scholarly journals Comunicación del personal de Enfermería con el paciente con patología psiquiátrica = Nursing staff communication with psychiatric pathology patient

2018 ◽  
Vol 9 (2) ◽  
pp. 215
Author(s):  
Zaraida Aviles Saez ◽  
Rosalía Cara Rodríguez ◽  
Luisa María López Trinidad

Resumen: La comunicación con las personas diagnosticadas de patologías mentales es un punto fundamental para ayudar a conseguir su reinserción social. Enfermería es la figura que mantiene un contacto más estrecho con estos pacientes cuando se encuentran ingresados en centros sanitarios. El diálogo con estos pacientes es sumamente complejo, lo que hace necesario realizar investigaciones y formación que aborden la mejor forma de relacionarnos con ellos. Este estudio tiene por objetivo demostrar la im­portancia que tiene la comunicación con el paciente psiquiátrico respecto a la relación con el personal de Enfermería y su evolución. Los resultados muestran que los profesionales y estudiantes de Enfermería necesitan formación específica para saber cómo enfrentar un diálogo con personas con enfermedades mentales. La escucha activa, el idioma, la comunicación no verbal y la cercanía en la relación son claves para una comunicación efectiva.Palabras clave: Comunicación; enfermedad mental; Enfermería; relación.Abstract: Communication with people diagnosed with mental pathologies is a fundamental point to help achieve their social reintegration. Nursing is the figure that maintains a closer contact with these patients when they are admitted to health centers. The dialogue with these patients is extremely complex, which makes it necessary to conduct research and training that addresses the best way to relate to them. The purpose of this study is to demonstrate the importance of communication with the psychiatric patient regarding the relationship with the nursing staff and their evolution. The results show that nursing professionals and students need specific training to know how to face a dialogue with people with mental illness. Active listening, language, non-verbal communication and closeness in the relationship are key to effective communication.Keywords: Communication; mental illness; nursing; relationship.

2016 ◽  
Vol 27 (1) ◽  
pp. 84-93 ◽  
Author(s):  
L. Picco ◽  
E. Abdin ◽  
S. Pang ◽  
J. A. Vaingankar ◽  
A. Jeyagurunathan ◽  
...  

Aims.The ability to recognise a mental illness has important implications as it can aid in timely and appropriate help-seeking, and ultimately improve outcomes for people with mental illness. This study aims to explore the association between recognition and help-seeking preferences and stigmatising attitudes, for alcohol abuse, dementia, depression, obsessive-compulsive disorder (OCD) and schizophrenia, using a vignette-based approach.Methods.This was a population-based, cross-sectional survey conducted among Singapore Residents (n = 3006) aged 18–65 years. All respondents were asked what they think is wrong with the person in the vignette and who they should seek help from. Respondents were also administered the Personal and Perceived sub scales of the Depression Stigma Scale and the Social Distance Scale. Weighted frequencies and percentages were calculated for categorical variables. A series of multiple logistic and linear regression models were performed separately by vignette to generate odd ratios and 95% confidence intervals for the relationship between help-seeking preference, and recognition and beta coefficients and 95% confidence intervals for the relationship between stigma and recognition.Results.Correct recognition was associated with less preference to seek help from family and friends for depression and schizophrenia. Recognition was also associated with increased odds of endorsing seeking help from a psychiatric hospital for dementia, depression and schizophrenia, while there was also an increased preference to seek help from a psychologist and psychiatrist for depression. Recognition was associated with less personal and perceived stigma for OCD and less personal stigma for schizophrenia, however, increased odds of social distancing for dementia.Conclusion.The ability to correctly recognise a mental illness was associated with less preference to seek help from informal sources, whilst increased preference to seek help from mental health professionals and services and less personal and perceived stigma. These findings re-emphasise the need to improve mental health literacy and reinforce the potential benefits recognition can have to individuals and the wider community in Singapore.


2019 ◽  
Vol 44 (2) ◽  
pp. 100-107
Author(s):  
Liz Richardson

Mental health courts have been established in four Australian jurisdictions to provide a targeted response to people with mental illness and cognitive impairments coming through the courts. This article provides an up-to-date overview of Australian mental health courts, discusses the evidence base underpinning them and identifies three important emerging directions for their future operation. These are the need for a contextualised understanding of the relationship between mental illness and offending, the importance of trauma-informed approaches and the role that peer support workers can play in mental health courts.


