Mental health nurses’ medicines management role: A qualitative content analysis

Abstract Background Stigma refers to the discrediting, devaluing, and shaming of a person because of characteristics or attributes that they possess. Generally, stigma leads to negative social experiences such as isolation, rejection, marginalization, and discrimination. If related to a health condition such as mental illness, stigma may affect a person’s illness and treatment course, including access to appropriate and professional medical treatment. Stigma has also been reported to affect patients’ families or relatives, along with professionals who work in mental healthcare settings. Stigma is strongly influenced by cultural and contextual value systems that differ over time and across contexts. However, limited information is available on how types of stigma are experienced by patients with mental illness and mental health nurses in Indonesia. Method We explored the stigma-related experiences of 15 nurses and 15 patients in Indonesia. The study design and analysis of interview data were guided by deductive (directed) content analysis. Results Five themes emerged. Four themes were patient-related: personal/patients’ stigma, public/social stigma, family stigma, and employment stigma. The fifth theme related to stigma toward healthcare professionals working with patients with mental illnesses, which we categorized as professional stigma. Conclusions This study has achieved a deep understanding of the concept of stigma in the Indonesian context. This understanding is a prerequisite for developing appropriate interventions that address this phenomenon and thereby for the development of mental health services in Indonesia. This study may also be transferable to other countries that share similar cultural backgrounds and adhere to traditional and religious value systems.

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Different forms of informal coercion in psychiatry – a qualitative study

10.21203/rs.2.17476/v1 ◽

2019 ◽

Author(s):

Veikko Pelto-Piri ◽

Lars Kjellin ◽

Ulrika Hylén ◽

Emanuele Valenti ◽

Stefan Priebe

Keyword(s):

Mental Health ◽

Content Analysis ◽

Focus Group ◽

Qualitative Study ◽

Mental Health Professionals ◽

Health Professionals ◽

Qualitative Content Analysis ◽

Focus Group Interviews ◽

Informal Coercion ◽

Group Interviews

Abstract Objectives The objective of the study was to investigate how mental health professionals describe and reflect upon different forms of informal coercion. Results In a deductive qualitative content analysis of focus group interviews, several examples of persuasion, interpersonal leverage, inducements, and threats were found. Persuasion was sometimes described as being more like a negotiation. Some participants worried about that the use of interpersonal leverage and inducements risked to pass into blackmail in some situations. In a following inductive analysis, three more categories of informal coercion was found: cheating, using a disciplinary style and referring to rules and routines. Participants also described situations of coercion from other stakeholders: relatives and other authorities than psychiatry. The results indicate that informal coercion includes forms that are not obviously arranged in a hierarchy, and that its use is complex with a variety of pathways between different forms before treatment is accepted by the patient or compulsion is imposed.

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On the Intersection of Faith Background and Mental Health Beliefs: What MSW Students Learned About Themselves

Social Work & Christianity ◽

10.34043/swc.v48i3.242 ◽

2021 ◽

Vol 48 (3) ◽

pp. 308-322

Author(s):

Jennifer Payne

Keyword(s):

Mental Health ◽

Mental Illness ◽

Content Analysis ◽

Health Beliefs ◽

Qualitative Content Analysis ◽

Health Issues ◽

Childhood Experience ◽

Demonic Possession ◽

Mental Health Issues ◽

Msw Students

Students enter college with pre-formed beliefs about the causes of mental health issues, from spiritual explanations (e.g., demonic possession) to biological explanations (e.g., genetics). However, they rarely have thought through how their faith backgrounds influence their beliefs about mental health. MSW students in their clinical concentration year engaged in a class-based assignment in which they explored the question, "Where are you on the spectrum of belief regarding the cause of mental illness?" A qualitative content analysis was completed on 69 student papers collected over five years. Results showed how each student's religious childhood experience shaped his or her view about mental illness causes.

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Indonesian clinical psychologists’ perceptions of complementary and alternative medicine research and knowledge: a content analysis study

The Journal of Mental Health Training Education and Practice ◽

10.1108/jmhtep-03-2018-0018 ◽

2019 ◽

Vol 14 (3) ◽

pp. 164-173 ◽

Cited By ~ 2

Author(s):

Andrian Liem

Keyword(s):

