Training Needs of Psychiatric Nursing Staff in Acute Wards. An Empirical Study in the Psychiatric Hospital of Thessaloniki, Greece (original) (raw)
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Central Asian journal of medical sciences, 2021
Objectives: Numerous studies revealed that improved nursing skills are associated with the experience of the nurses, social skills, self-education, autonomy, anxiety. In the present study, we have examined whether nursing skills are related to occupational stress. Methods: An institution based cross sectional study was conducted from June 20 to December 25, 2020. A total of one hundred and forty-four psychiatric nurses completed a questionnaire assessing the aforementioned variables. Descriptive statistics and independent t-test were used to determine the characteristics of the participants and examine the difference among different variables. Results: During the one-month data collection period, 144 psychiatric nurses were included in the analysis. Mean age of the participants were 39.3 ± 9.4. The majority (127 (88.2%)) of them were female. Of 144 respondents, 83 (57.6%) had a bachelor's degree and 6 (6%) had a higher degree certification. Comparison by courses, those who studied psychiatry more than 3 months reported greater knowledge of psychiatric services. Certification was also associated with greater perceived value. Education level was not associated with greater knowledge of or perceived value in evidence-based practices. Conclusion: Nursing specialty certification was associated with nurses' individual psychosocial beliefs. Supporting nurses in obtaining specialty certification could assist with the adoption of evidence-based practices as a means to improve quality of care.
Journal of Psychiatric and Mental Health Nursing, 2010
Accessible summary• Mental health hospitals promoted an ‘institutionalized’ mode of work and attitudes.• The transfer to community mental health services requires a re-conceptualization of nurses' roles.• Education can be a basic mechanism for eradicating the institutionalized ways of work.• Mental health hospitals promoted an ‘institutionalized’ mode of work and attitudes.• The transfer to community mental health services requires a re-conceptualization of nurses' roles.• Education can be a basic mechanism for eradicating the institutionalized ways of work.Mental health hospitals promoted an ‘institutionalized’ mode of work and attitudes.The transfer to community mental health services requires a re-conceptualization of nurses' roles.Education can be a basic mechanism for eradicating the institutionalized ways of work.AbstractFor centuries psychiatric services were provided by mental health hospitals, which were operating upon bureaucratic principles: strict hierarchies, slow processes and segmentation of duties. Research has shown that psychiatric nursing, as exercised in these traditional settings, has dealt with several problems in relation to: the amount and quality of time spent with patients, the type of duties performed, the lack of autonomy etc. The closure of many psychiatric institutions and their substitution with community-based settings, signified that health professionals should perform a variety of new duties, exhibit new skills and develop new perceptions about their work and the patients. In order for such alterations to occur, education can play a vital role in the re-conceptualization of psychiatric nursing and in the practical preparation of students for their future work. The present paper focuses on the contradiction between nursing as practised in Greek mental health hospitals and the current trends and demands placed upon nurses, to exhibit a new ‘face’. The purposes of this paper are: first, to review the research on psychiatric nurses' behaviours in mental health hospitals. Second, to present the outcomes of bureaucracy on employees and finally, to propose an educational scheme that could reinforce the shift from institutionalized work to de-institutionalized.For centuries psychiatric services were provided by mental health hospitals, which were operating upon bureaucratic principles: strict hierarchies, slow processes and segmentation of duties. Research has shown that psychiatric nursing, as exercised in these traditional settings, has dealt with several problems in relation to: the amount and quality of time spent with patients, the type of duties performed, the lack of autonomy etc. The closure of many psychiatric institutions and their substitution with community-based settings, signified that health professionals should perform a variety of new duties, exhibit new skills and develop new perceptions about their work and the patients. In order for such alterations to occur, education can play a vital role in the re-conceptualization of psychiatric nursing and in the practical preparation of students for their future work. The present paper focuses on the contradiction between nursing as practised in Greek mental health hospitals and the current trends and demands placed upon nurses, to exhibit a new ‘face’. The purposes of this paper are: first, to review the research on psychiatric nurses' behaviours in mental health hospitals. Second, to present the outcomes of bureaucracy on employees and finally, to propose an educational scheme that could reinforce the shift from institutionalized work to de-institutionalized.
