The Impact of an Educational Intervention on Nursing Staff Attitudes Toward Patients Experiencing Homelessness and Mental Illness

Author(s):  
Jessica N. Walker ◽  
Dawn Vanderhoef ◽  
Susie M. Adams ◽  
Sheryl B. Fleisch

OBJECTIVE Patients who experience homelessness and have mental illness can have frequent and challenging hospitalizations. Nurses caring for this vulnerable population may have negative attitudes, which can be mitigated by education and improved for the benefit of patients. This study aimed to assess the impact of an educational intervention on the attitudes of nursing staff toward individuals experiencing homelessness and mental illness. METHOD Using a pre–post design, a revised version of the Health Professionals’ Attitudes Toward the Homeless Inventory (HPATHI) assessed 23 nursing staff working on inpatient medicine units surrounding a brief educational session about persons experiencing homelessness and mental illness. Data were also collected from open-ended questions. RESULTS There was a small positive increase in mean HPATHI scores postintervention (74.783 [ SD = 5.485] to 77.13 [ SD = 6.312]) indicating more positive participant attitudes toward homeless individuals. The HPATHI also revealed a 6% increase in score for participant comfortability providing care for homeless persons with major mental illness postintervention. Some participants likely interpreted their answers as displaying more positive and less cynical attitudes based on their comments, while the HPATHI scored them as more negative. Qualitative feedback revealed both positive and negative attitudes toward this patient population, and various associated barriers to care. CONCLUSIONS Nursing staff will likely provide care for patients who experience homelessness with concomitant mental illness. Educating nurses about the needs of this population is feasible and could be beneficial for patient care.

2015 ◽  
Vol 37 (1) ◽  
pp. 47-62 ◽  
Author(s):  
Allison Crowe ◽  
Paige Averett

Because mental health professionals are not immune to negative attitudes toward adults with mental illness, researchers have questioned where these attitudes might originate, as well as what affects them. Although there have been quantitative studies that broadly explore attitudes toward mental illness, in-depth understanding of factors that affect the attitudes of mental health professionals will offer insight to practitioners and researchers alike. This qualitative study explored the impact of educational programs and professional experience on the attitudes of mental health professionals toward their clients. Based on the results, this article describes a continuum of attitudes toward mental illness for counselors, educators, supervisors, and related professionals as a tool to understand their attitudes toward mental illness.


2015 ◽  
Vol 8 (2) ◽  
pp. 268-277 ◽  
Author(s):  
Evanthia Sakellari ◽  
Andre Sourander ◽  
Athena Kalokerinou-Anagnostopoulou ◽  
Helena Leino-Kilpi

2014 ◽  
Vol 9 (3) ◽  
pp. 190-202 ◽  
Author(s):  
Susan Patterson ◽  
Pauline Ford

Purpose – The purpose of this paper is to inform education of non-mental health professionals who provide care to people with severe mental illness; to describe dentistry students’ knowledge and views about mental illness, including willingness to engage in various social situations with a person hospitalised for mental illness; and to assess and understand the impact of a targeted lecture on views and attitudes. Design/methodology/approach – The paper employed mixed methods to examine dental students’ knowledge and views about mental disorder before and after a seminar covering mental disorder, disadvantage and oral health. Findings from a bespoke questionnaire administered to third-year dental students were triangulated with qualitative data gathered in interviews with a subsample. Findings – Students understood mental disorder broadly, employing diverse causal models. Although knowledge was typically grounded in media stereotypes, attitudes were benevolent and most students reported willingness to provide dental care to affected individuals. The seminar, especially the consumer delivered section, was valued and associated with increased appreciation of the impact of mental disorder on oral health and need for assertive action to promote access to care. However, students reported being reluctant to disclose their own mental health problems for fear of being considered a professional or personal failure. A minority knew how to seek support if a friend talked of suicide. Research limitations/implications – This study highlights the need for further investigation of the knowledge and attitudes of dentistry students pertinent to provision of care to people with mental illness and to examine the links between attitudes and practice. The paper also provides a useful foundation for development of brief educational interventions, particularly the value in integrating the service user perspective, and their evaluation. Research should also examine the impact of mental health education on practice. Practical implications – A single inexpensive educational session, such as the one the paper developed may support reconsideration of often unconscious views of mental illness which might affect practice. Social implications – If people with mental illness are to receive equitable access to health care, non-mental health professionals should be supported to develop knowledge and attitudes which are conducive to inclusive treatment. An education session such as this could be helpful. Originality/value – There is scant literature examining attitudes of dentistry students and no reports of mental health-specific education with this population.


