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1.
Arch Psychiatr Nurs ; 49: 56-66, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38734456

RESUMEN

BACKGROUND: Psychiatric mental health nurse practitioners have rapidly adopted and implemented tele-mental health in their practice; however it is unclear how this modality of care affects the experiential quality of therapeutic alliance, simply defined as the interpersonal working bond between provider and patient. OBJECTIVE: This study is the first to explore how psychiatric mental health nurse practitioners experience therapeutic alliance while using tele-mental health. DESIGN: Husserlian phenomenological qualitative study. PARTICIPANTS: A purposive, convenience sample of 17 American psychiatric mental health nurse practitioners who engaged in tele-mental health care were recruited online and interviewed. METHODS: Phenomenological interview transcripts recorded and later thematically coded in the qualitative software MaxQDA. RESULTS: From 1426 individual codes, five major themes and 16 subthemes were discovered. Overall, themes illuminated that psychiatric mental health nurse practitioners could build therapeutic alliance over tele-mental health using inherent interpersonal skills that had to be adapted to the technology. Adaptions included working with patient environmental factors, individual patient considerations, provider ambivalence, and technological observation shifting awareness and communication patterns. CONCLUSIONS: When adapting for the tele-mental health environment, psychiatric mental health nurse practitioners experienced building and sustaining therapeutic alliance with most patients. Unparalleled aspects of tele-mental health allowed for a fuller clinical picture and logistical convenience to see patients more often with ease for both the provider and patient. However, experiential aspects of therapeutic alliance created during in-person care could not be replaced with tele-mental health. In conclusion, participants concluded that a hybrid care model would enhance therapeutic alliance for most patients.


Asunto(s)
Enfermeras Practicantes , Enfermería Psiquiátrica , Investigación Cualitativa , Telemedicina , Alianza Terapéutica , Humanos , Femenino , Masculino , Adulto , Persona de Mediana Edad , Trastornos Mentales/terapia , Trastornos Mentales/enfermería , Servicios de Salud Mental
2.
J Med Invest ; 71(1.2): 162-168, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38735714

RESUMEN

The "construction of a community-based comprehensive care system for mental disorders" has been promoted in Japan. However, nurses in psychiatric hospitals do not intervene with community resources and support networks in Japan. This study aimed to determine the care information required by home visit nurses from psychiatric hospital nurses. A qualitative descriptive research design was employed. Semi-structured interviews were conducted with nine psychiatric home-visiting nurses, and content analysis was performed to analyze the data. Findings revealed 319 narratives about the information that psychiatric home-visiting nurses seek from psychiatric hospital nurses, which were classified into six main categories. Information needed for home-visiting nurses to provide care includes the following : 1) to build trust with home-visiting service users, 2) to help home-visiting service users live according to their wishes, 3) to help home-visiting service users continue treatment in the community, 4) to perform symptom management, 5) to provide family care, and 6) to protect the safety of home visiting nurses during home visits. Nurses in psychiatric hospitals should communicate this information to nurses who provide psychiatric home care. This will improve the quality of continuing care for home care users and support their recovery in community living. J. Med. Invest. 71 : 162-168, February, 2024.


Asunto(s)
Hospitales Psiquiátricos , Humanos , Enfermería Psiquiátrica , Femenino , Adulto , Visita Domiciliaria , Servicios de Atención de Salud a Domicilio , Japón , Masculino , Actitud del Personal de Salud , Persona de Mediana Edad , Trastornos Mentales/terapia , Trastornos Mentales/enfermería
4.
Soins Psychiatr ; 45(352): 44-48, 2024.
Artículo en Francés | MEDLINE | ID: mdl-38719361

RESUMEN

The deployment of case management and advanced nursing practice is shaking up the roles of the various professionals on mental health teams, and the usual organization of care in psychiatry. These changes can be perceived as either positive or worrying, depending on each individual's role and position. For the past 3 years, the mobile teams of the Centre rive gauche cluster at Le Vinatier hospital have been organized according to the principles of Flexible Assertive Community Treatment, and include an advanced practice nurse (APN) on their staff. The roles of the case manager and the APN have been rethought. A number of measures have facilitated the implementation of these new functions.