Mental Health ◽

Content Analysis ◽

Alternative Medicine ◽

Complementary And Alternative Medicine ◽

Mental Health Professionals ◽

Health Professionals ◽

Qualitative Content Analysis ◽

Clinical Psychologists ◽

Content Type ◽

Complementary And Alternative

Purpose As part of a nationwide research about knowledge, attitude, experiences and educational needs towards complementary and alternative medicine (CAM) among Indonesian clinical psychologists (CPs), the purpose of this paper is to explore CPs’ perceptions of CAM research and their interest in learning CAM. Design/methodology/approach A link to an online survey was e-mailed to all 1,045 CPs across Indonesia. At the end of the survey, two open-ended questions were asked: “What do you think about CAM research in Indonesia?” and “Why are you interested in learning about CAM?”, which were responded to by 127 participants (87 per cent of females; Mage=36.67, SD=9.02). Participants’ responses were analysed using inductive qualitative content analysis. Findings It was found that two global themes for CPs’ perceptions of CAM were to improve participants’ professionalism and as part of continuing education and development for mental health professionals. The favourable responses in this study may reflect participants’ willingness to be involved in collaborative CAM research and education. Moreover, CAM was perceived as part of Indonesian culture and participants viewed CAM research and knowledge as a chance to promote Indonesian local wisdom to complement conventional psychotherapy. Research limitations/implications These findings might call for stakeholders to integrate CAM knowledge into psychology education, facilitate CAM research in psychology settings and encourage collaborative CAM research. However, self-selection bias may limit the findings of this study. Originality/value This study explored perceptions of CAM research and interest in learning CAM that have rarely been investigated among mental health professionals and particularly, until now, have not been investigated in Indonesia.

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Debating mental health nurses’ role in medicines management

British Journal of Nursing ◽

10.12968/bjon.2012.21.20.1219 ◽

2012 ◽

Vol 21 (20) ◽

pp. 1219-1223 ◽

Cited By ~ 12

Author(s):

Steve Hemingway ◽

Austyn Snowden

Keyword(s):

Mental Health ◽

Medicines Management ◽

Mental Health Nurses ◽

Nurses Role

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The Mental Health Crises of the Families of COVID-19 Victims: A Qualitative Study

10.21203/rs.3.rs-35698/v1 ◽

2020 ◽

Author(s):

fateme mohammadi ◽

Khodayar Oshvandi ◽

Farshid Shamsaei ◽

Fateme Cheraghi ◽

mostafa bijani

Keyword(s):

Mental Health ◽

Content Analysis ◽

Cultural Context ◽

Job Insecurity ◽

Qualitative Content Analysis ◽

Individual Interviews ◽

Medical Centers ◽

Purposeful Sampling ◽

The Future ◽

Data Saturation

Abstract Background: The bereaved families of COVID-19 victims are among the most vulnerable social groups in the COVID-19 pandemic. This highly infectious and contagious disease has afflicted these families with numerous psychological crises which have not been studied much yet. The present study is an attempt at investigating the psychological challenges and issues which the families of COVID-19 victims are faced with. The present study aims to identify the Mental Health crises which the families of COVID-19 deceased victims are going through.Methods: A qualitative research, the present study uses a conventional content analysis design. The participants were 16 members of the families of COVID-19 victims selected from medical centers in Iran from February to May 2020 via purposeful sampling. Sampling continued to the point of data saturation Data were collected via semi-structured individual interviews conducted online. The collected data were analyzed according to the conventional qualitative content analysis approach.Results: Analyses of the data yielded two main themes—emotional shock and fear of the future—with nine categories. Conclusion: The families of COVID-19 deceased victims are affected by various psychological crises which have exposed them to a deep sense of loss and emotional shock. In addition, the instability in the family following the loss of a family member and job insecurity due to the COVID crisis have caused them to be very worried about the future. Therefore, there is an urgent need for a cultural context which recognizes and supports all the various aspects of the mental health of these families.

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Organisational Readiness for Implementing an Internet-Based Cognitive Behavioural Therapy Intervention for Depression across Community Mental Health Services in Albania and Kosovo: A Directed Content Qualitative Study. (Preprint)

10.2196/preprints.29280 ◽

2021 ◽

Author(s):

Asmae Doukani ◽

Arlinda Cerga Pashoja ◽

Naim Fanaj ◽

Gentiana Qirjako ◽

Andia Meksi ◽

...

Keyword(s):