2012 ◽  
Vol 36 (12) ◽  
pp. 450-454 ◽  
Author(s):  
Jim Bolton

Aims and methodTo assess stigmatising attitudes towards mental illness and psychiatric professionals experienced by UK liaison psychiatry staff. A questionnaire asked about the impact of these events on patient care and for suggestions for tackling stigma in the general hospital.ResultsOut of 72 multidisciplinary respondents, over three-quarters had experienced stigmatising attitudes towards mental illness by general hospital colleagues at least monthly. Two-thirds reported instances where stigmatisation had an adverse impact on patient care, and over a quarter reported stigmatising attitudes towards mental health professionals. Suggestions for combating stigma included educational initiatives, clear clinical communication, and the provision of high-quality liaison services.Clinical implicationsLiaison psychiatry is well placed to both recognise and combat stigma in the general hospital. This can help to ensure that patient care is comprehensive, safe and respectful.


1970 ◽  
Vol 28 (4) ◽  
Author(s):  
Chukwuemeka Michael Ubaka ◽  
Chioma Mirrian Chikezie ◽  
Kosisochi Chinwendu Amorha ◽  
Chinwe Victoria Ukwe

BACKGROUND: Stigma affects the quality of life of the mentallyill, and health professionals are considered to be involved in possessing negative attitudes towards them. We evaluated the  prevalence of stigmatization among different health professionals in Nigerian hospitals.METHODS: This study was a descriptive, cross-sectional and comparative survey assessing attitudinal views of health professionals (doctors, pharmacists, and nurses) regarding mental illness in two hospitals in Eastern Nigeria. The survey utilized the 40-item Community Attitude to Mental Illness, CAMI-2 questionnaire. The prevalence and the factors that contribute to negative attitudes among this cohort were assessed. Statistical analysis using T-tests, ANOVA and Pearson Correlation were conducted.RESULTS: Attitudes to all the four constructs of the CAMI-2 werenon-stigmatizing. Stigmatizing attitudes were significantly higheramong pharmacists, doctors and then nurses (p<0.006). Health professionals who did not have contact with the mentally ill (p<0.0001), who were males (p=0.008) and had lower years of working experience (p=0.031) expressed significantly higher stigmatizing attitudes towards the mentally ill.Conclusions: Nigerian health professionals were largely non-stigmatizingtowards the mentally ill. However, being a pharmacist, of male gender, and working in a non-psychiatric hospital were associated with stigmatizing attitudes when they exist.KEYWORDS: Mental illness; Stigma; Health Professionals;Survey


2015 ◽  
Vol 30 (3) ◽  
pp. 423-430 ◽  
Author(s):  
D. Bhugra ◽  
N. Sartorius ◽  
A. Fiorillo ◽  
S. Evans-Lacko ◽  
A. Ventriglio ◽  
...  

AbstractStigma against mental illness and the mentally ill is well known. However, stigma against psychiatrists and mental health professionals is known but not discussed widely. Public attitudes and also those of other professionals affect recruitment into psychiatry and mental health services. The reasons for this discriminatory attitude are many and often not dissimilar to those held against mentally ill individuals. In this Guidance paper we present some of the factors affecting the image of psychiatry and psychiatrists which is perceived by the public at large. We look at the portrayal of psychiatry, psychiatrists in the media and literature which may affect attitudes. We also explore potential causes and explanations and propose some strategies in dealing with negative attitudes. Reduction in negative attitudes will improve recruitment and retention in psychiatry. We recommend that national psychiatric societies and other stakeholders, including patients, their families and carers, have a major and significant role to play in dealing with stigma, discrimination and prejudice against psychiatry and psychiatrists.


