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1.
Enferm. clín. (Ed. impr.) ; 29(6): 370-375, nov.-dic. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-184658

RESUMO

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


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


Assuntos
Humanos , Especialidades de Enfermagem , Enfermagem Psiquiátrica/métodos , Enfermagem em Saúde Comunitária/métodos , Enfermagem em Saúde Comunitária/organização & administração , Saúde Mental , Sistemas de Saúde/organização & administração
2.
Nurse Educ Pract ; 38: 138-144, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31279924

RESUMO

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


Assuntos
Educação em Enfermagem/métodos , Enfermagem Psiquiátrica/educação , Pensamento , Educação em Enfermagem/tendências , Grupos Focais/métodos , Humanos , Serviços de Saúde Mental , Enfermagem Psiquiátrica/métodos , Pesquisa Qualitativa
3.
Nord J Psychiatry ; 73(6): 331-339, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31264926

RESUMO

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


Assuntos
Saúde Mental , Restrição Física/psicologia , Medição de Risco/métodos , Adulto , Feminino , Humanos , Pacientes Internados/psicologia , Masculino , Enfermagem Psiquiátrica/métodos , Psicometria
4.
Nurs Leadersh (Tor Ont) ; 32(1): 74-84, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31228346

RESUMO

Feelings of empowerment in nursing staff can contribute to increased job satisfaction, improved quality of care and a higher retention rate within healthcare organizations. Nursing is critical at healthcare organizations, with direct and significant impact on the quality of care provided; yet, nurses often feel undervalued for the work they do. The strength-based approach of appreciative inquiry is one way to engage individuals in finding collective value through the identification of successes, enabling the creation of a shared vision and strategy for the future.


Assuntos
Enfermeiras e Enfermeiros/psicologia , Atitude do Pessoal de Saúde , Hospitais Psiquiátricos/organização & administração , Hospitais Psiquiátricos/estatística & dados numéricos , Humanos , Satisfação no Emprego , Enfermeiras e Enfermeiros/estatística & dados numéricos , Autonomia Profissional , Enfermagem Psiquiátrica/métodos
5.
J Clin Nurs ; 28(17-18): 3310-3317, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31070824

RESUMO

BACKGROUND: Intramuscular injections (IMIs) remain a frequent practice in mental health. Few studies have examined the issue of nurses' practices concerning IMI in this domain, and none considered specifically hygiene. Finally, no study appears to have looked at emergency situations and their possible influence on practices. The principal objective of our study was to assess the practices associated with IMI in mental health, especially the hygiene-related practices. The secondary objectives were as follows: 1) to assess the practices for the preparation and administration of IMI in mental health for criteria other than hygiene and 2) to determine whether professional experience and emergency situations influence these practices. DESIGN: Single-centre cross-sectional study in a psychiatric Hospital and adherence to the STROBE guidelines. METHODS: The participating nurses all worked with inpatients, and all volunteered for the study. A self-administered questionnaire was sent to all participants. The questionnaire included questions about knowledge and practices associated with IMI, some considered in two different situations: emergencies and planned injections. The distribution of the responses was tested by the chi-squared test or Fisher's exact test, as appropriate, or by McNemar's chi-squared test or Friedman's nonparametric chi-squared test for matched data. RESULTS: Response rate was 48.6%. Overall, 81% of nurses reported correct handwashing before preparation, 87.5% responded that the dorsogluteal site is currently recommended for IMI, and 74.6% that they did not know the "Z track" technique. In planned injections, 58.7% reported that the choice of needle was determined, at least in part, by the patient's body mass index. In emergency situations, adherence to guidelines was less frequent for all types of practices. CONCLUSIONS: This study shows the need to improve practices for the frequently used procedure of IMI among mental health nurses. RELEVANCE TO CLINICAL PRACTICE: Better professional education appears necessary to develop optimal practices, especially in emergency situations.


