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Journal of the American Association of... Sep 2015This review article provides an overview of the frequency, burden of illness, diagnosis, and treatment of bipolar disorder (BD) from the perspective of the advanced... (Review)
Review
PURPOSE
This review article provides an overview of the frequency, burden of illness, diagnosis, and treatment of bipolar disorder (BD) from the perspective of the advanced practice nurses (APNs).
DATA SOURCES
PubMed searches were conducted using the following keywords: "bipolar disorder and primary care," restricted to dates 2000 to present; "bipolar disorder and nurse practitioner"; and "bipolar disorder and clinical nurse specialist." Selected articles were relevant to adult outpatient care in the United States, with a prioritization of articles written by APNs or published in nursing journals.
CONCLUSIONS
BD has a substantial lifetime prevalence in the population at 4%. Because the manic or depressive symptoms of BD tend to be severe and recurrent over a patient's lifetime, the condition is associated with significant burden to the individual, caregivers, and society. Clinician awareness that BD may be present increases the likelihood of successful recognition and appropriate treatment. A number of pharmacological and nonpharmacological treatments are available for acute and maintenance treatments, with the prospect of achieving reduced symptom burden and increased functioning for many patients.
IMPLICATIONS FOR PRACTICE
Awareness of the disease burden, diagnostic issues, and management choices in BD has the potential to enhance outcome in substantial proportions of patients.
Topics: Bipolar Disorder; Humans; Nurse Practitioners; Practice Patterns, Nurses'; Psychiatric Nursing
PubMed: 26172568
DOI: 10.1002/2327-6924.12275 -
Revista Brasileira de Enfermagem 2021to know innovative pedagogical experiences developed by professors in the teaching of psychiatric nursing and mental health in undergraduate nursing courses at public...
OBJECTIVE
to know innovative pedagogical experiences developed by professors in the teaching of psychiatric nursing and mental health in undergraduate nursing courses at public universities in Rio de Janeiro State.
METHOD
based on an ethnomethodological approach, individual semi-structured interviews and document analysis were carried out according to content analysis.
RESULTS
despite the heterogeneity in the curriculum distribution of psychiatric nursing's and mental health's knowledge, the themes taught have similarities. The perceptions of innovation are mainly related to interdisciplinary practices and teaching, relational, and care technologies. Innovative teaching practices are focused on the use of active methodologies and collaborative activities.
FINAL CONSIDERATIONS
innovating teaching requires creating strategies to teach people how to care for people, valuing human uniqueness. Student participation in health services is the key to the dialogue between knowledge produced in academia and that mobilized in health services.
Topics: Brazil; Curriculum; Education, Nursing, Baccalaureate; Humans; Mental Health; Psychiatric Nursing; Students, Nursing; Teaching
PubMed: 34105696
DOI: 10.1590/0034-7167-2020-0525 -
Archives of Psychiatric Nursing Jun 1992Sense of belonging is a concept that has not been researched in psychiatric nursing practice. Using a concept-analysis strategy proposed by Walker and Avant, the authors... (Review)
Review
Sense of belonging is a concept that has not been researched in psychiatric nursing practice. Using a concept-analysis strategy proposed by Walker and Avant, the authors present a detailed description of the concept that evolved from a series of inductive and deductive strategies. Sense of belonging is defined as the experience of personal involvement in a system or environment so that persons feel themselves to be an integral part of that system or environment. Sense of belonging has important applicability for clinical use as well as continued theory development in psychiatric nursing.
Topics: Adaptation, Psychological; Depressive Disorder; Female; Humans; Interpersonal Relations; Male; Mental Disorders; Mental Health Services; Nurse-Patient Relations; Psychiatric Nursing
PubMed: 1622293
DOI: 10.1016/0883-9417(92)90028-h -
Psychiatria Danubina Jun 2018Psychiatric nurses are a special group of nursing staff, they experience greater work stress and lower mental health levels than regular nurses. In order to address this... (Randomized Controlled Trial)
Randomized Controlled Trial
BACKGROUND
Psychiatric nurses are a special group of nursing staff, they experience greater work stress and lower mental health levels than regular nurses. In order to address this problem, the effect of mindfulness-based stress reduction (MBSR) therapy on work stress and mental health of psychiatric nurses is investigated in this study.