Mental Health ◽

Content Analysis ◽

Cognitive Behavioural Therapy ◽

Clinical Supervision ◽

Clinical Training ◽

Healthcare Professionals ◽

Qualitative Content Analysis ◽

Behavioural Therapy ◽

Cognitive Behavioural ◽

Change Commitment

BACKGROUND The use of digital mental health (MH) programs such as internet-based cognitive behavioural therapy (iCBT) hold promise in increasing the quality and access of MH services. However very little research has been conducted in understanding the feasibility of implementing iCBT in Eastern Europe. OBJECTIVE To qualitatively examine organisational readiness for implementing iCBT for depression within community MH centres (CMHCs) across Albania and Kosovo. METHODS Qualitative semi-structured focus group discussions (FGDs) guided by Bryan Weiner’s model of organisational readiness for implementing change were conducted. The questions broadly explored shared determination to implement change, (change commitment), and shared belief in their collective capability to do so (change efficacy). Data were collected between November and December 2017. A range of healthcare professionals working in and in association with the CMHCs were recruited from three CMHCs in Albania, and four CMHCs in Kosovo, which are participating in a large multinational trial on the implementation of iCBT across nine countries (Horizon 2020 ImpleMentAll project). Data were analysed using a directed approach to qualitative content analysis, which used a combination of both inductive and deductive approaches. RESULTS Six FGDs involving 69 MH care professionals were conducted. Participants from Kosovo (n=36) and Albania (n=33) were mostly female (n=48, 69.9%) and nurses (n=26, 37.7%), with an average age of 41.3 years. A qualitative directed content analysis revealed several barriers and facilitators potentially affecting the implementation of digital CBT interventions for depression in community MH settings. While commitment for change was high, change efficacy was limited due to a range of situational factors. Barriers impacting ‘change efficacy’ included lack of clinical fit for iCBT, high stigma affecting help-seeking behaviours, lack of human resources, poor technological infrastructure, and high caseload. Facilitators included having a high interest and capability in receiving training for iCBT. For ‘change commitment’, participants largely expressed welcoming innovation and that iCBT could increase access to treatments for geographically isolated people, and reduce the stigma associated with MH care. CONCLUSIONS In all, participants perceived iCBT positively in relation to promoting innovation in MH care, increasing access to services and reducing stigma. On the other hand, a range of barriers were also highlighted in relation to accessing the target treatment population, a culture of MH stigma, underdeveloped ICT infrastructure and limited appropriately trained healthcare workforce. Such barriers may be addressed through, (a) a public facing campaign that addresses MH stigma, (b) service-level adjustments that permit staff with the time, resources and clinical supervision to deliver iCBT, and (c) establishment of suitable clinical training curriculum for healthcare professionals. CLINICALTRIAL ClinicalTrials.gov NCT03652883. 29 August 2018

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Dilemmas in delivering health promotion activities: findings from a qualitative study of mental health nurses in Denmark

BMJ Open ◽

10.1136/bmjopen-2019-036403 ◽

2020 ◽

Vol 10 (12) ◽

pp. e036403

Author(s):

Jane Ege Møller ◽

Anne Møller ◽

Loni Ledderer

Keyword(s):

Mental Health ◽

Health Care ◽

Health Promotion ◽

Mental Health Care ◽

Qualitative Content Analysis ◽

Mental Healthcare ◽

Mental Illnesses ◽

Interactive Approach ◽

Mental Health Nurses ◽

Long Term Conditions

ObjectiveRecent studies have shown that people with mental illnesses have higher mortality and morbidity rates due to long-term conditions and lifestyle diseases. This knowledge has led to health promotion initiatives in mental health care to improve the physical health of people with mental illness. This article explores how mental health nurses experience working with health promotion activities in mental healthcare practices.DesignWe adopted a qualitative research design using an interactive approach. Qualitative content analysis was used to develop the analytical framework.ParticipantsFocus groups (n=7; n=5) were conducted with two groups of mental health nurses who attended health specialist training sessions in Denmark in the spring and fall of 2018.ResultsThe findings showed that working with health promotion activities in mental health care created two dilemmas for the mental health nurses: (1) dilemmas related to health promotion that involved discrepancies between the health promotion activities that were offered and patients’ autonomy and wishes, and (2) system-related dilemmas stemming from working with screening for risk factors and documentation programmes. The mental health nurses developed different strategies to navigate these dilemmas, such as devising interview techniques for the screening questions and bending guidelines.ConclusionsMental health nurses found it challenging to implement health promotion activities in mental health care, although they generally found these activities meaningful. The findings show that new health promotion activities need to be adapted to nurses’ existing mental healthcare practices; however, this may require some adaptation of existing nursing practices.

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The mental health crises of the families of COVID-19 victims: a qualitative study

BMC Family Practice ◽

10.1186/s12875-021-01442-8 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Fateme Mohammadi ◽

Khodayar Oshvandi ◽

Farshid Shamsaei ◽

Fateme Cheraghi ◽

Masoud Khodaveisi ◽

...

Keyword(s):

Mental Health ◽

Content Analysis ◽

Cultural Context ◽

Qualitative Content Analysis ◽

Individual Interviews ◽

Medical Centers ◽

Financial Conditions ◽

Purposeful Sampling ◽

The Family ◽

Data Saturation

Abstract Background The bereaved families of COVID-19 victims are among the most vulnerable social groups in the COVID-19 pandemic. This highly infectious and contagious disease has afflicted these families with numerous psychological crises which have not been studied much yet. The present study is an attempt at investigating the psychological challenges and issues which the families of COVID-19 victims are faced with. The present study aims to identify the Mental Health crises which the families of COVID-19 deceased victims are going through. Methods A qualitative research, the present study uses a conventional content analysis design. The participants were 16 members of the families of COVID-19 victims selected from medical centers in Iran from February to May 2020 via purposeful sampling. Sampling continued to the point of data saturation Data were collected via semi-structured individual interviews conducted online. The collected data were analyzed according to the conventional qualitative content analysis approach. Results Analyses of the data yielded two main themes and seven categories. Emotional shock included (feelings of guilt and rumination, bitter farewell, strange burial and concern about unreligious burial), and fear of the future included (instability in the family, lack of job security and difficult financial conditions, Stigmatization and complications in social interactions). Conclusion The families of COVID-19 deceased victims are affected by various psychological crises which have exposed them to a deep sense of loss and emotional shock. Therefore, there is an urgent need for a cultural context which recognizes and supports all the various aspects of the mental health of these families.

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