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1.
Psychiatr Prax ; 47(1): 35-38, 2020 Jan.
Artigo em Alemão | MEDLINE | ID: mdl-31910459

RESUMO

OBJECTIVE: Borderline Personality Disorder (BPD) appears to be the most stigmatized diagnosis among personality disorders. This study aims to assess attitudes of psychiatric nurses towards patients with BPD compared to patients with depressive disorder. METHOD: 37 psychiatric nurses were randomized to an experimental between-subject design, in form of two questionnaires with different vignettes. The vignettes examined main outcomes such as negative attitudes, social distance and emotional reactions. RESULTS: Significant moderate to large differences in terms of social distance (p = 0.033, d = -0.736) and single emotional reactions towards patients with BPD (p = 0.017, d = 0.82), e. g. "I have compassion with her" were found. CONCLUSION: Patients with BPD have a substantial need for support. Quality and standards of inpatient care of patients with a BPS disorder can only guaranteed by giving adequate information about the causes of the disorder and professional treatment of the patients. Personnel must be trained to be able to cope with the specifics of the symptoms in BPD patients.


Assuntos
Transtorno da Personalidade Borderline , Enfermagem Psiquiátrica , Estigma Social , Transtorno da Personalidade Borderline/psicologia , Feminino , Alemanha , Hospitalização , Humanos , Masculino , Apoio Social , Inquéritos e Questionários
2.
Soins Psychiatr ; 40(325): 12-16, 2019 Dec.
Artigo em Francês | MEDLINE | ID: mdl-31836063

RESUMO

The history and evolution of nursing practice in psychiatry provide us with some insights regarding the training needs of today's nurses. The care relationship, the central focus of practice, has been constructed as treatments have advanced and care has become more humanised. Nurses have been able to forge their professional identity on the basis of the "clinical nursing science, psychiatry and human sciences" triptych. The implementation of advanced practice, which essentially involves the delegation of medical acts, must not overshadow the need to develop nurses' specialisation in the clinical field in order to respond to patients' suffering.


Assuntos
Enfermagem Psiquiátrica , Psiquiatria , Humanos
3.
Enferm. clín. (Ed. impr.) ; 29(6): 370-375, nov.-dic. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-184658

RESUMO

Los sistemas sanitarios tienen la responsabilidad de dar respuesta a las nuevas necesidades de salud de la población, que se caracterizan por factores como el envejecimiento, la cronicidad y/o las situaciones de dependencia y que requieren de cuidados de calidad, especializados y adaptados a diferentes ámbitos donde la atención se presta, cuidados ofertados por profesionales formados y cada vez más cualificados para mejorar los resultados en salud de las personas que cuidan. En el año 2016, en Andalucía se publica el marco normativo por el que se crea la categoría profesional estatutaria de enfermero/a especialista, entre las que se incluye la especialidad de Enfermería de Salud Mental en el Servicio Andaluz de Salud. En el ámbito de la Salud Mental, el desarrollo de este marco normativo y la definición y ocupación de puestos permitirá al sistema sanitario conjugar el papel de las enfermeras especialistas con el de las enfermeras que prestan cuidados generales, enfermeras de Grado, en pro de avanzar en la mejor respuesta a las necesidades de salud de la ciudadanía en este ámbito de atención. El desarrollo de la especialidad podrá suponer un valor añadido tanto para la mejora de los resultados en salud de las personas con problemas de salud mental como para mejorar la calidad asistencial, la eficiencia y la sostenibilidad de los sistemas sanitarios


Health systems have a responsibility to respond to the new health needs of the population, which are characterized by factors such as aging, chronicity and/or dependency situations and which requires quality and specialized care adapted to different areas where care is provided, care offered by trained and increasingly qualified professionals to improve the health outcomes of the caregivers. In 2016, in Andalusia the regulatory framework by which is created the statutory professional category of nurse/specialists is published, including the specialty of Mental Health Nursing in the Andalusian Health Service. In the field of Mental Health, the development of this normative framework and the definition and occupation of positions, will allow the health system to combine the role of nurse specialist nurses with that of nurses who provide general care, registered nurses, in order to advance in the best response to the health needs of citizens in this area of care. The development of the specialty will be an added value both to improve the health outcomes of people with mental health problems, and to improve the quality of care, efficiency and sustainability of health systems


