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Journal of Child and Adolescent... Aug 2020
Topics: Child; Humans; Inpatients; Psychiatric Nursing
PubMed: 32716095
DOI: 10.1111/jcap.12293 -
Soins; La Revue de Reference Infirmiere Sep 2022Within the framework of its establishment project, a public mental health establishment located in Essonne wished to develop paramedical research. The theme of the... (Review)
Review
Within the framework of its establishment project, a public mental health establishment located in Essonne wished to develop paramedical research. The theme of the stigmatization of nurses working in psychiatry was chosen. Using a qualitative methodology, interviews were conducted with two groups of professionals and one group of student nurses, the aim being to find out whether they felt stigmatized by their peers and/or by society in general. The results obtained are interesting.
Topics: Humans; Stereotyping; Psychiatric Nursing; Students, Nursing; Psychiatry; Emotions
PubMed: 36442919
DOI: 10.1016/j.soin.2022.09.023 -
Journal of Child and Adolescent... May 2024
Topics: Child; Humans; Adolescent; Psychiatric Nursing
PubMed: 38639387
DOI: 10.1111/jcap.12465 -
Nursing Ethics Aug 2020In this article, the sources and features of moral distress as experienced by acute psychiatric care nurses are explored.
BACKGROUND
In this article, the sources and features of moral distress as experienced by acute psychiatric care nurses are explored.
RESEARCH DESIGN
A qualitative design with 16 individual in-depth interviews was chosen. Braun and Clarke's six analytic phases were used.
ETHICAL CONSIDERATIONS
Approval was obtained from the Norwegian Social Science Data Services. Participation was confidential and voluntary.
FINDINGS
Based on findings, a somewhat wider definition of moral distress is introduced where nurses experiencing being morally constrained, facing moral dilemmas or moral doubt are included. Coercive administration of medicines, coercion that might be avoided and resistance to the use of coercion are all morally stressful situations. Insufficient resources, mentally poorer patients and quicker discharges lead to superficial treatment. Few staff on evening shifts/weekends make nurses worry when follow-up of the most ill patients, often suicidal, in need of seclusion or with heightened risk of violence, must be done by untrained personnel. Provision of good care when exposed to violence is morally challenging. Feelings of inadequacy, being squeezed between ideals and clinical reality, and failing the patients create moral distress. Moral distress causes bad conscience and feelings of guilt, frustration, anger, sadness, inadequacy, mental tiredness, emotional numbness and being fragmented. Others feel emotionally 'flat', cold and empty, and develop high blood pressure and problems sleeping. Even so, some nurses find that moral stress hones their ethical awareness.
CONCLUSION
Moral distress in acute psychiatric care may be caused by multiple reasons and cause a variety of reactions. Multifaceted ethical dilemmas, incompatible demands and proximity to patients' suffering make nurses exposed to moral distress. Moral distress may lead to reduced quality care, which again may lead to bad conscience and cause moral distress. It is particularly problematic if moral distress results in nurses distancing and disconnecting themselves from the patients and their inner selves.
Topics: Adult; Female; Health Resources; Humans; Male; Middle Aged; Norway; Nurse-Patient Relations; Psychiatric Nursing; Qualitative Research; Stress Disorders, Post-Traumatic
PubMed: 31631779
DOI: 10.1177/0969733019877526 -
Issues in Mental Health Nursing Nov 2020From the perspective of psychiatric and mental health nurses in Sweden, this discussion paper aims to position psychiatric and mental health nursing as a transformative...
From the perspective of psychiatric and mental health nurses in Sweden, this discussion paper aims to position psychiatric and mental health nursing as a transformative force contributing to enforcing person-centered values and practices in health care. We argue the potential impact of psychiatric and mental health nursing on service user health and recovery, nursing student education and values, and the organization and management of health care. Psychiatric and mental health nursing is discussed as a caring, reflective, and therapeutic practice that promotes recovery and health. Implications for nursing education, research, management, and practice are outlined.
Topics: Delivery of Health Care; Humans; Psychiatric Nursing; Sweden
PubMed: 32584618
DOI: 10.1080/01612840.2020.1756009 -
Journal of Psychiatric and Mental... Aug 2020WHAT IS KNOWN ON THE SUBJECT?: Nursing observations at night are conducted on psychiatric wards to ensure the safety and well-being of patients as well as to reduce the...
