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Rech Soins Infirm ; (141): 17-37, 2020 06.
Artigo em Francês | MEDLINE | ID: mdl-32988187


In every population and country around the world, mental health needs are great and are on the rise. Through their training and their vast field of expertise, nurses are an important lever for addressing the issue of accessibility in these care settings. While the increase in the number of new nursing graduates should have helped this issue, recent data show a sharp increase in the shortage of nurses in these care settings. This systematic review (n=40) using the CINAHL, MEDLINE, PsycArticles, and Scopus databases aims to explore why psychiatric and mental health care settings are unpopular with the next generation of nurses. Guided by Parse's theory, this review identifies three major themes : (1) nursing students' perspectives on mental health issues, (2) the influences of educational interventions on these perspectives, and (3) the factors facilitating and constraining a career in these care settings for new nursing graduates. These results enable a better understanding of what can affect the recruitment of new graduate nurses in mental health/psychiatry, while proposing various levers of intervention to specifically address this issue.

Enfermagem Psiquiátrica , Estudantes de Enfermagem/psicologia , Humanos
Medicine (Baltimore) ; 99(29): e21083, 2020 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-32702852


Compassion fatigue has emerged as a detrimental consequence of experiencing work-related stress among psychiatric nurses, and affected the job performance, emotional and physical health of psychiatric nurses. However, researches on Chinese psychiatric nurses' compassion fatigue are dearth. This cross-sectional study aimed to investigate the prevalence and factors of compassion fatigue among Chinese psychiatric nurses.All participants completed the demographic questionnaire and the Chinese version of Professional Quality of Life Scale (ProQOL-CN). One-way ANOVA, t-tests, Levene test and multiple linear regression analysis were conducted to evaluate factors associated with compassion fatigue.A total of 352 psychiatric nurses in 9 psychiatric hospitals from the Chengdu, Wuhan, and Hefei were surveyed. The mean scores of compassion satisfaction, burnout and secondary traumatic stress were 32.59 ±â€Š7.124, 26.92 ±â€Š6.003 and 25.97 ±â€Š5.365, respectively. Four variables of job satisfaction, exercise, had children, and age range from 36 to 50 years explained 30.7% of the variance in compassion satisfaction. Job satisfaction, sleeping quality, and marital status accounted for 40.4% variables in burnout. Furthermore, job satisfaction, average sleeping quality, and years of nursing experience remained significantly associated with secondary trauma stress, explaining 10.9% of the variance.Compassion satisfaction, burnout and secondary traumatic stress among Chinese psychiatric nurses were at the level of moderate. The higher job satisfaction, healthy lifestyle (high sleep quality and regular exercise), and family support (children, stable and harmonious marital status) positively influenced compassion satisfaction and negatively associated with burnout or secondary traumatic stress.

Fadiga por Compaixão/etiologia , Enfermeiras e Enfermeiros/psicologia , Enfermagem Psiquiátrica/normas , Adolescente , Adulto , Análise de Variância , China/epidemiologia , Fadiga por Compaixão/epidemiologia , Fadiga por Compaixão/psicologia , Estudos Transversais , Feminino , Humanos , Satisfação no Emprego , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/tendências , Prevalência , Enfermagem Psiquiátrica/métodos , Enfermagem Psiquiátrica/tendências , Qualidade de Vida/psicologia , Inquéritos e Questionários
Soins Psychiatr ; 41(327): 19-23, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32718456


A psychiatric nurse who used to lead art sessions decided to change profession. Now an art therapist, in the same healthcare facility, she runs workshops, providing real spaces of freedom and creation for the patient. Her professional experience and evolution show that art therapy is a valuable part of the chain of care, in collaboration with the multidisciplinary teams.

Terapia pela Arte , Mobilidade Ocupacional , Enfermagem Psiquiátrica , Feminino , Humanos
Av. enferm ; 38(1): 87-94, ene.-abr. 2020. tab
Artigo em Espanhol | LILACS, BDENF - Enfermagem, COLNAL | ID: biblio-1089013


Resumen Objetivo: Analizar la intervención de enfermería de salud mental con un usuario con diagnóstico de control de impulsos ineficaz relacionado con trastorno bipolar I. Síntesis del contenido: Se presenta el abordaje del caso a partir del proceso de enfermería y el uso del lenguaje estandarizado. Además, se analiza la intervención de enfermería de salud mental teniendo en cuenta la propuesta de Peplau. Conclusión: Es necesaria la participación de la enfermería de salud mental en el abordaje de personas con trastorno mental a partir de estrategias propias de la profesión.

