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1.
J Clin Nurs ; 29(17-18): 3236-3245, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32447818

RESUMO

AIM AND OBJECTIVES: To explore whether nursing student's experiences at Recovery Camp have impacted their current nursing practices. BACKGROUND: Recently, there has been a move towards more holistic models of nursing care, which seek to break down barriers of stigmatisation and embrace the tenets of self-determination, to acknowledge people with lived experiences of mental illness and their ability to manage their recovery. In that regard, future health professionals such as nursing students will need to be educated in a manner that recognises the importance of lived experience. In this paper, we propose that Recovery Camp, an alternative clinical placement setting model, enhances clinical practice in multiple domains and is beneficial for both nursing practitioners and people with lived experiences of mental illness, as well as offering an effective nontraditional alternative to conventional clinical placement opportunities. METHODS: This study employed a phenomenological research design, involving individual semi-structured telephone interviews. The Standards for Reporting Qualitative Research (SRQR) checklist was adhered to. RESULTS: Three main themes were identified from the analysis: (a) engagement, (b) understanding mental health and (c) holistic care. "I definitely look at people with mental health conditions in a different light." At Recovery Camp, participants felt that they had greater opportunities for engagement with people with lived experiences, and through this engagement, their preconceptions of mental illness began to change. CONCLUSIONS: Recovery Camp may have facilitated the transfer of knowledge that is more person-centred among nursing students, consequently impacting their current nursing practices. RELEVANCE TO CLINICAL PRACTICE: Nurses should be equipped with mental health skills regardless of their career trajectory. While Recovery Camp represents a promising approach to facilitate knowledge transfer, further investigation will be required to determine which other factors are instrumental. This approach may have wider implications for nursing education.


Assuntos
Transtornos Mentais/enfermagem , Assistência Centrada no Paciente/métodos , Estudantes de Enfermagem/psicologia , Adulto , Atitude do Pessoal de Saúde , Educação em Enfermagem/métodos , Feminino , Humanos , Masculino , Serviços de Saúde Mental/organização & administração , Enfermagem Psiquiátrica/educação , Pesquisa Qualitativa
2.
Rev Bras Enferm ; 73(1): e20180208, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32049240

RESUMO

OBJECTIVE: to report the experience of the Psychiatric Nursing professors of the Nursing Undergraduate Course of the Nursing School, Universidade Federal de Minas Gerais (UFMG) and the challenges faced to offer quality training. METHOD: This is an experience report about the experience of Psychiatric Nursing professors of the Nursing Undergraduate Course of the Nursing School, UFMG. RESULTS: After losing the workload of 120 hours in the Psychiatric Nursing Undergraduate Course, the area developed elective disciplines with a total of 330-hour load, in addition to extension and research projects. FINAL CONSIDERATIONS: the precariousness of the area of Nursing training after curricular restructuring in a higher education institution, whether in relation to hour load or in the allocation of teaching vacancies, is in line with advances of the Brazilian Psychiatric Reform and epidemiological data of psychic illness and drug use.


Assuntos
Bacharelado em Enfermagem/normas , Enfermagem Psiquiátrica/educação , Brasil , Bacharelado em Enfermagem/métodos , Bacharelado em Enfermagem/tendências , Humanos , Enfermagem Psiquiátrica/métodos , Escolas de Enfermagem/normas , Escolas de Enfermagem/tendências
3.
Nurse Educ Today ; 85: 104259, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31783267

RESUMO

BACKGROUND: The global health care system has applied case management (CM) as a care delivery service provided by nurses. Nurses require continuing education in CM to enhance their professional knowledge and competence. Mobile communities have been used to promote continuing education for medical professionals. However, limited studies have examined the effectiveness of such learning programmes in CM for psychiatric nurses. OBJECTIVE: To evaluate the effectiveness of a mobile community learning (MCL) programme in CM for psychiatric nurses. DESIGN: This study used an experimental two-group pre- and post-test design. SETTINGS AND PARTICIPANTS: Psychiatric nurses employed in a psychiatric teaching hospital situated in northern Taiwan were recruited. METHODS: Nurses were randomly allocated to the experimental or comparison group. The former participated in the learning intervention in CM. The CM knowledge index and a competence scale were used to determine outcomes. Pre-tests and 2-month post-tests were conducted. The MCL programme comprised five simulated learning modules, self-assessment questions, learning cases, learning resources and experience sharing. A two-way repeated-measures analysis of variance was performed to evaluate the effect of the intervention on target outcomes. RESULTS: The questionnaires were completed by 48 participants. The two groups possessed high homogeneity with regard to characteristics and pre-test outcomes. Differences between the two groups regarding CM knowledge (F = 22.99, p < .01) and competence (F = 6.33, p = .015) were significant. The programme had a positive benefit on the learning experience in the experimental group; the mean satisfaction score for the programme reached 4.27 (range, 1-5). CONCLUSIONS: MCL programmes for psychiatric nurses can effectively enhance CM knowledge and competence. However, these methods cannot completely replace the continuing education approach for achieving CM competence.


