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1.
Rev Bras Enferm ; 74(suppl 5): e20200525, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34105696

RESUMO

OBJECTIVE: to know innovative pedagogical experiences developed by professors in the teaching of psychiatric nursing and mental health in undergraduate nursing courses at public universities in Rio de Janeiro State. METHOD: based on an ethnomethodological approach, individual semi-structured interviews and document analysis were carried out according to content analysis. RESULTS: despite the heterogeneity in the curriculum distribution of psychiatric nursing's and mental health's knowledge, the themes taught have similarities. The perceptions of innovation are mainly related to interdisciplinary practices and teaching, relational, and care technologies. Innovative teaching practices are focused on the use of active methodologies and collaborative activities. FINAL CONSIDERATIONS: innovating teaching requires creating strategies to teach people how to care for people, valuing human uniqueness. Student participation in health services is the key to the dialogue between knowledge produced in academia and that mobilized in health services.


Assuntos
Currículo/tendências , Saúde Mental , Enfermagem Psiquiátrica/educação , Enfermagem Psiquiátrica/tendências , Ensino/tendências , Brasil , Bacharelado em Enfermagem , Humanos , Enfermagem Psiquiátrica/métodos , Estudantes de Enfermagem
2.
J Psychosoc Nurs Ment Health Serv ; 59(6): 37-47, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34060958

RESUMO

This is the first nursing journal article to introduce the pioneering work of American psychiatric nurse leader, Adele S. Poston. Poston supervised a team of nurses as they cared for soldiers serving with the American Expeditionary Forces during World War I in France. Poston and her nurses worked in the first American specialized neuropsychiatric hospital in a war. The soldiers they treated primarily had functional nervous disorders described at that time as "shell shock" or "war neuroses." The traumatized officers and enlisted men were considered capable of being cured and returned to active duty based on research done by American psychiatrists among British troops during the first 3 years of the war. The story of Poston's career prior, during, and after the war and her work with other nurses during a global war are significant in psychiatric nursing history. Bringing this hitherto missing piece of psychiatric and nursing history into the light gives us a unique opportunity to recognize Poston and the nurses who served with her, even as today we recognize the nurses who serve during the global COVID-19 pandemic. [Journal of Psychosocial and Mental Health Services, 59(6), 37-47.].


Assuntos
Enfermagem Psiquiátrica/história , I Guerra Mundial , Distúrbios de Guerra/história , Feminino , História do Século XX , Humanos , Serviços de Saúde Mental , Militares
3.
BMC Health Serv Res ; 21(1): 569, 2021 Jun 09.
Artigo em Inglês | MEDLINE | ID: mdl-34107937

RESUMO

BACKGROUND: Mental disorders impose heavy burdens on patients' families and children. It is imperative to provide family-focused services to avoid adverse effects from mental disorders on patients' families and children. However, implementing such services requires a great deal of involvement of mental health workers. This study investigated the attitudes, knowledge, skills, and practices in respect to family-focused practices (FFP) in a sample of Chinese mental health workers. METHODS: A cross-sectional study design was employed to examine the attitudes, knowledge, skills, and practices of a convenience sample of Chinese mental health workers in respect to FFP, using the Chinese version of the Family-Focused Mental Health Practice Questionnaire (FFMHPQ). RESULTS: In total, 515 mental health workers participated in our study, including 213 psychiatrists, 269 psychiatric nurses, and 34 allied mental health professionals (20 clinical psychologists, 9 mental health social workers, and 4 occupational therapists). Compared with psychiatric nurses, psychiatrists and allied mental health professionals provided more support for families and children of patients with mental illness and were more willing to receive further training in FFP. However, there were no significant differences on knowledge, skills, and confidence across different profession types. After adjusting for demographic and occupational variables, previous training in FFP was positively associated with mental health workers' knowledge, skills, and confidence about FFP, but not actual support to families and children. CONCLUSIONS: Professional differences on FFP exist in Chinese mental health workers. Training is needed to engage psychiatrists and other allied workforce in dissemination and implementation of FFP in China.