Assuntos
Injeções Intramusculares/enfermagem , Transtornos Mentais/tratamento farmacológico , Enfermagem Psiquiátrica/métodos , Estudos Transversais , Tratamento de Emergência/enfermagem , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Transtornos Mentais/enfermagem , Inquéritos e Questionários
7.
Int J Ment Health Nurs ; 28(4): 940-949, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30931550

RESUMO

Nurses caring for adolescent consumers with anorexia nervosa in the inpatient setting are challenged in a unique way, in that they are caring for people with whom they do not have a mutually held concept of well-being. Their efforts to ensure weight gain are frequently against the wishes of the consumer. This dissonance results in challenging interactions, where nursing care and authority may be undermined. This study investigated the dynamics of nurses' authority within this context. Interviews with nurses (n = 10) were conducted and analysed through thematic analysis. Nurses reported that consumers, compelled by the psychopathology of anorexia nervosa, often sought to challenge or undermine their authority. Some nurses experienced the opposition and conflict as demoralizing, whereas others were able to maintain confidence in the therapeutic merit of their care. Younger, inexperienced nurses in this study were particularly vulnerable to interactions that mitigated their authority, due to their tendency to engage in friend-like relationships. Nurses caring for adolescents with anorexia nervosa should be prepared to be confronted by interactions that overtly and surreptitiously undermine their capacity to exercise professional authority. It is important that nurses recognize the importance of maintaining their authority, and how it can be threatened in subtle and unexpected ways.


Assuntos
Anorexia Nervosa/enfermagem , Relações Enfermeiro-Paciente , Enfermagem Psiquiátrica/métodos , Adolescente , Anorexia Nervosa/terapia , Feminino , Hospitalização , Humanos , Pesquisa Qualitativa
8.
Arch Psychiatr Nurs ; 33(2): 136-142, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30927982

RESUMO

It is important to investigate the care given to people with suicidal behavior, as it is an important predictor of future death by suicide and there is a lack of studies on this issue in Brazil. This study had the objective of investigating assistance related to suicidal behavior at a mobile emergency service and sociodemographic and clinical associated factors. This was a quantitative, cross-sectional study based on documental information. The data were collected through manual consultation of nursing records in which call-outs for suicidal behavior in the year 2014 were documented. The data were analyzed using descriptive statistics, Chi-squared test, Fisher's exact test, correlation tests, and comparison of means tests. In the 313 records analyzed there was a predominance of adult women with self-inflicted drug poisoning, attended to in their own residence and referred to pre-hospital emergency medical services. There was a lack of documentation on signs, symptoms, and grievances in most cases. The interventions most carried out by the nurses were related to monitoring of clinical parameters. There were differences related to the victim's sex and lethality, suicide attempt method, referral to emergency services, and semester of occurrence (January-June, July-December). Suicide attempts through self-poisoning or self-inflicted injuries differed in relation to time of call-out, waiting time, lethality, documentation on clinical assessment and interventions, and referral to emergency services. This study enabled the charting of factors linked with suicidal behavior and associated factors; it offers reflections on limitations and nursing care potential in the prevention of reoccurrence of suicidal behavior.


Assuntos
Serviços Médicos de Emergência/estatística & dados numéricos , Enfermagem Psiquiátrica/métodos , Tentativa de Suicídio/estatística & dados numéricos , Adulto , Brasil , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Tentativa de Suicídio/psicologia
9.
Psychiatr Prax ; 46(6): 324-329, 2019 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-30891727

RESUMO

OBJECTIVES: To find a consensus of tasks and activities of nursing in inpatient general psychiatry. METHODS: Delphi survey for consensus finding with n = 235 (round 1) and n = 193 (round 2) experts of psychiatric nursing. RESULTS: Overall, a consensus based on expert opinion regarding the tasks and activities of nursing in inpatient general psychiatry, consisting of 79 items, was generated. CONCLUSIONS: Further research is needed regarding to the tasks and activities of nursing in special psychiatric and mental health settings and to the minimum qualification requirements of psychiatric nurses.


