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Revista Brasileira de Enfermagem 2020to investigate approaches to workload in psychiatric and mental health nursing in Brazilian and international production of knowledge Methods: integrative literature...
OBJECTIVE
to investigate approaches to workload in psychiatric and mental health nursing in Brazilian and international production of knowledge Methods: integrative literature review using six databases, covering January 2005 to March 2019. Articles in full in English, Spanish and Portuguese were included.
RESULTS
the sample consisted of 23 original articles classified as quantitative or emotional. The quantitative dimension was addressed in 12 articles and included: assessing patient care needs, identifying activities performed by the team, measuring time spent and developing and validating a measurement instrument. The emotional dimension included 11 articles the focus of which was on identifying stressors in the workplace, psychosocial risks and coping strategies.
CONCLUSION
strategies were found for measuring workload and assessing the impact of stressors on nursing teams.
Topics: Adaptation, Psychological; Brazil; Humans; Occupational Stress; Psychiatric Nursing; Workload; Workplace
PubMed: 32696803
DOI: 10.1590/0034-7167-2019-0620 -
International Journal of Mental Health... Oct 2021
Topics: Humans; Pandemics; Psychiatric Nursing
PubMed: 34390110
DOI: 10.1111/inm.12924 -
Revista Brasileira de Enfermagem Nov 2021
Topics: Human Rights; Humans; Mental Disorders; Mental Health; Psychiatric Nursing
PubMed: 34730753
DOI: 10.1590/0034-7167.202275suppl301 -
Journal of Psychosocial Nursing and... Feb 2023
Topics: Humans; Schizophrenia; Psychiatric Nursing; Nursing Research
PubMed: 36720051
DOI: 10.3928/02793695-20230109-01 -
Journal of Psychosocial Nursing and... Sep 2023As rates of substance use and mental disorders continue to rise, individuals with mental health and substance use challenges and their supporters could benefit from...
As rates of substance use and mental disorders continue to rise, individuals with mental health and substance use challenges and their supporters could benefit from practical, accessible, cost-effective, wellness-focused tools outlining simple daily strategies to promote long-term recovery. The current article describes such a tool, the Journey to Wellness Guide, based on the Wellness Model, and developed through a co-production process. refers to a process of research, service design, and educational materials development where people with lived experience of mental health and/or substance use challenges share decision-making power throughout all stages of production, including the sharing of results. The co-production process resulted in a well-received wellness tool and tip guides for personal use, supporting others, and use in a group context. The value of this tool for psychosocial nursing and behavioral health care worker self-care and practice is outlined. [(9), 24-30.].
Topics: Humans; Mental Disorders; Mental Health; Mental Health Services; Self Care; Psychiatric Nursing
PubMed: 36989482
DOI: 10.3928/02793695-20230321-02 -
Revista Brasileira de Enfermagem 2013
Topics: Brazil; Mental Health; Psychiatric Nursing; Societies, Nursing
PubMed: 23743832
DOI: 10.1590/s0034-71672013000200001 -
International Journal of Mental Health... Dec 2022This perspective paper aims to present a personal viewpoint on the impact of psychiatric discourse on the principles of recovery in mental health care. Mental health...
This perspective paper aims to present a personal viewpoint on the impact of psychiatric discourse on the principles of recovery in mental health care. Mental health services espouse these principles, yet psychiatric discourse remains the dominant model. A critical analysis will examine how psychiatry maintains this dominance. The aim is to examine how psychiatric discourse constructs both the nature of mental distress and its treatment, and how it maintains its power as the dominant authority and its relationship to recovery principles. The paper concludes that psychiatric discourse is the antithesis of recovery principles and that its authority is perpetuated through co-opting a medical explanatory model, claiming expertise in the ability to predict social risk, and maintaining a tightly controlled echo chamber. A way forward involves the dismantling of the hierarchical service delivery model based on psychiatric discourse and replacing it with a more horizontal service delivery model in which the lived experience of mental distress is central. Regular audit of services needs to prioritize recovery principles. The implications for mental health nursing are considered.
Topics: Humans; Psychiatric Nursing; Mental Health Services; Mental Disorders; Psychiatry
PubMed: 36379908
DOI: 10.1111/inm.13072 -
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 -
Deutsches Arzteblatt International Apr 2015Delirium is a common complication in elderly hospitalized patients. It prolongs the length of hospital stay, raises costs, increases the workload of the nursing staff,...
BACKGROUND
Delirium is a common complication in elderly hospitalized patients. It prolongs the length of hospital stay, raises costs, increases the workload of the nursing staff, and may necessitate transfer of the patient to a nursing home. The risk of postoperative delirium is particularly high in elderly patients with pre-existing cognitive deficits.
METHODS
In an open study, we systematically assessed the frequency of postoperative delirium in patients over age 70 on two surgical wards of a general hospital. In a six-month "prevalence phase," from March to August 2011, we counted the number of patients with postoperative delirium, but did not initiate any intervention. Thereafter, in a ten-month "intervention phase" from September 2011 to June 2012, a nurse with special training in the management of delirium carried out an intervention involving component measures of the Hospital Elder Life Program (HELP) on one of the two wards, with the aim of preventing postoperative delirium. The patients on the other ward served as a control group.
RESULTS
In the prevalence phase, 20.2% of all patients developed postoperative delirium (95% confidence interval [CI], 14.6-26.4). In the intervention phase, postoperative delirium arose in 20.8% (95% CI, 11.3-32.1) of the patients on the ward with no specific interventions, but in only 4.9% (95% CI, 0.0-11.5) of those on the ward where the intervention was carried out. The difference was presumably due to the measures initiated by the specially trained nurse, including validation, improvement of sleep, cognitive activation, early mobilization, improved sensory stimulation, and improved nutritional and fluid intake. Important predictors of postoperative delirium included a low score on the Mini-Mental State Examination, advanced age, and preoperative infection.
CONCLUSION
The frequency of postoperative delirium in elderly patients with cognitive deficits can be lowered with nursing measures carried out by a specially trained nurse, close postoperative supervision, and cognitive activation.
Topics: Age Distribution; Aged; Aged, 80 and over; Delirium; Female; Germany; Humans; Incidence; Male; Postoperative Complications; Psychiatric Nursing; Risk Factors; Sex Distribution; Treatment Outcome
PubMed: 26008890
DOI: 10.3238/arztebl.2015.0289 -
Soins; La Revue de Reference Infirmiere Apr 2017
Topics: Humans; Mental Disorders; Patient Care Team; Preventive Medicine; Psychiatric Nursing; Treatment Outcome; Suicide Prevention
PubMed: 28411667
DOI: 10.1016/j.soin.2017.02.012