Assuntos
Transtornos Mentais , Enfermagem Psiquiátrica , Criança , China , Estudos Transversais , Pessoal de Saúde , Humanos , Transtornos Mentais/terapia , Saúde Mental
4.
Arch Psychiatr Nurs ; 35(3): 303-310, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33966797

RESUMO

In the International Year of the Nurse, we are in the midst of a global pandemic. Historically, nurses have been at the forefront of crises influencing standards of care and public health policy. Managing psychiatric patients during the current COVID-19 pandemic has challenged the psychiatric nurses' role within the therapeutic milieu fostering innovative practices to meet patient needs. Our behavioral health center met the challenges with resilience, creativity and commitment. The next challenge is to learn from experience. Building on innovative technology opens the window to new models of care. Understanding resilience is critical to preparing for the next crisis.


Assuntos
COVID-19/psicologia , Hospitais , Enfermagem Psiquiátrica , Resiliência Psicológica , Humanos , New York , SARS-CoV-2
5.
Nurse Educ Pract ; 53: 103082, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34023663

RESUMO

AIM: To explore the variation in mental health nursing students' understanding of recovery. BACKGROUND: In mental health practice clinical understanding of recovery has been challenged with a new understanding based on the individualised experiences of the person, often referred to as personal recovery. Despite international policy endorsement, practice has been slow to embrace the principles of personal recovery and little is known about student nurses' understanding of the concept. DESIGN: Qualitative phenomenographic study METHOD: In-depth semi-structured interviews including discussion of a clinical scenario, were conducted with 13 pre-registration student nurses. Data was analysed iteratively using a seven stage phenomenographic framework, identifying categories of description and the outcome space. RESULTS: Analysis revealed a branched outcome space with four qualitatively distinct ways of understanding recovery. Branch one can be broadly aligned to clinical recovery and contains one category only, 'Recovery as Clinical Improvement'. It is distinctly different from branch two which contains three categories on a continuum, which represent more and less complete ways of understanding personal recovery: 'Recovery as Making Progress', 'Recovery as Managing to Live Well' and 'Recovery as Learning to Live Differently'. Most participants demonstrated understanding in the less sophisticated categories. CONCLUSION: Recovery is central to mental health nursing, yet this study suggests it is a problematic concept for students. Features of personal recovery can be found in the second branch of the outcome space, with the most sophisticated category 'Learning to Live Differently' best representing the principles of recovery espoused in nursing literature and international policy. Phenomenography has allowed a more complex picture to emerge, replacing the dichotomy between clinical and personal recovery and enabling a differentiation between more and less complete ways of understanding personal recovery. This study addresses the lack of attention given to student nurse experiences of recovery. The insights support educators, both in clinical and academic settings, to address personal recovery in more explicit way where partial understanding can be explored.


Assuntos
Enfermeiras e Enfermeiros , Enfermagem Psiquiátrica , Estudantes de Enfermagem , Atitude do Pessoal de Saúde , Humanos , Aprendizagem , Saúde Mental , Pesquisa Qualitativa
6.
Rev Infirm ; 70(271): 21-23, 2021 May.
Artigo em Francês | MEDLINE | ID: mdl-34024575

RESUMO

University health services have been serving students for many years. During this very particular health crisis, they are actively caring for the health of their population, including psychological health. Nursing skills are essential here.


Assuntos
Enfermagem Psiquiátrica , Serviços de Saúde para Estudantes , Estudantes de Enfermagem , Humanos , Saúde Mental , Estudantes
7.
Artigo em Inglês | MEDLINE | ID: mdl-34000168

RESUMO

OBJECTIVE: To focus on the first feelings, attitudes, and planned reactions of psychiatric workers in Hungary to the news of the appearance of coronavirus disease 2019 (COVID-19) and to examine any differences between psychiatrists/psychologists and nurses/other professionals regarding these attitudes. METHODS: Hungarian psychiatric workers (N = 119) including psychiatrists/psychologists (n = 78) and nurses/other professionals (n = 41) participated in the study. To measure attitudes, a questionnaire was designed consisting of 7 questions and filled out within 1-3 days after the declaration of emergency in response to COVID-19 in Hungary on March 11, 2020. RESULTS: Psychiatric workers, especially psychiatrists/psychologists, regarded information gathering from valid sources as important. When examining the first feelings, we found that the psychiatrists/psychologists group tended to feel higher extent of anxiety, while the nurses/other professionals group showed higher extent of hope. When investigating willingness to work in the pandemic situation, a lower percentage of Hungarian psychiatric workers (58%) would choose to continue working compared to previous research. Answers to open-ended questions revealed that denial was the most frequent coping reaction. CONCLUSIONS: These differences could be attributed to the finding that psychiatrists/psychologists, who had faced the reality of the virus situation via the news, tended to have more realistic attitudes toward the virus, while nurses/other professionals, who had avoided valid information, tended to have less realistic attitudes.


