Awareness of Medical Emergencies Occur in Patients among Psychiatric Care Area Nurses to Prevent Unnecessary Delay and Save a Life (original) (raw)
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Introduction : In India, one in eleven persons suffers from mental illness. The alarming increase in the number of mentally ill patients warrants urgent attention not only on curative aspect but also on preventive aspect. The factors like increasing population rate, industrialization, socio cultural changes and modernization precipitate increased stress and strain in everyday life. This is turn contributes to an increasing rate of mental health problems. It has been estimated that 85% to 95% of patients with mood disorder will suffer multiple recurrences of major depression and mania resulting in Revolving door syndrome. This throws light on the fact that the health care personnel have to prepare the mentally ill patients to function effectively in the community. Methodology : The modified conceptual frame work for the present study was based on General System Model by Von Bertalanffy (1968). Quasi experimental one group pretest posttest research design was adopted for the present study. The Structured Knowledge Questionnaire was developed to collect the data. Pilot study was conducted among 15 nurses in Jeevan Surgical Hospital Sawai Madhopur from 2/10/2017 to 9/10/2017 to find the feasibility of the study. The main study was conducted at Riya Hospital Sawai Madhopur from 9/12/2017 to 19/06/2018 among 150 nurses who were selected by using purposive sampling technique and the data collected was analyzed and interpreted based on descriptive and inferential statistics. Results : From the findings of the study it was clear that the mean post test knowledge score 32.52 with standard deviation of 6.07 was significantly higher than the mean pretest knowledge scores 15.97 with standard deviation of 3.19. There was significant association found between the pre test knowledge score of nurses with age, sex, marital status, professional qualification, position held, and exposure experience in caring ICU Psychosis patient at the level of p < 0.05. Conclusion : The present study attempted to assess the effectiveness of Self Instructional Module (SIM) on knowledge of nurses regarding management of ICU Psychosis and found that the developed SIM was effective in improving the knowledge of nurses regarding management of ICU Psychosis.
http://ijshr.com/IJSHR\_Vol.2\_Issue.2\_April2017/IJSHR004.pdf, 2017
Background: Emergency is a situation that's present in all areas of health services; Psychiatric area is no exception to it. Aims and objectives: A study was conducted to assess the level of knowledge regarding identification and management of psychiatric emergencies among nursing intern students, to evaluate the effectiveness of structured teaching programme, to find out association between pre-test scores with selected demographical variables among nursing intern student. Material and Method: Thirty nursing intern students assessed. They were assessed for the level of knowledge regarding identification and management of psychiatric emergency by self structured questionnaires on first day pre-test followed by structured teaching programme for one hour. The post-test was conducted on seventh day by using same tool. Results: Statistically significant effectiveness of structured teaching program was found. There was no significant association was found with selected demographical and knowledge score. Conclusion: Our findings denotes that the effectiveness of structured teaching programme help to gain the knowledge score on identification and management of psychiatric emergency. It is essential for nurse to develop knowledge regarding identification and management of psychiatric emergency in order to avoid life threatening complication in clients as well as to individual.
A quasi experimental study with one group pretest and posttest without control group design was undertaken in Vinayaka Missions Hospital, Salem to assess the effectiveness of self instructional module regarding emergency management of patient with myocardial infarction on knowledge among staff nurses Data was collected from 98 staff nurses selected by convenient sampling technique using closed ended questionnaire from 19.09.2009 to 02.10.2009. Data was analyzed by using descriptive and inferential statistics. Demographic characteristic reveals that the highest percentage (69%) of the staff nurses were in the age group of 21-25 years, were females (74%) were having B.Sc. nursing degree (80%). Highest percentage were having 3-4 yrs years of experience (69%), were working emergency unit (3%), ICU (20%), and general ward(29%) and other wards (48%) and did not attend in-service program (93%).
Background: Nurses are integral part to health care delivery and it is important that they have a clear understanding of the nature of the drugs prescribed. The critical care nurse serves as a catalyst in the healing process, making complex and timely judgments and decisions and taking actions for which the nurse remains accountable. The rationale of such decision is based upon the thorough knowledge of the health and life saving measures, fully developed skills in administering medications. The knowledge base is upgraded continuously by new clinical and educational experiences that reinforce the critical care nurses professional practice and autonomy.