Assuntos
Humanos , Especialidades de Enfermagem , Enfermagem Psiquiátrica/métodos , Enfermagem em Saúde Comunitária/métodos , Enfermagem em Saúde Comunitária/organização & administração , Saúde Mental , Sistemas de Saúde/organização & administração
5.
Metas enferm ; 22(10): 28-32, dic. 2019.
Artigo em Espanhol | IBECS | ID: ibc-185329

RESUMO

La población española con discapacidad asciende a 3,8 millones de personas (aproximadamente el 8% del total de la población) de las cuales un 9% tiene discapacidad intelectual (DI) reconocida. Más de la mitad de las personas con DI no han sido evaluadas de forma integral: screening genético, despistaje orgánico, evaluación psicopatológica y evaluación de grado de discapacidad. El Servicio Especializado en Salud Mental para Personas con Discapacidad Intelectual es un dispositivo único en la Comunidad de Madrid que forma parte del Servicio de Psiquiatría del Hospital Universitario de La Princesa. Cabe resaltar que los problemas de conducta son el principal motivo de consulta en este dispositivo y la principal causa de tratamiento psicofarmacológico incorrecto. El propósito de este trabajo es presentar el protocolo de trabajo de Enfermería dentro del equipo interdisciplinar del mencionado dispositivo, y que tiene como objetivo contribuir a garantizar un abordaje holístico de la población atendida en el Servicio Especializado en Salud Mental para Personas con DI y sus cuidadores principales. Se abordan aspectos de la atención a esta población, especificando las intervenciones y actividades del profesional de Enfermería especialista en salud mental dentro del equipo. La presencia del profesional de Enfermería especialista en salud mental garantiza la adecuada atención y el cribado de la patología orgánica más prevalente en esta población. El futuro inmediato pasa por ahondar en la necesidad de coordinación con los diferentes actores que intervienen en la atención a esta población


The Spanish population with disability amounts to 3.8 million persons (approximately 8% of the total); 9% of them presents recognized intellectual disability (ID). Over half of those persons with ID have not been evaluated comprehensively: genetic and organic screening, psychopathological evaluation, and assessment of their level of disability. The Unit Specialized in Mental Health for Patients with Intellectual Disability is a unique device in the Community of Madrid, part of the Psychiatry Unit of the Hospital Universitario de La Princesa. It is worth highlighting that behaviour problems are the main reason for consultation in this unit, and the main cause of incorrect psychopharmacological treatment. The objective of this article is to present the Working Protocol for Nurses within the interdisciplinary team of said Unit, with the objective to help to ensure a holistic approach for the population managed at the Unit Specialized in Mental Health for Patients with ID and their main caregivers. Aspects of care for this population are addressed, stating the specific interventions and activities within the team by the Nursing Professional specialized in Mental Health. The presence of the Nursing Professional Specialized in Mental Health guarantees an adequate care and screening for the most prevalent organic conditions in this population. In the immediate future, it will be necessary to go even deeper into the need for coordination with the different professionals involved in care for this population


Assuntos
Humanos , Papel do Profissional de Enfermagem , Deficiência Intelectual , Saúde Mental , Educação de Pessoa com Deficiência Intelectual , Enfermagem Psiquiátrica , Deficiência Intelectual/epidemiologia , Cuidadores
6.
Metas enferm ; 22(10): 50-55, dic. 2019. ilus
Artigo em Espanhol | IBECS | ID: ibc-185330