Assuntos
Atitude do Pessoal de Saúde , COVID-19 , Enfermeiras e Enfermeiros , Psiquiatria , Psicologia , Adulto , Ansiedade , Feminino , Esperança , Hospitais Psiquiátricos , Humanos , Hungria , Masculino , Pessoa de Meia-Idade , Enfermagem Psiquiátrica , SARS-CoV-2 , Serviço Social em Psiquiatria , Assistentes Sociais , Inquéritos e Questionários
8.
Int Nurs Rev ; 68(2): 196-201, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-33894062

RESUMO

AIM: To understand nurses' responses to COVID-19 and identify their uptake of changes in the procedure required for the management of COVID-19 in an inpatient psychiatric ward. BACKGROUND: The infection risk for COVID-19 in an enclosed inpatient psychiatric ward is high due to living arrangements in the ward and the nature of the infectious disease. INTRODUCTION: This paper describes inpatient nurses' experiences, challenges and strategies deployed at the institutional and national levels to contain the spread of infection. METHODS: Written feedback was collected to understand nurses' responses and identify their uptake of changes in procedure following the COVID-19 outbreak in the ward. FINDINGS: Nurses felt shocked, worried, isolated, expressed a lack of confidence, and experienced physical exhaustion. COVID-19 specific challenges were highlighted in the delivery of safe and quality nursing care. Nurses were satisfied with the hospital policy and strategies implemented during the outbreak, acknowledging the importance of support from nursing leaders. DISCUSSION: Practical support and strong nursing leadership have been imperative in the battle against the COVID-19 outbreak in the psychiatric hospital. Psychiatric nursing care was maintained with a modified management and treatment approach. IMPLICATIONS FOR NURSING PRACTICE: Nurses' willingness to adjust to the reconfiguration of operations to accommodate changes has been crucial for the healthcare system to run effectively. Good practices and policies established during this crisis should be developed and established permanently in nursing practice. IMPLICATIONS FOR HEALTH POLICY: Prompt and effective contingency planning and policymaking at the national and institutional level, targeting human resource management and infection control, can introduce changes and alternative options for nursing care in a pandemic. CONCLUSION: With support from influential nursing leaders, strategies and policies are imperative in ensuring the successful management of COVID situations in an inpatient psychiatric setting.


Assuntos
COVID-19/enfermagem , Controle de Infecções/organização & administração , Papel do Profissional de Enfermagem , Pneumonia Viral/enfermagem , Unidade Hospitalar de Psiquiatria/organização & administração , Enfermagem Psiquiátrica , COVID-19/epidemiologia , Humanos , Liderança , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , SARS-CoV-2 , Singapura/epidemiologia
9.
J Adv Nurs ; 77(7): 3104-3115, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33748977

RESUMO

AIMS: To evaluate the effects of an intervention aimed at improving the therapeutic relationship, using the participatory-action research method, in terms of improving the quality of the nurse-patient therapeutic relationship. DESIGN: A single-group pre-post research design. METHODS: Quantitative data were collected between January 2018 and June 2019 using an online form completed by nurses from 18 mental health units (N = 95). Data were collected before and after the intervention, which consisted of the design, implementation and evaluation of strategies to improve the therapeutic relationship through participatory-action research involving nurses. The Working Alliance Inventory-Short, Interpersonal Reactivity Index, Evidence-Based Practice Questionnaire and Practice Environment Scale of the Nursing Work Index were used. The Wilcoxon rank-sum test was used together with the Spearman's correlation coefficient. Two multiple linear regressions models were constructed. RESULTS: Overall, the intervention improved the nurse-patient therapeutic relationship. In addition, the results revealed that, above all, the improvement in evidence-based practice along with a decrease in nurses' personal distress were the factors associated with the improvement of the nurse-patient therapeutic relationship. CONCLUSION: In mental health units, the therapeutic nurse-patient relationship can be improved through participatory interventions that include the implementation of evidence-based practices. IMPACT: This research examined the effects of an intervention aimed at improving the therapeutic relationship among nurses working at mental health units using participatory action research. The results show that the therapeutic relationship can be improved through participatory methods where evidence-based practice is implemented and enhanced among nurses, since a better therapeutic relationship along with reduced staff discomfort are determining factors that influence the quality of the therapeutic relationship. Institutional managers should promote participatory group interventions to enable nurses to develop evidence-based aspects of the therapeutic relationship together with expanding personal aspects and self-knowledge.


