scholarly journals On the question of servants in psychiatric hospitals

2020 ◽  
Vol V (4) ◽  
pp. 161-174
Author(s):  
M. S. Morozov
Keyword(s):  
Patient Care ◽  
Nursing Staff ◽  
Mentally Ill ◽  
Psychiatric Hospitals ◽  
Hospital Efficiency ◽  
Care Staff ◽  
Good Care ◽  
Practical Application ◽  
Psychiatric Institutions ◽  
Improved Methods

The question of caring for the mentally ill in the sense of this word, in the sense of leaving the lower and middle staff, always presented to me as being of paramount importance, stopped my attention almost from the very beginning of my psychiatric work as a provincial resident in one of the largest departments. Hospital efficiency strengthened me even more in the importance of good care, showing together how poorly it is in most cases in Russia and how little has been done so far for more or less satisfactory dissolution of it. Leaving the question of the average staff until another time, I find it possible to say without exaggeration that the lowest nursing staff in our Russian psychiatric institutions is the most sick place. And between the two, I would be mistaken and would meet a principled objection from someone if I said that whatever improved methods of care and treatment of mentally ill were introduced into psychiatric hospitals, no matter how well these last days were arranged, at the end of all this will still be the care staff. All our improvements run the risk of being unsuccessful, inapplicable to the task, far not as useful as one might expect, if there is not a person who is sufficiently prepared, reasonably, fit for his difficult assignment, with sufficient moral and mental qualifications of caring for which servant personnel, through get a practical application of all kinds of patient care.

scholarly journals Сh. Vallon et Ar. Marie. Les alienes en Russie 1899

2020 ◽  
Vol VII (2) ◽  
pp. 222-224
Author(s):  
B. Vorotynskiy
Keyword(s):  
Mentally Ill ◽  
Psychiatric Hospitals ◽  
The Other ◽  
International Congress ◽  
Senior Physician ◽  
Psychiatric Institutions ◽  
Business Trip

Recently in Paris, a new book appeared on sale under the written title, compiled by two French psychiatrists. One of the authors (Ch Vallon) is the senior physician of the hospital for the mentally ill near Paris (Asile d'alienes de Villejnif), and the other (Ar. Marie) is the physician-director de la colonie familiale de Dun-sur-Aaron (Cher). Both authors were official delegates to the international congress of doctors in Moscow in 1897 and took this opportunity to inspect all the main psychiatric institutions in Russia, moreover, this task was also included in the program of their business trip. This book thus represents a kind of report on their business trip, and this report concerns only the results of the examination of psychiatric hospitals and clinics.

"Be-well, work well": Integrating health protection and health promotion for hospital patient care staff

2013 ◽  
Author(s):  
Lorraine M. Wallace ◽  
Jack T. Dennerlein ◽  
Deborah McLellan ◽  
Dean Hashimoto ◽  
Glorian Sorensen
Keyword(s):  
Health Promotion ◽  
Patient Care ◽  
Health Protection ◽  
Care Staff ◽  
Hospital Patient

Occupational Stress, Mental Health and Attitude Towards Mental Illness of Nursing Staff Working in General and Psychiatric Hospital: A Comparative Study

2015 ◽  
Vol 4 (4) ◽  
Author(s):  
Suresh Lukose ◽  
Abdul Azeez E.P.
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Occupational Stress ◽  
Nursing Staff ◽  
Demographic Data ◽  
General Health Questionnaire ◽  
Psychiatric Hospitals ◽  
Working Environment ◽  
Stress Index ◽  
Role Overload

Nurses are identified as one of the professional groups with high level of job related stress and related issues. The magnitude of the problem this segment faces is very intensive as a large number of them are women. They are victimized for multiple roles in the home and hospital. Stressors for nurses are always been identified with workload, dual role and pressures which are associated with demands of the existing working environment. The nature of illness/diseases a nurse dealing with has significant effects on the stress and mental health level. Healthcare professionals dealing with psychiatric illness and other chronic/traumatic conditions faces more stress while comparing to the other domains of healthcare. The present study is a cross sectional hospital based study carried out at four centres and 100 samples were collected by judgmental sampling method which consisted of 50 female nursing staff from general hospital and same number from psychiatric hospitals. A socio-demographic data sheet along with General Health Questionnaire was administered and those who have satisfactory health have been considered as further samples. Mental health, stress level, and attitude towards mental illness were analyzed. The results shows that psychiatric nursing staff scored higher in overall occupational stress index and in the subs-domains of role overload, role ambiguity, role conflict, role unreasonable group and political pressure compared to general nursing staff. Also the mental health inventory total score is negatively correlated with role overload sub-domain of occupational stress index scale. Present study implicates the need of comprehensive psycho-social management plans for the professionals working in psychiatric hospitals.