RESUMO

La investigación sobre la eficacia de la arteterapia en el ámbito de la salud mental es poco concluyente. Pacientes y terapeutas coinciden a menudo en señalar su utilidad para el desarrollo de la expresión, la comunicación, la socialización y la autoconciencia, pero al ceñirse en la investigación, no se encuentra evidencia de que lo consiga. Tomando el diagnóstico de esquizofrenia como referente se encuentra que frente a los estudios que sugieren una mejoría en la salud mental global, el funcionamiento social y la calidad de las relaciones interpersonales, hay otros que no encuentran mejoría significativa ni en variables principales, como funcionalidad global y sintomatología global, ni en otras asociadas como asistencia al grupo, funcionamiento social, satisfacción con el tratamiento o impacto sobre la sintomatología negativa. Las sucesivas revisiones consultadas sugieren que esta contradicción en los resultados podría deberse a limitaciones metodológicas y recomiendan clarificar aspectos relacionados con el cómo, por qué y para quién es útil la arteterapia, así como identificar los mecanismos que dan soporte o vehiculizan la intervención. A partir de aquí, en el presente artículo, décimo y último de la Serie Arteterapia, se expone una vía de trabajo que se ha ido desarrollando a lo largo de 20 años en un hospital de día de psiquiatría, como coadyuvante del tratamiento de personas con diagnóstico de enfermedad mental grave, mayoritariamente esquizofrenia


Research on the efficacy of Art Therapy in the mental health setting has been inconclusive. Patients and therapists often coincide in highlighting its usefulness for developing expression, communication, socialization and self-awareness; but in terms of strict research, there is no evidence showing that this is achieved. Taking the diagnosis of schizophrenia as reference, there are studies suggesting an improvement in overall mental health, social performance and the quality of interpersonal relationships; however, other studies have found no significant improvement either in primary variables, such as overall functionality and overall symptomatology, or in other associated variables, such as attendance to the group, social performance, satisfaction with treatment or impact on negative symptomatology. The subsequent reviews consulted suggest that this contradictory results could be due to methodological limitations, and recommend clarifying aspects regarding how, why and for whom is Art Therapy useful, as well as to identify those mechanisms supporting or conveying the intervention. From now on, this article, the tenth and last in the Art Therapy Series, presents a way of working that has been developing over 20 years in a Psychiatry Day Hospital, as coadjuvant treatment for persons diagnosed with severe mental disease, mostly schizophrenia


Assuntos
Humanos , Terapia pela Arte , Saúde Mental , Enfermagem Psiquiátrica , Esquizofrenia/diagnóstico , Transtornos Mentais , Transtornos Psicóticos Afetivos
7.
J Forensic Nurs ; 15(4): 242-249, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31764528

RESUMO

BACKGROUND: Engaging in trauma-informed approaches in nonforensic mental health settings improves therapeutic relationships, promotes healing, promotes posttraumatic growth, improves staff well-being, and fosters hope and empowerment, yet little is known of its influences in forensic settings. This literature review explores trauma-informed education and its training implications for nurses working in forensic mental health. METHOD: Using a range of electronic databases, a systematic search of literature was carried out focusing on trauma-informed practice in adult forensic mental health settings. Before searching, predefined inclusion and exclusion criteria were agreed. FINDINGS: After duplication removal, abstract review, and full screening, nine articles met review criteria for inclusion. A thematic analysis of the literature identified two key themes: "education for trauma-informed practice" and "applying theory into practice." Each had several subordinate themes. IMPLICATIONS FOR FORENSIC PRACTICE: Organizations and their staff must recognize that operational change and ongoing training will be required. By adopting a trauma-informed approach, forensic mental health nurses can better understand their patients' traumatic experiences, improve their therapeutic relationships, and engage patients in collaborative care. Training in trauma-informed care should start with nurses who will change their personal practice and can support and train their colleagues.


Assuntos
Capacitação em Serviço , Enfermagem Psiquiátrica/educação , Trauma Psicológico/enfermagem , Atitude do Pessoal de Saúde , Humanos , Liderança , Política Organizacional , Infuência dos Pares
9.
Nurs Clin North Am ; 54(4): 609-623, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31703785

RESUMO

The impact of culture on health has gained considerable importance in care delivery. This review discusses the complex interaction of culture and social determinants, and the combined impact of these on emotional well-being. Examples of this interaction are presented and recommendations for change within nursing to improve care are discussed.