Assuntos
Enfermeiras e Enfermeiros , Enfermagem Psiquiátrica , Pesquisa sobre Serviços de Saúde , Humanos , Saúde Mental , Relações Enfermeiro-Paciente
10.
Soins ; 66(853): 52-54, 2021 Mar.
Artigo em Francês | MEDLINE | ID: mdl-33775305

RESUMO

Coercive measures such as seclusion and restraint, which are sometimes used in psychiatry, remain current practices. According to literature, these interventions are particularly complex for the nurses implementing them. In situations of seclusion and restraint, these professionals focus in particular on the nurse-patient relationship, the patient's safety and the respect of their humanity. Training is possible to help nurses manage these situations and improve their approach to the clinical judgement.


Assuntos
Raciocínio Clínico , Transtornos Mentais , Enfermagem Psiquiátrica , Restrição Física , Humanos , Transtornos Mentais/enfermagem , Restrição Física/psicologia
11.
J Psychosoc Nurs Ment Health Serv ; 59(3): 7-12, 2021 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-33647157

RESUMO

Emergency departments (EDs) are experiencing a worsening crisis of overcrowding, especially during the coronavirus pandemic. Persons experiencing psychiatric emergencies must be evaluated medically and screened for risks of harm to self or others before they can be cleared for transfer to inpatient units or discharged. Severe shortages of inpatient psychiatric beds can lead to hours or even days of costly boarding in the ED. The purpose of this article is to examine the potential role of psychiatric-mental health nurse practitioners in psychiatric ED care, from initial intake and medical clearance, screening for suicide risk, de-escalation, stabilization, and discharge. [Journal of Psychosocial Nursing and Mental Health Services, 59(3), 7-12.].


Assuntos
Emergências/psicologia , Serviço Hospitalar de Emergência , Serviços de Saúde Mental , Profissionais de Enfermagem , Enfermagem Psiquiátrica , Feminino , Humanos , Masculino , Transtornos Mentais/terapia , Papel do Profissional de Enfermagem , Alta do Paciente
12.
Hu Li Za Zhi ; 68(1): 4-5, 2021 Feb.
Artigo em Chinês | MEDLINE | ID: mdl-33521912

RESUMO

Although many resources have been explored and applied in our environment, personal internal and external resources have yet to be adequately exploited. A nursing theory and model for internal and external resources may be developed and discussed deeply (Zauszniewski, 2018) to provide newer vision and direction, while helping face the challenges of caring for patients with psychiatric disorders or mental obstacles. Recently, many breaking news stories have highlighted the hidden worries affecting our society due to patients with psychiatric disorders who live in the community. This has resulted in people, including student nurses, to retain their stigma toward mental illnesses and psychiatric patients and express negative perceptions and fear toward psychiatric patients (Choi et al., 2016). Therefore, it has been a challenge of psychiatric nursing education to develop and use a new and more-acceptable teaching model to help student nurses better understand and hold a more-correct perception toward psychiatric patients. The practice of clinical nursing profession still needs to be focused while we remain committed to psychiatric nursing education. The number of psychiatric patients who need more continuous care in community settings has increased significantly. The needs of psychiatric home care nursing should be particularly emphasized, as the manpower / capabilities necessary for psychiatric nursing are limited in community health nursing practice (Huang & Wang, 2015). More resources and psychiatric practice nursing professionals should be made available to communities for continuous psychiatric care (Wu et al., 2016). Strong and authentic partnerships are very important to acute care, education, evidence-based research, and practical policy development in psychiatric & mental health nursing (McInnis-Perry et al., 2015). In this column, resourcefulness theory is introduced as a new theory that may be applied in the psychiatric and mental health nursing practice; alternative teaching models are recommended for psychiatric nursing education; and finally, the importance of overcoming the difficulties and addressing the needs in community psychiatric home care nursing is also emphasized. It is hoped that this approach will help facilitate the further, positive advance of psychiatric and mental health nursing.