scholarly journals Variables Associated with the Use of Coercive Measures on Psychiatric Patients in Spanish Penitentiary Centers

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
E. Girela ◽  
A. López ◽  
L. Ortega ◽  
J. De-Juan ◽  
F. Ruiz ◽  
...  
Keyword(s):  
Mentally Ill ◽  
Psychiatric Patients ◽  
Psychiatric Inpatient ◽  
Psychiatric Hospitals ◽  
Coercive Measure ◽  
Coercive Measures ◽  
External Assessment ◽  
Mechanical Restraint ◽  
The Family ◽  
Inpatient Units

We have studied the use of coercive medical measures (forced medication, isolation, and mechanical restraint) in mentally ill inmates within two secure psychiatric hospitals (SPH) and three regular prisons (RP) in Spain. Variables related to adopted coercive measures were analyzed, such as type of measure, causes of indication, opinion of patient inmate, opinion of medical staff, and more frequent morbidity. A total of 209 patients (108 from SPH and 101 from RP) were studied. Isolation (41.35%) was the most frequent coercive measure, followed by mechanical restraint (33.17%) and forced medication (25.48%). The type of center has some influence; specifically in RP there is less risk of isolation and restraint than in SPH. Not having had any previous imprisonment reduces isolation and restraint risk while increases the risk of forced medication, as well as previous admissions to psychiatric inpatient units does. Finally, the fact of having lived with a partner before imprisonment reduces the risk of forced medication and communication with the family decreases the risk of isolation. Patients subjected to a coercive measure exhibited a pronounced psychopathology and most of them had been subjected to such measures on previous occasions. The mere fact of external assessment of compliance with human rights slows down the incidence of coercive measures.

Transition from an Open Bay to a Private Room Neonatal Intensive Care Unit Design — A Human Factors Evaluation

2005 ◽  
Vol 49 (11) ◽  
pp. 974-978 ◽  
Author(s):  
Thomas J. Smith ◽  
Sandra Clayton ◽  
Kathleen Schoenbeck
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Human Factors ◽  
Neonatal Intensive Care Unit ◽  
Patient Care ◽  
Neonatal Intensive Care ◽  
Patient Care Team ◽  
Care Staff ◽  
Care Technology

This report summarizes findings from a human factors evaluation of a change in the design of a neonatal intensive care unit (NICU) from an open bay (OBNICU) to a private room (PRNICU) patient care environment. The objective was to compare and contrast effects of this design change on the perceptions and performance of NICU patient care staff. Results indicate that, relative to work on the OBNICU, staff perceived that work on the PRNICU resulted in notable improvements in the quality of physical environmental conditions, their jobs, patient care and patient safety, interaction with parents of NICU patients, interaction with patient care technology and their life off-the-job. In contrast, staff perceived that the quality of interaction among different members of the NICU patient care team worsened substantially after the move to the PRNICU. The latter finding prompted the recommendation that a virtual open bay environment be implemented in the PRNICU.

scholarly journals Limiting transmission of COVID-19 in an inpatient psychiatric hospital using a special care unit as a behavioral health model - Michigan, March 1-August 31, 2020

2021 ◽  
Vol 10 (3) ◽  
pp. 25
Author(s):  
William Sanders ◽  
Kimberley Greenwald ◽  
Joshua Foster ◽  
David Meisinger ◽  
Richelle Payea ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Behavioral Health ◽  
Clinical Care ◽  
Psychiatric Hospitals ◽  
Behavioral Health Care ◽  
Special Care ◽  
Direct Patient Care ◽  
Special Care Unit ◽  
Psychiatric Facilities