2016 ◽  
Vol 22 (1) ◽  
pp. 40-50 ◽  
Author(s):  
Lisa Xi Zheng ◽  
John P. Keegan ◽  
David Rosenthal ◽  
William Talley ◽  
Celeste A. Hunter

The purpose of this study was to test the usefulness of the attribution model (Corrigan, Markowitz, Watson, Rowan & Kubiak, 2003; Weiner, 1995) in a Chinese cultural context to explain Chinese college students’ perceptions of discrimination toward people with mental illness. A total of 293 college students (male = 142; female = 151; age from 18 to 22) completed an Attribution Questionnaire (AQ) after reading vignettes, consisting of a male who either used illicit drugs or had a traumatic brain injury. Data were analysed using a hierarchical regression to determine the amount of variance accounted for in discriminatory behaviours by the attribution model. The results showed, when controlling for all other factors, that controllability and the three emotions (pity, anger, and fear) were found to be significant predictors of discrimination. The relationship between controllability, responsibility, and discrimination was not consistent with the attribution model since responsibility did not mediate the controllability of cause. These results provide support for the idea that disability attributions are culturally influenced.


2011 ◽  
Vol 5 (2) ◽  
pp. 305
Author(s):  
Maria Antonia Chora ◽  
João Manuel Galhanas Mendes

ABSTRACTObjective: to define if the job satisfaction dimensions can vary according the category and the workplace. Method: this is about a descriptive and exploratory study from quantitative approach using a questionnaire with a Lickert scale, in order to collect data. The questionnaire was prepared, pretested and redrafted to cover several dimensions. The sample was nursing professionals who perform in the fourteen health centers and on twenty one care units of the Évora Espírito Santo’s Hospital. We elaborated a share sampling distributed by the four professional categories. Results: the results show a significant and positive correlation between some categories. Conclusion: it is noted that the health centers professionals are more satisfied in the relationship nurse / patient dimension. The health centers professionals also show great satisfaction with the "working relationship and social support" and "job security" dimensions. Hospital professionals have greater satisfaction in the "autonomy and power" dimension. The Health Centers and Hospital professionals are more dissatisfied in the “remuneration” dimension. Descriptors: satisfaction; motivation; nurses.RESUMOObjetivo: determinar se as dimensões de satisfação profissional variam consoante a categoria e o local de trabalho.  Método: estudo descritivo, exploratorio com abordagem quantitativa recorrendo a questionário como instrumento de recolha de dados com escala tipo Lickert. O questionario foi elaborado, submetido à pré-teste e reformulado de forma a abranger várias dimensões. A amostra são os profissionais de enfermagem que desempenham funções nos catorze Centros de Saúde e em vinte e uma das unidades de cuidados do Hospital Espírito Santo de Évora, Portugal. Elaborou-se uma amostragem por quotas distribuida pelas quatro categorias profissionais. Resultados: os resultados obtidos evidenciam uma correlação positiva significativa entre algumas categorias. Conclusão: salienta-se que os profissionais dos Centros de Saúde estão mais satisfeitos na dimensão “relação enfermeiro/utente”. Os profissionais dos Centros de Saúde também demonstram grande satisfação relativamente às dimensões “relação de trabalho e suporte social” e “segurança no emprego”. Os profissionais do Hospital apresentam maior satisfação na dimensão “autonomia e poder”. Os profissionais dos Centros de Saúde e do Hospital estão mais insatisfeitos na dimensão “remuneração”. Descritores: satisfação; motivação; enfermeiros.RESUMENObjetivo: determinar si las dimensiones de la satisfacción en el trabajo cambian según la categoría y el local de trabajo. Método: estudio descriptivo, exploratorio, con aproximación cuantitativa mediante una encuesta para recoger datos con escala tipo Lickert. La encuesta, fue elaborada, sometida a la prueba previa y redactada de nuevo para contener varias dimensiones. La muestra son los profesionales de enfermería que actúan en los catorce centros de salud y en las veintiuna unidades de cuidados del Hospital Espírito Santo de Évora, en Portugal. El artículo presenta una muestra por cuotas distribuidas por las cuatro categorías profesionales. Resultados: los resultados obtenidos muestran que hay una correlación positiva significativa entre algunas categorías. Conclusión: Se observa que los profesionales de los centros de salud están más satisfechos en la dimensión de la relación enfermero/paciente”. Los profesionales de los centros de salud también muestran gran satisfacción con las dimensiones" de trabajo y la relación social "y"seguridad en el empleo". Los profesionales del Hospital tienen una mayor satisfacción en la dimensión de "autonomía y poder." Los profesionales de los Centros de Salud y del Hospital están más insatisfechos en la dimensión de  “sueldo”. Descriptores: satisfacción; motivación; enfermeros.