Resumo Objetivo: Analisar a intervenção de enfermagem de saúde mental com um usuário com diagnóstico de controle de impulsos ineficaz relacionado com transtorno bipolar I. Síntese do conteúdo: Apresenta-se a abordagem do caso a partir do processo de enfermagem e do uso da linguagem padronizada. Além disso, analisa-se a intervenção de enfermagem de saúde mental de acordo com a proposta de Peplau. Conclusão: É necessária a participação da enfermagem de saúde mental na abordagem de pessoas com transtorno mental a partir de estratégias próprias da profissão.

Abstract Objective: Analyze mental health nursing intervention with a user with an ineffective impulse control diagnosis related to bipolar disorder I. Synthesis of the contents: The approach to the case is presented from the nursing process and the use of standardized language. In addition, mental health nursing intervention is analyzed considering Peplau's proposal. Conclusion: Mental health nursing participation in addressing people with mental disorder is necessary based on strategies specific to the profession.

Humanos , Enfermagem Psiquiátrica , Transtorno Bipolar , Saúde Mental , Enfermagem , Classificação
PLoS One ; 15(4): e0230740, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32240210


The average length of hospital stay in the psychiatric ward is longer, and the risk of patient-to-nurse violence is higher than that in other departments. Therefore, psychiatric nurses' work environment may differ from that of other nurses. The factors related to psychiatric nurses' self-efficacy may also differ from those of general workers or other nurses. Mental health care that considers the characteristics of psychiatric nurses requires exploration of self-efficacy unique to psychiatric nurses. This cross-sectional study aimed to explore the distinct factors related to psychiatric nurses' self-efficacy. The developed 24 items related to improvement in self-efficacy and 25 items related to decrease in self-efficacy were examined. The Generalized Self-Efficacy Scale was used to measure the validity of the factors. To extract the factors of self-efficacy, data from 132 nurses and assistant nurses who provided informed consent were analyzed, and the reliability and validity of the factors were calculated. The factors associated with improvement in self-efficacy were "Positive reactions by patients," "Ability to positively change nurse-patient relationship," and "Practicability of appropriate nursing." The factors associated with decrease in self-efficacy were "Uncertainty in psychiatric nursing" and "Nurses' role loss." The Cronbach's α for all factors exceeded .70. Of the five factors, four had significant weak-to-moderate correlations with the Japanese version of the Generalized Self-Efficacy Scale; therefore, the validity was quantitatively confirmed with four factors. Interventions based on these four factors may improve psychiatric nurses' self-efficacy. Additionally, it is possible that this tool assesses the unique facets of self-efficacy rather than psychiatric nurses' general self-efficacy. Interventions to improve psychiatric nurses' self-efficacy based on the characteristics of psychiatry are needed.

Relações Enfermeiro-Paciente , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/psicologia , Guias de Prática Clínica como Assunto , Enfermagem Psiquiátrica/normas , Autoeficácia , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Unidade Hospitalar de Psiquiatria , Enfermagem Psiquiátrica/tendências , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários , Adulto Jovem
Artigo em Inglês | MEDLINE | ID: mdl-32331460


Psychiatric ward (PW) nurses are at a higher risk to encounter workplace violence than are other healthcare providers, and many interventions have been developed to improve their mental health. We compared the effectiveness of biofeedback training (BT) and smartphone-delivered BT (SDBT) interventions on occupational stress, depressive symptoms, resilience, heart rate variability, and respiration rate in a sample of abused PW nurses. This was a quasi-experimental study. Structured questionnaires were administered before and six weeks after the intervention. Data were collected from April 2017 to October 2017. A total of 159 abused PW nurses were randomly assigned to BT, SDBT, and control groups, and 135 of them completed all processes of our protocol, with the study consisting of 119 females (88.1%) and 16 males (11.9%) and their age range being from 22 to 59 with the mean age of 35.61 and a standard deviation of 8.16. Compared to the controls, both the BT and the SDBT intervention groups experienced significant improvements in depressive symptoms, resilience, and respiration rate; and the SDBT group experienced significant reductions in occupational stress. Considering the cost, accessibility, restrictions time and space, SDBT be used as an effective intervention in people with resilience or occupational stress.