Assuntos
Competência Cultural/psicologia , Saúde Mental , Enfermagem Psiquiátrica , Humanos , Determinantes Sociais da Saúde
12.
Soins ; 64(838): 42-44, 2019 Sep.
Artigo em Francês | MEDLINE | ID: mdl-31542120

RESUMO

A key government priority, artificial intelligence (IA) in healthcare is a real opportunity for nursing professionals. Faced with the daily difficulties encountered, AI could bring a new perspective to nursing care in psychiatry and free up time for professionals which they can then spend with the patient. More training and a multi-disciplinary approach are required.


Assuntos
Inteligência Artificial , Transtornos Mentais/enfermagem , Enfermagem Psiquiátrica , Humanos
13.
Nursing (Säo Paulo) ; 22(255): 3111-3117, ago.2019.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1026003

RESUMO

Objetivo: Descrever aspectos referentes à sexualidade das pessoas com sofrimento psíquico atendidas em uma instituição de saúde mental no município do Rio de Janeiro. Métodos: Pesquisa qualitativa e descritiva. Participaram 12 usuários. Utilizaram-se entrevistas semiestruturadas para coleta de dados e análise de conteúdo. Resultados: Os participantes possuem vivências sexuais que refletem no seu comportamento social, como: abuso sexual, infecções sexualmente transmissíveis (IST), masturbação, entre outras. Conclusão: O tema sexualidade é tratado com superficialidade pelos profissionais de saúde; as pessoas com sofrimento psíquico precisam de educação em saúde sexual e reprodutiva para exercerem sua sexualidade de forma saudável e segura, melhorarem sua qualidade de vida e diminuir o estigma social que sofrem.(AU)


Objective: describe aspects related to the sexuality of people with psychic suffering attended at a mental health institution in the city of Rio de Janeiro. Methods: Qualitative and descriptive research. Twelve users participated. Semi-structured interviews were used for data collection and content analysis. Results: Participants have sexual experiences that reflect in their social behavior, such as sexual abuse, sexually transmitted infections (STIs), masturbation, among others. Conclusion: The topic sexuality is treated with superficiality by health professionals; People with psychic suffering need sexual and reproductive health education to exercise their sexuality in a healthy and safe way, improve their quality of life and reduce the social stigma they suffer.(AU)


Objetivo: describir aspectos relacionados con la sexualidad de las personas con sufrimiento psíquico atendidas en una institución de salud mental en la ciudad de Río de Janeiro. Métodos: Investigación cualitativa y descriptiva. Doce usuarios participaron. Se utilizaron entrevistas semiestructuradas para la recopilación de datos y el análisis de contenido. Resultados: Los participantes tienen experiencias sexuales que se reflejan en su comportamiento social, como el abuso sexual, las infecciones de transmisión sexual (ITS), la masturbación, entre otros. Conclusión: El tema de la sexualidad es tratado con superficialidad por profesionales de la salud; Las personas con sufrimiento psíquico necesitan educación sobre salud sexual y reproductiva para ejercer su sexualidad de manera saludable y segura, mejorar su calidad de vida y reducir el estigma social que sufren.(AU)


Assuntos
Humanos , Enfermagem Psiquiátrica , Saúde Mental , Sexualidade , Saúde Sexual e Reprodutiva , Qualidade de Vida , Estresse Psicológico
15.
Nurse Educ Pract ; 38: 157-163, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31302590

RESUMO

Research concerning this issue demonstrates that nursing students initially feared interacting with and caring for patients with suicidal tendencies. However, there is a lack of research, which examines the care that is provided to patients that are suicidal, by nursing students. The aim of this study was to develop a theory to guide nursing students when caring for patients with suicidal tendencies on their psychiatric clinical practicum. A qualitative approach using Grounded Theory was used. A total of 22 nursing students who had provided care for suicidal patients were interviewed. The core category that emerged from the data was the 'changing of mindsets towards caring for suicidal patients and promotion of suicidal care competencies'. Other key categories linked to and enfolded within this core category were: suicidal risk assessment; protecting patients' safety; and, developing therapeutic communication competencies to advance suicidal care. This study could help fill a theory-practice gap for both psychiatric nursing teachers and students. Nurse teachers could use this theory as a map to help guide students caring for patients with suicidal tendencies and develop nursing students' suicidal care competencies.