SUBJECTS AND METHODS
From August 2017 to November 2017, 100 psychiatric nurses, including 68 females and 32 males, were selected as participants from three hospitals in Hunan Province of China. They were randomly divided into the intervention and control groups, with 50 respondents in each group. MBSR therapy was used as psychological intervention in the intervention group. Before and after the intervention, the two groups were assessed with the Symptom Checklist-90 (SCL-90) scale, Self-Rating Depression Scale (SDS), Self-Rating Anxiety Scale (SAS), and Nursing Stress Scale.
RESULTS
(1) After the intervention, the SCL-90 score of the intervention group decrease significantly, and a statistically significant difference is observed with the figure before the intervention (P<0.001). No statistically significant difference is found in the control group (P>0.05). (2) After the intervention, the SDS and SAS scores of the intervention group decrease significantly, and a statistically significant difference is observed with the figures before the intervention (P<0.001). No statistically significant difference is found in the control group (P>0.05). (3) After the intervention, the Nursing Stress Scale score of the intervention group Nursing Stress Scale decrease significantly, and a statistically significant difference is observed with the figure before the intervention (P<0.001). No statistically significant difference is found in the control group (P>0.05).
CONCLUSIONS
MBSR therapy can reduce work stress, anxiety, depression, and other negative emotions among psychiatric nurses and improve their mental health.
Topics: Adult; Checklist; China; Female; Humans; Male; Mindfulness; Occupational Stress; Psychiatric Nursing; Treatment Outcome
PubMed: 29930229
DOI: 10.24869/psyd.2018.189 -
Revista Brasileira de Enfermagem 2020to identify the applicability of the Phil Barker's Tidal Model in mental health nursing care. (Review)
Review
OBJECTIVES
to identify the applicability of the Phil Barker's Tidal Model in mental health nursing care.
METHODS
an integrative literature review carried out by LILACS, MEDLINE, Scopus and Web of Science. Data were collected from December 2017 to March 2018. After selecting the studies, the sample totaled 24 articles.
RESULTS
the articles are in English (91.7%), were published in nursing journals (87.5%), are reflective and/or theoretical (50%) and have level of evidence VII (79.2%). The model brings contributions to nursing science, enabling person-centered care, with an emphasis on interdisciplinary work, nurses' protagonism and the empowerment of subjects in mental suffering.
FINAL CONSIDERATIONS
the use of the Tidal Model enables changes in nurses practice working in the context of mental health. Its application by nurses who work in mental health services in Brazil is recommended.
Topics: Brazil; Humans; Mental Health Services; Models, Nursing; Nursing Care; Psychiatric Nursing
PubMed: 32236360
DOI: 10.1590/0034-7167-2018-0177 -
Journal of Psychiatric and Mental... Aug 2020WHAT IS KNOWN ON THE SUBJECT?: Aggressive behaviour is a major problem in clinical practice of mental health care and can result in the use of coercive measures....
WHAT IS KNOWN ON THE SUBJECT?: Aggressive behaviour is a major problem in clinical practice of mental health care and can result in the use of coercive measures. Coercive measures are dangerous for psychiatric patients and international mental healthcare works on the elimination of these interventions. There is no previous review that summarizes the attitude of nursing staff towards coercive measures and the influence of nursing staff characteristics on attitude towards and the use of coercive measures. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: The attitude of nurses shifted from a therapeutic paradigm (coercive measures have positive effects on patients) to a safety paradigm (coercive measures are undesirable, but necessary for the wards' safety). Nurses express the need for less coercive interventions to prevent seclusion and restraint, but their perception of intrusiveness is influenced by how often they use specific coercive measures. The knowledge from scientific literature on the influence of nursing staff on coercive measures is highly inconclusive, although the feeling of safety of nurses might prove to be promising for further research. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: There is need for increased attention specifically for the feeling of safety of nurses, to better equip nurses for their difficult work on acute mental health wards. ABSTRACT: Introduction The use of coercive measures generally has negative effects on patients. To help prevent its use, professionals need insight into what nurses believe about coercion and which staff determinants may influence its application. There is need for an integrated review on both attitude and influence of nurses on the use of coercion. Aim To summarize literature concerning attitude of nurses towards coercive measures and the influence of staff characteristics on the use of coercive measures. Method Systematic review. Results The attitude of nurses changed during the last two decades from a therapeutic to a safety paradigm. Nurses currently view coercive measures as undesirable, but necessary to deal with aggression. Nurses express the need for less intrusive interventions, although familiarity probably influences its perceived intrusiveness. Literature on the relation between staff characteristics and coercive measures is inconclusive. Discussion Nurses perceive coercive measures as unwanted but still necessary to maintain safety on psychiatric wards. Focussing on the determinants of perception of safety might be a promising direction for future research. Implications for practice Mental health care could improve the focus on the constructs of perceived safety and familiarity with alternative interventions to protect patients from unnecessary use of coercive interventions.
