-
International Nursing Review Jun 2021To understand nurses' responses to COVID-19 and identify their uptake of changes in the procedure required for the management of COVID-19 in an inpatient psychiatric...
AIM
To understand nurses' responses to COVID-19 and identify their uptake of changes in the procedure required for the management of COVID-19 in an inpatient psychiatric ward.
BACKGROUND
The infection risk for COVID-19 in an enclosed inpatient psychiatric ward is high due to living arrangements in the ward and the nature of the infectious disease.
INTRODUCTION
This paper describes inpatient nurses' experiences, challenges and strategies deployed at the institutional and national levels to contain the spread of infection.
METHODS
Written feedback was collected to understand nurses' responses and identify their uptake of changes in procedure following the COVID-19 outbreak in the ward.
FINDINGS
Nurses felt shocked, worried, isolated, expressed a lack of confidence, and experienced physical exhaustion. COVID-19 specific challenges were highlighted in the delivery of safe and quality nursing care. Nurses were satisfied with the hospital policy and strategies implemented during the outbreak, acknowledging the importance of support from nursing leaders.
DISCUSSION
Practical support and strong nursing leadership have been imperative in the battle against the COVID-19 outbreak in the psychiatric hospital. Psychiatric nursing care was maintained with a modified management and treatment approach.
IMPLICATIONS FOR NURSING PRACTICE
Nurses' willingness to adjust to the reconfiguration of operations to accommodate changes has been crucial for the healthcare system to run effectively. Good practices and policies established during this crisis should be developed and established permanently in nursing practice.
IMPLICATIONS FOR HEALTH POLICY
Prompt and effective contingency planning and policymaking at the national and institutional level, targeting human resource management and infection control, can introduce changes and alternative options for nursing care in a pandemic.
CONCLUSION
With support from influential nursing leaders, strategies and policies are imperative in ensuring the successful management of COVID situations in an inpatient psychiatric setting.
Topics: COVID-19; Humans; Infection Control; Leadership; Nurse's Role; Pandemics; Pneumonia, Viral; Psychiatric Department, Hospital; Psychiatric Nursing; SARS-CoV-2; Singapore
PubMed: 33894062
DOI: 10.1111/inr.12680 -
Computational and Mathematical Methods... 2022To explore the effect of continuous psychological nursing based on the grey clustering algorithm on erectile function, bad psychological emotion, and complications in... (Randomized Controlled Trial)
Randomized Controlled Trial
OBJECTIVE
To explore the effect of continuous psychological nursing based on the grey clustering algorithm on erectile function, bad psychological emotion, and complications in patients after transurethral resection of prostate (TURP).
METHODS
98 patients who underwent TURP were randomly divided into observation and control groups (routine nursing). The observation group first used the grey clustering algorithm to evaluate the psychological intelligence, found patients with abnormal psychological behavior, and then implemented continuous psychological nursing combined with pelvic floor muscle exercise. The patients were followed up for 4 months. The International Index of Erectile Function-5 (IIEF-5), the incidence of complications, the Hamilton Depression Scale (HAMD), the Hamilton Anxiety Scale (HAMA) scores, and the nursing satisfaction were analyzed and compared between these two groups.
RESULTS
The grey clustering algorithm can accurately reflect the characteristics of patients' psychological changes. After targeted nursing, compared with the control group, the IIEF-5 in the observation group was higher [(24.87 ± 1.85) vs. (22.24 ± 1.47), < 0.05], the incidence of total complications was lower (10.20% vs. 26.53%, < 0.05), the score of HAMA was lower [(6.11 ± 2.57) vs. (10.98 ± 2.29), < 0.05], the score of HAMD was lower [(6.97 ± 2.85) vs. (11.35 ± 2.19), < 0.05], and the nursing satisfaction was higher (100% vs. 85.71%, < 0.05).
CONCLUSION
Mental intelligence evaluation based on the grey clustering algorithm combined with pelvic floor muscle exercise can significantly improve the rehabilitation effect of erectile function in patients after TURP, reduce the incidence of postoperative complications, and alleviate patients' anxiety and depression.
Topics: Algorithms; Anxiety; Cluster Analysis; Depression; Erectile Dysfunction; Humans; Male; Pelvic Floor; Postoperative Complications; Prostatic Hyperplasia; Psychiatric Nursing; Transurethral Resection of Prostate
PubMed: 35936363
DOI: 10.1155/2022/5400479 -
BMC Nursing Apr 2023The pandemic context prompts nursing students to be involved in online learning. Researchers indicated that critical thinking develops through the learning process, but...
Assessing perceptions about critical thinking, motivation learning strategies in online psychiatric and mental health nursing education among Egyptian and Saudi undergraduate nursing students.
BACKGROUND
The pandemic context prompts nursing students to be involved in online learning. Researchers indicated that critical thinking develops through the learning process, but the link between critical thinking and online learning in nursing does not have sufficient evidence.