Adaptação Psicológica , Biorretroalimentação Psicológica , Enfermeiras e Enfermeiros , Estresse Ocupacional , Enfermagem Psiquiátrica , Smartphone , Adulto , Depressão , Feminino , Humanos , Masculino , Enfermeiras e Enfermeiros/psicologia
J Clin Nurs ; 29(13-14): 2482-2494, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32242997


AIMS AND OBJECTIVES: Our aim was to examine the notes produced by nurses, paying specific attention to the style in which these notes are written and observing whether there are concerns of distortions and biases. BACKGROUND: Clinicians are responsible to document and record accurately. However, nurses' attitudes towards their patients can influence the quality of care they provide their patients and this inevitably impacts their perceptions and judgments, with implications to patients' care, treatment, and recovery. Negative attitudes or bias can cascade to other care providers and professionals. DESIGN: This study used a retrospective chart review design and qualitative exploration of documentation using an emergent theme analysis. METHODS: We examined the notes taken by 55 mental health nurses working with inpatients in the forensic services department at a psychiatric hospital. The study complies with the SRQR Checklist (Appendix S1) published in 2014. RESULTS: The results highlight some evidence of nurses' empathic responses to patients, but suggest that most nurses have a style of writing that much of the time includes themes that are negative in nature to discount, pathologise, or paternalise their patients. CONCLUSIONS: When reviewing the documentation of nurses in this study, it is easy to see how they can influence and bias the perspective of other staff. Such bias cascade and bias snowball have been shown in many domains, and in the context of nursing it can bias the type of care provided, the assessments made and the decisions formed by other professionals. RELEVANCE TO CLINICAL PRACTICE: Given the critical role documentation plays in healthcare, our results indicate that efforts to improve documentation made by mental health nurses are needed and specifically, attention needs to be given to the writing styles of the notation.

Atitude do Pessoal de Saúde , Registros de Enfermagem , Recursos Humanos de Enfermagem no Hospital/psicologia , Adulto , Viés , Empatia , Feminino , Humanos , Transtornos Mentais/enfermagem , Enfermagem Psiquiátrica/métodos , Pesquisa Qualitativa , Estudos Retrospectivos
Psychiatr Prax ; 47(3): 118-127, 2020 Apr.
Artigo em Alemão | MEDLINE | ID: mdl-32241026


OBJECTIVES: Informative and insightful overview of the concept of Advanced Nursing Practice (ANP) and its specific facets with a focus on the psychiatric and mental health care context. METHODS: Systematic literature search in specific electronic databases (PubMed, CINAHL, Google and GoogleScholar) and synthesis of identified sources based on Mayring's structuring content analysis. RESULTS: In the psychiatric and mental health context, the Clinical Nurse Specialist and Nurse Practitioner are the classic roles of Advanced Nursing Practice. Their educational training, tasks and activities as well as their field of work show many similarities. In addition to the core elements of the ANP roles, there are strong individual characteristics depending on the work setting and patient population. CONCLUSIONS: It is important that the international experience of role development and implementation as well as the specific fields of action are integrated into the German-speaking area. This will allow specialized, expanded and advanced psychiatric care to be established effectively and on a long-term basis in German-speaking countries.

Prática Avançada de Enfermagem , Saúde Mental , Enfermagem Psiquiátrica , Alemanha , Humanos , Papel do Profissional de Enfermagem
Psychiatr Prax ; 47(6): 319-325, 2020 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-32268417


OBJECTIVE: Assessment of the attitudes towards somatic and psychiatric advance directives in the German speaking part of Switzerland. METHODS: Questionnaire for psychiatric patients, psychiatrists, psychologists, psychiatric nurses and peers assessing the attitudes towards three exemplary advance directives. RESULTS: The attitudes were mainly positive in all participating groups. Compared to professionals (79-100 %), the somatic advance directive found approval in significantly less patients (46 %). There were no significant group differences regarding the psychiatric advance directives, but patients (58 % and 84 %) were slightly more agreeing compared to professionals (31-50 % and 62-70 %). CONCLUSION: Psychiatric advance directives seem to be broadly accepted. The development of campaigns might help to raise the awareness about these instruments and increase their usage in clinical practice.

