance abuse problems in a primary care clinic in a major academic medical center in New York City. Six informants representing the disciplines of medicine, nursing, and social work in the primary care clinic provided information regarding SBI. Analysis was focused on substantiation of the need for enhanced diffusion of knowledge related to screening for substance abuse problems to improve rates of SBI in primary care. Recommendations for improvement included continued promotion of SBI by influential role models and opinion leaders, improvement in primary care providers' perceptions of the perceived characteristics of SBI to improve rates of adoption, implementation of interdisciplinary educational initiatives toward the goal of improving rates of SBI in the primary care clinic, and initiation of translational research at the clinic supporting SBI in primary care.
Subject(s)
Attitude of Health Personnel , Diffusion of Innovation , Mass Screening/organization & administration , Needs Assessment/organization & administration , Personnel, Hospital , Substance-Related Disorders , Adult , Aged , Female , Health Knowledge, Attitudes, Practice , Humans , Male , Middle Aged , New York City , Nursing Evaluation Research , Nursing Methodology Research , Nursing Theory , Personnel, Hospital/education , Personnel, Hospital/psychology , Primary Health Care/organization & administration , Substance Abuse Detection , Substance-Related Disorders/diagnosis , Substance-Related Disorders/therapy , Total Quality Management/organization & administrationABSTRACT
This article aims to increase access to care for patients with chronic hepatitis C who have medical and psychiatric comorbidities by reporting on a clinical advanced practice nursing comanagement model for evaluation, treatment, and follow-up care.