Asunto(s)
Enfermería de Práctica Avanzada , Enfermería Psiquiátrica , Humanos , Francia , Rol de la Enfermera/psicología , Trastornos Mentales/enfermería , Comunicación Interdisciplinaria , Gestores de Casos/psicología , Grupo de Atención al Paciente
5.
Nurse Pract ; 49(5): 41-47, 2024 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-38662496

RESUMEN

BACKGROUND: Serious mental illness (SMI) is more common among adults in correctional settings than in the general population. No standard exists for SMI screening across correctional settings; SMI therefore often goes undetected in these facilities. Placing individuals with unidentified SMI who are incarcerated in general population cells increases their risk for self-harming behaviors, suicide, and for being victims or perpetrators of exploitation and violence. METHODS: This article describes a quantitative, descriptive study conducted to evaluate the use of the Brief Jail Mental Health Screen (BJMHS) tool to screen for possible SMI among individuals in a jail setting. RESULTS: A total of 89 individuals who were incarcerated in one jail setting were screened either with the facility's internally developed standard medical questionnaire (SMQ) or with the BJMHS. Findings showed that 28% screened positive for possible SMI using the BJMHS as compared with only 3% using the SMQ. CONCLUSION: The BJMHS flagged a higher number of possible instances of SMI than the jail's SMQ, potentially signifying its screening superiority. Identification of SMI leads to better care for individuals who are incarcerated, and it increases safety for the individual with SMI, the greater jail population, and jail staff. Findings from this study were shared with system leadership, which has replaced other screening tools with the BJMHS in at least 250 correctional facilities throughout the US.


Asunto(s)
Instalaciones Correccionales , Tamizaje Masivo , Trastornos Mentales , Prisioneros , Humanos , Trastornos Mentales/diagnóstico , Trastornos Mentales/epidemiología , Trastornos Mentales/enfermería , Adulto , Masculino , Femenino , Prisioneros/estadística & datos numéricos , Encuestas y Cuestionarios , Persona de Mediana Edad , Prisiones
6.
J Emerg Nurs ; 50(3): 342-353, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38597852

RESUMEN

INTRODUCTION: The national pediatric mental and behavioral health crisis dramatically increased emergency department mental and behavioral health visits and changed emergency nursing practice. Acuity assessment determines patient severity level and supports appropriate resources and interventions. There are no established nursing tools that assess pediatric mental or behavioral health acuity in the emergency department setting. Our goal was to develop and implement the novel pediatric emergency nurse Emergency Behavioral Health Acuity Assessment Tool. METHODS: This quality-improvement project used the plan, do, study, act model to design/refine the Emergency Behavioral Health Acuity Assessment Tool and a non-experimental descriptive design to assess outcomes. The setting was a 47-bed urban level 1 pediatric trauma center with more than 60,000 annual visits. The team designed the tool using published evidence, emergency nurse feedback, and expert opinion. The tool objectively captured patient acuity and suggested acuity-specific nursing interventions. Project outcomes included acuity, length-of-stay, restraint use, and patient/staff injuries. Analyses included descriptive statistics and correlations. RESULTS: With over 3000 annual mental/behavioral-related visits, the emergency department had an average daily census of 23 mental and behavioral health patients. Implementation occurred in August 2021. The Emergency Behavioral Health Acuity Assessment Tool dashboard provided the number of patients, patient location, and acuity. Length-of-stay did not change; however, patient restraint use and patient/staff injuries declined. Number of restraints positively correlated with moderate acuity levels (r = 0.472, P = 0.036). DISCUSSION: For emergency nurses, the Emergency Behavioral Health Acuity Assessment Tool provided an objective measure of patient acuity. Targeted interventions can improve the care of this population.


Asunto(s)
Enfermería de Urgencia , Servicio de Urgencia en Hospital , Enfermería Pediátrica , Mejoramiento de la Calidad , Humanos , Enfermería de Urgencia/métodos , Niño , Enfermería Pediátrica/métodos , Trastornos Mentales/enfermería , Trastornos Mentales/diagnóstico , Evaluación en Enfermería/métodos , Gravedad del Paciente , Femenino , Masculino
7.
Issues Ment Health Nurs ; 45(5): 488-497, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38502217

RESUMEN

Mental health risk-assessments are an important part of nursing in mental health settings, to protect patients or others from harm. Even so, nurses often have difficulty identifying patients posing a credible risk (either to self or others), so guidance is recommended. However, despite an extensive and growing body of risk-oriented literature, comparatively little expands upon contemporary knowledge of nurses and patient risk assessment. Therefore, it remains unclear how nurses understand risk and undertake their risk assessments. To address this knowledge gap in nurses' decision-making processes, this study used the established Cognitive Continuum Theory as a novel means to explore the risk-assessment of patients by nurses working in mental health settings.