Assuntos
Teoria de Enfermagem , Preceptoria/métodos , Estudantes de Enfermagem/psicologia , Ideação Suicida , Atitude do Pessoal de Saúde , Feminino , Teoria Fundamentada , Humanos , Masculino , Enfermagem Psiquiátrica/educação , Pesquisa Qualitativa , Estudantes de Enfermagem/estatística & dados numéricos , Adulto Jovem
16.
Nurse Educ Pract ; 38: 138-144, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31279924

RESUMO

Critical thinking in nursing is largely theorized as a clinically-based idea. In the context of mental health education, this presents a problem, given documented evidence of a shift to demedicalize mental illness. Using institutional ethnography, this article examines the critical thinking of nursing faculty in a baccalaureate nursing program in a Canadian university by way of focus group interviews, observation periods, and the analysis of a number of institutional and legislative texts. The findings suggest that the critical thinking of nursing faculty is caught within a constrained institutional-textual order. Drawing on critical theory and Foucauldian philosophy, recommendations for nursing education are made in order to diversify and extend critical thinking in mental health nursing.


Assuntos
Educação em Enfermagem/métodos , Enfermagem Psiquiátrica/educação , Pensamento , Educação em Enfermagem/tendências , Grupos Focais/métodos , Humanos , Serviços de Saúde Mental , Enfermagem Psiquiátrica/métodos , Pesquisa Qualitativa
17.
Nord J Psychiatry ; 73(6): 331-339, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31264926

RESUMO

Background: A new short-term risk assessment instrument, the Mechanical Restraint - Confounders, Risk, Alliance Score (MR - CRAS) checklist, including three subscales with altogether 18 items, has been developed in close collaboration with forensic mental health nurses, psychiatrists' etc., and shows evidence of being comprehensible, relevant, comprehensive and easy to use for assessing the patient's readiness to be released from mechanical restraint. Aim: The aim of this study was to investigate whether the subscales: confounders, risk and parameters of alliance constituted separate subscales and needed further revisions. Materials and methods: MR - CRAS was field-study tested among nurses, nurse assistants and social and health care assistants in 13 Danish closed forensic mental health inpatient units, and a Mokken analysis of scalability and a Spearman correlation analysis were performed. Results: MR - CRAS was completed by clinicians in 143 episodes of mechanical restraint, representing 88 patients, with a mean duration of 63.25 hours. Most patients were younger men, diagnosed within the schizophrenia spectrum. One-third of the patients had repeated mechanical restraint episodes ranging between 2 and 8 episodes. MR - CRAS and especially the parameters of alliance were perceived as usable for assessment of the patient's readiness to be released from mechanical restraint. The psychometric analyses showed that the three subscales were unidimensional. Conclusions: The study shows evidence of the construct validity of MR - CRAS among clinicians at closed forensic mental health inpatient units. MR - CRAS contributes with a common language and structured, systematic and transparent observations and assessments on an hour by hour basis during mechanical restraint.


Assuntos
Saúde Mental , Restrição Física/psicologia , Medição de Risco/métodos , Adulto , Feminino , Humanos , Pacientes Internados/psicologia , Masculino , Enfermagem Psiquiátrica/métodos , Psicometria
18.
Int J Ment Health Nurs ; 28(4): 960-970, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31257702

RESUMO

The impact of published research is sometimes measured by the number of citations an individual article accumulates. However, the time from publication to citation can be extensive. Years may pass before authors are able to measure the impact of their publication. Social media provides individuals and organizations a powerful medium with which to share information. The power of social media is sometimes harnessed to share scholarly works, especially journal article citations and quotes. A non-traditional bibliometric is required to understand the impact social media has on disseminating scholarly works/research. The International Journal of Mental Health Nursing (IJMHN) appointed a social media editor as of 1 January 2017 to implement a strategy to increase the impact and reach of the journal's articles. To measure the impact of the IJMHN social media strategy, quantitative data for the eighteen months prior to the social media editor start date, and the eighteen months after that date (i.e.: from 01 July 2015 to 30 June 2018) were acquired and analysed. Quantitative evidence demonstrates the effectiveness of one journal's social media strategy in increasing the reach and readership of the articles it publishes. This information may be of interest to those considering where to publish their research, those wanting to amplify the reach of their research, those who fund research, and journal editors and boards.


