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Journal of Nursing Management Apr 2020This research was conducted to examine psychiatric nursing managers' attitudes towards containment methods.
AIMS
This research was conducted to examine psychiatric nursing managers' attitudes towards containment methods.
BACKGROUND
Nursing management is regarded as a key issue in the reduction of coercion and containment. However, there has been little research on managers' attitudes towards containment methods.
METHODS
This descriptive, cross-sectional study utilized a survey design. Finnish inpatient psychiatric nursing managers (n = 90) completed the Attitudes to Containment Measures Questionnaire (ACMQ). The results were described with statistics, and the associations between attitudes and background variables were analysed using parametric tests.
RESULTS
Psychiatric nursing managers had the most negative attitude towards net bed and mechanical restraint, and the most positive attitudes towards as necessary medication and intermittent observation. A few associations were discovered between attitudes and background variables such as gender and number of employees.
CONCLUSIONS
In general, Finnish psychiatric nursing managers' attitudes towards containment methods seem to be quite negative, but more research is needed.
IMPLICATIONS FOR NURSING MANAGEMENT
This study provides fresh and unique data on the attitudes of psychiatric nursing managers towards containment methods. Managers' attitudes are important because of their ability to encourage investment in coercion reduction by nursing staff.
Topics: Adult; Analysis of Variance; Attitude of Health Personnel; Cross-Sectional Studies; Female; Finland; Humans; Male; Patient Isolation; Patients' Rooms; Psychiatric Nursing; Quality of Health Care; Surveys and Questionnaires
PubMed: 32106346
DOI: 10.1111/jonm.12986 -
Archives of Psychiatric Nursing Oct 2020This article provides a brief overview of the early development of geropsychiatric nursing (GPN) as background for examining its advancement subsequent to the 2010... (Review)
Review
This article provides a brief overview of the early development of geropsychiatric nursing (GPN) as background for examining its advancement subsequent to the 2010 Future of Nursing (FON) Report. The FON's education, practice and leadership recommendations form the three pillars that have supported geropsychiatric nursing's continuing evolution, framed within a practice and policy perspective. Lessons learned are relevant to developing the next phase of FON recommendations. The importance of overcoming challenges faced by the field of GPN is supported by the aging global population, the directions of nursing as a discipline, and the clear necessity of an intra- and inter-professional approach to mental health and aging.
Topics: Education, Nursing; Geriatrics; Health Knowledge, Attitudes, Practice; Humans; Leadership; Nursing Education Research; Psychiatric Nursing
PubMed: 33032747
DOI: 10.1016/j.apnu.2020.07.006 -
PloS One 2022Entry-level health care professionals are socialized to accept the norms and values associated with institutions in which violence and suffering is considered an...
Entry-level health care professionals are socialized to accept the norms and values associated with institutions in which violence and suffering is considered an anticipated and even routine and normalized part of frontline care. The objective of the study was to illuminate the subjective experience of psychological trauma in graduates from a baccalaureate nursing and psychiatric nursing program using the McGill Illness Narrative Interview, an ethnographic interview guide. Participants included graduates from each program in a western Canadian province who reflected back on their experiences of trauma as students and newly-graduated nurses within their first year of practice as a regulated health professional. Results: Six key themes were identified. Witnessing sudden change in patient or client status and unexpected death; Emotional labour; Faculty incivility; Sabotage, bullying and verbal abuse from the health care team; Exposure to physical violence and sexual inappropriateness; and Mobilizing supports. All exposures were linked to the participants' definition of psychological trauma. Conclusions: The study findings highlight the power dynamic, abuses, and vulnerability between students, faculty, and their clinical counterparts without adequate recourse. There is a need to foster emotional intelligence, self-efficacy, and resilience when potentially traumatic and stressful experiences occur with student nurse and early-career nursing populations.
Topics: Humans; Education, Nursing, Baccalaureate; Psychiatric Nursing; Canada; Students, Nursing; Qualitative Research; Psychological Trauma
PubMed: 36327303
DOI: 10.1371/journal.pone.0277195 -
BMJ Open Jan 2022To develop the Psychiatric Nurse Self-Efficacy Scales, and to examine their reliability and validity.
OBJECTIVES
To develop the Psychiatric Nurse Self-Efficacy Scales, and to examine their reliability and validity.
DESIGN
We developed the Improved Self-Efficacy Scale (ISES) and Decreased Self-Efficacy Scale (DSES) using existing evidence. Statistical analysis was conducted on the data to test reliability and validity.
SETTING
The study's setting was psychiatric facilities in three prefectures in Japan.
PARTICIPANTS
Data from 514 valid responses were extracted of the 786 responses by psychiatric nurses.
OUTCOME MEASURES
The study measured the reliability and validity of the scales.
RESULTS
The ISES has two factors ('Positive changes in the patient' and 'Prospect of continuing in psychiatric nursing') and the DSES has three ('Devaluation of own role as a psychiatric nurse', 'Decrease in nursing ability due to overload' and 'Difficulty in seeing any results in psychiatric nursing'). With regard to scale reliability, the Cronbach's alpha coefficient was 0.634-0.845. With regard to scale validity, as the factorial validity of the ISES and DSES, for the ISES, χ/df (110.625/37) ratio=2.990 (p<0.001), goodness-of-fit index (GFI)=0.962, adjusted GFI (AGFI)=0.932, comparative fit index (CFI)=0.967 and root mean square error of approximation (RMSEA)=0.062; for the DSES, χ/df (101.982/37) ratio=2.756 (p<0.001), GFI=0.966, AGFI=0.940, CFI=0.943, RMSEA=0.059 and Akaike Information Criterion=159.982. The concurrent validity of the General Self-Efficacy Scale was r=0.149-0.446 (p<0.01) for ISES and r=-0.154 to -0.462 (p<0.01) for DSES, and the concurrent validity of the Stress Reaction Scale was r=-0.128 to 0.168 for ISES, r=0.214-0.398 for DSES (p<0.01).Statistical analyses showed the scales to be reliable and valid measures.
