Assessing change in knowledge and attitudes of student nurses in calabar towards mental disorders following an educational program (original) (raw)

Attitudes Toward Mental Illness and Changes Associated with a Brief Educational Intervention for Medical and Nursing Students in Nigeria

Objective This study assessed beliefs about mental disorders and changes in those beliefs following an educational intervention for a convenience sample of Nigerian medical and nursing students. Methods A 43-item questionnaire was used to assess perceptions regarding mental disorders and attitudes toward people with mental illness before and after a 4-day educational intervention. Results Factor analysis identified four domains: (1) socializing with people with mental illness, (2) belief in witchcraft or curses as causes of mental illness, (3) favorable attitudes toward normalization of the lives of people with mental illness , and (4) biopsychosocial approaches to mental illness. The greatest changes were in attitudes favoring normalization of the lives of people with mental illness (p=0.0002), socializing with the mentally ill (p=0.01), and biopsychosocial perspectives on mental illness (p=0.01). Conclusion Brief educational interventions may alter some stigmatizing negative attitudes toward mental illness in healthcare trainees in low-and middle-income countries.

Nurses' knowledge and attitudes towards the mentally-ill in Lagos, South-Western Nigeria

Background: One of the foremost hindrances preventing appropriate mental health service delivery in developing countries is the limited knowledge of the general population about mental disorders which often leads to social stigma, negative perception and poor attitudes towards the mentally-ill. This study investigated nurses' mental health-related knowledge, their attitudes towards mental illness and the mentally-ill, their mental health-related and intended behaviour and opinion and beliefs about possible causes of mental illness. Methods: This study was a cross-sectional, hospital and questionnaire-based survey that took place at the Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos, Nigeria. One hundred and twenty-three nurses working in LASUTH participated in the study. The participants were asked to complete the Mental Health Knowledge Schedule (MAKS), Reported and Intended Behaviour Scale (RIBS) and Community Attitudes towards the Mentally Ill (CAMI). Results: The participants had negative opinions about mental health and the mentally-ill. They were observed to be authoritarian and restrictive in perception of the mentally-ill and also believed that majority of the mentally-ill needed admission. Majority of the participants were quite knowledgeable about the aetiological factors of mental illness. Less emphasis was placed on evil spirits, supernatural punishment and witches as the aetiologies of mental disorders. Conclusion: Despite the respondents being nurses, their knowledge, attitude and perception about the mentally-ill were relatively negative. Nigerian mental health policy deciders need to urgently develop awareness and advocacy programmes against discrimination and social stigma associated with mental illness especially among hospital nurses.

Investigation of attitudes toward mental illness among nursing students in Indonesia

International Journal of Nursing Sciences

Objective: People with mental illness (PMI) are often stigmatized or experience negative attitudes from society. In particular, nursing students' attitudes toward PMI will influence the quality of care these patients receive. Some factors influencing attitudes toward PMI among nursing students have been identified. The present study aimed to examine factors influencing attitudes toward mental illness among nursing students in Indonesia. Methods: Nursing students (n ¼ 317) were assessed for attitudes toward mental illness using the Community Attitude toward the Mentally Ill questionnaire. Details regarding sociodemographic variables (age, gender, ethnicity, year of study, monthly family income, personal experience with mental illness, family history of mental illness, and knowing or having direct contact with PMI) and knowledge about mental illness by using Mental Health Knowledge Schedule questionnaire were also obtained. Results: The mean Community Attitude toward the Mentally Ill questionnaire score was 103.75 ± 9.15, with the highest mean of the four subscales being that of authoritarianism 27.97 ± 2.87 followed by social restrictiveness, community mental health ideology, and benevolence 27.52 ± 3.68, 24.38 ± 3.80, and 23.89 ± 3.27, respectively. The factors significantly associated with nursing students' attitudes toward mental illness were age (r ¼ À0.18, P ¼ 0.001), year of study (H ¼ 16.65, P < 0.001), knowing or having direct contact with PMI (Z ¼ À2.35, P ¼ 0.019), and knowledge of mental illness (r ¼ À0.22, P < 0.001). Conclusions: Several demographic variables, direct contact with PMI, and level of knowledge about mental illness can contribute to variations in attitudes toward PMI among nursing students in Indonesia. Education and direct contact with PMI serve as intervention strategies to reduce negative attitudes and stigma associated with mental illness among nursing students.