Assuntos
Administração de Caso/normas , Educação a Distância/normas , Educação Continuada em Enfermagem/normas , Enfermagem Psiquiátrica/normas , Adulto , Administração de Caso/estatística & dados numéricos , Educação a Distância/métodos , Educação a Distância/estatística & dados numéricos , Educação Continuada em Enfermagem/métodos , Educação Continuada em Enfermagem/estatística & dados numéricos , Feminino , Humanos , Pessoa de Meia-Idade , Enfermagem Psiquiátrica/educação , Enfermagem Psiquiátrica/estatística & dados numéricos , Inquéritos e Questionários , Taiwan
4.
Nurse Educ Today ; 84: 104219, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31731222

RESUMO

Theory and clinical practicum in mental health are an important component for students in most nursing curriculum. Some studies have shown that knowledge and confidence in caring for people with mental illness improve after mental health clinical placements while others had contrasting results. Our study examined the relationship between clinical placement, confidence and stigma surrounding mental illness. We undertook a cross-sectional, descriptive correlational study in a sample of 144 undergraduate nursing students in Singapore who had completed their theoretical and clinical practicum in mental health using the Clinical Placement Survey Clinical Confidence Scale and Social Distance Scale. Descriptive, correlations and multiple regression were used to analyse the data. The results showed the mean scores for the social distance scale, clinical confidence scale and clinical placement survey were 19.92 out of 35, 49.29 out of 80 and 103.43 out of 154 respectively. Attitudes toward clinical placement experiences were significantly correlated with both stigmatising attitudes and clinical confidence of which, intentions of working in mental health settings were specifically significantly associated with stigmatising attitudes and attitudes toward clinical placement experiences, with emphasis on greater sense of preparedness, lesser perceived anxiety and greater preference for a future career in mental health nursing. This study highlighted the need to improve current mental health clinical placements to better build nursing students' confidence in caring for mentally ill patients. The interest toward specialising in mental health nursing is still lacking in nursing undergraduate students despite mental health clinical placements.


Assuntos
Competência Clínica/normas , Enfermagem Psiquiátrica/educação , Estigma Social , Estudantes de Enfermagem/psicologia , Adulto , Atitude do Pessoal de Saúde , Competência Clínica/estatística & dados numéricos , Correlação de Dados , Estudos Transversais , Bacharelado em Enfermagem/métodos , Feminino , Humanos , Masculino , Transtornos Mentais/complicações , Transtornos Mentais/psicologia , Preceptoria/métodos , Preceptoria/estatística & dados numéricos , Enfermagem Psiquiátrica/métodos , Singapura , Estudantes de Enfermagem/estatística & dados numéricos , Inquéritos e Questionários
5.
Nurse Educ Today ; 84: 104240, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31715472