The profile of nurses in psychiatric units: Istanbul sample
Journal of Psychiatric Nursing, 2021
N urses working in mental health services at all levels are professionals who provide patients and their relatives with the care they need and accompany them on what can be a very challenging journey. Therefore, it is important that these nurses are equipped with knowledge and skills specific to this field. The general nursing literature indicates that advanced training and a large number of qualified nurses leads to better patient outcomes. The rates of mortality, duration of hospital stay, and readmission to hospital after discharge have been shown to decrease when the majority of nurses have a minimum of a baccalaureate degree. [1-3] However, the literature specific to psychiatric care remains weak. Studies of psychiatric nursing have indicated that it is very common to see that nurse-patient staffing issues, a chaotic environment in acute settings, and a heavy workload prevent nurses from performing the optimal therapeutic interactions and activities in psychiatric units. [4-6] The majority of the international research on psychiatric health services has mainly focused on the number and qual-Objectives: Nurses are the backbone of the workforce in mental healthcare. However, profile studies of nurses working in mental health services are limited, and provide inadequate qualitative and quantitative evidence about the characteristics, roles and functions of nurses who work in psychiatric settings. The aim of this study was to examine and provide a profile of nurses working in Istanbul psychiatric care units. Methods: A descriptive and cross-sectional design was used to analyze the personal characteristics, work conditions, and job-related experiences of 307 nurses working in psychiatric service units in Istanbul in 2018-2019. Data were collected using a 46-question digital survey of personal and professional experiences, services performed, and work conditions. Results: The nurses' responses revealed that they felt that the patient/nurse ratio was insufficient and that the physical environment was inadequate, there was a lack of sufficient safety, and insufficient support personnel. Nurses still fulfill a very traditional role in psychiatric settings. Conclusion: This study illustrates some of the work-related concerns and experiences of nurses serving in psychiatric service units. A greater focus on personal, recovery-centered care according to evidence-based standards for the patient/nurse ratio and other international criteria and knowledge is needed.
Developing Psychiatric Nursing Competencies on an In-Patient Hospital-Based Psychiatric Unit
2017
Problem Statement: Offering staff development training for psychiatric nurses has not kept pace with the advances in psychiatric knowledge and skills in nursing. Purpose: The purpose of this quality improvement doctor of nursing (DNP) project was to implement a competency-based staff development program on a community hospital-based inpatient psychiatric unit to determine if the psychiatric/mental health nursing knowledge, nursepatient relational skills, and attitudes of the nurses would improve or change. Methods: A mixed method of quasi-experimental, non-randomized pre-test/post-test and semistructured interview design was used, which utilized a convenience sampling approach. Data were collected in two phases. Three domains of the Mental Health Learning Needs Assessment (MHLNA), a competency-based assessment instrument that allowed self-assessment by nurses was used to determine competency level of psychiatric mental health nursing knowledge and skills. Study participants complete...
Competency of Critical Care Nurses to Meet Patient's Psychological Needs: Debate Essay
Critical ill patients have the high incidence to develop psychiatric illness and psychological imbalance such as anxiety, depression, sleep disorders, stress and stress related disorders. The physical disorder itself and environmental and functional factors within intensive units are most common predictors for these disturbances other than demographics traits. The purpose of the current paper is to take possible sources to developing psychiatric competency of critical care units among general hospitals. Search strategies database of Pub Med, Google Scholar, and American Psychiatric Association was used; they provided many studies about the current topic with using some words as Competency, psychological needs, critical ill patient and psychiatric qualification. Different possible solutions were donated, mostly were concerned about psychiatric qualification and training/education of health care staffs. First possible source of solution included psychiatric training/education of critical care staffs over assessment, intervention or psychotherapies and evaluation of patient psychological aspects and needs. Second possible source recommended for availability of psychiatric qualifications within critical care area to improve this aspect of holistic care other than specialty of appropriate referral and follow up of long term complications. Psychiatric training/education or qualification are considered effective sources of modification and improvement of biopsychosocial care among critically ill patients. Ignoring psychiatric qualification of this medical area can be considered as malpractice or negligence of patient's care.
