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Journal of Bioethical Inquiry Jun 2022Providing effective care to patients and making the right decisions in difficult working environments depend on moral sensitivity. Emotional intelligence and ethical...
Providing effective care to patients and making the right decisions in difficult working environments depend on moral sensitivity. Emotional intelligence and ethical sensitivity affect nursing care. This study aimed to investigate the relationship between nursing students' emotional intelligence and ethical sensitivity levels. The research employed a descriptive-correlational design, 201 nursing students studying at a university in the Central Anatolia region, Turkey, participated in the study. Students' ethical sensitivity was found to be significant. The nursing students received the highest score in the "Interpersonal Orientation" sub-dimension of the Moral Sensitivity Scale, while their lowest score was observed in the "Experiencing ethical dilemma" sub-dimension. The SSREIT and MMSQSN total scores of the students who willingly chose the nursing department and loved their field were found to be higher. It was found that the ethical sensitivity of nursing students was at a significant level and gender, family type, having sibling(s) and perception of economic status affected the level of ethical sensitivity.
Topics: Emotional Intelligence; Ethics, Nursing; Humans; Morals; Students, Nursing; Surveys and Questionnaires; Turkey
PubMed: 35522375
DOI: 10.1007/s11673-022-10188-6 -
BMJ Open Jul 2022Psychiatric nurses face various stressors related to nurse-patient relationships, workplace interpersonal relationships and organisational problems, and are required to...
INTRODUCTION
Psychiatric nurses face various stressors related to nurse-patient relationships, workplace interpersonal relationships and organisational problems, and are required to perform excellent work under stressful situations. As work engagement (a counterconcept of burnout) is a key factor that improves the performance of nurses, clarifying how to improve work engagement is an essential topic among researchers. Although some knowledge has been accumulated on the subject, no reviews have been conducted on the work engagement of psychiatric nurses. To fill the gap, this scoping review will examine the status of research activity on the work engagement of psychiatric nurses and identify related factors, consequently mapping the available research in this area.
METHODS AND ANALYSIS
The review will be conducted according to established scoping review methodological guidelines. The inclusion criteria will be based on nurses (participants), work engagement (concept), and psychiatric settings (context) without language or date restrictions. Regardless of the methodology or study design, research related to the work engagement of psychiatric nurses will be included. A systematic search will be conducted for MEDLINE, CINAHL and PsycINFO, with the searches being arranged by an information specialist through discussion. The first author will screen all potentially relevant publications, and the second author will independently screen a random sample comprising 10% of the manuscripts. Any disagreement will be resolved by a review team. Data will be extracted using a standardised extraction form, subsequently summarised through quantitative (frequencies) and qualitative analyses (narrative synthesis), and reported in the results of the review.
ETHICS AND DISSEMINATION
As the data will be collected from existing literature, ethical approval is not required. The findings will be disseminated through conference presentations and publication in a peer-reviewed journal. They are expected to help researchers enhance psychiatric nurses' work engagement, consequently contributing to improving their performance.
Topics: Burnout, Professional; Delivery of Health Care; Humans; Psychiatric Nursing; Research Design; Systematic Reviews as Topic; Work Engagement; Workplace
PubMed: 35831048
DOI: 10.1136/bmjopen-2022-062507 -
International Journal of Mental Health... Feb 2022Access to and delivery of quality mental health services remains challenging in rural and remote Canada. To improve access, services, and support providers, improved...
Access to and delivery of quality mental health services remains challenging in rural and remote Canada. To improve access, services, and support providers, improved understanding is needed about nurses who identify mental health as an area of practice. The aim of this study is to explore the characteristics and context of practice of registered nurses (RNs), licensed practical nurses (LPNs), and registered psychiatric nurses (RPNs) in rural and remote Canada, who provide care to those experiencing mental health concerns. Data were from a pan-Canadian cross-sectional survey of 3822 regulated nurses in rural and remote areas. Individual and work community characteristics, practice responsibilities, and workplace factors were analysed, along with responses to open-ended questions. Few nurses identified mental health as their sole area of practice, with the majority of those being RPNs employed in mental health or crisis centres, and general or psychiatric hospitals. Nurses who indicated that mental health was only one area of their practice were predominantly employed as generalists, often working in both hospital and primary care settings. Both groups experienced moderate levels of job resources and demands. Over half of the nurses, particularly LPNs, had recently experienced and/or witnessed violence. Persons with mental health concerns in rural and remote Canada often receive care from those for whom mental health nursing is only part of their everyday practice. Practice and education supports tailored for generalist nurses are, therefore, essential, especially to support nurses in smaller communities, those at risk of violence, and those distant from advanced referral centres.
Topics: Canada; Cross-Sectional Studies; Humans; Psychiatric Nursing; Rural Health Services; Rural Population; Workplace
PubMed: 34668279
DOI: 10.1111/inm.12943 -
BMJ Open Jun 2024There is a lack of distinct and measurable outcomes in psychiatric and/or mental health nursing which negatively impacts guiding clinical practice, assessing...