Diretivas Antecipadas , Enfermagem Psiquiátrica , Psiquiatria , Humanos , Inquéritos e Questionários , Suíça
Rev. Rol enferm ; 43(3): 220-227, mar. 2020. ilus
Artigo em Espanhol | IBECS | ID: ibc-193823


El progreso y transformación de los cuidados enfermeros en pleno siglo XXI, inherente al propio proceso de globalización y evolución social, conlleva cambios en la educación, formación y capacitación de las enfermeras. Esto da como resultado profesionales cada vez más competentes, eficientes y con autonomía suficiente para dar respuesta a las distintas necesidades de cuidados y requerimientos en salud y bienestar de las personas, familias, grupos sociales. En el ámbito de la práctica y cuidados en salud mental, las transformaciones propuestas en los sistemas sanitarios son claras, debiendo las mismas ser impulsadas por los consumidores, orientadas a la recuperación, basadas en la mejor evidencia disponible y orientadas hacia sistemas coordinados y colaborativos de atención y cuidados. Dentro de esta transformación en los sistemas de atención sanitaria, la psicoterapia enfermera, como competencia avanzada de las enfermeras especialistas, ha venido a consolidar el aporte, compromiso y valor social del cuidado enfermero. El objetivo de este artículo es presentar cómo se ha venido configurando, desde su emergencia, la psicoterapia enfermera en tanto que marco de acción en el quehacer de los cuidados profesionales especializados en salud mental; un recorrido que nos acerca a su conceptualización más internacional para derivar finalmente en la propuesta que desde la Asociación Española de Enfermería de Salud Mental (AEESME) se promueve para su implementación en la Cartera de Servicios del Sistema Nacional de Salud de España

The progress and transformation of nursing care in the middle of the XXI century, attached to the process of globalisation and social development itself, entail changes in education, training and qualification of nurses. As a result, professionals are more and more competent, efficient and with autonomy enough as to meet the various needs for care and the demand for health and welfare of the people, families and social groups. In the field of mental health care practice, there are evident initiatives of transformation in the health system, which ought to be driven by customers, aimed at recovery, evidence-based and directed towards collaborative and coordinated care and assistance systems. Within this process of transformation, and as an advanced competency of nurse specialists, Nurse Psychotherapy has consolidated the contribution, commitment and social value of nursing care. The aim of this article is to shed light on how Nurse Psychotherapy has developed since its inception as a framework for specialized, professional mental health care. Beginning with its international conceptualisation, it then drifts to the proposal promoted by the Spanish Mental Health Nursing Association (AEESME) for its implementation in the portfolio of healthcare Services of the Spanish National Health System

Humanos , Enfermeiras Especialistas/tendências , Enfermagem Psiquiátrica/tendências , Psicoterapia/tendências
Pflege ; 33(2): 93-104, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32208900


Psychosocial working conditions and symptoms of burnout in somatic and psychiatric nursing Abstract. Background: While mental workload and stress among nurses are generally well-documented, differences within the nursing profession have hardly been investigated so far. Aim: This study aims to examine the differences and associations between psychosocial working conditions and symptoms of burnout of nurses working in somatic and psychiatric settings. Methods: A cross-sectional study has been conducted with employees in one somatic and one psychiatric hospital (n = 576). The Copenhagen Psychosocial Questionnaire and the Copenhagen Burnout Inventory were used to assess psychosocial workloads and burnout symptoms. The data analysis was carried out by univariate, bivariate and multivariate (regression) analyses. Results: About 50 % of respondents report at least a moderate level of symptoms of burnout with somatic nurses more frequently affected. While quantitative and physical demands are higher in somatic nursing, psychiatric nurses have a higher degree of emotional demands, socialß = 0.33) in somatic nursing and emotional demands (ß = 0.29) in psychiatric nursing serve as strongest predictors of burnout symptoms. Conclusions: Findings suggest specific profiles of psychosocial workload in somatic and psychiatric nursing as well as a high need for differentiated approaches for occupational health promotion.