Assuntos
Educação em Enfermagem , Serviços de Assistência Domiciliar , Enfermagem Psiquiátrica , Estudantes de Enfermagem , Humanos , Estigma Social
13.
Hu Li Za Zhi ; 68(1): 6-12, 2021 Feb.
Artigo em Chinês | MEDLINE | ID: mdl-33521913

RESUMO

Resourcefulness theory has been developed and applied for nearly four decades in the West and been recommended by scholars in Taiwan for almost two decades. Research into the concept and theory of resourcefulness has been conducted in the nursing profession, especially in psychiatric and mental health nursing, in Taiwan, making the country the earliest Chinese and Taiwanese culture to adopt and use this theory. The concept of resourcefulness was derived from psychology and refers to the ability to effectively use internal (personal) and external (social) resources. It thus covers the two dimensions of skills application (e.g., personal resourcefulness and social resourcefulness). Beyond applying the concept of resourcefulness in academia and in the clinical practice of psychology and nursing, an instrument, the Resourcefulness Scale, has also been developed to measure resourcefulness with robust reliability and validity. Resourcefulness has been studied and tested in different populations, including patients with mental illness, elderly, adolescents, caregivers, nurses, and others, and has been found to correlate with depressive symptoms, self-harm behaviors, work stress, care burden, adaptation functioning, recovery, and quality of life. Moreover, resourcefulness training based on theory of resourcefulness and quality of life has also been fully developed and tested. The evolution of resourcefulness theory may be expected to be rooted and developed broadly to benefit more populations. The scientific development of psychiatric and mental health nursing may be seen in another field.


Assuntos
Enfermagem Psiquiátrica , Adaptação Psicológica , Cuidadores , Humanos , Qualidade de Vida , Reprodutibilidade dos Testes , Taiwan
14.
Hu Li Za Zhi ; 68(1): 19-23, 2021 Feb.
Artigo em Chinês | MEDLINE | ID: mdl-33521915

RESUMO

Psychiatric nursing is a relatively abstract thus difficult discipline for students to master. Moreover, the prevalent stigmatization of mental illness in society inhibits the learning motivation and effectiveness of nursing students in this discipline and increases the anxiety of these students during their initial psychiatric clinical practicum. The experiential learning strategy, which allows direct interactions between students and community-based patients enrolled in psychological rehabilitation programs, is discussed in this article. As patients share their illness journey in class, nursing students are better able to experience these patients' sufferings and thus in a better position to clarify related knowledge, develop empathy, and ease self-perceived anxiety prior to beginning their psychiatric clinical practicum.


Assuntos
Enfermagem Psiquiátrica , Reabilitação Psiquiátrica , Estudantes de Enfermagem , Bacharelado em Enfermagem , Humanos , Preceptoria , Ensino
15.
Invest. educ. enferm ; 39(1): [E12], 15 febrero 2021. table 1, table 2
Artigo em Inglês | LILACS, BDENF - Enfermagem, COLNAL | ID: biblio-1151110

RESUMO

Objective. To evaluate the effectiveness of short-term in-service education program in improving nurse's knowledge, attitude and self-reported practices related to physical restraint use. Methods. A quasi-experimental one group pre-post study was conducted involving nurses working at a tertiary mental health care setting, Dharwad, India. We provided 3 consecutive days of intensive restraint management education (total 6 hours-two hours per day) with a follow-up assessment after one month. The standard questionnaires on knowledge, attitude and practice regarding physical restraints were used as tools for measuring the impact of in-service education program. The program was conducted for a group of five to six nurses at a time. Teaching was done using lecture method, group discussion and demonstrations. Results. Of the 52 nurses who participated in the study, 52% were male, 58.5% had a baccalaureate degree. The mean age of respondents was 33.3 years, the mean work experience was 6.7 years. The findings of the study revealed that the mean scores on the knowledge regarding physical restraints increased after the in-service education from 6.4 to 8.2 (p<0.001). The mean attitude scores improved from 18.5 to 23.1 (p<0.001). There was a significant difference in mean practice scores between pre and post-intervention phases (23.7 versus 25.4; p<0.001). There was a significant correlation between post-test knowledge, attitude and practice scores. Conclusion. The in-service education program improved nurse's knowledge, attitude and self-reported practice scores. This may lead to more effective restraints management by psychiatric nurses.


