scholarly journals Child-rearing Support Provided by Public Health Nurses to People with Mental Illness: Qualitative Descriptive Study

2018 ◽  
Vol 12 (1) ◽  
pp. 162-170
Author(s):  
Masako Kageyama ◽  
Keiko Yokoyama

Background: The growing rates of deinstitutionalization in Japan have resulted in an increase in the number of children being raised by parents with mental illness. Given this situation, public health nurses working for local governments play an important role. Objective: The purpose of this qualitative descriptive study was to describe the child-rearing support provided by public health nurses to parents with mental illness. Methods: Seven nurses identified 28 cases of parents with mental illness. Descriptions of the goals and details of the appropriate nursing support were extracted from transcripts, coded, and categorized. Results: Parents with mental illness diagnosed with addiction and personality disorders were more difficult to support than those diagnosed with mood disorders or schizophrenia. Public health nurses supported parents with mental illness with the aim of achieving goals such as “building continuous consultative relationships,” “ensuring living conditions had a minimum level of safety and comfort,” “parents playing their roles,” “parents and children living together in the community,” and “fostering children’s growth.” While they provided support by “assessing their relationships with parents,” “building consultative relationships with parents,” “assessing parents’ illnesses/disorders and supporting,” “assessing child-rearing abilities and supporting,” and “cooperating with related agencies,” they tended to focus on the growth of the children rather than the recovery of parents. Conclusion: Consultative relationships were the beginning of support, as well as the most important and difficult skill. Public health nurses need to provide support for the recovery of parents with mental illness and learn about personality disorders and addiction.

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Hikaru Honda ◽  
Nobuko Matsuda ◽  
Michiyo Hirano ◽  
Kazuko Saeki

This study elucidated the skills of mothers who used to build positive interpersonal relationships with people they met through child-rearing. The research method was qualitative descriptive study. The participants were 24 mothers who had children between ages of one and four years. These participants were recruited at child-rearing salons and childcare centers located in various municipalities in Japan. The survey period was from September 2013 to July 2014. The mothers’ interpersonal relationship-building skills were described by six categories: “ability to strive for new encounters,” “ability to try to interact socially with others,” “ability to choose compatible people,” “ability to continuously maintain good relationships,” “ability to take action suitable to a situation,” and “ability to build positive relationships with parents-in-law.” Cognitive aspects of assessing and understanding the interactions that occur during exchanges and behavioral aspects guided by these cognitions were identified within these skills. This study contributed to providing a framework to understand mothers’ interpersonal relationship-building skills for public health nurses involved in child-rearing support.


2011 ◽  
Vol 23 (6) ◽  
pp. 421-427 ◽  
Author(s):  
Nancy P. Hanrahan ◽  
Donna Rolin-Kenny ◽  
June Roman ◽  
Aparna Kumar ◽  
Linda Aiken ◽  
...  

People with a serious mental illness (SMI) along with HIV have complex health conditions. This population also has high rates of poverty, difficulty in sustaining regular housing, and limited supportive networks. Typically, the combination of psychotropic and HIV medication regimens is complicated, changes frequently, and requires coordination among multiple providers. Furthermore, fragmented and divided primary health care and mental health care systems present substantial barriers for these individuals and for the public health nurses who care for them. In this article, we present “real world” case studies of individuals with SMI and HIV and the self-care management strategies used by nurses to address medication and treatment management, build interpersonal skills, and develop sustainable health networks. The case studies can be used for quality improvement discussions among practicing public health nurses and for instructing nursing students in a self-care management approach.


2020 ◽  
Vol 40 (3) ◽  
pp. 151-161
Author(s):  
Mats Holmberg ◽  
Staffan Hammarbäck ◽  
Henrik Andersson

Patients with mental illness are exposed and experience themselves as not being taken seriously in emergency care. Registered nurses need to assess patients with mental illness from a holistic perspective comprising both a physical and an existential dimension. The aim of the study was to describe registered nurses’ (RNs) experiences of assessing patients with mental illness in emergency care. Twenty-eight RNs in prehospital and in-hospital emergency care were individually interviewed. The interviews were analysed descriptively. The design followed the COREQ-checklist. One main theme ‘A conditional patient assessment’ and two themes; ‘A challenged professional role’ and ‘A limited openness for the patient’, comprising in turn four sub-themes emerged. Although the RNs showed willingness to understand the mental illness aspects of their patients, they were insufficient in their assessments. This implies the importance of developing emergency care RNs’ competence, knowledge and self-confidence in assessments and care of patients with mental illness.