Esgotamento Profissional/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Enfermagem Psiquiátrica , Especialidades de Enfermagem , Carga de Trabalho/psicologia , Estudos Transversais , Humanos , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Inquéritos e Questionários
SMAD, Rev. eletrônica saúde mental alcool drog ; 16(1): 1-9, jan.-mar. 2020. ilus, tab
Artigo em Português | LILACS | ID: biblio-1094436


OBJETIVO: descrever o perfil de usuários diagnosticados com transtorno depressivo atendidos em um centro de atenção psicossocial de um município do interior do estado de São Paulo, Brasil. MÉTODO: quantitativo, descritivo, exploratório, de natureza epidemiológica. Os dados foram extraídos do prontuário de usuários atendidos dentro do período selecionado, compilados em planilha do Microsoft Excel 2016 e analisados no software estatístico Stata 16. RESULTADOS: prevalência do sexo feminino, idade média de 48 anos, sem companheiro (a), sem variação significativa do histórico familiar, um nível de escolaridade que permite o seu ingresso no mercado de trabalho, sem comorbidades, que não utilizam substâncias químicas e sem variação significativa à ideação suicida. CONCLUSÃO: com a análise das variáveis, foi possível compreender melhor as características dos usuários, o que poderá contribuir para planejamentos assistenciais mais adequados a essa população.

OBJECTIVE: to describe the profile of users diagnosed with depressive disorder undergoing treatment at a psychosocial care center in a city in São Paulo state, Brazil. METHOD: quantitative, descriptive, exploratory, and epidemiological. Data were collected from the records of patients treated in the selected period, compiled on a Microsoft Excel 2016 sheet and analyzed by the statistical software Stata 16. RESULTS: prevalence of females, mean age of 48 years old, no partners, no significant variation in family history, educational level that allows for entering the labor market, no comorbidities, no use of chemical substances and no significant variation in terms of suicidal ideation. CONCLUSION: the analysis of variables allowed for better understanding the characteristics of users, which can contribute to more appropriate care planning for this population.

OBJETIVO: describir el perfil de usuarios diagnosticados con Trastorno Depresivo atendidos en un Centro de Atención Psicosocial en una ciudad del interior del estado de São Paulo, Brasil. MÉTODO: cuantitativo, transversal, descriptivo, exploratorio, epidemiológico. Los datos se extrajeron de los registros médicos de los usuarios atendidos dentro del período seleccionado, se compilaron en una hoja de cálculo de Microsoft Excel 2016 y se analizaron con el software estadístico Stata 16. RESULTADOS: fue una prevalencia de mujeres, edad media 48 años, sin pareja, sin variación significativa en la historia familiar, un nivel de educación que les permite ingresar al mercado laboral sin comorbilidades, el uso de productos químicos y ninguna variación significativa en la ideación suicida. CONCLUSIÓN: a través del análisis de las variables, fue posible comprender mejor las características de los usuarios, lo que puede contribuir a una planificación de la atención más adecuada para esta población.

Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Enfermagem Psiquiátrica , Perfil de Saúde , Prevalência , Depressão , Transtorno Depressivo , Serviços de Saúde Mental
Rev Lat Am Enfermagem ; 28: e3235, 2020.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-32022152


OBJECTIVE: identify the associations between the sociodemographic, and work variables, health conditions and lifestyles, and the risks of illness of nursing workers in a psychiatric hospital. METHOD: analytical cross-sectional study. The sample of 74 workers answered a questionnaire for sociodemographic, work, health conditions and lifestyles survey characterization. The Work Context Assessment Scale and the Human Cost at Work Scale were used to evaluate the perception of the risks of illness in the interviewee's opinion. A descriptive and bivariate analysis was performed, with significance of 5%. RESULTS: the factors associated with the risk of illness were: insomnia complaints, night work and workday. CONCLUSION: the associations between the work variables, health conditions and life habits can harm the health of the nursing staff of a psychiatric hospital.