Objetivo. Evaluar la efectividad a corto plazo de un programa de educación en servicio para enfermeros, el cual tenía como fin mejorar los conocimientos, las actitudes y las prácticas auto-informadas en relación al uso de medidas de contención física. Métodos. Se realizó un estudio cuasi-experimental con evaluación de pre y post-intervención de un grupo de enfermeros que trabajaban en un entorno de atención terciaria de salud mental en Dharwad (India). Durante tres días consecutivos, se hizo educación sobre el manejo de la contención física (un total de 6 horas, dos horas por día) con una evaluación de seguimiento después de un mes. Los cuestionarios estándar sobre conocimientos, actitudes y prácticas con respecto a la contención física se utilizaron como herramientas para medir el impacto del programa en servicio. Las sesiones se llevaron a cabo en grupos de cinco a seis enfermeras a la vez. La enseñanza se realizó mediante el método de conferencias, debates en grupo y demostraciones. Resultados. De los 52 enfermeros que participaron en el estudio, el 52% eran hombres, el 58.5% tenía un título de bachillerato en enfermería (formación profesional de 4 años). La edad media de los encuestados fue de 33.3 años, con una experiencia laboral media de 6.7 años. Los hallazgos del estudio revelaron que las puntuaciones medias en el conocimiento sobre restricciones físicas aumentaron después de la educación en el servicio de 6.4 a 8.2 (p<0.001). Las puntuaciones medias de actitud mejoraron de 18.5 a 23.1 (p<0.001). También se observó una diferencia significativa en las puntuaciones medias de práctica entre las fases pre y post-intervención (23.7 versus 25.4). Hubo una correlación significativa entre los puntajes de conocimientos, actitudes y prácticas posterior a la prueba. Conclusión. El programa de educación en el servicio mejoró el conocimiento, las actitudes y las prácticas auto-reportadas de los enfermeros, lo que puede conducir a un manejo más efectivo de la contención física por parte de los enfermeros psiquiátricos.


Objetivo. Avaliar a eficácia em curto prazo de um programa de educação em serviço para enfermeiros que buscam aprimorar conhecimentos, atitudes e práticas autorreferidas em relação ao uso de medidas de contenção física. Métodos. Foi realizado um estudo quase experimental com avaliação pré e pós-intervenção de um grupo de enfermeiras trabalhando em um ambiente terciário de saúde mental em Dharwad (Índia). Educação sobre o manejo da contenção física (um total de 6 horas, duas horas por dia) foi dada por três dias consecutivos com uma avaliação de acompanhamento após um mês. Questionários padronizados sobre conhecimentos, atitudes e práticas em relação à contenção física foram usados como ferramentas para medir o impacto do programa em serviço. As sessões foram realizadas em grupos de cinco a seis enfermeiras de cada vez. O ensino era feito por meio de palestras, discussões em grupo e demonstrações. Resultados. Dos 52 enfermeiros que participaram do estudo, 52% eram homens, 58.5% tinham o título de bacharel em enfermagem (4 anos de formação profissional). A idade média dos entrevistados era de 33.3 anos, a experiência de trabalho média era de 6.7 anos. Se realizou o teste t pareado para encontrar a diferença média entre a educação pré e pós-formação em serviço. Os resultados do estudo revelaram que as pontuações médias no conhecimento sobre restrições físicas aumentaram após a educação em serviço de 6,4 para 8,2 (p<0.001). As pontuações médias de atitude melhoraram de 18.5 para 23.1 (p<0.001). Uma diferença significativa também foi observada nas pontuações médias de prática entre as fases pré e pós-intervenção (23.7 versus 25.4). Houve uma correlação significativa entre as pontuações de conhecimento, atitude e prática pós-teste. Conclusão. O programa de educação em serviço melhorou os conhecimentos, atitudes e práticas autorreferidas dos enfermeiros, o que pode levar a um gerenciamento mais eficaz das restrições físicas pelos enfermeiros psiquiátricos


Assuntos
Humanos , Enfermagem Psiquiátrica , Restrição Física , Conhecimentos, Atitudes e Prática em Saúde
16.
J Psychiatr Ment Health Nurs ; 28(2): 126-137, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33608956