Topics: Attitude of Health Personnel; Coercion; Humans; Mental Disorders; Nursing Staff, Hospital; Patient Safety; Psychiatric Department, Hospital; Psychiatric Nursing; Restraint, Physical; Violence
PubMed: 31876970
DOI: 10.1111/jpm.12586 -
Soins; La Revue de Reference Infirmiere May 2019Advanced nursing practice in psychiatry is a major challenge for the discipline. It must meet the needs of the population as well as conform to national policies and...
Advanced nursing practice in psychiatry is a major challenge for the discipline. It must meet the needs of the population as well as conform to national policies and tackle the problems within the mental health and psychiatric sector. For a long time, psychiatric nurses have developed their practices on the basis of precise indications and health policies. Advanced practice will not be able to replace these existing situations.
Topics: Advanced Practice Nursing; France; Health Policy; Humans; Mental Disorders; Psychiatric Nursing; Psychiatry
PubMed: 31079788
DOI: 10.1016/j.soin.2019.03.011 -
Revista Brasileira de Enfermagem 2018Gather the concepts, theories and interventions about spirituality, its nature and functions in mental health and psychiatric nursing. (Review)
Review
OBJECTIVE
Gather the concepts, theories and interventions about spirituality, its nature and functions in mental health and psychiatric nursing.
METHOD
A literature review proceeded on February 2016. It has integrated 214 studies published until December 2015 by crossing Spirituality and Psychiatric Nursing mesh terms in databases.
RESULTS
Conceptualization about spirituality and religion, their complexity in nursing research, education, and clinical approach; their functions to human being correlated to the purpose of life, transcendental connections, and support in mental health; the professional boundaries in address to spirituality in mental health scenery, and a descriptive literature recommendations and a instruments catalog.
CONCLUSIONS
Spirituality in nursing mental health and psychiatry remains a theoretical problem, and has a clinical mischaracterized approach; recently publications try to promote a human and holistic trend in the practice, as a challenge to lead the current circumstances to valid nursing bases.
Topics: Humans; Mental Health Services; Psychiatric Nursing; Spirituality
PubMed: 30365801
DOI: 10.1590/0034-7167-2016-0429 -
Revista Brasileira de Enfermagem Nov 2021
Topics: Human Rights; Humans; Mental Disorders; Mental Health; Psychiatric Nursing
PubMed: 34730753
DOI: 10.1590/0034-7167.202275suppl301 -
Revista Brasileira de Enfermagem 2020to know the scientific production on psychiatric nursing and mental health teaching in relation to Brazilian nursing curriculum. (Review)
Review
OBJECTIVES
to know the scientific production on psychiatric nursing and mental health teaching in relation to Brazilian nursing curriculum.
METHODS
an Integrative Literature Review with no temporal delineation, whose data collection took place in ten Brazilian and international databases, adding to the total 35 objects of analysis.
RESULTS
a priori categories were adopted, consisting of the psychiatric nursing and mental health teaching in Brazil according to the 1923, 1949, 1962, 1972, 1994 and 2001 nursing curriculum, presented in the light of the dimensions: thought model; places of practice; methods or contents used; and profile or skills of the student.
FINAL CONSIDERATIONS
the study made it possible to observe psychiatric nursing and mental health teaching historical evolution, indicating that teaching transformations involved changes in curriculum, Psychiatric Reform and the way nursing undergraduate courses and schools take these determinants.
Topics: Brazil; Curriculum; Education, Nursing; Humans; Psychiatric Nursing
PubMed: 32159687
DOI: 10.1590/0034-7167-2018-0200