INTRODUCTION
There is a lack of distinct and measurable outcomes in psychiatric and/or mental health nursing which negatively impacts guiding clinical practice, assessing evidence-based nursing interventions, ensuring future-proof nursing education and establishing visibility as a profession and discipline. Psychiatric and/or mental health nursing struggle to demonstrate patient-reported outcomes to assess the effectiveness of their practice. A systematic review that summarising patient-reported outcomes, associated factors, measured nursing care/interventions and used measurement scales of psychiatric and/or mental health nursing in the adult population in acute, intensive and forensic psychiatric wards in hospitals will capture important information on how care can be improved by better understanding what matters and what is important to patients themselves. This review can contribute to the design, planning, delivery and assessment of the quality of current and future nursing care METHODS AND ANALYSIS: This protocol follows the Cochrane methodological guidance on systematic reviews of interventions and The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocol. The search strategy will be identified by consultations with clinical and methodological experts and by exploring the literature. The databases Ovid MEDLINE, CINAHL, EMBASE, APA PsychARTICLES, Web of Science and Scopus will be searched for all published studies. Studies will be screened and selected with criteria described in the population, intervention, control and outcomes format after a pilot test by two researchers. Studies will be screened in two stages: (1) title and abstract screening and (2) full-text screening. Data extraction and the quality assessment based on the Johanna Briggs Institute guidelines will be conducted by two researchers. Data will be presented in a narrative synthesis.
ETHICS AND DISSEMINATION
No ethical approval is needed since all data are already publicly accessible. The results of this work will be published in a peer-reviewed scientific journal.
PROSPERO REGISTRATION NUMBER
CRD42023363806.
Topics: Humans; Systematic Reviews as Topic; Patient Reported Outcome Measures; Psychiatric Nursing; Research Design; Mental Disorders
PubMed: 38851230
DOI: 10.1136/bmjopen-2024-085808 -
Revista Brasileira de Enfermagem 2021To historically analyze psychiatric nursing teaching at the Universidade Federal de Alagoas from 1976 to 1981.
OBJECTIVE
To historically analyze psychiatric nursing teaching at the Universidade Federal de Alagoas from 1976 to 1981.
METHODS
Qualitative study; social-historical approach employing Thematic Oral History based on the documentary sources and testimonials from nurses, students, professors, and professionals at the psychiatric hospital where these practices occurred. The study researched World, Brazil, and Alagoas history and the Curricular Guidelines for Nursing for the history comprehension and used Erving Goffman's concepts as a theoretical reference.
RESULTS
They revealed the structural conditions of the university in 1976, the American contribution to the teaching staff, the students' psychological preparation in theoretical and practical classes, the precarious scenario of psychiatric care in Alagoas, and the care that minimizes stigmas through empathy and sensitive listening.
CONCLUSION
With the emergence of that discipline, students and professors expanded their views on mental illness and emphasized their need for academic training based on reforming care principles.
Topics: Brazil; Education, Nursing; Educational Status; Humans; Psychiatric Nursing; Qualitative Research; Students, Nursing; Universities
PubMed: 34524367
DOI: 10.1590/0034-7167-2020-1020 -
Journal of Clinical Nursing Sep 2020To identify and describe nursing interventions in patient documentation in adult psychiatric outpatient setting and to explore the potential for using the Nursing...
AIMS AND OBJECTIVES
To identify and describe nursing interventions in patient documentation in adult psychiatric outpatient setting and to explore the potential for using the Nursing Interventions Classification in documentation in this setting.
BACKGROUND
Documentation is an important part of nurses' work, and in the psychiatric outpatient care setting, it can be time-consuming. Only very few research reports are available on nursing documentation in this care setting.
METHODS
A qualitative analysis of secondary data consisting of nursing documentation for 79 patients in four outpatient units (years 2016-2017). The data consisted of 1,150 free-text entries describing a contact or an attempted contact with 79 patients, their family members or supporting networks and 17 nursing care summaries. Deductive and inductive content analysis was used. SRQR guideline was used for reporting.
RESULTS
We identified 71 different nursing interventions, 64 of which are described in the Nursing Interventions Classification. Surveillance and Care Coordination were the most common interventions. The analysis revealed two perspectives which challenge the use of the classification: the problem of overlapping interventions and the difficulty of naming group-based interventions.
CONCLUSION
There is an urgent need to improve patient documentation in the adult psychiatric outpatient care setting, and standardised nursing terminologies such as the Nursing Interventions Classification could be a solution to this. However, the problems of overlapping interventions and naming group-based interventions suggest that the classification needs to be further developed before it can fully support the systematic documentation of nursing interventions in the psychiatric outpatient care setting.
RELEVANCE TO CLINICAL PRACTICE
This study describes possibilities of using a systematic nursing language to describe the interventions nurses use in the adult psychiatric outpatient setting. It also describes problems in the current free text-based documentation.
Topics: Adult; Ambulatory Care; Documentation; Humans; Nursing Records; Psychiatric Nursing; Qualitative Research; Standardized Nursing Terminology
PubMed: 32562579
DOI: 10.1111/jocn.15382 -
International Journal of Environmental... Feb 2024The phenomenon of some patients with schizophrenia withdrawing and becoming hikikomori needs to be resolved. In some countries, outreach methods are being employed. In...
