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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 -
Soins; La Revue de Reference Infirmiere Sep 2022Within the framework of its establishment project, a public mental health establishment located in Essonne wished to develop paramedical research. The theme of the... (Review)
Review
Within the framework of its establishment project, a public mental health establishment located in Essonne wished to develop paramedical research. The theme of the stigmatization of nurses working in psychiatry was chosen. Using a qualitative methodology, interviews were conducted with two groups of professionals and one group of student nurses, the aim being to find out whether they felt stigmatized by their peers and/or by society in general. The results obtained are interesting.
Topics: Humans; Stereotyping; Psychiatric Nursing; Students, Nursing; Psychiatry; Emotions
PubMed: 36442919
DOI: 10.1016/j.soin.2022.09.023 -
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 -
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 -
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 -
Journal of Psychosocial Nursing and... Jan 2018Approximately one in five individuals in the United States experiences mental health issues in any given year, and these disorders are consistently among the leading...
Approximately one in five individuals in the United States experiences mental health issues in any given year, and these disorders are consistently among the leading causes of years lived with disability. Unfortunately, many mental illnesses are lifelong conditions that require medication and therapy to improve quality of life, yet clinical trial data show that many patients fail to achieve remission or require several pharmacological interventions prior to remission. These results indicate a need to address the variability among patients in their response to medication, in addition to developing treatment plans tailored to the individual. One approach that may help explain patient variability in response to medication is pharmacogenetic testing. The current review shows the clinical use of pharmacogenetic testing in a small subset of gene variants and how they pertain to psychiatric illness and treatment. Recent evidence suggests that genetic testing for psychiatric illness can improve patient outcomes in addition to decreasing health care costs. [Journal of Psychosocial Nursing and Mental Health Services, 56(1), 22-31.].
Topics: Humans; Mental Disorders; Pharmacogenetics; Psychiatric Nursing; Psychotherapy; Quality of Life; United States
PubMed: 28990639
DOI: 10.3928/02793695-20170928-01 -
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 2018
Topics: Humans; Mental Health Services; Needs Assessment; Psychiatric Nursing; Research
PubMed: 30365766
DOI: 10.1590/0034-7167-2018-0363 -
The Journal of Neuroscience Nursing :... Apr 2013To successfully negotiate and interact with one's environment, optimal cognitive functioning is needed. Unfortunately, many neurological and psychiatric diseases impede...
To successfully negotiate and interact with one's environment, optimal cognitive functioning is needed. Unfortunately, many neurological and psychiatric diseases impede certain cognitive abilities such as executive functioning or speed of processing; this can produce a poor fit between the patient and the cognitive demands of his or her environment. Such nondementia diseases include bipolar disorder, schizophrenia, post-traumatic stress syndrome, depression, and anxiety disorders, just to name a few. Each of these diseases negatively affects particular areas of the brain, resulting in distinct cognitive profiles (e.g., deficits in executive functioning but normal speed of processing as seen in schizophrenia). In fact, it is from these cognitive deficits in which such behavioral and emotional symptoms may manifest (e.g., delusions, paranoia). This article highlights the distinct cognitive profiles of such common neurological and psychiatric diseases. An understanding of such disease-specific cognitive profiles can assist nurses in providing care to patients by knowing what cognitive deficits are associated with each disease and how these cognitive deficits impact everyday functioning and social interactions. Implications for nursing practice and research are posited within the framework of cognitive reserve and neuroplasticity.
Topics: Clinical Nursing Research; Cognition; Humans; Mental Disorders; Nervous System Diseases; Neuronal Plasticity; Psychiatric Nursing; Specialties, Nursing
PubMed: 23422693
DOI: 10.1097/JNN.0b013e3182829038