RESUMO

BACKGROUND: Technical innovations such as ecological momentary assessment (EMA), machine learning (ML), computerized adaptive testing (CAT), Digital Phenotyping, Clinical Decision Support Systems (CDSS), Algorithms, and Biomarkers have caused a paradigm shift in psychiatric care. The aim of the present study was to explore how student nurses view this paradigm shift, by assessing the acceptability of smartphone-based EMA, CAT, and biosensor-based Digital Phenotyping. We also investigated the factors affecting this acceptability. METHOD: Student nurses recruited via nursing schools participated in a quantitative study involving the screenplay method, in which they were exposed to two scenarios about depression care, one featuring EMA and CAT, the other featuring a connected wristband (CW) for Digital Phenotyping. Four acceptability domains (usefulness, usability, reliability, risk) were investigated. RESULTS: We recorded 1216 observations for the first scenario and 1106 for the second. Regarding overall acceptability, the CW was viewed less positively than CAT and EMA. Regarding reliability, whereas respondents believed that the CW could correctly detect depressive relapse, they did not think that EMA and CAT were sufficiently reliable for the accurate diagnosis of depressive disorder. More than 70% of respondents stated that they would nevertheless be interested in offering EMA, CAT or CW to their patients, but more than 60% feared that these devices might hinder the therapeutic relationship. CONCLUSION: This was the first study assessing student nurses' views of EMA, CAT and CW-based digital phenotyping. Respondents were interested in these new technologies and keen to offer them to their patients. However, our study highlighted several issues, as respondents doubted the reliability of these devices and feared that they would hinder the therapeutic relationship. Subgroup analysis revealed correspondences between acceptability profiles and demographic profiles. It is therefore essential for nurses and student nurses to receive training and become involved in the development of this new technologies.


Assuntos
Transtorno Depressivo/diagnóstico , Enfermagem Psiquiátrica/educação , Smartphone , Estudantes de Enfermagem/psicologia , Adolescente , Adulto , Técnicas de Apoio para a Decisão , Transtorno Depressivo/enfermagem , Avaliação Momentânea Ecológica , Feminino , França , Humanos , Masculino , Reprodutibilidade dos Testes , Inquéritos e Questionários , Adulto Jovem
6.
Nurse Educ Today ; 84: 104243, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31669970

RESUMO

BACKGROUND: It is important that nursing students develop positive beliefs and attitudes toward individuals with mental health problems during nursing education in order to provide an effective nursing care and create a therapeutic environment. OBJECTIVE: This study was conducted to analyze the effect of psychiatric nursing internship practice and the personal characteristics and preferences of psychiatric nursing interns on their beliefs and attitudes toward mental illnesses. DESIGN: This is a single group experimental study with a pre-test and post-test. PARTICIPANTS: The study sample included 33 fourth-year nursing students enrolled in the School of Health who participated in an internship in psychiatric nursing. METHODOLOGY: The study data were collected using a student information form, the Community Attitudes Toward the Mentally Ill Scale (CAMI) and the Beliefs Toward Mental Illness Scale (BMI) at the beginning and end of the 14-week internship of 32 h per week. FINDINGS: The students' beliefs and attitudes toward mental health problems were found to be moderate with no significant differences between mean pre-test and post-test scores. CONCLUSION: The psychiatry nursing internship practice yielded minimal positive changes in students' beliefs and attitudes toward mental health problems. Initiation of the process of developing positive attitudes and beliefs in the first year of nursing education and increasing the internship period may provide more effective results.


Assuntos
Atitude do Pessoal de Saúde , Estágio Clínico , Transtornos Mentais/enfermagem , Enfermagem Psiquiátrica/educação , Estudantes de Enfermagem/psicologia , Adulto , Feminino , Humanos , Masculino , Psicometria , Adulto Jovem
7.
J Clin Nurs ; 29(3-4): 525-534, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31715048

RESUMO

AIMS AND OBJECTIVES: This study was designed to explore the psychological processes experienced by nursing students caring for suicidal patients during their first psychiatric clinical practicum. BACKGROUND: Nursing students expressed fear when caring for patients who presented with suicidal behaviours. Yet, there is a lack of research exploring nursing students' feelings and thoughts when caring for suicidal patients. DESIGN: A grounded theory study. METHODS: A theoretical sample of 22 undergraduate nursing students who had cared for suicidal patients for at least 5 days during their psychiatric clinical practicum. Data were collected from 2016-2017, in three universities in Taiwan, using a semi-structured interview and constant comparative analysis. COREQ reporting guidelines were utilised. RESULTS: Four categories emerged depicting the psychological processes and revealing that the student nurses navigated four phases when caring for patients exhibiting suicidal behaviours. The phases were as follows: (a) apprehension and fear: involving students being frightened about patients attempting suicide; (b) frustration and powerlessness: concerning students finding it challenging to focus on changing patients' suicidal ideations; (c) support and catharsis: covering the students having to ask for psychological support from other people and explore their painful emotions; (d) confidence and empathy: meaning that the students incorporated enhanced confidence and cultivated advanced empathy, leading to the integration of competent care competencies towards suicidal patients. CONCLUSIONS: Findings could help nursing teachers to understand students' psychological processes when caring for suicidal patients. Teachers could provide appropriate support to help reduce students' negative thoughts and feelings and increase their care competencies when nursing suicidal patients during their psychiatric clinical practicum. RELEVANCE TO CLINICAL PRACTICE: Clinical nurse teachers could support and facilitate students to develop their competencies and confidence as they negotiate the four phases and, actually, complete their internship goals on their clinical practicums.