Author(s):  
Dharini B ◽  
Nagarjuna Reddy V ◽  
Deepalakshmi M ◽  
Pramod Kumar A

 Objective: The objective of this study is to assess awareness of Pharmacovigilance among the healthcare professionals and to evaluate the impact of an educational intervention for improving awareness of Pharmacovigilance among the nursing staff and nursing students from Bengaluru, Karnataka, India.Methods: A cross-sectional study was carried out using a validated questionnaire that included demographic details and 20 survey items to evaluate the participants’ knowledge, attitude, and perception (KAP) on adverse drug reactions (ADRs) and Pharmacovigilance. All participants received an interactive educational intervention in the form of a lecture. A pre- and post-KAP questionnaire survey was used to evaluate the impact of educational intervention among the participants. The Statistical Package for Social Sciences statistical software, version 16, was used to analyze the data.Results: A total of 103 healthcare professionals in the study responded to the pre- and post-KAP survey questionnaires. 66 nursing students and 37 nursing staff were involved in the study. The increased awareness among the study subjects about pharmacovigilance between pre- and post-intervention was statistically significant (p<0.001) which showed the effectiveness of educational intervention carried out.Conclusion: The results show that participants in the study were only moderately aware of ADR monitoring. However, they had expressed a positive attitude toward Pharmacovigilance and ADRs reporting. There is a need to create awareness among the nursing fraternity about ADR reporting for improving the spontaneous reporting.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ana Masedo ◽  
Pamela Grandón ◽  
Sandra Saldivia ◽  
Alexis Vielma-Aguilera ◽  
Elvis S. Castro-Alzate ◽  
...  

Abstract Background There is evidence of negative attitudes among health professionals towards people with mental illness but there is also a knowledge gap on what training must be given to these health professionals during their education. The purpose of this study is to compare the attitudes of students of health sciences: nursing, medical, occupational therapy, and psychology. Methods A comparative and cross-sectional study in which 927 final-year students from health sciences university programmes were evaluated using the Mental Illness: Clinicians’ Attitudes (both MICA-2 and MICA-4) scale. The sample was taken in six universities from Chile and Spain. Results We found consistent results indicating that stigma varies across university programmes. Medical and nursing students showed more negative attitudes than psychology and occupational therapy students in several stigma-related themes: recovery, dangerousness, uncomfortability, disclosure, and discriminatory behaviour. Conclusions Our study presents a relevant description of the attitudes of each university programme for education against stigma in the formative years. Results show that the biomedical understanding of mental disorders can have negative effects on attitudes, and that education based on the psychosocial model allows a more holistic view of the person over the diagnosis.


2021 ◽  
Vol 39 (3) ◽  
Author(s):  
Melissa Sánchez Peña ◽  
Luz Angélica Orozco Restrepo ◽  
Freddy Andrés Barrios Arroyave ◽  
Oscar Felipe Suárez Brochero

Objective. This work sought to evaluate the impact of an educational intervention on oral hygiene care aimed at nursing care staff, on the incidence of Ventilator-Associated Pneumonia (VAP) in adults from an ICU in Colombia. Methods. Quasi-experimental study pre- and post-educational intervention aimed at nursing staff in which theoretical-practical sessions were conducted during 12 weeks to explain different oral hygiene techniques according to the oral conditions of patients. The study gathered sociodemographic, clinical, and characteristic variables of the oral and dental care received. The VAP was diagnosed according with international criteria. Results. The educational intervention received participation from 60 individuals (40 nurses and 20 nursing aides), 80% were women. The work collected data from 171 patients, 70 (40.9%) cared for after the educational intervention. Daily oral and dental care by the staff increased from 29.6% to 92.8% after the intervention. Although the accumulated incidence of VAP diminished from 8.9% to 2.8% and the rate of incidence dropped from 9 to 3.5 cases per 1000 days of intubation, these changes were not statistically significant. Conclusion. The educational intervention aimed at the nursing staff in oral care reduced the incidence of VAP in adults connected to ventilator in ICU; although this decrease was not statistically significant, it was a clinically relevant result for the institution, which is why it is necessary to continue the educational strategies on oral health studied in this staff.


Sign in / Sign up

Export Citation Format

Share Document