AIM OF STUDY
This research examines student perceptions about critical thinking, motivation, and learning strategies in online psychiatric nursing education among nursing students at Imam Abdulrahman bin Faisal University in Saudi Arabia and Alexandria University in Egypt.
SUBJECT AND METHODS
An online survey was designed to collect data anonymously. A total of 75 Saudi undergraduates and 105 Egyptian nursing students who met the inclusion criteria participated. The online survey assessed three parts: socio-demographic data, critical thinking motivational, and cognitive processing strategy scales.
RESULTS
The current study found that using a motivating method for online learning inspired students to engage in critical thinking and cognitive processing strategies in a psychiatric and mental health nursing course, even in two different contexts.
CONCLUSION
This study demonstrates that using motivational methods for online learning encourages students to engage in critical thinking and cognitive processing strategies in psychiatry and mental health care courses, even in two different settings.
PubMed: 37038179
DOI: 10.1186/s12912-023-01264-2 -
Frontiers in Public Health 2023
Editorial: Psychological distress in healthy, vulnerable, and diseased groups: Neurobiological and psychosocial bases, detection methods, and creative management strategies.
Topics: Anxiety; Depression; Psychological Distress
PubMed: 37181682
DOI: 10.3389/fpubh.2023.1185503 -
International Journal of Environmental... Nov 2020The medical burden of psychiatric disorders continues to increase and has caused a major impact on health, society, human rights, and economy in the world. Patients with...
BACKGROUND
The medical burden of psychiatric disorders continues to increase and has caused a major impact on health, society, human rights, and economy in the world. Patients with mental illness have a higher ratio of emergency department visits than non-psychiatric patients. Psychiatric disorder-related emergency department care is a stress-causing factor in emergency department work. Therefore, the purpose of this study was to explore the experience of emergency department nurses in caring for patients with mental illness.
METHODS
A descriptive qualitative research design with purposive sampling was adopted. A total of 17 nurses working in the emergency department in central Taiwan were recruited. In-depth semi-structured interviews were conducted and thematic content analysis was performed.
RESULTS
Four themes and six sub-themes emerged that described the experiences of emergency nurse caring for patients with mental illness: (1) Mindset; (2) The predicament of psychiatric care: Violence and isolation and helplessness, and lack of therapeutic communication skills; (3) The influence of open space: insufficient safety and privacy; and (4) The educational needs of psychiatric nursing: improving cognition in psychiatric patients and changing negative thinking into positive thinking.
CONCLUSIONS
The results revealed the experience of emergency nurses in caring for patients with mental illness. Emergency psychiatric nursing training related to foundational psychiatric knowledge, communication skill, concept of recovery, coping with violence restraining are needed for nurses who work in emergency departments.
Topics: Emergency Service, Hospital; Humans; Interviews as Topic; Mental Disorders; Nurses; Patient Care; Qualitative Research; Taiwan
PubMed: 33217909
DOI: 10.3390/ijerph17228540 -
Journal of Family Medicine and Primary... Jun 2022Suicidal ideation is higher in psychiatric patients, particularly in those with depressive disorders. It tends to be a precursor to suicide attempts.
BACKGROUND
Suicidal ideation is higher in psychiatric patients, particularly in those with depressive disorders. It tends to be a precursor to suicide attempts.
AIM
To estimate the frequency of suicide ideation and attempts and their sociodemographic and clinical correlations among the inpatients with depressive disorders at a tertiary care center in North India.
METHODS
A cross-sectional descriptive survey was carried out among 128 participants diagnosed with depressive disorders who were admitted from September 2019 to April 2021 at a tertiary care hospital, India, using a total enumerative sampling technique. The sociodemographic and clinical data (particularly on suicide) were supplemented with the Modified Scale of Suicide Ideation (to evaluate suicidality) and the Hamilton Depression Rating Scale (for the severity of depression).
RESULTS
The median suicide ideation score was 11 inter quartile range (IQR: 19), and the overall mean depression score of the sample was 22.74 standard deviation (SD = 6.24). About 87% reported moderate to severe suicidal ideas. Occupation (farmer) ( < 0.01), current medications (tricyclic antidepressant) ( < 0.05), and history of suicide ( < 0.05) were significantly associated with the severity of depression. However, only a history of suicide was significantly associated with the current suicidal ideation ( < 0.05). About 48% had a history of suicide attempts, and among those who were more severely depressed, intoxicated during a suicide attempt ( < 0.01), taken precautions against being interrupted ( < 0.05), and had an intention to die ( < 0.05) had a significant association with their suicide attempts.
CONCLUSION
Among hospitalized patients with depressive disorders, suicidal ideation is common. The study reiterates the importance of screening for suicide, particularly in those with more severe depression in the inpatient setting.