2002 ◽  
Vol 8 (4) ◽  
pp. 281-288 ◽  
Author(s):  
Tom Clark ◽  
Jeremy Kenney-Herbert ◽  
Martin S. Humphreys

It is not uncommon for people with mental illness to be convicted of a criminal offence. The relationship between the two is not necessarily simple. It may be diffuse and subtle, perhaps relating to the disinhibiting effect of severe mental illness or associated factors such as poor social integration, unemployment, lack of close and intimate relationships or substance misuse.


2010 ◽  
Vol 57 (6) ◽  
pp. 574-579 ◽  
Author(s):  
Takashi Yamauchi ◽  
Tsuneo Semba ◽  
Anju Sudo ◽  
Nobuko Takahashi ◽  
Hirofumi Nakamura ◽  
...  

Background: Nursing students’ attitudes towards people with mental illness can be influenced by training experience. Aim: To examine the relationship between the attitudes of nursing students towards people with mental illness and the psychiatric training imparted to the students by using textual data and conducting frequency analysis. Methods: We identified the words/phrases which were considered to represent the attitudes towards people with mental illness at pre-training (T1) and post-training (T2) stages from reports written by 76 Japanese nursing students, and examined the differences in the frequencies of the words/phrases used at T1 and T2. Results: With regard to the students’ attitudes towards people with mental illness, generally, the frequencies of words/phrases that had somewhat negative to strongly negative nuances were high at T1, whereas those of the words/phrases that had somewhat positive or neutral nuances were high at T2. Also, analysis showed that words/phrases such as ‘scary’ were used more frequently at T1, whereas words/phrases such as ‘not scary’ were used more often at T2. Conclusion: The students’ attitudes may change favourably owing to, at least in part, psychiatric training.


2006 ◽  
Vol 40 (9) ◽  
pp. 804-809 ◽  
Author(s):  
Alexander I.F. Simpson ◽  
Jeremy Skipworth ◽  
Brian McKenna ◽  
Andrew Moskowitz ◽  
Justin Barry-Walsh

Background: Homicides by people with mental illness have been studied using either clinical or legal categorization of the homicide as abnormal. No previous study has employed both definitions in the same population. Method: A retrospective study of all homicides in New Zealand between 1988 and 2000 considered mentally abnormal homicide using a legal definition (when the courts deemed a contribution of mental illness was present) and a clinical definition (defined as the presence of a discharge diagnosis from inpatient mental health treatment) of ‘mentally abnormal’. Rates, characteristics and time trends were investigated. Results: Of the 844 cases, 7.1% met legal criteria for being mentally abnormal, while 7.7% had ever received a diagnosis for a psychotic illness, and a further 14.5% had been admitted to a psychiatric hospital for any other reason. The majority (60%) of perpetrators with a psychotic diagnosis received a mental health disposition from the court. Of these, 60% were first diagnosed with their psychotic illness prior to the homicide, while 28% were first diagnosed at the time of the offence and a further 12% after imprisonment. Of all those who received a psychotic diagnosis, 89% had post-conviction admissions or a mental health disposition. Conclusion: Legal and clinical definitions of mentally abnormal homicide detect similar rates of mentally abnormal homicide, but illustrate somewhat different dimensions of the relationship between mental illness and homicide.


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