The phenomenon of some patients with schizophrenia withdrawing and becoming hikikomori needs to be resolved. In some countries, outreach methods are being employed. In Japan, psychiatric home-visit nursing for patients with schizophrenia and hikikomori is being implemented. However, it is not based on sufficient evidence and relies on the experience and intuition of individual nurses. This study explored the underlying themes in the nursing practices of psychiatric home-visit nurses via semi-structured interviews with 10 nurses and a thematic analysis. Nine key themes emerged. Four themes-(i) understanding the patient's world, (ii) supporting the patients as they are, (iii) providing a sense of relief, and (iv) having equal relationships-highlighted the nurses' commitment to respecting patients' individuality while building and sustaining relationships. Two themes-(v) exploring the right timing and (vi) waiting for the appropriate timing-illustrated the nurses' anticipation of proactive patient engagement. Finally, three themes-(vii) working together on things, (viii) continuing care for expanding the patient's world, and (ix) nursing care for the patient's future-underscored the nurses' gradual and methodical approach to working alongside patients. Nursing practices based on these nine themes cultivated meaningful relationships and secured a sense of relief for the patients. Additionally, they awaited patients' proactive engagement and delivered timely support to facilitate positive daily life changes. These findings contribute to the establishment of evidence-based nursing practices for patients with schizophrenia and hikikomori.
Topics: Humans; Schizophrenia; Psychiatric Nursing; Patients; Japan; Phobia, Social; Shame
PubMed: 38397672
DOI: 10.3390/ijerph21020181 -
Perspectives in Psychiatric Care Oct 2022Estimate the effect of nursing, shift, and patient characteristics on patients' aggression.
PURPOSE
Estimate the effect of nursing, shift, and patient characteristics on patients' aggression.
DESIGN AND METHODS
Follow-up study on a closed psychiatric ward was performed to estimate the effect of nursing team characteristics and patient characteristics on the incidence of aggression.
FINDINGS
The incidence of aggression (n = 802 in sample) was lower in teams with >75% male nurses. Teams scoring high on extraversion experienced more verbal aggression and teams scoring high on neuroticism experienced more physical aggression. Younger patients and/or involuntarily admitted patients were more frequently aggressive.
PRACTICE IMPLICATIONS
These findings could stimulate support for nurses to prevent aggression.
Topics: Humans; Male; Female; Psychiatric Department, Hospital; Follow-Up Studies; Aggression; Psychiatric Nursing
PubMed: 35505593
DOI: 10.1111/ppc.13099 -
Revista Brasileira de Enfermagem 2020to understand the perception of nurses and their needs regarding Nursing Process implantation in a long-term psychiatric hospitalization unit.
OBJECTIVE
to understand the perception of nurses and their needs regarding Nursing Process implantation in a long-term psychiatric hospitalization unit.
METHOD
a convergent care research, carried out in a psychiatric institute in Rio de Janeiro, with 13 nurses. Data were produced between May/2016 and August/2017, with observation in a field diary, semi-structured interviews and groups. Data were analyzed regarding content, theme and by the software NVivo.
RESULTS
three thematic categories were developed: Knowledge and practices of participants on Systematization of Nursing Care, Nursing Process and classification system; Convergence points: Nursing Process in practice and research; Challenges of Nursing Process implantation in mental health. Final considerations: implantation was perceived by nurses as a way to be constructed: in the stages of Nursing Process, in handling classifications, but mainly in articulation with the Brazilian National Mental Health Policy.
Topics: Brazil; Humans; Knowledge; Mental Health; Nursing Process; Psychiatric Nursing
PubMed: 32696805
DOI: 10.1590/0034-7167-2019-0579 -
Healthcare (Basel, Switzerland) Oct 2021Gratitude journaling has been used to improve grateful disposition. However, there is only limited data available on its application experience. This study aimed to: (1)...
Gratitude journaling has been used to improve grateful disposition. However, there is only limited data available on its application experience. This study aimed to: (1) explore the experiences of nursing students who have participated in gratitude journaling; and (2) assess students' views of gratitude journaling as a nursing intervention. This study implemented an eight-week program of gratitude journaling with fourth-year nursing students who took a mental health psychiatric nursing course at a South Korean university. Following the eight weeks, students reflected on their gratitude journaling experience in a reflective essay. Using content analysis, 53 essays were analyzed. Five categories were identified from the reflective essay, as follows: "A new beginning", "The engine that motivates continued participation: gratitude sharing", "The process driving change", "Changes brought about by gratitude", and "Self-reflection". Based on this experience, nursing students believed that it is important to promote steady participation when administering gratitude journaling as a nursing intervention. The study findings suggest that the gratitude journaling not only helped with nursing students' perspective, emotional, and behavioral aspects and stress management, but also provided an opportunity to advance a step further based on self-reflection.
PubMed: 34828518
DOI: 10.3390/healthcare9111473