Assuntos
Disseminação de Informação , Publicações Periódicas como Assunto , Enfermagem Psiquiátrica , Mídias Sociais , Bibliometria , Humanos , Disseminação de Informação/métodos , Fator de Impacto de Revistas
19.
Enferm. foco (Brasília) ; 10(3): 64-69, jul. 2019. ilus
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1049990

RESUMO

Objetivo: Refletir teoricamente sobre a importância da Teoria das Relações Interpessoais de Peplau, contextualizada com o processo de formação da identidade do enfermeiro como terapeuta em saúde mental e psiquiatria. Metodologia: A partir do estudo da obra sobre Relações Interpessoais em Enfermagem de Peplau e demais textos, a reflexão organizou-se em três eixos: a teoria das relações interpessoais, a relação terapêutica na teoria de Peplau e o subpapel de assessor/counseling. Resultados: Os três eixos foram detalhados, aliando as contribuições da literatura, com novas possibilidades de aplicação do arcabouço teórico. Conclusão: A Teoria das Relações Interpessoais com foco no conceito de counseling possibilita reflexões sobre a representação do enfermeiro como terapeuta e fortalece ações de enfermagem no contexto do cuidado em saúde mental. (AU)


Objective: To reflect theoretically on the importance of Peplau's Theory of Interpersonal Relations, contextualized with the process of formation of the nurse's identity as a therapist in mental health and psychiatry. Methodology: From the study of Peplau's work on Interpersonal Relations in Nursing and other texts, the reflection was organized in three axes: the theory of interpersonal relations, the therapeutic relationship in Peplau's theory and the counseling sub-role. Results: The three axes were detailed, combining the contributions of the literature, with new possibilities of application of the theoretical framework. Conclusion: The Theory of Interpersonal Relations focusing on the concept of counseling enables reflections on the representation of nurses as therapists and strengthens nursing actions in the context of mental health care. (AU)


Objetivo: Reflexionar teóricamente sobre la importancia de la Teoría de las Relaciones Interpersonales de Peplau, contextualizada con el proceso de formación de la identidad del enfermero como terapeuta en salud mental y psiquiatría. Metodología: A partir del estudio del trabajo de Peplau sobre las relaciones interpersonales en enfermería y otros textos, la reflexión se organizó en tres ejes: la teoría de las relaciones interpersonales, la relación terapéutica en la teoría de Peplau y el sub-rol de asesor/consejero. Resultados: Los tres ejes fueron detallados, combinando las contribuciones de la literatura, con nuevas posibilidades de aplicación del marco teórico. Conclusión: La teoría de las relaciones interpersonales, centrada en el concepto de asesoramiento, permite reflexionar sobre la representación de las enfermeras como terapeutas y fortalece las acciones de enfermería en el contexto de la atención de la salud mental. (AU)


Assuntos
Enfermagem Psiquiátrica , Teoria de Enfermagem , Saúde Mental , Enfermagem , Relações Interpessoais
20.
J Nurs Educ ; 58(6): 369-371, 2019 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-31157908

RESUMO

BACKGROUND: Because nursing students do not always have opportunities to interact with individuals with mental illness due to various factors such as limited clinical sites, an innovative teaching strategy was developed. METHOD: A plan was developed to collaborate with the theater department to offer undergraduate theater students an opportunity to practice acting skills while taking an independent study. These theater students, trained as standardized patients (SPs), engaged with senior nursing students enrolled in a psychiatric mental health nursing clinical course in a baccalaureate program. RESULTS: This process has been successfully implemented for the past 2 years. With 10 theater students completing the independent study and 180 nursing students engaging in interactions with SPs, improvements in communication skills for nursing students have been seen. CONCLUSION: Because this is a pilot project, additional research should be conducted to further explore the effectiveness of learning for both nursing and theater students. [J Nurs Educ. 2019;58(6):369-371.].


Assuntos
Bacharelado em Enfermagem/métodos , Simulação de Paciente , Enfermagem Psiquiátrica/educação , Humanos , Projetos Piloto
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