PubMed: 36119260
DOI: 10.4103/jfmpc.jfmpc_2013_21 -
Journal of Gerontological Nursing Jul 2022
Topics: Aged; Delivery of Health Care; Geriatric Nursing; Humans; Psychiatric Nursing
PubMed: 35771071
DOI: 10.3928/00989134-20220606-01 -
Journal of Nursing Management Nov 2019The aim was to describe the ways that nursing staff in psychiatric inpatient care understand nursing.
AIM
The aim was to describe the ways that nursing staff in psychiatric inpatient care understand nursing.
BACKGROUND
Nursing in psychiatric care is marginalized with ambiguous role definitions and imperceptible activities. Nurse managers' capabilities to establish a direction and shared vision are crucial to motivate nursing staff to take part in practice development. However, before establishing a shared vision it is important to identify the different ways nursing can be understood.
METHODS
Sixteen individual semi-structured interviews with nursing staff members were analysed using a phenomenographic approach.
RESULTS
Five ways of understanding nursing were identified. These understandings were interrelated based on the way that the patient, nursing interventions and the goal of nursing were understood.
CONCLUSION
The diversity of identified understandings illuminates the challenges of creating a shared vision of roles, values and goals for nursing.
IMPLICATIONS FOR NURSING MANAGEMENT
Awareness of staff members' different understandings of nursing can help nurse managers to establish a shared vision. To be useful, a shared vision has to be implemented together with clear role definitions, professional autonomy of nurses and support for professional development. Implementation of such measures serves as a foundation to make nursing visible and thereby enhance the quality of patient care.
Topics: Adult; Aged; Attitude of Health Personnel; Female; Hospitalization; Humans; Interviews as Topic; Learning; Male; Middle Aged; Nursing Staff, Hospital; Psychiatric Nursing; Qualitative Research
PubMed: 31556178
DOI: 10.1111/jonm.12882 -
Iranian Journal of Nursing and... 2024Patient handover (handoff in America) is the transfer of information and accountability among nurses assigned to patient care. Introduction, Situation, Background,... (Review)
Review
Implementing the Verbal and Electronic Handover in General and Psychiatric Nursing Using the Introduction, Situation, Background, Assessment, and Recommendation Framework: A Systematic Review.
BACKGROUND
Patient handover (handoff in America) is the transfer of information and accountability among nurses assigned to patient care. Introduction, Situation, Background, Assessment, and Recommendation (ISBAR) is currently the most popular framework for framing handovers. However, research shows that incomplete handovers and information transfers among healthcare providers and nurses exist and are responsible for adverse patient events.
MATERIALS AND METHODS
The current systematic review aims to view contemporary literature on handover, especially but not exclusively in psychiatric settings, and to extract current conditions from Electronic Patient Records (EPRs) using the ISBAR framework. A total of fifty-five scientific papers were selected to support the scoping review. Eligibility criteria included structured research to analyze outcomes, completed by reviewing policy papers and professional organization guidelines on I/SBAR handovers.
RESULTS
Our systematic review shows that the application of ISBAR increases interprofessional communication skills and confidence and the quality of the transfer of clinical information about patients, resulting in increased patient safety and quality of care.
CONCLUSIONS
Implementing the knowledge and application of structured patient handover will respond to current recommendations for service improvement and quality of care. Furthermore, nurses who use ISBAR also reported its benefits as they feel they can deliver what is required for patient care information in a structured, fast, and efficient way. A further increase in the efficacy of handovers is reported by using EPR.
PubMed: 38333347
DOI: 10.4103/ijnmr.ijnmr_24_23 -
BMC Nursing Dec 2022Spiritual leadership is the most positive leadership style accepted by positive organizational behavior scholars that contributes to psychological capital. Spiritual...
BACKGROUND
Spiritual leadership is the most positive leadership style accepted by positive organizational behavior scholars that contributes to psychological capital. Spiritual leadership could be a critical organizational resource for followers. The study aims to examine the levels of spiritual leadership and psychological capital among nursing educators and determine the relationship between spiritual leadership and psychological capital among nurse educators.
METHODS
A cross-sectional design was applied using two tools: spiritual leadership and psychological capital scales. Over 3 months, data were collected from 213 nursing educators.
RESULTS
The spiritual leadership level is moderate to high (49.8 and 38.5%). The psychological capital level is high (63.4%). The association between spiritual leadership and psychological capital is a strong, positive, and highly significant correlation (R-value = 0.63, P = 0.001). The regression analysis predicted that male participants were expected to have more spiritual leadership and psychological capital than females.
CONCLUSION
It can be concluded and validated how important it is to develop and practice spiritual leadership to foster followers' psychological capital.
IMPLICATIONS OF NURSING MANAGEMENT
as nursing leaders must have spiritual competencies to promote workplace spirituality on the daily agenda as a foundational area in management.
PubMed: 36585661
DOI: 10.1186/s12912-022-01163-y