2014
Since 2002, all health establishments in South Africa including district hospitals are compelled by the Mental Health Care Act No. 17 of 2002 to admit acute psychiatric patients for 72 hours without consent for assessment and observation. The admission of psychiatric patients and those with medical conditions in the same units came with new challenges for the healthcare team. With the shortage of psychiatric trained nurses in most settings, non-psychiatric nurses are expected to work with psychiatric patients. The purpose of the study was to explore and describe the concerns of non-trained psychiatric nurses who work with acute psychiatric patients. Indepth interviews with 15 general nurses were carried out between January and March 2013 in a Government Hospital in South Africa. Data collection and analysis were carried out simultaneously and a modified Tesch method of data analysis was used. Two themes emerged from the analysis ( safety related concerns and psychiatric nursing rela...
2016
Essential parts of treatment in reduction of acute behavioral and psychiatric symptoms are medicines. That in turn frequently leads patient towards common medical problems like sudden cardiac arrest, respiratory distresses, convulsions and hypoglycemia. The nurses caring for mentally ill require an adequate level of knowledge regarding management of medical emergencies and should develop assessment skills to detect the physical changes in the patient’s condition. Study objectives were to evaluate the effectiveness of self instructional modules among staff nurses and to find the associations of pre test mean knowledge scores with selected demographic variables. One group pre test post test design was used. The sample consisting of 30 staff nurses were fulfilled the inclusion criteria of sample selected from psychiatric inpatient care area. A semi structured knowledge questionnaire was used, developed by investigator. Study showed there was a significant improvement in the knowledge l...
Journal of Advanced Nursing, 1995
Mental health nursing skills in an acute adnussion enviroment: perceptions of mental health nurses and other mental health professionals Some ofthe findings ofa descriptive study into the perceived therapeutic skills of mental health nurses are presented The study was set in an acute psychiatric admission unit of a distnct general hospital Data were collected through semistructured mterviews with nurses, psychiatrists, psychologists, occupational therapists and social workers The data were analysed through thematic content analysis The findings suggest that nurses in this environment valued and possessed a range of therapeutic skills and qualities, hut were unahle to draw on these, leavmg them to employ mainly coordinating, administrative and managerial skills A numher of influencing factors were identified, which prevented nurses firom using their therapeutic potential The author argues that the vision of mental health nursing m this setting may have to he altered
International Journal of Health Sciences and Research, 2022
Introduction: Psychiatric nursing teaches students how to engage and communicate with patients who have severe emotional distress. Nurses need this knowledge as the majority of patients encountered in hospitals are distressed Objectives of the Study: To assess the need of the procedure manual for nursing training among UG student nurses before and after the introduction of procedure manual in selected setting. To determine the levels of performance ability and confidence of psychiatric student nurses’ group I (using procedure manual) and group II (without using procedure manual) during their clinical practice training. Methodology: An evaluatory research approach, post-test only control design was used in this study to assess the effectiveness of a psychiatric nursing procedure manual (PNPM) on psychiatric nursing training among the undergraduate students. In this study, the sample consists of 48 undergraduate psychiatric student nurses, selected by using random sampling method, fur...
Education in mental health and psychiatry nursing in the undergraduate nursing course
2019
Including mental health knowledge in the integral care of the human being and being able to identify when the target of their care needs specialized Nursing support in Mental Health and Psychiatry, are essential competences of any nurse of general care, being important to understand how to integrate this knowledge in the study plans of general care nurses. This article aims to describe the conception and planning of the Mental Health and Psychiatry Nursing learning of students of the Undergraduate Nursing Course in Coimbra, Portugal, to characterize the Mental Health and Psychiatric Nursing curricular units that are part of the studies and analyze their contribution to the training of general care nurses.