scholarly journals Nurses' Knowledge and Skills to Manage Patients with Psychological Distress in Emergency Departments

2020 ◽  
Vol 14 (1) ◽  
pp. 49-55
Author(s):  
Ahmad N. AlShibi ◽  
Ayman M. Hamdan-Mansour
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Emergency Departments ◽  
Signs And Symptoms ◽  
Previous Experience ◽  
Convenience Sample ◽  
Knowledge And Skills ◽  
Level Of Knowledge ◽  
High Level ◽  
Nurses Knowledge

Background: Identifying and managing patients with psychological distress is a challenge to nurses at emergency departments at hospitals not specialized in psychiatric mental health. This requires that nurses must be equipped with knowledge and skills to fulfill patients’ needs. Objectives: The purpose of this study is to identify the knowledge and skills of nurses to manage patients with psychological distress in emergency departments. Methods: A convenience sample of 307 registered nurses working at emergency departments completed and returned a package of surveys regarding knowledge and skills to manage patients with psychological distress in emergency departments. Results: Although nurses were found to have a high level of knowledge about managing psychological distress, their level of skills was lower. Nurses were found to encounter difficulty in identifying signs and symptoms of patients with psychological distress at emergency departments. A significant and positive correlation was found between nurses’ knowledge and skills (r =.68, p < .001). Statistical and significant differences were found in the knowledge of nursesin relation to their previous experience of receiving training and courses in managing psychological distress (p < .05). Conclusion: Nurses need to improve the level of knowledge in order toidentify the psychological and physical signs and symptoms of psychological distress, as well as to be equipped with skills that make them capable tof providing proper care and meeting patients’ needs with psychological distress at emergency departments.

PHILOSOPHY OF THE UNITY OF KNOWLEDGE, COMPETENCIES, AND VALUES OF THE NEW UKRAINIAN SCHOOL

2021 ◽  
pp. 36-46
Author(s):  
Oksana Yakymchuk
Keyword(s):  
Real Life ◽  
Essential Characteristic ◽  
Knowledge And Skills ◽  
Pedagogical Action ◽  
Professional Self ◽  
Level Of Knowledge ◽  
Knowledge Competencies ◽  
High Level ◽  
Unity Of Knowledge ◽  
Educational Potential

The formation of a powerful, active, and dynamic axiological foundation of personality is one of the essential tasks of the competency approach because even a high level of knowledge and skills acquired in the process of learning and education cannot ensure the integrity and progressively oriented unity of personal and professional competencies for future successful life, socio-cultural and professional self-realization. Given this, within the competence paradigm of education, qualitatively new content is the unity of learning and education. If before a significant amount of theoretical knowledge, detached from real life, had a shallow educational potential, now any pedagogical action, even focused on the cognitive assimilation of basic scientific knowledge, will have a worldview. An essential characteristic of the competency approach in education is that it can ensure each student’s unique structure the unity of knowledge, competencies, and values.

scholarly journals Trends in referrals to liaison psychiatry teams from UK emergency departments for patients over 65

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S311-S312
Author(s):  
Sarah Bradbury ◽  
George Crowther ◽  
Manimegalai Chinnasamy ◽  
Laura Shaw ◽  
Sara Ormerod ◽  
...  
Keyword(s):  
Mental Health ◽  
Older People ◽  
Emergency Departments ◽  
Community Mental Health Services ◽  
Service Evaluation ◽  
Liaison Psychiatry ◽  
Convenience Sample ◽  
National Priority ◽  
Health Related ◽  
The Uk

AimsThe number of people over the age of 65 attending Emergency Departments (ED) in the United Kingdom (UK) is increasing. Those who attend with a mental health related problem may be referred to liaison psychiatry for assessment. Improving responsiveness and integration of liaison psychiatry in general hospital settings is a national priority. To do this psychiatry teams must be adequately resourced and organised. However, it is unknown how trends in the number of referrals of older people to liaison psychiatry teams by EDs are changing, making this difficult.MethodWe performed a national multi-centre retrospective service evaluation, analysing existing psychiatry referral data from EDs of people over 65. Sites were selected from a convenience sample of older peoples liaison psychiatry departments. Departments from all regions of the UK were invited to participate via the RCPsych liaison and older peoples faculty email distribution lists. From departments who returned data, we combined the date and described trends in the number and rate of referrals over a 7 year period.ResultReferral data from up to 28 EDs across England and Scotland over a 7 year period were analysed (n = 18828 referrals). There is a general trend towards increasing numbers of older people referred to liaison psychiatry year on year. Rates rose year on year from 1.4 referrals per 1000 ED attenders (>65 years) in 2011 to 4.5 in 2019 . There is inter and intra site variability in referral numbers per 1000 ED attendances between different departments, ranging from 0.1 - 24.3.ConclusionTo plan an effective healthcare system we need to understand the population it serves, and have appropriate structures and processes within it. The overarching message of this study is clear; older peoples mental health emergencies presenting in ED are common and appear to be increasingly so. Without appropriate investment either in EDs or community mental health services, this is unlikely to improve.The data also suggest very variable inter-departmental referral rates. It is not possible to establish why rates from one department to another are so different, or whether outcomes for the population they serve are better or worse. The data does however highlight the importance of asking further questions about why the departments are different, and what impact that has on the patients they serve.