Asunto(s)
Trastornos Mentales , Enfermería Psiquiátrica , Investigación Cualitativa , Humanos , Medición de Riesgo , Adulto , Femenino , Masculino , Trastornos Mentales/psicología , Trastornos Mentales/enfermería , Persona de Mediana Edad , Teoría Psicológica
8.
Contemp Nurse ; 60(2): 126-139, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38386865

RESUMEN

BACKGROUND: A significant change in mental health care has involved the need to implement recovery-oriented practices and services. However, recovery-oriented care has been poorly defined within acute care mental health settings. OBJECTIVES: The central aims of the study were to increase knowledge about what constitutes a recovery-oriented environment within contemporary acute care units and to inform recovery-oriented nursing practice. METHODS: Interpretative description was applied to answer the question: What strategies and resources do nurses identify as being most conducive to fostering a recovery-oriented environment in acute care mental health units? Purposive sampling was used to recruit 11 nurses from 6 acute care units. The inclusion criteria included a minimum of 1-year patients and holding active nursing registration. Nursing experience in community-based or chronic care settings and with children and adolescents were exclusion criteria. Six nurses also participated in a focus group. RESULTS: Key aspects of a recovery-oriented acute care environment included understanding the needs of individual patients along with the dynamics of the healthcare team. Nurses had important roles in promoting recovery-oriented environments and reported a need for increased resources to move beyond the bio-medical model and align practice with personal recovery. CONCLUSION: A recovery-oriented environment was described as a safe, peaceful and holistic environment with adequate space to balance needs for privacy, interaction and activity. This environment is fostered through respectful communication and healthy relationships among team members, patients, family and formal supports. These nurses had the knowledge, skill and desire to promote recovery-oriented environments, yet resources such as leisure activities and group therapy were required to promote personal recovery.


Asunto(s)
Trastornos Mentales , Enfermería Psiquiátrica , Humanos , Femenino , Adulto , Masculino , Trastornos Mentales/enfermería , Enfermería Psiquiátrica/métodos , Persona de Mediana Edad , Grupos Focales , Actitud del Personal de Salud , Personal de Enfermería en Hospital/psicología , Servicios de Salud Mental/organización & administración
9.
Rev Bras Enferm ; 76Suppl 2(Suppl 2): e20220550, 2023.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-38088654

RESUMEN

OBJECTIVE: to synthesize evidence from qualitative studies on nursing experiences regarding child and adolescent mental health care in specialized services. METHOD: a systematic review with meta-synthesis of qualitative studies according to JBI guidelines. CINAHL, EMBASE, MEDLINE, LILACS, PSYCinfo, Scopus and Web of Science databases were used. The findings were classified according to the level of reliability and credibility and categorized by similarity between contents. RESULTS: 229 articles were identified, and five were included in the final sample and organized into the categories: Emotional impact; and Understanding nursing role. The level of evidence found was moderate. FINAL CONSIDERATIONS: nursing experiences are permeated by emotional exhaustion, feelings of frustration and difficulty in understanding their professional role. The need for training spaces that qualify this care is highlighted.


Asunto(s)
Salud del Adolescente , Salud Infantil , Salud Mental , Adolescente , Niño , Humanos , Emociones , Rol de la Enfermera , Investigación Cualitativa , Reproducibilidad de los Resultados , Enfermería , Trastornos Mentales/enfermería
10.
Tog (A Coruña) ; 20(1): 19-28, May 31, 2023. tab, graf
Artículo en Español | IBECS | ID: ibc-223807