Hospitais Psiquiátricos , Recursos Humanos de Enfermagem no Hospital/psicologia , Doenças Profissionais/psicologia , Estresse Ocupacional/psicologia , Enfermagem Psiquiátrica , Local de Trabalho/psicologia , Idoso , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Inquéritos e Questionários
Nurs Clin North Am ; 55(1): 51-60, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32005365


Mental illness is one of the leading causes of disability in the United States. Delays in outpatient treatment result in visits to emergency rooms and unnecessary inpatient hospitalizations, which cause an increase in overall medical costs. Nurses come in contact with individuals who struggle with mental illness on a regular basis, and the profession must intervene. This article introduces the mental health outpatient nurses in interprofessional teams model that could have a positive impact on the quality and accessibility of care of outpatient services for individuals struggling with mental illness.

Assistência Ambulatorial/normas , Relações Interprofissionais , Transtornos Mentais/enfermagem , Modelos de Enfermagem , Enfermeiras e Enfermeiros/normas , Guias de Prática Clínica como Assunto , Enfermagem Psiquiátrica/normas , Feminino , Humanos , Masculino , Estados Unidos
Coimbra; s.n; 01-02-2020. 95 p. tab.
Tese em Português | BDENF - Enfermagem | ID: biblio-1119916


As transições suscitam diferentes emoções que surgem muitas das vezes pelas dificuldades encontradas nos próprios processos de transição e das situações que as originam, podendo causar instabilidade, alterações na autoestima, mudanças no desempenho de papéis, ansiedade, depressão e insegurança, até que encontre um novo equilíbrio (Tavares, 2014). Esta investigação propôs-se determinar a influência da autoestima no consumo de substâncias, ansiedade, depressão e stresse nos estudantes do ensino superior com o intuito de sensibilizar para a possível necessidade de intervenção no âmbito da saúde mental e psiquiatria e particularmente do Enfermeiro Especialista em Saúde Mental e Psiquiatria (EESMP), assumindo este um papel essencial na promoção da saúde e na prevenção da doença. Este estudo, descritivo-correlacional e transversal, utiliza como instrumento de recolha de dados o ASSIST ­ Alcohol Smoking and Substance Involvement Screening Test, EADS- 21 ­ Escalas de Ansiedade, Depressão e Stresse versão de 21 itens e RSES ­ Rosenberg Self-esteem Scale (escalas devidamente validadas para a população portuguesa). Utiliza uma amostra constituída por 66 estudantes do 1º ano da licenciatura em enfermagem. Os resultados evidenciaram que: os estudantes com idades superiores apresentam uma autoestima mais alta; a autoestima correlaciona-se de modo muito significativo e inverso com o stresse, depressão e ansiedade; a autoestima correlaciona-se significativamente e inversamente com o risco de consumo de ansiolíticos/sedativos/hipnóticos; a autoestima apresenta uma correlação estatisticamente significativa com o risco de consumo de estimulantes do tipo anfetamina e de outras substâncias. Estes resultados evidenciam que existe efetivamente campo de intervenção no âmbito da saúde mental e psiquiatria e especificamente para o Enfermeiro Especialista em Saúde Mental e Psiquiatria.

Transitions evoque diferente emotions that often arise from the difficulties found in the transition processes themselves and from the situations that originate them, wich can cause instability, changes in self-esteem, changes in role performance, anxiety, depression and insecurity, until a new balance is found (Tavares, 2014). This investigation aimed to determine the influence of self-esteem on substance use, anxiety, depression and stress in univeristy students in order to raise awareness of the possible need for intervention in the field of mental health and psychiatry and particulary the Specialist Nurse in Mental Health and Psychiatry, assuming an essential role in health promotion and disease prevention. This descreptive-correlational and cross-sectional study uses ASSIST ­ Alcohol Smoking and Substance Involvement Screening Test, EADS-21 ­ Anxiety, Depession and Stress Scales 21-item version and RSES ­ Rosenberg Self-esteem Scale (scales properly validated as a data collection instrument for the Portuguese population). It uses a sample consisting of 66 students from the 1st year of the nursing degree. The results showed that: older students have a higher self-esteem; self-esteem correlates in a very significant and inverse way with stress, depression and anxiety; self-esteem correlates significantly and inversely with the risk of consumption of anxiolytics/sedatives/hypnotics; self-esteem has a statistically significant correlation with the risk of consuming amphetamine-type stimulants and other substances. These results show that there is an effective field of intervention in the scope of mental health and psychiatry and specifically for the Nurse Specialist in Mental Health and Psychiatry.