Knowledge and Attitude about Mental Illness of Students in a University in Southern Nigeria

Journal of Biosciences and Medicines

Objective: To ascertain the knowledge about mental illness and attitude of undergraduate students in a university in southern Nigeria, towards the mentally ill. Methods: This descriptive cross-sectional study was conducted at a Catholic University in Nigeria over a three-month period. 215 subjects were selected randomly from the total student population of 5045. A questionnaire containing socio-demographic variables and three subscales: The Knowledge about mental illness scale, Attitude to mental illness scale, Social Distance scale was administered to each subject. The data was analyzed using the Statistical Package for Social Sciences (SPSS) version 16.0. Results: Males (62.3%), Christians (91.2%), Igbos (49.5%) and Single (93.0%) constituted the largest proportions of the subjects. A majority of the subjects supported some of the common inaccurate stereotypes about mental illness. They exhibited obvious gap in knowledge with respect to symptoms of specific mental disorder. 42.8% were not sure of the biological cause of mental illness. Even though 80% of the subjects agreed that those suffering from mental illness should be helped, 48.8% maintained that they have little in common with them. Only 33% were willing to make friends with someone with a mental illness. Conclusion: Better ways of educating the youths to dissolve deeply entrenched negative cognitions about mental illness should be given premium attention by all stakeholders, especially in Africa.

Experience of Nursing Students in Mental Health Training in Kenya

International Journal of Clinical Psychiatry and Mental Health, 2018

There exists disparity between the level of demand for mental health nursing services and the number of psychiatric nurses available. Few students enroll in the psychiatric nursing specialty in Kenya. The aim of this study was to investigate the relationship between socio-demographic characteristics of nursing students and their attitudes towards psychiatric nursing. The study was carried out at three universities and five colleges of nursing in Western Kenya among students pursuing bachelor's degree & diploma courses (n=245). Cluster and systematic random sampling techniques were used to select the study participants. A descriptive cross sectional design was used and data were collected using semistructured questionnaires. Data were analyzed using statistical package for social sciences (SPSS) for windows version 21. Statistical significance was set at p≤0.05. Two-sided t-test was used to compare the mean of those willing to pursue psychiatric nursing and those not willing. There was a significant relationship between religion and preparation for mental health clinical placement (p=0.03). The Catholics had a higher mean of 2.9 (95% CI = 2.8-3.0) unlike the protestants who had a mean of 2.8 (95% CI = 2.8-2.9). Female participants were significantly knowledgeable about mental illness compared to males (p = 0.03) with a mean of 2.8 (95% CI = 2.7-2.8) versus a mean of 2.7 (95% CI = 2.6-2.8) for the males. A significant relationship between anxiety surrounding mental illness and availability of a psychiatric unit within the training institution was noted (p=0.008). Those who had a psychiatric unit within their training institution had a higher mean of 2.5 (95% CI = 2.4-2.6) compared to that of those in institutions that did not have psychiatric training institutions within the learning institutions with a mean of 2.3 (95% CI = 2.2-2.4). There was a significant relationship between the students' interests in nursing after completion of secondary school and experience during clinical placement (p = 0.05). Those who had higher interest had a higher mean of 2.8, 95% CI=2.7-2.8 compared to their counterparts with a mean of mean 2.4 (95% CI=1.9-2.8). The researchers recommends early exposure of students to psychiatric patients in their training, improvement on mentorship programmes for the students in psychiatry, thorough preparation of students for their clinical placement and provision of more opportunities for further studies in psychiatric nursing. A study to determine the influence of religion on attitudes towards psychiatric nursing is recommended.