RESUMEN

Objetivos: recoger datos de la situación, funciones y metodología de trabajo de los y las terapeutas ocupacionales en los diferentes dispositivos de rehabilitación psicosocial en salud mental en España. Metodología: estudio descriptivo con una muestra final de 176 terapeutas ocupacionales que trabajan en rehabilitación psicosocial, y que a través de un cuestionario, reflejan información sobre la ubicación, condiciones y desempeño laboral Resultados: la mayoría de los y las participantes en el estudio, trabajan en estos dispositivos a jornada completa, donde el diagnóstico principal de las personas atendidas es esquizofrenia, trastorno esquizotípico, trastorno delirante y otros trastornos psicóticos no relacionados con el estado de ánimo. El modelo de terapia ocupacional más frecuente es el Modelo de la Ocupación Humana, siendo las escalas de evaluación más asiduas el Listado de Intereses y los registros elaborados por ellos y ellas mismas. Las ocupaciones en las que más se interviene son las actividades instrumentales de la vida diaria, ocio y participación social. Conclusiones: la unificación de modelos y escalas ayudarían a reforzar el papel de la terapia ocupacional en la rehabilitación psicosocial, así como a seguir evolucionando hacia una intervención de calidad y basada en la evidencia de esta área en general.(AU)


Objective: To collect data on the situation, functions, and work methodology of occupational therapists in the different mental health psychosocial rehabilitation devices in Spain. Methodology: Descriptive study with a final sample of 176 occupational therapists working in psychosocial rehabilitation, and through a questionnaire, it reflects information on the location, conditions, and work performance. Results: Most of the participants in the study work on these devices full-time, where the main diagnosis of the people treated is schizophrenia, schizotypal disorder, delusional disorder and other psychotic disorders unrelated to mood. The most frequent occupational therapy model is the Model of Human Occupations (MOHO), the most frequent evaluation scales being the List of Interests and the records prepared by themselves, and the occupations in which more intervention is made are instrumental activities of daily life (IADLS), leisure and social participation. Conclusions: The unification of models and scales would help to reinforce the role of occupational therapy in psychosocial rehabilitation, as well as to continue evolving towards a quality and evidence-based intervention in this area in general.(AU)


Asunto(s)
Humanos , Masculino , Femenino , Terapia Ocupacional , Terapeutas Ocupacionales , Trastornos Mentales/enfermería , Trastornos Mentales/rehabilitación , Sistemas de Apoyo Psicosocial , España , Epidemiología Descriptiva , Salud Mental , Encuestas y Cuestionarios
11.
Esc. Anna Nery Rev. Enferm ; 27: e20220187, 2023.
Artículo en Portugués | LILACS, BDENF - Enfermería | ID: biblio-1421435

RESUMEN

Resumo Objetivo conhecer as percepções da equipe de enfermagem ante o cuidado de crianças e adolescentes com transtornos mentais internados. Método estudo qualitativo fenomenológico social cuja coleta de dados foi realizada com 12 membros das equipes de enfermagem por meio de entrevista fenomenológica. Resultados "Motivos porque" descritos em duas categorias: a percepção da equipe de enfermagem em face dos cuidados prestados e ações e cuidados da equipe de enfermagem da criança com transtornos mentais. "Motivos para" expressos na categoria: a recuperação da criança com transtorno mental e o seu retorno para casa. Conclusões e Implicações para a prática a possibilidade do estabelecimento da relação face a face entre equipe, família e criança como forma de apreender a situação biográfica e o acervo de conhecimento dos sujeitos envolvidos e, então, entender as suas reais necessidades e demandas promovem um cuidado integral. Através da fenomenologia social de Alfred Schutz, traz-se como implicação para a prática a possibilidade de compreender a percepção da equipe de enfermagem sobre a relevância da relação face a face no cuidado de crianças e adolescentes com transtornos mentais.


Resumen Objetivo conocer las percepciones del equipo de enfermería sobre los cuidados prestados a los niños y adolescentes hospitalizados con trastornos mentales. Método estudio cualitativo fenomenológico social cuya recogida de datos se realizó con 12 miembros de los equipos de enfermería mediante entrevista fenomenológica. Resultados "Motivos-por qué" se describen en dos categorías: la percepción del equipo de enfermería ante los cuidados prestados y las acciones y cuidados del equipo de enfermería del niño con trastornos mentales. "Motivos-para" expresadas en la categoría: la recuperación del niño con trastorno mental y su regreso a casa. Conclusiones e Implicaciones para la práctica La posibilidad de establecer una relación cara a cara entre el equipo, la familia y el niño como una forma de aprehender la situación biográfica y el cuerpo de conocimiento de los sujetos involucrados y luego comprender sus necesidades y demandas reales, promueve la atención integral. A través de la fenomenología social de Alfred Schutz, aporta como implicaciones para la práctica la posibilidad de entender la percepción del equipo de enfermería sobre la relevancia de la relación cara a cara en el cuidado de niños y adolescentes con trastornos mentales.