Nurses' knowledge and attitude towards COVID-19 in the context of the acute health care settings in Jordan

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sajidah Alhwamdih ◽  
Hamzeh Y. Abunab ◽  
Abdullah Ahmad Algunmeeyn ◽  
Imad Alfayoumi ◽  
Sana Hawamdeh
Keyword(s):  
Health Care ◽  
Acute Care ◽  
Health Care Facilities ◽  
Content Type ◽  
Increased Risk ◽  
Level Of Knowledge ◽  
Acute Care Settings ◽  
Knowledge And Attitude ◽  
High Level ◽  
Nurses Knowledge

Purpose Nurses are at the front line in facing the COVID-19 outbreak and are at increased risk of becoming infected and might be the source of transmission in health-care facilities and the community. The purpose of this study is to assess the knowledge and attitude toward COVID1-19 among nurses in acute care settings in Jordan. This is expected to help with the global initiative to combat the COVID-19 epidemic. Design/methodology/approach A cross-sectional design was used to survey nurses' knowledge and attitude of COVID-19 among Jordanian nurses working in acute care settings. Findings The grand mean of knowledge items response was 8.94, implying that respondents possessed a high level of knowledge. The overall attitude score was positive for the participants, with a mean score of 5.93. Moreover, the results showed a significant relationship between knowledge and attitude scores. Originality/value The findings suggest that nurses in Jordan showed a high level of knowledge and a positive attitude toward COVID-19 during the outbreak's rapid rise period. This study showed specific aspects of knowledge and attitudes that should be focused on in future awareness and educational programs to promote all preventive and safety measures of COVID-19.

scholarly journals Protecting the front line: a cross-sectional survey analysis of the occupational factors contributing to healthcare workers’ infection and psychological distress during the COVID-19 pandemic in the USA

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e042752 ◽  
Author(s):  
Tsion Firew ◽  
Ellen D Sano ◽  
Jonathan W Lee ◽  
Stefan Flores ◽  
Kendrick Lang ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Healthcare Workers ◽  
Anxiety Symptoms ◽  
Front Line ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Burn Out ◽  
The Usa

ObjectiveThe COVID-19 pandemic has been associated with significant occupational stressors and challenges for front-line healthcare workers (HCWs), including COVID-19 exposure risk. Our study sought to assess factors contributing to HCW infection and psychological distress during the COVID-19 pandemic in the USA.DesignWe conducted a cross sectional survey of HCWs (physicians, nurses, emergency medical technicians (EMTs), non-clinical staff) during May 2020. Participants completed a 42-item survey assessing disease transmission risk (clinical role, work environment, availability of personal protective equipment) and mental health (anxiety, depression and burn-out).SettingThe questionnaire was disseminated over various social media platforms. 3083 respondents from 48 states, the District of Columbia and US territories accessed the survey.ParticipantsUsing a convenience sample of HCWs who worked during the pandemic, 3083 respondents accessed the survey and 2040 participants completed at least 80% of the survey.Primary outcomePrevalence of self-reported COVID-19 infection, in addition to burn-out, depression and anxiety symptoms.ResultsParticipants were largely from the Northeast and Southern USA, with attending physicians (31.12%), nurses (26.80%), EMTs (13.04%) with emergency medicine department (38.30%) being the most common department and specialty represented. Twenty-nine per cent of respondents met the criteria for being a probable case due to reported COVID-19 symptoms or a positive test. HCWs in the emergency department (31.64%) were more likely to contract COVID-19 compared with HCWs in the ICU (23.17%) and inpatient settings (25.53%). HCWs that contracted COVID-19 also reported higher levels of depressive symptoms (mean diff.=0.31; 95% CI 0.16 to 0.47), anxiety symptoms (mean diff.=0.34; 95% CI 0.17 to 0.52) and burn-out (mean diff.=0.54; 95% CI 0.36 to 0.71).ConclusionHCWs have experienced significant physical and psychological risk while working during the COVID-19 pandemic. These findings highlight the urgent need for increased support for provider physical and mental health well-being.

scholarly journals Prevalence of impairing behavioral health problems in ED patients and association with ED utilization.