Assuntos
Preceptoria , Enfermagem Psiquiátrica/educação , Estudantes de Enfermagem/psicologia , Suicídio/psicologia , Adulto , Ansiedade/psicologia , Bacharelado em Enfermagem , Empatia , Medo/psicologia , Feminino , Teoria Fundamentada , Humanos , Masculino , Pesquisa Qualitativa , Taiwan
8.
J Psychiatr Ment Health Nurs ; 27(2): 140-150, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31538692

RESUMO

WHAT IS KNOWN ON THE SUBJECT?: There is a drive to use positive and proactive approaches to mental health care to reduce the use of restrictive practices such as seclusion and restraint. Positive behaviour support plans have been used successfully to do this in learning disability services, and in England, it is now a regulatory requirement that anyone with challenging behaviour should have an individualized behaviour support plan. However, positive behaviour support plans specifically have not been evaluated as part of routine mental health care and mental health nurses' and relatives' attitudes towards them are unknown. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: This evaluation of positive behaviour support plans in routine mental health inpatient care found that they had not been widely implemented or completed as intended. Barriers to the use of the plans included confusion among nurses and relatives around the principles of positive behaviour support, including how, when and for whom the plans should be used, difficulties in being able to describe the function of a patient's behaviour and lack of engagement with relatives and patients. Nevertheless, nurses and relatives valued the plans, in particular for their potential to facilitate holistic care. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: To use the plans successfully, mental health nurses will need training to understand fully the rationale behind the positive behaviour support approach and will need to engage more with relatives and patients. Commitment to the approach from the whole care team and organization will be needed to implement the plans consistently for all patients. Abstract Introduction An international drive is to minimize restrictive practices in mental health care. Positive behaviour support plans (PBSPs) help staff prevent behaviour which would require restrictive intervention. Originating in learning disability services, data within mental health care are limited. Aims To evaluate PBSPs within a mental health inpatient service; understand mental health nurses' and relatives' attitudes to them; and understand the barriers and facilitators for their use in routine mental health care. Methods Mixed methods-quality ratings and interviews with relatives and nurses. Results Positive behaviour support plans were poorly implemented. Relatives and nurses valued the potential of PBSPs to facilitate holistic care, though no relative had contributed to one and not every eligible patient had one. Barriers to their use included confusion around positive behaviour support, including how, when and for whom PBSPs should be used, and difficulties describing the function of a behaviour. Discussion The potential of PBSPs to improve mental health care is recognized. However, there are barriers to their use which should be addressed to ensure that PBSPs have been properly implemented before their impact on patient care can be assessed. Implications for practice Mental health professionals implementing PBSPs should engage with relatives and patients, gain organizational commitment and ensure that those involved understand fully the positive behaviour support approach.


Assuntos
Pacientes Internados , Transtornos Mentais/enfermagem , Serviços de Saúde Mental , Comportamento Problema , Unidade Hospitalar de Psiquiatria , Enfermagem Psiquiátrica , Restrição Física , Adulto , Idoso , Feminino , Humanos , Masculino , Serviços de Saúde Mental/normas , Pessoa de Meia-Idade , Enfermagem Psiquiátrica/educação , Enfermagem Psiquiátrica/métodos , Enfermagem Psiquiátrica/normas , Pesquisa Qualitativa
9.
Perspect Psychiatr Care ; 56(2): 243-255, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31353478

RESUMO

PURPOSE: This systematic review seeks to ascertain whether mental health-specific education reduces stigmatizing attitudes in nursing students. DESIGN AND METHODS: A systematic review of the literature was performed. FINDINGS: Thirteen studies met the inclusion criteria. Most of the results show an improvement in attitudes toward mental health, both in theory and clinical experience, but a greater improvement toward these stigmatizing attitudes was observed in clinical placements than in theory. PRACTICAL IMPLICATIONS: Mental-health-specific training seems to improve perceptions toward mental health. Clinical placement underpins theory, leading to a decrease in negative attitudes and stigma regarding mental health.