Assuntos
Pacientes Internados , Papel do Profissional de Enfermagem , Enfermagem Psiquiátrica , Técnica Delfos , Alemanha , Humanos , Enfermagem Psiquiátrica/métodos , Psiquiatria
10.
Int J Ment Health Nurs ; 28(4): 867-878, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30834663

RESUMO

The International Classification of Functioning, Disability and Health (ICF) Core Sets for schizophrenia describe the key problems in functioning that are experienced by individuals with this disorder. This study examines the content validity of these Core Sets and aims to identify the most frequent problems faced by people with schizophrenia, considering for this analysis the perspective of Psychiatric-Mental-Health Nurses. The study complied with the COREQ checklist for qualitative studies. A total of 101 nurses from 30 countries covering all six World Health Organization regions participated in a Delphi study. Their responses in Round 1 were linked to ICF categories, retaining those reported by at least 5% of participants. In Round 2, they were asked to rate the relevance of each of these categories to the nursing care of patients with schizophrenia. This process was repeated in Round 3. A total of 2327 concepts were extracted in Round 1 and linked to ICF categories. Following the analysis, 125 categories and 31 personal factors were presented to the experts in rounds 2 and 3. Consensus (defined as agreement ≥75%) was reached for 97 of these categories and 29 personal factors. These categories corresponded to all those (N = 25) in the Brief Core Set and 87 of the 97 categories of the Comprehensive Core Set for schizophrenia. Ten new categories emerged. The Delphi process identified the problems in functioning that nurses encounter when treating individuals with schizophrenia, and the results supported the content validity of the Core Sets. We conclude that these Core Sets offer a comprehensive framework for structuring clinical information and guiding the treatment process.


Assuntos
Enfermagem Psiquiátrica , Esquizofrenia/enfermagem , Atividades Cotidianas/psicologia , Adulto , Idoso , Técnica Delfos , Avaliação da Deficiência , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermagem Psiquiátrica/métodos , Escalas de Graduação Psiquiátrica/normas , Reprodutibilidade dos Testes , Esquizofrenia/diagnóstico , Inquéritos e Questionários , Adulto Jovem
11.
Int J Ment Health Nurs ; 28(2): 369-389, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30815993

RESUMO

This review aimed to identify the main factors influencing the adoption of the role of care manager (CM) by nurses when implementing the collaborative care model (CCM) for common mental illnesses in primary care settings. A total of 19 studies met the inclusion criteria, reporting on 14 distinct interventions implemented between 2000 and 2017 in five countries. Two categories of factors were identified and described as follows: (i) strategies for the CCM implementation (e.g. initial care management training and supervision by a mental health specialist) and (ii) context-specific factors (e.g. organizational factors, collaboration with team members, nurses' care management competency). Identified implementation strategies were mainly aimed towards improving the nurse's care management competency, but their efficacy in developing the set of competencies needed to fulfil a CM role was not well demonstrated. There is a need to better understand the relationship between the nurses' competencies, the care management activities, the strategies used to implement the CCM and the context-specific factors. Strategies to optimize the adoption of the CM role should not be solely oriented towards the individual's competency in care management, but also consider other context-specific factors. The CM also needs a favourable context in order to perform his or her activities with competency.


Assuntos
Transtornos Mentais/terapia , Administração dos Cuidados ao Paciente , Enfermagem Psiquiátrica , Humanos , Transtornos Mentais/enfermagem , Papel do Profissional de Enfermagem , Administração dos Cuidados ao Paciente/métodos , Administração dos Cuidados ao Paciente/organização & administração , Desenvolvimento de Programas , Enfermagem Psiquiátrica/métodos , Enfermagem Psiquiátrica/organização & administração
12.
Int J Ment Health Nurs ; 28(4): 888-898, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30916443