Abstract Objective to know the perceptions of the nursing team about the care of hospitalized children and adolescents with mental disorders. Method social phenomenological qualitative study whose data collection was carried out with 12 members of the nursing teams by means of phenomenological interviews. Results "Reasons why" described in two categories: the perception of the nursing team in view of the care provided and actions and care of the nursing team of the child with mental disorders. "Reasons for" expressed in the category: the recovery of the child with mental disorder and his return home. Conclusions and Implications for practice The possibility of establishing a face-to-face relationship between the team, the family, and the child to apprehend the biographical situation and the body of knowledge of the subjects involved, and then understand their real needs and demands promotes comprehensive care. Through Alfred Schutz's social phenomenology, it brings as implications for practice the possibility of understanding the perception of the nursing staff about the relevance of the face-to-face relationship in caring for children and adolescents with mental disorders.


Asunto(s)
Humanos , Niño , Adolescente , Cuidado del Niño , Hospitalización , Trastornos Mentales/enfermería , Grupo de Enfermería , Investigación Cualitativa
12.
J Gen Intern Med ; 37(12): 3070-3079, 2022 09.
Artículo en Inglés | MEDLINE | ID: mdl-35048298

RESUMEN

BACKGROUND: Inpatients with psychiatric diagnoses often require higher levels of care in skilled nursing facilities (SNFs) and are more likely to be covered by Medicaid, which reimburses SNFs at significantly lower rates than Medicare and commercial payors. OBJECTIVE: To characterize factors affecting length of stay in inpatients discharged to SNFs. DESIGN: A retrospective cross-sectional study design using 2016-2018 data from National Inpatient Sample. PARTICIPANTS: Inpatients aged ≥ 40 who were discharged to SNFs. EXPOSURES: Primary discharge diagnosis (medical, psychiatric, or substance use) and primary payor. MAIN OUTCOMES AND MEASURES: Length of stay, categorized non-exclusively as >3 days, >7 days, or > 14 days. RESULTS: Among 9,821,155 inpatient discharges to SNFs between 2016 and 2018, 95.7% had medical primary discharge diagnoses, 3.3% psychiatric diagnoses, and 1.0% substance use diagnoses; Medicare was the most common primary payor (83.3%), followed by private insurance (7.9%), Medicaid (6.6%), and others (2.2%). Median length of stay for all patients was 5.0 days (interquartile range [IQR], 3.0-8.0), 5.0 (IQR, 3.0-8.0) for those with medical diagnoses, 8.0 (IQR, 4.0-15.0) for psychiatric diagnoses, and 5.0 (IQR, 3.0-8.0) for substance use diagnoses. After multivariable adjustment, compared to patients with medical diagnoses, patients with psychiatric diagnoses were more likely to have hospital stays > 3, > 7, and > 14 days, respectively (p < 0.001). Compared to Medicare patients, Medicaid patients were more likely to have hospital stays > 3, > 7, and > 14 days, respectively (p < 0.001). Compared to patients with medical diagnoses, those with psychiatric diagnoses were also more likely to have lengths of stay 1 times, 1.5 times, and 2 times greater than the national geometric mean length of stay for that diagnosis-related group (p < 0.001). CONCLUSIONS: Patients discharged to SNFs after inpatient hospitalization for psychiatric diagnoses and with Medicaid coverage were more likely to have longer lengths of stay than patients with medical diagnoses and those with Medicare coverage, respectively.