2020 ◽  
Vol 8 (6) ◽  
pp. 240-246
Author(s):  
Sinead Dunne ◽  
Anne Fallon

Support is identified as a key factor in the promotion and duration of breastfeeding. This descriptive qualitative study sought to explore public health nurses' experiences of supporting women to breastfeed in Irish community settings. Semi-structured interviews were conducted using a qualitative descriptive methodology. Braun and Clarke's six-phase thematic analysis was used to analyse the data. Following data analysis, three major themes emerged, which included: ‘To give them the best support’; ‘We need the help and support as well’; and ‘We've only a certain amount of time’. The findings reveal that public health nurses seek to provide the best support to breastfeeding women within the constraints of clinical practice. Although public health nurses perceive that they have internal and external sources of support, more is needed to enable them provide the best care for breastfeeding women in Ireland.


2018 ◽  
Vol 2 (3) ◽  
Author(s):  
Chiyori Haga

In Japan, according to the “Law to Support Persons with Developmental Disabilities” and the project “Healthy Parents and Children 21 (Second Phase),” every prefecture, city, and town needs to identify children affected by developmental disorders and provide support to these children and their parents as early as possible. Public health nurses (PHNs) are responsible for the early detection of cases and complete a diverse range of tasks relating to screening and supporting procedures. The number of children who are waiting to receive specialized medical care in institutions is increasing. Furthermore, the demands for expert personnel such as child psychiatrists, child psychologists, occupational therapists, as well as the establishment of more specialized institutions, are escalating. Various professionals encounter many challenges in identifying children affected by developmental disabilities and in providing effective treatments. Rehabilitative care for children with developmental disorders may be applied to developmental support as for other normal children. It is necessary to promote the skills of professionals relating to maternal and child care. Hence, this study aimed to identify the difficulties experienced by PHNs in providing early care to children with developmental disorders, and to examine ways to improve their performance in the future


BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Yaser Moradi ◽  
Rahim Baghaei ◽  
keyvan Hosseingholipour ◽  
Farzin Mollazadeh

Abstract Background The exponential spread of COVID-19 has caused a huge threat to public health worldwide. Providing care for patients with COVID-19 is a stressful experience for ICU nurses, which can affect their protective reactions. The present study was conducted to explore the protective reactions of ICU nurses providing care for patients with COVID-19. Methods This qualitative descriptive study was conducted to discover the protective reactions of nurses providing care for patients with COVID-19. A total of 14 ICU nurses were selected by purposive sampling. Data were collected using individual semi-structured face-to-face interviews. All interviews were recorded, and then codes and themes were extracted using content analysis method. Finding Seventeen subcategories, six categories and two themes were extracted from the analysis of data. These themes include “Unbalanced self-protective reactions” and “Responsible self-protective reactions”. Conclusion During the COVID-19 epidemic and crisis, ICU nurses exhibit different self-protective reactions when providing care for patients with COVID-19, which include unbalanced and responsible reactions. Nursing managers can mitigate these unbalanced reactions by identifying them and their roots. Identifying the protective reactions of ICU nurses in providing care for patients with COVID-19 could assist in developing the necessary interventions to promote positive reactions and reduce unbalanced reactions by finding their root causes.


Author(s):  
Hiromi Kawasaki ◽  
Mika Takeuchi ◽  
Md Moshiur Rahman ◽  
Kotomi Yamashita

Abstract Objective: The purpose of this study was to investigate the perceptions of residents who are knowledgeable about the schools used as shelters. Methods: The target group was comprised of teachers and guardians of children enrolled in 4 schools, which were selected in the vicinity of District B, which was severely damaged by heavy rain in 2014. A qualitative descriptive study design was used. Results: The number of surveys collected was 1702 (collection rate 62.2%). A total of 1017 clauses were entered, and 85 codes were generated for 7 categories. The guardians and teachers believed that there was a discrepancy between shelter capacity and the real situation; citing a lack of information, and ill preparedness of the schools for disasters as some of the problems. Based on the knowledge and experiences from previous disasters, they responded that there was inadequate management, and evacuees faced difficulty living comfortably in the shelters. Conclusion: In order to use school facilities during any disaster, it is important for residents to recognize the need to solve problems, and to work with local governments to support improvements. This realization reveals a sense of ownership of emergency shelters and prevents confusion among residents. Also, this will help people to prepare for disasters and prevent disruption during evacuation.


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