RESUMO

Reducing and eliminating the use of restrictive practices, such as seclusion and restraint, is a national priority for Australia's mental health services. Whilst legislation, organization and practice changes have all contributed to a reduction in these practices, forensic mental health services continue to report high rates. This paper details the findings of research that examined the experiences of nurses working in the inpatient forensic mental health setting. The research aimed to (i) document the experiences of nurses working in the forensic mental health setting, (ii) articulate their perceived unique skill set to manage challenging patient behaviours, and (iii) determine how their experiences and skill set can inform practice changes to reduce the use of restrictive practices. Thirty-two nurses were recruited from one Australian forensic mental health service. Data were collected using semi-structured interviews and analysed using inductive content analysis. Four categories were identified that influenced practice experiences: (i) working in a challenging but interesting environment, (ii) specialty expertize, (iii) exposure to aggression and resilience as a protective factor, and (iv) the importance of effective teamwork and leadership. Forensic mental health care is complex, highly specialized, and often delivered in an unpredictable environment. Whilst high rates of restrictive practices may be linked to the unique characteristics of forensic patients, training, teamwork, and leadership are critical factors influencing their use in this setting. Nurses working in this area need to be educated and supported to work confidently and safely with this high-risk patient cohort.


Assuntos
Enfermagem Forense , Isolamento de Pacientes , Enfermagem Psiquiátrica , Restrição Física , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Masculino , Transtornos Mentais/enfermagem , Pessoa de Meia-Idade , Relações Enfermeiro-Paciente , Enfermagem Psiquiátrica/métodos , Adulto Jovem
13.
Nurse Educ Today ; 77: 18-23, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30925342

RESUMO

BACKGROUND: Registered mental health nurses report dissatisfaction with the level of medication knowledge demonstrated by undergraduate nurses. However, little is known about which particular areas staff nurses are concerned about, and how they feel education can be enhanced in both academic and clinical settings. OBJECTIVE: To investigate the views of staff nurses on the delivery of medication education to undergraduate mental health nurses. DESIGN: A qualitative descriptive design was adopted. METHODS: Two focus groups were held with registered nurses in two acute mental health facilities. Data were analysed using qualitative content analysis. RESULTS: The first theme reports on the difficulties staff nurses observed with both undergraduate and newly qualified nurses around medication. It was noted that these individuals had difficulties interpreting medication charts/Kardexes, and were unable to provide medication-related education to service users. The second theme reports on strategies to enhance medication education, as recommended by participants. It was suggested that more practical education should be delivered in academic settings, with a focus on simulation and presentations from clinical staff. In the clinical settings, it was suggested that preceptors should provide education at less busy times on the ward. CONCLUSIONS: This study gives insight into areas in which education needs to be strengthened, in order to improve the medication knowledge of undergraduate and newly qualified nurses. Further research is needed to develop evidence-based strategies to enhance this education.


Assuntos
Estresse Psicológico/etiologia , Estudantes de Enfermagem/psicologia , Adulto , Atitude do Pessoal de Saúde , Currículo/normas , Bacharelado em Enfermagem/métodos , Feminino , Grupos Focais/métodos , Humanos , Masculino , Enfermagem Psiquiátrica/métodos , Enfermagem Psiquiátrica/normas , Pesquisa Qualitativa , Estresse Psicológico/psicologia
14.
J Psychiatr Ment Health Nurs ; 26(3-4): 101-107, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30825400

RESUMO

WHAT IS KNOWN ON THE SUBJECT?: The admission of a loved one for first episode psychosis can cause considerable distress and confusion for family members. Psychoeducation can enhance family members' knowledge of the disease process and their role in supporting recovery. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE: There is limited research on psychoeducation processes within adult inpatient settings. A Practitioner Narrative found that basic assessment questions can help guide the psychoeducation process. The Stress Vulnerability and Phases of Psychosis Models are valuable and efficient educational tools in answering many typical questions. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Psychoeducation sessions should be offered routinely in the early stage of a first episode psychosis, but must be individualized to family needs and concerns. The psychoeducation structure also provides an opportunity for family members to "tell their story" to process the events leading up to a first admission and their emotional reactions to the service user's illness. Abstract Aim To clarify how initial psychoeducation, while typically brief, can best be targeted to the needs of families during the acute treatment phase of a first episode of psychosis, when there is often significant distress and confusion. Method Over 6 months of conducting inpatient psychoeducation meetings, with families of individuals experiencing first-episode psychosis, a senior mental health nurse-as a practice development undertaking-kept a record of needs/issues expressed by families. Thesis The most frequent needs of families during a first episode of psychosis were: 1. Opportunity to discuss events leading to admission; 2. Space to share feelings and fears; 3. Have practical information concerning current care; 4. Education regarding the nature of psychotic symptoms and 5. Information about recovery. Implications for Practice Family members of individuals experiencing a first episode of psychosis often require an opportunity to process the events leading up to the admission, and their emotional reactions to the individual's illness and admission. The psychoeducation process can be individualized and targeted to the needs of families, with active listening to the family's stories. Psychoeducational frameworks that were useful for explaining issues raised were the Stress Vulnerability Model and the Phases of Psychosis.