Ansiedade , Enfermagem Psiquiátrica , Autoimagem , Transtornos Relacionados ao Uso de Substâncias , Depressão , Angústia Psicológica
Eur J Oncol Nurs ; 45: 101725, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32044721


PURPOSE: Addressing psychosocial distress is an essential part of cancer care. Therefore, nurses at the University Hospital Zurich have been screening all cancer inpatients with the Distress Thermometer (DT) since 2012. Screening is ineffective without any form of psychosocial intervention. We aimed to identify adherence to the screening protocol and how the reported problems influenced the nursing process. We compared changes in the documentation before and after screening implementation. METHODS: This retrospective descriptive study used screening data and documentation of psychosocial items in the nursing process of inpatients at an oncologic ward. These data were compared with data obtained before screening implementation and were collected from electronic health records. All data were analyzed descriptively. RESULTS: 65% (N = 1111) of the 2166 inpatients were screened. With the implementation, more psycho-oncological referrals were made (4.5% vs. 11.7%) and more psychosocial issues were described in the nursing process (24.6% vs. 51.2%). Inpatients mentioned emotional problems in 37.5% (N = 353) and physical problems in 47.4% (N = 504) of cases. 15.7% (147) had a psychosocial nursing diagnosis. Only 10.7% (N = 26) of patients who noted anxiety, also had a nursing diagnosis of "anxiety". In contrast, 71.1% (N = 202) of patients who noted pain, had a nursing diagnosis of "pain". CONCLUSIONS: Although nurses are more sensitised to psychosocial issues after DT implementation, they do not use screening results to adapt nursing documentation to the psychosocial needs of the patients. Further studies are needed to investigate how distress screening and psychosocial issues can be integrated into nurses' daily work.

Programas de Rastreamento/normas , Neoplasias/enfermagem , Neoplasias/psicologia , Processo de Enfermagem/estatística & dados numéricos , Enfermagem Psiquiátrica/normas , Encaminhamento e Consulta/normas , Estresse Psicológico/diagnóstico , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Programas de Rastreamento/estatística & dados numéricos , Pessoa de Meia-Idade , Guias de Prática Clínica como Assunto , Enfermagem Psiquiátrica/estatística & dados numéricos , Encaminhamento e Consulta/estatística & dados numéricos , Estudos Retrospectivos , Suíça , Adulto Jovem
Rev. Rol enferm ; 43(1): 46-50, ene. 2020. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-193814


La calidad en la asistencia sanitaria se ha convertido en una pieza clave dentro de la práctica clínica. No solo es importante hacer las cosas bien, sino obtener el conocimiento objetivo de las personas que reciben nuestro cuidado. La perspectiva del paciente nos acerca a conocer dicho conocimiento, pero no es el único. Conocer las perspectivas de los profesionales que trabajan a diario es también un pilar fundamental que en ocasiones no recibe la importancia que se le debe. En el ámbito de la salud mental, el concepto de calidad adopta una especial relevancia, ya que la relación terapéutica que se establece entre paciente y profesional es singular y única. Sin embargo, el conocimiento de la calidad asistencial en este ámbito ha tenido poca repercusión. El concepto de calidad está ampliamente desarrollado en el ámbito médico, pero también en el ámbito de enfermería, representado por dos grandes pensadoras. Este trabajo conceptual pretende conocer la evolución del concepto de calidad desde el punto de vista tanto del paciente como del profesional asistencial de los servicios de salud mental

Quality in healthcare has become a key piece in clinical practice. It is not only important to do things well, but to obtain the objective knowledge of the people who receive our care. The patient's perspective brings us closer to knowing this knowledge, but it is not the only one. Knowing the perspectives of professionals who work daily is also a fundamental pillar that sometimes is not given the due importance. In the field of mental health, the concept of quality takes on special relevance because the therapeutic relationship established between patient and professional is unique and essential. However, knowledge of the quality of care in this area has had little impact.The concept of quality is widely developed in the medical field, but also in the field of nursing, represented by two great thinkers. This conceptual work aims to know the evolution of the concept of quality in order to focus on the concept of quality understood both by the patient and the professional of the mental health services perspective

Humanos , Qualidade da Assistência à Saúde/tendências , Serviços de Saúde Mental , Enfermagem Psiquiátrica