Asunto(s)
Tiempo de Internación/economía , Trastornos Mentales/terapia , Alta del Paciente , Instituciones de Cuidados Especializados de Enfermería , Adulto , Anciano , Estudios Transversales , Humanos , Pacientes Internos , Medicaid/economía , Medicare/economía , Trastornos Mentales/economía , Trastornos Mentales/enfermería , Persona de Mediana Edad , Estudios Retrospectivos , Instituciones de Cuidados Especializados de Enfermería/economía , Estados Unidos
13.
Artículo en Portugués | IBECS | ID: ibc-211482

RESUMEN

A partir de 1850 Alagoas começou a discutir sobre as primeiras medidas sanitárias para conter as epidemias no estado. Foi nesse contexto que a comissão de higiene pública passou a propor medidas sanitárias coletivas e/ou individuais, como a limpeza das ruas e pântanos, orientações à população, controle na criação de porcos, construção do hospital de caridade, cemitério público de Maceió, lazareto do porto do Francês, abertura de enfermarias provisórias e adaptações à cadeia pública, este último abrigando o primeiro local para os alienados no Estado [Fragmento de texto] (AU)


Asunto(s)
Humanos , Historia del Siglo XIX , Institucionalización/historia , Enfermos Mentales/historia , Hospitales Psiquiátricos/historia , Trastornos Mentales/historia , Trastornos Mentales/enfermería , Enfermería Psiquiátrica/historia , Investigación Cualitativa , Brasil
14.
Ciênc. cuid. saúde ; 21: e59472, 2022.
Artículo en Portugués | LILACS, BDENF - Enfermería | ID: biblio-1384510

RESUMEN

RESUMO Objetivo: apreender a percepção dos gestores de saúde sobre a implementação da Política de Saúde Mental nos municípios pertencentes a 5ª Regional de Saúde do Estado do Paraná. Métodos: estudo de abordagem qualitativa e caráter exploratório, realizado nos meses de fevereiro e março de 2015. Foram entrevistados 20 gestores de saúde da 5° Regional de Saúde, por meio de entrevistas semiestruturadas. A análise dos dados foi desenvolvida segundo o método de análise de conteúdo de Bardin, modalidade temática. Resultados: emergiram duas categorias: "A percepção dos gestores sobre aSM nos municípios" e "Dificuldades para a implementação da PNSM". Os gestores de saúde destacam a necessidade da melhor implementação da Política de Saúde Mental em seus municípios e a adequação da Rede de Atenção Psicossocial. As dificuldades enfrentadas são a falta de recursos financeiros, capacitação profissional e preconceitos. Considerações finais: é perceptível a falta de visibilidade entre os gestores em saúdesobre o papel dos serviços que compõem a Rede de Atenção àSaúde Mental, especialmente a atenção primária, pois é a principal responsável pelas ações de acolhimento e de promoção e prevenção aos transtornos mentais.


RESUMEN Objetivo: comprender la percepción de los gestores de salud sobre la implementación de la Política de Salud Mental en los municipios pertenecientes a la 5ª Regional de Salud del Estado de Paraná-Brasil. Método: estudio de enfoque cualitativo y carácter exploratorio, realizado en los meses de febrero y marzo de 2015. Se entrevistaron a 20 gestores de salud de la 5ª Regional de Salud, mediante entrevistas semiestructuradas. El análisis de datos se desarrolló según el método de análisis de contenido de Bardin, modalidad temática. Resultados: surgieron dos categorías: "La percepción de los gestores sobre la SM en los municipios" y "Dificultades para la implementación de la PNSM". Los gestores de salud señalan la necesidad de una mejor aplicación de la Política de Salud Mental en sus municipios y la adecuación de la Red de Atención Psicosocial. Las dificultades a las que se enfrentan son la falta de recursos financieros, la formación profesional y los prejuicios. Consideraciones finales: es perceptible la falta de visibilidad entre los gestores de salud sobre el rol de los servicios que componen la Red de Atención a la Salud Mental, especialmente la atención primaria, por ser la principal responsable de las acciones de acogida y de promoción y prevención de los trastornos mentales.


ABSTRACT Objective: to understand the perception of health managers about the implementation of the Mental Health Policy in municipalities belonging to the 5th Health Regional Unit of the State of Paraná. Methods: study with a qualitative approach and an exploratory nature, conducted in the months of February and March 2015. Twenty health managers from the 5th Health Regional Unit were interviewed, through semi-structured interviews. Data analysis was developed according to Bardin's content analysis method, thematic modality. Results: two categories emerged: "The perception of managers about MH in the municipalities" and "Difficulties in implementing PNSM". Health managers highlight the need for better implementation of the Mental Health Policy in their municipalities and the adequacy of the Psychosocial Care Network. The difficulties faced are the lack of financial resources, professional training and prejudice. Final considerations: the lack of visibility among health managers about the role of the services that make up the Mental Health Care Network is noticeable, especially primary care, as it is primarily responsible for the actions of welcoming and promotion/prevention of mental disorders.