Assuntos
Terapia Familiar/métodos , Educação em Saúde/métodos , Enfermagem Psiquiátrica/métodos , Transtornos Psicóticos/terapia , Doença Aguda , Adulto , Humanos
15.
Psychiatr Prax ; 46(S 01): S50-S59, 2019 03.
Artigo em Alemão | MEDLINE | ID: mdl-30743306

RESUMO

Results of PART II to IV are analyzed under the perspective of power theory of the German sociologist Heinrich Popitz. A communication process model - based on enforcement, instrumental and action power - is derived, which could empirically be revised, enhanced and criticized by means of the introduced speech act methods (PART I). From the theoretical point of view all basic features (from PART II to V) structuring communication in jeopardizing situations using alert systems are listed in a schedule.


Assuntos
Coerção , Comunicação , Enfermagem Psiquiátrica/métodos , Psiquiatria , Alemanha , Humanos
16.
Arch Psychiatr Nurs ; 33(1): 104-111, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30663612

RESUMO

BACKGROUND: Schizophrenia is a chronic mental illness that affects the client, family, and community. Nurses are educated to use the nurse-patient relationship to provide health education and collaborative health decision-making. However, challenges abound for nurses and clients with schizophrenia to effectively utilize the relationship to reach these goals. PROBLEM: There is a lack of evidence-based information to assist nurses to meet the challenges of building effective therapeutic relationships with clients for whom schizophrenia hinders health education and decision-making. PURPOSE: To examine current research findings on factors that influence therapeutic relationships in psychiatric treatment settings as an initial effort to provide empirically based guidance for psychiatric nurses who seek to better use the relationship to work with the client toward health-related goals. METHOD: This integrative review of the literature follows Whittemore and Knafl's (2015) method, analyzes 15 studies from multiple databases between the years 2006-2017, and assesses the rigor of each. FINDINGS: Numerous methods are used to assess therapeutic relationships. Few studies included nurses. Provider perception of client symptoms can negatively affect provider assessment of quality of relationship; no such association was found on the part of clients. Providers and clients prioritize client needs differently, with providers influenced by treatment setting demands, but provider-training programs can have a beneficial effect on their relationships. CONCLUSION: Nurses and nurse educators can use the findings to guide assessment of how perceptions and priorities influence relationships. Findings also provide the foundation for further study of nurses' perceptions of therapeutic relationship, in progress, to yield more detailed information on what nurses and educators need to strengthen therapeutic relationships.


Assuntos
Comunicação , Relações Enfermeiro-Paciente , Esquizofrenia/terapia , Aliança Terapêutica , Humanos , Enfermagem Psiquiátrica/métodos
17.
J Psychosoc Nurs Ment Health Serv ; 57(1): 7-10, 2019 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-30629732

RESUMO

Traditionally, schools of nursing teach legal and ethical responsibilities at the pre-licensure and advanced practice levels, with emphasis on legal duties and ethical principles. However, involving clinicians in the process of ethical reasoning, a process similar to the scientific method and nursing process, is much less common. The current article describes and demonstrates the steps in ethical reasoning in common situations faced by prescribing advanced practice RNs and psychiatric-mental health nurses. [Journal of Psychosocial Nursing and Mental Health Services, 57(1), 7-10.].


