Current Issue : October - December Volume : 2020 Issue Number : 4 Articles : 6 Articles
Community psychiatric nurses work in extremely stressful environments with intense patient\nrelationships as they try to prevent self-harm and manage aggressive behaviors. In order to improve their ability to\nmanage the stressful work environments, community psychiatric nurses need to incorporate formal coping strategies\ninto their daily work routines. With evidence-based coping strategies, community psychiatric nurses can effectively\nmanage the stressful situations in their work environment to increase their work longevity. The purpose of this study\nwas to explore the individual coping strategies currently used by community psychiatric nurses in practice in order to\ndevelop an intervention strategy for future implementation.\nMethods: This was an exploratory qualitative study using an interpretative approach. A purposive sampling method\nwas used to identify participants from the community psychiatric nurses in a region of Ghana. Participants were\nrecruited and interviewed, guided by semi-structured questions, until saturation was reached. The interviews were\naudio-taped, transcribed verbatim, and analyzed thematically.\nResults: A total of 13 participants, 10 women and 3 men ages 26 to 60 years, were interviewed for this study. From the\ninductive analysis, four coping themes emerged from the data including: 1) self-disguise, 2) reliance on religious faith,\n3) self-motivation, and 4) reduction in the number of home visits. The participants described their work environment as\nstressful, almost to the point of overwhelming. In this regard, they identified the individual coping strategies as critical\ndaily practices for self care to manage their high stress levels.\nConclusion: Individual coping strategies are often used by community psychiatric nurses in daily practice. The\nparticipants identified personal coping strategies as critical interventions to manage stress and to decrease their risk for\nburnout. However, community psychiatric nurses must develop.\npersonal-mastery in various coping strategies to care for themselves, as well as motivate them despite the challenging\nworking environment. The individual coping strategies adopted by community psychiatric nurses was not only helped\nthem deliver care, but also protected their clients so people would not label them as â??mental patients.â?? Collectively, the\nfour strategies reported in this study need to be developed into a cohesive and comprehensive intervention....
A classroom-based parent interview was designed and implemented in an\nundergraduate psychiatric mental health nursing class to fill the gap between\nnursing students and parents of child or adolescent patients with mental\nhealth issues faced during clinical. The goals of this learning activity were to\nincrease understanding of what parents experience when dealing with their\nchildâ??s mental health problems and to increase student engagement and attention.\nThe class using this learning activity consisted of three parts: 1) an\nassigned pre-class reading; 2) a mini-lecture; and 3) a parent interview presentation.\nStudents were pre-assigned a reading chapter and faculty-developed\ninterview questions. During the mini-lecture, important knowledge related to\nmental health care of children was assessed using CourseKey software. After\nthe mini-lecture, the parent guest speaker delivered her presentation about\nherself, her childâ??s strengths and abilities, her childâ??s mental health problems\nand their impact, and her familyâ??s strengths based on the interview question\nprompts for about 30 minutes, followed by 20 minutes of a Q & A session.\nThe set of interview questions was developed by faculty based on the competency\nquestions of the Child Behavior Check List. Despite some limitations,\nthis classroom-based parent interview using a flipped classroom model was\nfound to be a meaningful learning strategy by increasing student engagement\nand attention, increasing retention of knowledge learned in class, and filling\nthat gap in clinical....
Moral emotions are a key element of our human morals. Emotions play an important role in the\ncaring process. Decision-making and assessment in emergency situations are complex and they frequently result in\ndifferent emotions and feelings among health-care professionals.\nMethods: The study had qualitative deductive design based on content analysis. Individual interviews and focus\ngroups were conducted with sixteen participants.\nResults: The emerging category â??emotions and feelings in caringâ? has been analysed according to Haidt,\nconsidering that moral emotions include the subcategories of â??Condemning emotionsâ?, â??Self-conscious emotionsâ?,\nâ??Suffering emotionsâ? and â??Praising emotionsâ?. Within these subcategories, we found that the feelings that nurses\nexperienced when ethical conflicts arose in emergency situations were related to caring and decisions associated\nwith it, even when they had experienced situations in which they believed they could have helped the patient\ndifferently, but the conditions at the time did not permit it and they felt that the ethical conflicts in clinical practice\ncreated a large degree of anxiety and moral stress. The nurses felt that caring, as seen from a nursing perspective,\nhas a sensitive dimension that goes beyond the patientâ??s own healing and, when this dimension is in conflict with\nthe environment, it has a dehumanising effect. Positive feelings and satisfaction are created when nurses feel that\ncare has met its objectives and that there has been an appropriate response to the needs.\nConclusions: Moral emotions can help nurses to recognise situations that allow them to promote changes in the\ncare of patients in extreme situations. They can also be the starting point for personal and professional growth and\nan evolution towards person-centred care....
This study was conducted using a self-administered questionnaire to clarify\nthe differences in menopausal symptoms between smokers and non-smokers\nin Japanese nurses and the relationship between job-related stress and smoking.\nThe proportion of smokers was 10.3%. Smokers are more likely than\nnon-smokers to have menopausal symptoms such as heart beating quickly or\nstrongly, difficulty in sleeping, loss of interested in most things and night\nsweat. The scores for anxiety and vasomotor factors in smokers were significantly\nhigher than non-smokers in the postmenopausal stage. Support to stop\nsmoking should be provided before menopausal transition....
The number of COVID-19 (Coronavirus Disease of 2019) cases in Jordan is rising rapidly.\nA serious threat to the healthcare system appears on the horizon. Our study aims to evaluate\npreparedness of Jordanian frontline doctors to the worsening scenario. It has a questionnaire-based\ncross-sectional structure. The questionnaire was designed to evaluate preparedness according to\nknowledge about virus transmission and protective measures, adherence to protection guidelines,\nand psychological impacts affecting doctors. Institutional factors affecting doctorsâ?? readiness like\nadopting approach protocols and making protection equipment available were investigated; 308\ndoctors from different healthcare facilities participated (response rate: 53.9%). Approximately 25%\nof doctors (n = 77) previously took care of COVID-19 patients, and 173 (56.2%) have institutional\nCOVID-19 approach protocols. Only 57 doctors (18.5%) reported all PPE (Personal Protective......................
Nursing student numbers have risen in response to projected registered nurse shortfalls, increasing\nnumbers of new graduates requiring transitional support and pressure on clinical placements. A Collaborative\nClusters Education Model, in which Entry to Practice facilitators coach ward-based registered nurses to support\nstudentsâ?? and new graduatesâ?? learning, may address placement capacity. The research aim was to evaluate the\nacceptability of the Collaborative Clusters Education Model to stakeholders by examining their perceptions of the\nfacilitators and barriers to the model in its implementation.\nMethods: A convergent mixed methods evaluation approach was adopted. The study took place in a large\nAustralian health service in south-east Queensland. Participants included Bachelor of Nursing students, Entry to\nPractice facilitators, ward-based registered nurses, academics and new graduates. A mixed methods design was\nused. Elements included an online survey of nursing students, and interviews with new graduates, Entry to Practice\nfacilitators, ward-based registered nurses, and academics. Descriptive statistics were calculated on quantitative data.\nThematic analysis was conducted on qualitative data..................
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