Approximately 53,000 patients/year are admitted to psychiatric hospitals in Michigan and treatment typically involves social gatherings and group therapies (SAMHSA 2017; Michigan DHS 2019). Often psychiatric inpatients are in close proximity placing them at high risk of infection and have comorbid medical conditions that predispose them to severe COVID-19 consequences. In March 2020, Pine Rest Christian Mental Health Services, Grand Rapids, MI initiated protocols and precautions to mitigate the spread of COVID-19 between patients and health care personnel (HCP) based on emerging CDC guidelines. Multiple strategies [COVID-19 testing, masking of patients and HCP, restricting visitors, and creation of Special Care Unit (SCU) with negative pressure] were effectively implemented and limited transmission of COVID-19 within Pine Rest. Admission to the SCU totaled 25 adults (three Pine Rest patients who tested positive during or after admission, and 22 COVID-19 positive patients who were transferred from other facilities). Average age of SCU inpatients was 38.5 ± 16.6 years with the majority being male. Average hospitalization was 9 ± 4 days. Among the 21 COVID-19 positive HCP, 15 [71%] provided direct clinical care on various units, zero provided care on the SCU, and six had roles with no direct patient care. Average age among COVID-19 positive HCP providing direct patient care[n = 15] was 29.5 ± 13.5 years, majority were female, and 3 [20%] were admitted to local medical hospital for treatment. This report demonstrates that quality behavioral health care can be safely provided at inpatient psychiatric facilities and serve as a guideline that other psychiatric facilities can follow to decrease transmission in future epidemics.

scholarly journals Manejo da dor em punção venosa pediátrica: um pacote de medidas

2021 ◽  
Vol 11 (33) ◽  
pp. 157-168
Author(s):  
Larissa Grispan e Silva Guimarães ◽  
Natália Shinkai Binotto ◽  
Stela Faccioli Ederli ◽  
Mauren Teresa Grubisich Mendes Tacla
Keyword(s):  
Pain Management ◽  
Patient Care ◽  
Nursing Staff ◽  
Professional Growth ◽  
Management Strategies ◽  
Care Bundle ◽  
Evidence Based ◽  
Topical Anesthetic ◽  
Care Research ◽  
Before And After

Apresentar o processo de elaboração de um pacote de medidas para manejo da dor de crianças submetidas à punção venosa pela equipe de enfermagem. Pesquisa Convergente Assistencial, do tipo antes e após intervenção, realizada com a equipe de enfermagem de uma unidade pediátrica do sul do Brasil. Elaboração de pacote de medidas com seis estratégias selecionadas pela equipe de enfermagem a serem utilizadas antes e durante a punção venosa: preparo da criança e/ou acompanhante, posicionamento da criança, distração, amamentação, solução adocicada associada ou não à sucção não nutritiva e anestésico tópico. Os participantes manifestaram satisfação quanto ao modo de elaboração do mesmo, destacando a contribuição deste para seu crescimento profissional. O pacote de medidas otimizou a adoção das estratégias para manejo da dor. A Pesquisa Convergente Assistencial alicerçada na prática baseada em evidências mostrou-se adequada, visto que propiciou a aplicação de achados científicos no cenário assistencial considerando suas particularidades.Descritores: Manejo da Dor, Criança, Cateterismo Periférico, Enfermagem Baseada em Evidências. Management of pediatric venipuncture pain: a package of measuresAbstract: To present the process of elaboration of a patient care package for pain management in children undergoing venipuncture by the nursing staff. Convergent Care Research, before and after intervention, conducted with the nursing staff of a southern pediatric unit in Brazil. Patient care packege with six strategies, selected by the nursing staff, to be used before and during venipuncture: preparation of the child and/or companion, child positioning, distraction, breastfeeding, sweet-tasting solution with or without non-nutritive suction and topical anesthetic usage. The package of measures optimized the adoption of pain management strategies, highlighting its contribution to their professional growth. The patient care bundle optimized the adoption of strategies for pain management. The Convergent Care Research grounded in evidence-based practice showed appropriate, since it allowed the application of scientific findings in the care setting, considering its peculiarities.Descriptors: Pain Management, Child, Catheterization, Peripheral, Evidence-Based Nursing. Manejo del dolor de la venopunción pediátrica: un paquete de medidasResumen: Presentar el proceso de elaboración de un paquete de medidas para manejo del dolor de niños sometidos a la venopunción por el equipo de enfermería. Investigación Convergente Asistencial, del tipo antes y después de la intervención, realizada con el equipo de enfermería de una unidad pediátrica en el sur de Brasil. Paquete de medidas con seis estrategias seleccionadas por el equipo de enfermería que deben ser utilizadas antes y durante la venopunción: preparación del niño y/o acompañante, posicionamiento del niño, distracción, amamantamiento, solución dulce asociada o no a succión no nutritiva y anestésica tópica. Los participantes manifestaron satisfacción en cuanto al modo de elaboración del mismo, destacando la contribución de este para su crecimiento profesional. El paquete de medidas optimizó la adopción de estrategias para manejo del dolor. La Investigación Convergente Asistencial cimentada en la práctica basada en evidencias se mostró adecuada, visto que propició la aplicación de hallazgos científicos en el escenario asistencial considerando sus particularidades.Descriptores: Manejo del Dolor, Niño, Cateterismo Periférico, Enfermería Basada en la Evidencia.