Assuntos
Prática Avançada de Enfermagem/métodos , Ética em Enfermagem , Adesão à Medicação , Uso Off-Label/ética , Enfermagem Psiquiátrica/métodos , Psicotrópicos/uso terapêutico , Transtorno Depressivo Resistente a Tratamento/tratamento farmacológico , Humanos , Ketamina/administração & dosagem , Serviços de Saúde Mental , Assistência Centrada no Paciente
18.
J Psychosoc Nurs Ment Health Serv ; 57(5): 21-28, 2019 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-30602053

RESUMO

The PTSD Recovery Program, an intervention based on guidelines for the treatment of combat Veterans diagnosed with posttraumatic stress disorder (PTSD) that includes group therapy as adjunctive treatment to medication and individual therapy, was used for the treatment of PTSD in refugees at a clinic in central Texas. Eighteen clients diagnosed with PTSD completed 10 weekly group therapy sessions in addition to individual therapy and medication use. An in-service presentation educated providers on the PTSD Recovery Program and the group therapy intervention. Data were collected using a pre- and postintervention questionnaire. Statistical analysis supports the effectiveness of the PTSD Recovery Program as an adjunctive treatment for PTSD in the refugee population. Participant statements and provider satisfaction are included as qualitative data. Participant statements about symptom improvement, as well as providers' reported satisfaction with the PTSD Recovery Program, support this intervention as an effective adjunctive treatment for PTSD in the refugee population. [Journal of Psychosocial Nursing and Mental Health Services, 57(5), 21-28.].


Assuntos
Psicoterapia de Grupo/métodos , Refugiados/psicologia , Transtornos de Estresse Pós-Traumáticos/terapia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Pobreza , Enfermagem Psiquiátrica/métodos , Transtornos de Estresse Pós-Traumáticos/psicologia , Inquéritos e Questionários , Texas , Veteranos
19.
Int J Ment Health Nurs ; 28(2): 551-559, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30501013

RESUMO

This qualitative study aimed to illuminate patients' experiences of taking part in the nursing intervention Time Together. The data were drawn from 11 individual semi-structured interviews with patients and analysed with qualitative content analysis using an inductive approach. The results show that patients taking part in Time Together felt confirmed and participated on equal terms; thus, they experienced being seen as humans among other humans. Time Together offered patients a break, and they felt strengthened, which contributed to their hopes for recovery. Furthermore, when Time Together was absent patients felt disconfirmed, which fostered feelings of distance from staff. The results support the effectiveness of the intervention, indicating that Time Together may be a tool to facilitate patients' personal recovery. However, the success of the intervention depends on staff compliance with the predetermined structure of the intervention in combination with engagement.


Assuntos
Transtornos Mentais/enfermagem , Relações Enfermeiro-Paciente , Enfermagem Psiquiátrica/métodos , Adulto , Feminino , Humanos , Pacientes Internados/psicologia , Masculino , Transtornos Mentais/terapia , Unidade Hospitalar de Psiquiatria
20.
Nurse Educ Pract ; 34: 25-30, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30408765

RESUMO

Student nurses maintain unfavorable views of people with mental health issues. Many continue to perpetuate common stereotypes, are fearful and believe people with mental health problems are in some way dangerous. The impact of placements greatly affects these views. A pre-post survey of 85 student nurses was conducted to establish the opinions and attitudes of student nurses regarding mental health. Groups were allocated to either community or hospital placements. Each group received the same educational preparation prior to placement. Both community and hospital placed students had improved clinical confidence when working with people experiencing mental health problems. Community placed students demonstrated greater positive attitudes towards people experiencing mental health issues across a number of domains. Students in hospital settings demonstrated more confidence when working with people with mental health issues yet had less attitudinal change about mental health. The approach taken by clinical facilitators also influenced student attitudes. It is suggested that offering community opportunities along with exposure to positive instructor beliefs about mental illness will both improve student attitudes prior to the completion of their nursing studies and may encourage entry into mental health as a nursing option post-education.


Assuntos
Atitude do Pessoal de Saúde , Serviços de Saúde Mental/normas , Preceptoria/métodos , Enfermagem Psiquiátrica/educação , Estudantes de Enfermagem/psicologia , Análise de Variância , Humanos , Transtornos Mentais/enfermagem , Transtornos Mentais/psicologia , Enfermagem Psiquiátrica/métodos , Inquéritos e Questionários
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