Asunto(s)
Humanos , Masculino , Femenino , Salud Mental/normas , Gestor de Salud , Política de Salud/legislación & jurisprudencia , Grupo de Atención al Paciente/organización & administración , Familia , Acogimiento , Atención a la Salud Mental , Promoción de la Salud/provisión & distribución , Trastornos Mentales/enfermería , Servicios de Salud Mental , Enfermeras y Enfermeros/organización & administración
15.
Nursing ; 51(10): 56-60, 2021 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-34580265

RESUMEN

ABSTRACT: The field of psychiatric nursing provides unique opportunities for nurse-patient interactions. Nurses working in inpatient psychiatric settings face constant challenges that may hinder the development of meaningful nurse-patient interactions. Peplau's theory of interpersonal relations emphasized the importance of nurse-patient relationships in nursing care. Therapeutic alliance can help promote nurse-patient relationships and may help nurses and patients achieve their goals. This article presents several phases of a concept-building process that illustrates the importance of therapeutic alliance and its application in mental health care.


Asunto(s)
Barreras de Comunicación , Trastornos Mentales/enfermería , Relaciones Enfermero-Paciente , Enfermería Psiquiátrica , Alianza Terapéutica , Humanos
16.
Nursing ; 51(8): 50-54, 2021 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-34347755

RESUMEN

ABSTRACT: Patients with delusional infestation, a rare psychiatric disorder, have a false and fixed belief that insects or other organisms are crawling in or on their skin. This article describes signs and symptoms, available treatments, and appropriate nursing interventions for patients with primary delusional infestation.


Asunto(s)
Trastornos Mentales/enfermería , Humanos , Evaluación en Enfermería , Diagnóstico de Enfermería , Factores de Riesgo
17.
Clin Nurse Spec ; 35(5): 246-252, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34398546

RESUMEN

PURPOSE/OBJECTIVES: Children in our nation are experiencing the social, emotional, and physical impacts of an unprecedented time in history. Advanced practice nurses prepared as psychiatric clinical nurse specialists and nurse practitioners bring therapeutic interventions, psychopharmacologic management, and systems thinking to clinical environments of care. Insight into the mental health of youth and families and how clinical nurse specialists may provide solutions for forthcoming challenges is discussed. DESCRIPTION OF THE PROJECT/PROGRAM: Barriers to mental healthcare such as the invisibility of nurses at state and federal levels must be eradicated to mitigate the mental health challenges that youth, families, and communities endure. Contemporary issues such as effects of social media, stigma, and suicide present burdens that can be moderated through nursing interventions. OUTCOME: The psychiatric clinical nurse specialist provides evidence and community-based nursing interventions that, through early identification and advocacy, contribute to positive mental health outcomes for youth and families. CONCLUSION: The need for well-educated advanced practice nurses has never been greater for our vulnerable populations of children, adolescents, and families with mental health challenges. Nurse-delivered programs demonstrate that interventions are necessary for communication, psychoeducation, and prevention of consequences from unacknowledged social media, stigma, and suicide problems.


Asunto(s)
Enfermería de Práctica Avanzada , Trastornos Mentales/enfermería , Rol de la Enfermera , Enfermería Psiquiátrica , Adolescente , Niño , Familia/psicología , Humanos , Enfermeras Clínicas , Relaciones Profesional-Familia
18.
Nursing ; 51(9): 48-53, 2021 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-34463654

RESUMEN

ABSTRACT: Nurses are at the forefront of providing care to individuals with mental illness in various healthcare settings, yet the World Health Organization and others have found that many nurses are inadequately prepared to provide mental health care. This article discusses the nurse's role in providing care to individuals with mental illness and the importance of integrating more mental health education into undergraduate nursing curricula.


Asunto(s)
Bachillerato en Enfermería/organización & administración , Trastornos Mentales/enfermería , Enfermería Psiquiátrica/educación , Facultades de Enfermería/organización & administración , Competencia Clínica , Curriculum , Humanos , Trastornos Mentales/epidemiología , Rol de la Enfermera , Investigación en Educación de Enfermería , Investigación en Evaluación de Enfermería , Estudiantes de Enfermería/psicología
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