Knowledge and attitude about mental illness among nursing students

Journal of Psychiatrists' Association of Nepal, 2013

Introduction: Although recent advances in psychiatry have increased our understanding of psychiatric disorders, many people may be unaware about mental illness and its treatment. The negative attitude is known hindrance to providing quality service to mental ill people. The aim of this study is to assess the knowledge and attitude about mental illness among nursing students. Method: The study was carried out in mental hospital, Lagankhel, Nepal. All one hundred eight nursing students posted for psychiatric posting for two weeks formed the study population. A structured standard questionnaire was supplied to the students at the first day of posting for their responses. Results: It was a purposive, descriptive study with 108 respondents of age group 15-20 (85.1%). The study revealed that 97.2% of the respondents thought that all mentally ill patients are not mad. The majority had showed their knowledge about cause of mental illness as genetic (78.6%) and biochemical disturbances (97.2...

Witchcraft and Biopsychosocial Causes of Mental Illness: Attitudes and Beliefs About Mental Illness Among Health Professionals in Five Countries

The Journal of nervous and mental disease, 2016

This study examines the intercorrelation of measures reflecting beliefs about and attitudes toward people with mental illness in a sample of health professionals (N = 902) from five countries: Brazil, China, Ghana, Nigeria, and the United States, and, more specifically, the association of beliefs in supernatural as contrasted with biopsychosocial causes of mental illness. Factor analysis of a 43-item questionnaire identified four factors favoring a) socializing with people with mental illness; b) normalizing their roles in society; c) belief in supernatural causes of mental illness (e.g., witchcraft, curses); and d) belief in biopsychosocial causes of mental illness. Unexpectedly, a hypothesized negative association between belief in supernatural and biopsychosocial causation of mental illness was not found. Belief in the biopsychosocial causation was weakly associated with less stigmatized attitudes towards socializing and normalized roles.

A Phenomenological Exploration of Attitudes of Nursing Students towards Mental Illness , Patients and Psychiatric Nursing Clinical Placement in Southern Malawi : Implications for Nursing Education and Clinical Practice

2018

DOI: 10.21276/sjams.2018.6.11.54 1. Abstract: Mental illness constitute a major public health problem in the world. Nursing students’ attitude towards mentally ill clients is the determining factor for the holistic care of these clients. Research related to nursing students’ attitudes towards people with mental illness is very scanty in Malawi. To explore attitudes of nursing students towards mental illness, patients and psychiatric placement in Southern Malawi, a qualitative phenomenological design was carried out and participants were selected using purposive non-probability sampling technique. An interview guide with open ended semistructured questions was used to collect data through individual face-to-face interviews. The study has shown that post psychiatric placement of the nursing students contributes to overall positive attitudes towards mental illness. Students’ attitudes, clients’ behavior, students’ welfare, tutor supervision and learning environment were the main themes...

Determination of the Mental Disorder Beliefs of Students in a Nursing Faculty

Psikiyatri hemşireliği dergisi, 2016

Objectives: This study was intended to determine nursing students' beliefs about mental health disorders and the factors that affect these beliefs. Methods: This is a descriptive study. This study was carried out with 240 students who studied at Ege University, Izmir, Turkey, in the 2014-2015 academic year, and had taken the mental health nursing course. The study data were collected using the Descriptive Information Form and the Beliefs Toward Mental Illness Scale (BMIS). The data were analyzed using the students' t test results and the One Way ANOVA. Results: The average age of students was 22.47±1.37 years; of the participants, 86.2% were women; 69.2% were juniors and 30.8% were seniors. Of the students, 67.9% did not complete the mental health nursing course practice, 82.1% had no family member suffering from mental health disorders, and 62.5% did not know anyone suffering from mental health disorders. Also, 92.1% had never had any mental health disorder diagnosis themselves, and 94.2% had not worked with any civil society organization relating to mental health disorders. The students' mean score on the BMIS subscales was 27.05±7.69 for "Poor social and interpersonal skills and incurability", 18.54±5.17 for "Dangerousness", 2.03±2.59 for "Shame", and 50.55±12.64 for the total scale. The students' distribution of BMI total score was found to be statistically significant only if they had any family member or knew someone close to them who was mentally ill (p<0.05). There was no significant difference in age, sex, grade, completing any mental health nursing practice, having a diagnosis of a mental health disorder or working with a civil society organization relating to mental health. Conclusion: Because students' beliefs about mental disorders have a direct impact as future health professionals on clients' treatment and care, and an indirect impact on the community burden of mental health disorders, it is important to identify these beliefs and to strengthen students' self-awareness in this field.