RESUMO

WHAT IS KNOWN ON THE SUBJECT?: During the COVID-19 pandemic, there has been research considering the impact on medical healthcare professionals and the mental health needs of the general population. However, limited focus has been placed on mental health services or mental health staff providing care in the community and in hospitals. While nurses make up the largest section of the mental health workforce in the UK, the impact that this pandemic has had on their work has been largely ignored. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: This paper provides a unique insight into the experiences and impact that the COVID-19 pandemic has had on mental health nurses across a range of community and inpatient settings to understand what has changed in their work and the care they can and do provide during this crisis. This includes exploring how services have changed, the move to remote working, the impact of the protective equipment crisis on nurses and the difficult working conditions facing those in inpatient settings where there is minimal guidance provided. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: By understanding the impact the pandemic has had on mental health nursing care, we can understand the gaps in guidance that exist, the challenges being faced and the impact the crisis has had on care for mental health service users. By doing so, we can plan for the ongoing nature of this pandemic and the aftermath that the crisis may leave for our service users and workforce alike. ABSTRACT: Introduction While evidence has emerged concerning the impact of COVID-19 on the general population and the challenges facing health services, much less is known regarding how the pandemic has directly affected the delivery of mental health nursing care. Aim This paper aimed to explore how COVID-19 has affected the ability of mental health nurses to deliver care in community and inpatient mental health services in the UK. Method We investigated staff reports regarding the impact of the COVID-19 pandemic on mental healthcare and mental health service users in the UK, using a mixed-methods online survey. A total of 897 nurses across a range of inpatient and community settings participated. Discussion Key themes within the data explore the following: new ways of working; remote working; risks of infection/infection control challenges; and the impact on service users. Targeted guidelines are required to support mental health nurses providing care and support during a pandemic to people in severe mental distress, often in unsuitable environments. Implications for Practice Service developments need to occur alongside tailored guidance and support for staff welfare supported by clear leadership. These findings identify areas requiring attention and investment to prepare for future crises and the consequences of the pandemic.


Assuntos
COVID-19/psicologia , Atenção à Saúde/métodos , Serviços de Saúde Mental , Enfermeiras e Enfermeiros/psicologia , Enfermagem Psiquiátrica/métodos , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , SARS-CoV-2 , Inquéritos e Questionários , Reino Unido , Adulto Jovem
18.
Soins Psychiatr ; 42(332): 12-16, 2021 Feb.
Artigo em Francês | MEDLINE | ID: mdl-33602452

RESUMO

The COVID-19 pandemic raises questions about the current state of our health care system. This particular context has highlighted hospital malaise, questioning the place of everyone, particularly in psychiatry. Being a caregiver raises the notion of commitment, the true foundation of the function of a psychiatric nurse. This term is discussed here, between commitment in politics and commitment in the clinic, inseparable forms which complement each other and grow together. Commitment to bring thought to life and to extend the caregiver's existence in the name of the caregiver-patient relationship.


Assuntos
Cuidadores , Enfermagem Psiquiátrica , COVID-19 , Cuidadores/psicologia , Humanos , Relações Enfermeiro-Paciente
19.
Soins Psychiatr ; 42(332): 22-27, 2021 Feb.
Artigo em Francês | MEDLINE | ID: mdl-33602454

RESUMO

The young psychiatric nurse has to adapt his posture in order to identify the challenges of his profession. The relationship with the subject and the desire to understand the issues must be at the heart of his professional life. What skills should be required to build up oneself? If this work is essentially relational, how can the right professional distance be apprehended? This is based on a commitment, an assumption of responsibility centred on analysis, an understanding of the patient and the ability to motivate him. In this context, the contributions of Carl Rogers, the characteristics of the clinical interview and the techniques favouring communication are valuable tools.


Assuntos
Relações Enfermeiro-Paciente , Enfermagem Psiquiátrica , Humanos
20.
Soins Psychiatr ; 42(332): 36-39, 2021 Feb.
Artigo em Francês | MEDLINE | ID: mdl-33602457

RESUMO

The subjective recognition by those involved in care, of people with psychiatric disorders, is not self-evident. Caregivers, in the general sense of the term, often find it difficult to recognise the personal freedom and dignity of psychiatric patients. Care is, however, inseparable from the relationship of trust and the mobilisation of the patient's ability to freely express choices and to participate in decisions concerning him; a central ability in the caregiver-patient relationship. Although the objectives of access to care and protection of the patient's rights are clearly stated, the question of the mental patient's freedom of choice, as well as his inner moral freedom, remains open to question, as does the questioning of these same freedoms among care providers.


Assuntos
Transtornos Mentais , Relações Enfermeiro-Paciente , Enfermagem Psiquiátrica , Liberdade , Humanos , Transtornos Mentais/enfermagem , Direitos do Paciente
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