Assuntos
Atitude do Pessoal de Saúde , Enfermagem Psiquiátrica/educação , Estereotipagem , Estudantes de Enfermagem/psicologia , Humanos , Transtornos Mentais/psicologia , Transtornos Mentais/terapia
10.
J Psychiatr Ment Health Nurs ; 27(1): 62-76, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31361057

RESUMO

WHAT IS KNOWN ON THE SUBJECT?: A clear association exists between serious mental illness (SMI) and poor physical health. Individuals with SMI have markedly higher risks for mortality and morbidity. Mental health nurses play an important role in enhancing service users' mental and physical well-being. The attitudes of mental health nurses towards physical health care have been explored in the western part of the world. However, cross-country differences should be determined to reveal the importance of this global issue. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: This study adds new data to the literature on the Physical Health Attitude Scale's (PHASe) validity and nurses' attitudes when working in acute mental health services in different cultures. Nurses in acute mental health wards mostly focus on the basic physiological indicators of patients' existing physical health problems, so health promotion practices such as sexual health and eye/dental examinations are neglected for individuals with SMI. Nurses' higher level of confidence about their delivery of physical health care is due to their familiarity with basic nursing practices (e.g. monitoring blood pressure and checking blood glucose levels). Differences that exist between countries in relation to smoking habits are probably due to different regulations. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: To improve patients' physical healthcare outcomes, nurses should be provided with additional training and supervision to strengthen their skills and confidence. Nurses' perceived need for additional training reflects the importance of physical health care in mental health settings, in which training could substantially improve patient outcomes. Authors believe that standard protocols must be established in acute psychiatric care to eliminate obstacles to holistic patient care. Training needs of mental health nurses on health promotion practices should be considered by administrators of mental health settings. Abstract Introduction Nurses play an important role in improving the physical health of individuals with serious mental illnesses. The literature on the attitudes of mental health nurses towards physical health care provides a small amount of data. Assessing trends in nurses' attitudes through suitable surveys is important to ensure holistic care. Aim/Question This study sought to examine the Turkish version of the Physical Health Attitude Scale's (PHASe) validity and reliability and to survey Turkish mental health nurses' attitudes towards physical health care. Method The sample consisted of 174 nurses working in acute psychiatric wards. Firstly, the psychometric properties of the scale were analysed using factor analysis and measures of internal consistency and reliability. Then, the survey results of the attitudes of mental health nurses towards the physical health of patients with serious mental illnesses were determined using the Physical Health Attitude Scale (PHASe). Results The translated PHASe functioned best as a 24-item version and 4-factor solution that explains 51.3% of the variance. The internal consistency value was 0.83. The respondents' attitudes were generally positive about their role. There was less agreement for the involvement of nurses in practices of health promotion, such as sexual health, eye and/or dental examinations. The nurses surveyed also tended to use smoking for therapeutic purposes. Implications for practice Mental health nurses' knowledge and attitudes should be enhanced by additional training in the ways of meeting patients' biopsychosocial needs. Obstacles to physical health care can be removed by implementing standard protocols nationwide.


Assuntos
Atitude do Pessoal de Saúde , Promoção da Saúde , Nível de Saúde , Transtornos Mentais/enfermagem , Unidade Hospitalar de Psiquiatria , Enfermagem Psiquiátrica , Psicometria/normas , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermagem Psiquiátrica/educação , Reprodutibilidade dos Testes , Turquia
11.
Perspect Psychiatr Care ; 56(2): 297-307, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31347178

RESUMO

PURPOSE: This research is conducted to evaluate the effect of assertiveness training in schizophrenic patients on functional remission and assertiveness level. DESIGN AND METHODS: The research is designed as a randomized controlled trial with a pretest and posttest control group and repeated measures. Assertiveness training was carried out for a total of 8 weeks with the experimental group. FINDINGS: Assertiveness training in schizophrenic patients was found to be effective in increasing the functional remission and assertiveness levels of patients. PRACTICE IMPLICATIONS: Assertiveness training in schizophrenia should be implemented by psychiatric nurses within the scope of rehabilitation services.