CONCLUSIONS
The ISES and DSES can accurately assess psychiatric nurses' self-efficacy. Using these scales, it is possible to formulate programmes for improving psychiatric nurses' feelings of self-efficacy.
Topics: Cross-Sectional Studies; Humans; Nurses; Psychiatric Nursing; Psychometrics; Reproducibility of Results; Self Efficacy
PubMed: 34996799
DOI: 10.1136/bmjopen-2021-055922 -
Evidence-based Nursing Jan 2020. (Review)
Review
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Topics: Adult; Aged; Aged, 80 and over; Evidence-Based Nursing; Female; Humans; Male; Mental Disorders; Mental Health Services; Middle Aged; Practice Guidelines as Topic; Psychiatric Nursing; United Kingdom; Young Adult
PubMed: 31831568
DOI: 10.1136/ebnurs-2019-103224 -
Issues in Mental Health Nursing Feb 2024This paper addresses the challenge of providing gender sensitive and responsive trauma-informed care (TIC) in psychiatric nursing practice. Gender identity, gender... (Review)
Review
This paper addresses the challenge of providing gender sensitive and responsive trauma-informed care (TIC) in psychiatric nursing practice. Gender identity, gender subordination, and gender-related trauma history are examined as three key individual-level factors that affect nurses' capacity to engage therapeutically to provide gender sensitive and responsive TIC. Using Peplau's Interpersonal Theory and building on a shared trauma and resilience model, gender-sensitive and responsive TIC is situated within interpersonal science and the ability of the psychiatric nurse to attune to her own and her patient's gender ideologies. Strategies for transforming practice including self-reflection, self-compassion, and peer and supervisor support are reviewed. Noting the import of the practice environment, several observations of changes needed at the level of the unit, organization, and society to effect gender equitable policies that enable the implementation of gender-sensitive and responsive TIC are made.
Topics: Humans; Male; Female; Nursing Theory; Psychiatric Nursing; Gender Identity; Nurse-Patient Relations; Interpersonal Relations
PubMed: 38412453
DOI: 10.1080/01612840.2024.2310663 -
Journal of Psychosocial Nursing and... Mar 2023Recent studies have linked the gut microbiota to psychiatric symptoms and disorders through complex bidirectional networks. The purpose of the current article is to... (Review)
Review
Recent studies have linked the gut microbiota to psychiatric symptoms and disorders through complex bidirectional networks. The purpose of the current article is to describe the associations between the gut microbiota and brain in psychiatric disorders. Although there are no approved treatments, there are global efforts underway to find more accurate measures to guide treatment and research. In this brief review, we describe current conceptualizations regarding the complex interconnections between psychiatric disorders and the gut microbiota. [(3), 7-11.].
Topics: Humans; Brain; Mental Disorders; Mental Health Services; Psychiatric Nursing
PubMed: 36881806
DOI: 10.3928/02793695-20230215-02 -
Archives of Psychiatric Nursing Aug 2019Sexual dysfunctions are prevalent disorders in psychiatric patients that too often are not addressed by psychiatric-mental health nurses. An integrative review was... (Review)
Review
Sexual dysfunctions are prevalent disorders in psychiatric patients that too often are not addressed by psychiatric-mental health nurses. An integrative review was conducted using PubMed, Joanna Briggs Institute, SCOPUS, PsycINFO and CINAHL databases to evaluate the evidence for independent, nursing interventions for sexual dysfunction across all nursing literature that could be implemented by psychiatric-mental health nurses. Out of 2448 articles, nine papers met inclusion criteria and were synthesized. Best available evidence was found for sexual teaching interventions for female sexual dysfunction. The implications for psychiatric-mental health nursing practice and recommendations for future research are discussed.
Topics: Clinical Competence; Female; Humans; Nurse's Role; Psychiatric Nursing; Sexual Dysfunctions, Psychological
PubMed: 31280785
DOI: 10.1016/j.apnu.2019.04.003 -
Issues in Mental Health Nursing Oct 2023The purpose of this article is a call for action to identify areas of concern and promise for the specialty of psychiatric-mental health nursing to flourish in the...
The purpose of this article is a call for action to identify areas of concern and promise for the specialty of psychiatric-mental health nursing to flourish in the twenty first century and beyond in the United States. Bits and pieces of this call for action may be relevant to other countries where psychiatric-mental health nursing has had similar trends. However, this paper focuses on the issues, barriers, and politics of education, practice, and research for nurses in the United States who gravitate to psychiatric-mental health and endeavor to rise above the value-laden past that perpetuates the marginalization of not only the specialty, but also the work that PMHN do and for the individuals that they are meant to care for in the new millennial. Much of the history of PMHN knowledge and care is value-laden, biased and riddled in patriarchy, fundamental religious views from centuries ago, and a basic fear of the unknown. It is well over due to sort through the closets and filing cabinets of the specialty's knowledge to clear out the stigma, the myths, the unknown and the "doctor knows best" world view. If PMHN is to survive and truly heal or comfort the suffering that is observed and witnessed first-hand in the twenty first century, a deliberate and purposeful approach is needed.
Topics: Humans; United States; Psychiatric Nursing; Mental Health
PubMed: 37939371
DOI: 10.1080/01612840.2023.2270066 -
Archives of Psychiatric Nursing Aug 2022
Topics: Humans; Psychiatric Nursing
PubMed: 35688552
DOI: 10.1016/j.apnu.2022.05.003