WHAT IS KNOWN ON THE SUBJECT?: Nursing observations at night are conducted on psychiatric wards to ensure the safety and well-being of patients as well as to reduce the risk of suicide or severe harm. To our knowledge, no studies have examined the lived experience of the psychiatric ward environment and of nursing observations at night. WHAT DOES THE PAPER ADD TO EXISTING KNOWLEDGE?: The main complaint from patients was the constant interruption of their sleep, as most of the patients in this study were observed 2-4 times an hour. Their sleep was interrupted by (a) the light from torches shone into their faces by staff checking on their safety, (b) the noises produced by the opening and closing of bedroom/ward doors, and/or (c) staff talking to each other during the observation. Patients also reported that they found having somebody enter the room in the middle of the night intimidating and unsettling. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Poor sleep has been associated with an increase in suicide risk and mental health problems. Identifying practices that promote sleep hygiene is vital. The study could be used to develop a Quality Improvement Project to improve patients' sleep and perhaps reduce duration of stay. ABSTRACT: Introduction A fundamental component of nursing care is observations at night to ensure the well-being of patients. However, there is no literature on the lived experience by inpatients of such observations or of the general environment of a psychiatric ward at night. Aim/Question This study aims (a) to understand the lived experience of being an inpatient on a psychiatric ward at night with a focus on intermittent observations and (b) contribute to developing a tool to monitor the psychiatric ward environment for use in quality improvement projects. Method Semi-structured interviews were conducted with twelve inpatients from five psychiatric wards who had experienced intermittent observations at night. These interviews were subsequently transcribed and analysed using content analysis. Results Environmental disturbances including light and noise, invasion of privacy and safety considerations on the ward all contributed to sleep disturbance. The unintended consequences of disturbances caused by intermittent night observations, and by staff in general and other patients formed the core of the inpatients' experience. We developed a clinical tool that could be used to identify the factors that are relevant on an individual ward. Discussion Participants interviewed unanimously agreed that poor sleep quality had a significant negative impact on their psychological and social well-being. These were discussed in relation to the environment and the experience of observations at night. Implications for nursing practice Deprivation of inpatients' sleep is currently under-reported, and the usefulness of intermittent observations at night in psychiatric wards is questioned. Much could be done to adjust the environment at night to support quality sleep and improve psychiatric symptoms. This paper aims to highlight the lived experience of patients to help bring improvements.
Topics: Adult; Behavior Observation Techniques; Humans; Inpatients; Mental Disorders; Mentally Ill Persons; Nursing Staff, Hospital; Patient Preference; Patient Safety; Psychiatric Department, Hospital; Psychiatric Nursing; Qualitative Research; Sleep Deprivation
PubMed: 31823429
DOI: 10.1111/jpm.12583 -
Issues in Mental Health Nursing Apr 2020National health resources are considered inadequate to meet the needs of Mental Health services in Poland due in part to insufficient funding. The status of the nursing...
National health resources are considered inadequate to meet the needs of Mental Health services in Poland due in part to insufficient funding. The status of the nursing profession is autonomous and independent, and one that bears much public trust. Nevertheless, psychiatric nursing is in deep crisis. To determine the strengths and limitations of the psychiatric nursing system in Poland. Participants of a major Psychiatric Nursing Conference in Poland were surveyed in terms of professional job satisfaction and current problems encountered in psychiatric nursing. Results were appropriately categorized and subjected to quantitative analysis. There were 74 subjects, amounting to a 70% response rate who completed the study questionnaire. Problem areas were focused on how the mental health system is organized and on staff working conditions that included terms of employment and salaries. The main reasons for job satisfaction were those issues associated with the treatment process. Two participants replied that they were not satisfied. The numerous problems encountered in Polish psychiatry nursing require further debate and the updating of legal regulations to increase funding. Recently introduced regulations on the minimal standards acceptable for nurse/bed ratios have however been postponed until 2021. The issues concerning job satisfaction have also been referred to in previous studies. The crisis facing psychiatric nursing in Poland requires systemic changes in both legal regulations and financing. Notwithstanding, such professionals and their societies could facilitate the necessary changes through enhancing public debate and stimulating nursing-focused research.
Topics: Adult; Attitude of Health Personnel; Female; Humans; Job Satisfaction; Male; Middle Aged; Nurse's Role; Poland; Psychiatric Nursing; Surveys and Questionnaires; Young Adult
PubMed: 31855508
DOI: 10.1080/01612840.2019.1663456 -
Journal of the American Psychiatric... 2019
Topics: Mental Disorders; Psychiatric Nursing; Screen Time; Social Behavior; Technology; Telemedicine
PubMed: 31480914
DOI: 10.1177/1078390319869932 -
Journal of Psychiatric and Mental... Aug 2021
Topics: COVID-19; Humans; Leadership; Mental Disorders; Psychiatric Nursing; SARS-CoV-2; United States
PubMed: 32474983
DOI: 10.1111/jpm.12662 -
Issues in Mental Health Nursing Aug 2020Psychiatric nurses often experience associative stigma. Associative stigma may impact psychiatric nurses' views of their professional identity which ultimately impacts...
Psychiatric nurses often experience associative stigma. Associative stigma may impact psychiatric nurses' views of their professional identity which ultimately impacts the health care of individuals experiencing mental health concerns. Very little research has been conducted on associative stigma in the western Prairie Provinces, including Manitoba. The authors conducted a secondary analysis on the results of an explanatory sequential mixed methods research study to determine if psychiatric nurses in Manitoba are influenced by associative stigma. Three themes were identified through this analysis, specifically: (1) the perception that RPNs are not "Real" Nurses; (2) lack of recognition of specialized training; and (3) working with a stigmatized population. Associative stigma was intertwined in all of the participants' narratives indicating a need to dismantle associative stigma. Strategies to enhance the public perception of psychiatric nursing and decrease associative stigma within the profession are described.
Topics: Humans; Manitoba; Nurse Specialists; Psychiatric Nursing; Social Identification; Social Stigma; Stereotyping; Surveys and Questionnaires
PubMed: 32357073
DOI: 10.1080/01612840.2019.1710009