Nurses’ knowledge of the medication management at intensive care units
Pielegniarstwo XXI wieku / Nursing in the 21st Century, 2018
Introduction. The medicine management is considered an important area of health care, which is ensured by various healthcare professionals including nurses. Nurses gain the competence of medicines administration immediately after graduation. This competence can be applied to any area of healthcare. Even in specialized settings such as intensive care units, any additional qualification e.g. specialized education is not required. On the contrary, appropriate education is considered an important factor that could help to reduce the risk of adverse events related to medication management. Aim. The aim of this study was to analyse the students’ knowledge in this field at the end of nursing studies at bachelor level (n = 67) and specialized intensive care nursing studies at master level (n = 42). Methodology. Knowledge was assessed using a written test, which was related to the management of medicinal products administered commonly at intensive care units by qualified nurses as well as nu...
hrmars.com
A study was carried out to identify the training needs of psychiatric nursing staff working in acute wards. Which type of learning, which training needs and how want the training to be delivered. Qualification and accreditation were also examined. Questionnaires were given to 70 nurses working in the 5 acute wards of Psychiatric Hospital of Thessaloniki, Greece. The key findings were that most participants wanted to be trained in practical nursing skills in every day practice. The most preferable training thematic was: a) Management of violent and aggressive behavior, b) Risk assessment, c) The suicidal patient, d) Clinical assessment skills, e) The patient with psychosis and f) Communication skills. Accreditation was very important and they wanted to gain professional qualification. The empirical study highlighted the need for further training, in the frames of Continuing Education. The findings could be of great interest for The National Center of Public Administration, as useful informative material, according to the real training needs of the specific group.
2019
People with mental health conditions (PWMHC) represent the fastest-growing population in emergency departments across the United States. Generally, PWMHC experience extended lengths of stay and poorer outcomes when compared to patients with medical problems. The purpose of this study was to examine emergency nurses’ intentions to care for PWMHC. A descriptive correlational design was used to recruit emergency nurses in a health care system in the Southeast United States and from the Emergency Nurses Association. Responses from 104 emergency nurses were used to test two hypotheses and answer one research question. Nurses who had personal contact with PWMHC and more work experience were more likely to express a positive attitude of PWMHC. Nurses with more experience, higher positive attitudes, and more confidence to care for PWMHC were more likely to report positive intentions to care for PWMHC. Nurses with higher subjective norm scores had more negative intentions to care for PWMHC. ...
Pan African Medical Journal, 2019
Introduction: studies have reported that emergency medical care practitioners (EMCPs) encounter challenges when attending to psychiatric emergencies. The EMC provider's ability to understand, assess and manage psychiatric emergencies has been reported to be poor due to limited knowledge and insufficient training. In South Africa (SA), little is known about the knowledge of EMCPs on pre-hospital management of psychiatric emergencies. The objective of this study was to assess the knowledge of EMCPs working in the Free State province on aspects of pre-hospital management of psychiatric emergencies. Methods: this descriptive study used a questionnaire survey to obtain data on the knowledge of EMCPs on aspects of pre-hospital management of psychiatric emergencies. Results: only 159 of the initial 192 questionnaires distributed were returned, giving a response rate of 82.8%. The majority (87.4%) of the participants reported inadequate knowledge of pre-hospital management of psychiatric emergencies. More than a third of the participants reported that they are not knowledgeable on how to assess a psychiatric patient (P < 0.01), 64.2% and 73.6% (P < 0.001 in both cases) could not perform mental status examination and lack the knowledge of crisis interv ention skills for managing a psychiatric emergencies. The majority (76.7%; P < 0.001) of the participants are not conversant with the Mental He alth Care Act 2002 (Act no. 17 of 2002). Finally, participants (94.3% and 86.8%, respectively; P < 0.001) agree that teaching and prior exposure to a psychiatric facility, as in work integrated learning, will empower EMC graduates with skills required to effectively manage psychiatric emergencies. Conclusion: EMC practitioners are often the first healthcare professionals arriving at any scene of medical emergencies including psychiatric emergencies. To avoid malpractices, which could be detrimental to patient's health, it is of utmost importance that EMCPs are well trained and equi pped to manage any form of medical emergency including those involving psychiatric patients.