Nursing staff-led behavioural group intervention in psychiatric in-patient care: Patient and staff experiences

2018 ◽  
Vol 27 (5) ◽  
pp. 1401-1410 ◽  
Author(s):  
Johanna Salberg ◽  
Fredrik Folke ◽  
Lisa Ekselius ◽  
Caisa Öster
Keyword(s):  
Patient Care ◽  
Nursing Staff ◽  
Group Intervention ◽  
Care Patient ◽  
Staff Experiences

scholarly journals Your supported lodgings

1991 ◽  
Vol 15 (5) ◽  
pp. 270-271 ◽  
Author(s):  
C. E. Robson
Keyword(s):  
Social Services ◽  
Mentally Ill ◽  
Psychiatric Hospitals ◽  
Mentally Handicapped ◽  
England And Wales ◽  
Chronically Mentally Ill ◽  
Important Means ◽  
Successful Rehabilitation

Supported lodgings are an important means of achieving the successful rehabilitation and resettlement of the chronically mentally ill into the community (Anstee, 1978, 1985). In a survey of 15 psychiatric hospitals in England and Wales, it was estimated that 9.3% of the long-stay patients (i.e. in-patients from one to five years) under 65 years of age were ideally suited to less supervised accommodation outside the hospital. In Gloucestershire the Supported Lodging Scheme is provided by the Psychiatric Social Services Department. It was started to enable ‘new’ and ‘old’ long-stay patients at Coney Hill and Horton Road hospitals to be settled in the community. Now any psychiatric or mentally handicapped patient can also enter the scheme if appropriate.

scholarly journals The Influence of a Move to Program Management on Physical Therapist Practice

2002 ◽  
Vol 82 (5) ◽  
pp. 449-458 ◽  
Author(s):  
Patricia A Miller ◽  
Patricia Solomon
Keyword(s):  
Focus Groups ◽  
Patient Care ◽  
Professional Practice ◽  
Physical Therapists ◽  
Physical Therapist ◽  
Program Management ◽  
Care Staff ◽  
Structured Interviews ◽  
Negative Effects ◽  
Frontline Staff

Abstract Background and Purpose. The purpose of this qualitative study was to examine how a move to program management (PM) from a traditional department structure affected the professional practice of physical therapists in a large Canadian teaching hospital. Subjects. Twenty-five physical therapists participated in 1 of 5 focus groups, and 4 physical therapists participated in individual interviews. Methods. Focus groups and structured interviews were conducted by an experienced facilitator who was not a physical therapist. All focus groups and interviews were audiotaped and transcribed. Using an open-coding technique, 2 investigators undertook line-by-line analysis of each transcript to identify and code specific events related to the physical therapists' experiences. The investigators reached a consensus on all coding categories and then identified themes. Results. Seven themes that addressed issues of affect (a sense of loss, low morale, and positive coping), professional practice (loss of professional development activities, professional advantages, the assuming of multiple roles), and patient care were identified. Discussion and Conclusion. Physical therapists who were deployed from a department to a program described both positive and negative effects of the move to PM on their practice. There were reported influences on their personal affect, professional practice, and patient care. Staff and physical therapy administrators need to be aware of potential implications of an organization's move to PM on the professional practice of frontline staff.

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