Assuntos
Assertividade , Terapia Comportamental/métodos , Esquizofrenia/terapia , Comportamento Social , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermagem Psiquiátrica/educação , Recuperação de Função Fisiológica , Turquia , Adulto Jovem
12.
J Nurs Educ ; 58(12): 723-727, 2019 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-31794040

RESUMO

BACKGROUND: The World Health Organization recommends that health care educators create a collaborative and practice-ready workforce. Focused interprofessional education (IPE) promotes collaborative practice, yet few examples of how to develop sustained IPE and clinical partnerships exist. Mental health care professionals competent in their specialty and prepared for interprofessional collaboration are needed to treat complex mental health needs of patients. METHOD: Doctor of Nursing Practice Psychiatric Mental Health Nurse Practitioner (PMHNP) faculty partnered with College of Pharmacy faculty to create didactic, clinical, and simulation coursework and IPE competencies within PMHNP courses. Students developed skills about providing interprofessional mental health care. RESULTS: Recommendations for faculties include: embrace the value of interprofessional faculty partnerships; plan for time, money, motivation, and recognition needed for sustainable IPE; and design courses that become part of the fabric of the curricula. CONCLUSION: Embedding IPE into PMHNP curricula creates increased faculty satisfaction and positive feedback from students and clinical sites. [J Nurs Educ. 2019;58(12):723-727.].


Assuntos
Relações Interprofissionais , Profissionais de Enfermagem/educação , Enfermagem Psiquiátrica/educação , Estudantes de Farmácia , Competência Clínica , Currículo , Educação de Pós-Graduação em Enfermagem , Docentes de Enfermagem , Docentes de Farmácia , Humanos , Minnesota
13.
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
16.
Issues Ment Health Nurs ; 40(12): 1026-1033, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31498007

RESUMO

Expert by experience involvement in mental health education for health professional programmes has increased in recent decades. The related literature has articulated the benefits, and changes in attitudes have been measured in some studies. Less attention has been devoted to ways this learning approach could be improved. The aim of this paper is to present the nursing students perspectives on how Expert by Experience input into nursing curricula could be enhanced. Qualitative exploratory research was undertaken, involving focus groups with students who had completed a mental health learning module co-produced by Experts by Experience and nurse academics. Results show two main themes: getting the structure right, and changes to content and approach. Some student responses could directly influence changes to the learning module. In other instances, responses indicate the need to better prepare students of the value of lived experience knowledge in its own right, rather than adjunct to more traditional methods of education. These findings are important in encouraging reflection on how future learning modules co-produced by Experts by Experience and Mental Health Nursing academics can be refined and better articulated.


Assuntos
Educação em Enfermagem/organização & administração , Enfermagem Psiquiátrica/educação , Estudantes de Enfermagem/psicologia , Austrália , Currículo , Feminino , Finlândia , Grupos Focais , Humanos , Islândia , Irlanda , Masculino , Países Baixos , Noruega , Pesquisa Qualitativa
17.
J Psychosoc Nurs Ment Health Serv ; 57(9): 11-15, 2019 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-31461514

RESUMO

Substance use is at epidemic proportions in the United States. Substance use disorders (SUDs) are difficult to treat and considered to be chronic with a high mortality rate. Nurses are in a prime position to help patients with SUDs in a variety of settings, but they often lack knowledge about the disorder and the skills to provide effective care. The identification and treatment of co-occurring disorders, such as trauma, are important when providing care for patients with SUDs. Empathy and perspective taking were once thought to be helpful when working with patients, but evolving thought is that compassion is more effective as it involves feeling for, and not with, patients and includes taking action to help another. Harm reduction strategies, such as accepting people where they are, as well as the use of motivational interviewing strategies are also effective when working with patients with SUDs. Involving patients with SUDs in their treatment plans through shared decision making is also effective in building a therapeutic relationship and improves outcomes. [Journal of Psychosocial Nursing and Mental Health Services, 57(9), 11-15.].


Assuntos
Medicina do Vício/educação , Enfermagem Psiquiátrica/educação , Transtornos Relacionados ao Uso de Substâncias , Empatia , Humanos , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/terapia , Estados Unidos/epidemiologia
18.
Perspect Psychiatr Care ; 55(4): 734-742, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31332798

RESUMO

PURPOSE: To evaluate the effectiveness of a training program on the attitudes of psychiatric nurses toward using coercive measures. DESIGN AND METHODS: A repeated measures time-series design with two-equivalent groups was used. A convenience sample of 48 psychiatric nurses were recruited. Data collection was conducted using the Staff Attitude to Coercion Scale. FINDINGS: Results showed the effectiveness of the training program in improving nurses' attitude toward coercive measures. After 4 weeks of the training, nurses in the intervention group demonstrated significant improvements in their attitude mean scores. PRACTICE IMPLICATIONS: Equipping the psychiatric nurses with essential clinical knowledge and skills concerning the appropriate application of coercive measures policy were imperative issues that might help the nurses in dealing with these clinical complex situations effectively.


Assuntos
Atitude do Pessoal de Saúde , Coerção , Conhecimentos, Atitudes e Prática em Saúde , Transtornos Mentais/enfermagem , Recursos Humanos de Enfermagem no Hospital , Enfermagem Psiquiátrica , Projetos de Pesquisa , Adulto , Feminino , Humanos , Recursos Humanos de Enfermagem no Hospital/educação , Enfermagem Psiquiátrica/educação
19.
Int J Ment Health Nurs ; 28(6): 1288-1295, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31353779

RESUMO

Consumer participation is a clear expectation of contemporary mental health policy. Most activity has concentrated in direct service delivery, and academic roles for mental health consumers have been slow to establish. An international project was undertaken to implement and evaluate meaningful consumer involvement in mental health nursing education. A learning module was co-produced between 'Experts by Experience' (drawing on experience of mental distress and service use) and Mental Health Nurse Academics. This qualitative exploratory study aimed to capture how Experts by Experience perceive their contribution. Interviews were undertaken with Experts by Experience who delivered the learning module. Data were analysed thematically and subsequently interpreted with Critical Social Theory. Two main themes emerged from the findings: 'there wasn't a barrier' described how personal narratives enhanced relationships between Experts by Experience and students; and 'made the human being visible', described their experiences of allowing students to see the person behind a diagnosis. These findings suggest Experts by Experience teaching is valuable and potentially a tool in redressing stigma. Addressing poor public perceptions could attract higher numbers of quality practitioners to mental health and meet identified workforce shortages. The findings presented here strengthen the evidence base for Expert by Experience roles in mental health professional education. These findings can be considered in international curricula reviews and aid progress towards a more socio-political, humanistic focus in mental health nursing, congruent with rights-based reform agendas.


Assuntos
Enfermagem Psiquiátrica/educação , Ensino , Feminino , Humanos , Masculino , Transtornos Mentais/psicologia , Narrativas Pessoais como Assunto , Ensino/psicologia
20.
Int J Ment Health Nurs ; 28(5): 1065-1077, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31338978

RESUMO

Undergraduate nursing students have been reported to hold negative and stigmatizing attitudes towards mental health consumers and to be under-prepared for mental health clinical placement. This study aimed to investigate undergraduate nurses' stigma and recovery attitudes to mental illness, and describe their understandings of personal recovery on entry and exit to traditional mental health clinical placement. A pre/post-test survey was administered to N = 249 nursing students in Australia. Demographic data, attitudes towards mental health nursing and clinical placement, the Opening Minds Scale for Healthcare Providers (OMS-HC), Recovery Attitudes Questionnaire (RAQ-7), and an open-ended question on understandings of personal recovery from mental illness were collected on entry (T1) and exit (T2) to placement. At T1, students reported moderate stigma and positive attitudes towards recovery (OMS-HC mean = 34.6; RAQ-7 mean = 4.0). At T2, there was a reduction in stigma (social distance P = 0.02, d = 0.26) and improvement in recovery attitudes (P < 0.01, d = 0.40). Attitudes towards mental health nursing and placement also improved (P < 0.01). Having a family member with mental illness predicted improvements in stigma and recovery attitudes. On entry to placement, most students described accurate understandings of personal recovery, which were maintained during placement. The findings indicate that mental health clinical placements are effective in improving students' mental health stigma and recovery attitudes and provide a prime opportunity to attract students into the field. Co-produced or consumer-led education provided by peer workers during clinical placements may improve students' stigmatizing attitudes and stimulate their interest to work in the field.


Assuntos
Atitude do Pessoal de Saúde , Enfermagem Psiquiátrica/educação , Estereotipagem , Estudantes de Enfermagem/psicologia , Adulto , Austrália , Feminino , Humanos , Masculino , Transtornos Mentais/psicologia , Transtornos Mentais/terapia , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
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