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Setarah Mohammad Nader ◽  
Paul Musey Jr., MD, MS, FACEP
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
Behavioral Health ◽  
Emergency Departments ◽  
Mental Health Problems ◽  
Severe Depression ◽  
Health Problems ◽  
Screening Tools ◽  
Convenience Sample ◽  
Severe Anxiety

Background and Hypothesis: It has been observed that patients with poor mental health are relatively frequent users of the Emergency Departments (ED). The objective of this study is to evaluate the prevalence of numerous behavioral health domains (depression, anxiety, PTSD, substance abuse, and suicidality) in patients presenting to the Emergency Department and the association of each of these domains with ED utilization. Experimental Design or Project Methods: This prospective study seeks to enroll a convenience sample of 1000 Englishspeaking adults presenting to IU Health Methodist and Eskenazi Emergency Departments without psychiatric chief-complaints. Patients were assessed for behavioral health problems using the CAT-MHTM, PHQ-8 and GAD-7 screening tools, which were administered via tablet device. Additionally, data on disposition medical history, discharge diagnoses, and ED utilization in the 12 months before and after enrollment from electronic medical records and data from the Indiana Network for Patient Care (INPC) will be reviewed. Results: Over the course of five weeks, 375 patients have been enrolled. Of those 59.4% were female with an overall mean age of 46.1 (SD ± 16.4); 52.9% were white and 39.8% black/African American. Among enrollees 42.2% screened positive for depression, 29.7% for anxiety, and 1.3% for suicidal ideation. Patients who screened positive for depression were predominately females (76.1% vs 23.9%), those who screened positive for anxiety were also predominately females (71.6% vs. 28.4%). However, 3 out of the 5 (60%) patients that screened positive for suicidal ideation were males. The preliminary analysis of GAD-7 showed of those enrolled 215 (57.5%) had no anxiety, 157 (42%) had mild-severe anxiety. PHQ-8 scores showed 194 (51.9%) had no depression, 178 (47.5%) had mild-severe depression. Similarly, CAT-MH results showed 216 (57.8%) had no depression, 158 (42.2%) had mild-severe depression, while 263 (70.3%) had no anxiety and 111 (29.7%) had mild-severe anxiety. Full data analysis including comparative analysis of the CAT-MH with PHQ-8 and GAD-7 scores will take place after 1000 patients have been enrolled and data has been received from the INPC. Conclusion and Potential Impact: In our sample, almost half of patients that visit the ED have screened positive for mental health problems. We believe that early identification and appropriate referral may reduce inappropriate ED utilization.

scholarly journals Nurses’ knowledge of heart failure self-management education principles

2021 ◽  
Vol 9 (8) ◽  
pp. 2506
Author(s):  
Mohammad A. Abu Sa'aleek ◽  
Bader T. Al zawahra
Keyword(s):  
Heart Failure ◽  
Self Management ◽  
Level Of Education ◽  
The Usa ◽  
Level Of Knowledge ◽  
Care Practices ◽  
High Level ◽  
Educating Nurses ◽  
Nurses Knowledge

Heart failure is considered as a chronic disease and the management of such condition is complex and challenging. Nurses play a significant role in managing heart failure by enhancing self-care practices among patients. This paper aims to evaluate evidence from the literature regarding nurses level of knowledge about the educational principles in heart failure. The nine selected studies included a total number of 1181 patients. These studies were conducted in the USA and Europe from 2002 until 2019.the uniqueness of those selected studies that all the authors use the same instrument titled “nurses knowledge of heart failure education principles”. The results revealed that there was an inconsistency in the level of knowledge among nurses in hospital-based, ambulatory, primary care or home care settings. More randomized studies are needed to solve this discrepancy. The level of knowledge ranged from (60.4-79.85%). Six topics have been identified as areas of weakness in which education is needed. Educating nurses in different settings is the gold stander to raise their level of knowledge which in turn will be in a better position to provide a high level of education for patients in order to alleviate their suffering, improve the quality of life and reduce the frequent hospitalization.

scholarly journals Survey on the Level of Knowledge and Skills of Project Managers in Regional Development

2016 ◽  
Vol 64 (4) ◽  
pp. 1325-1335 ◽  
Author(s):  
Martina Kopečková ◽  
Pavel Máchal
Keyword(s):  
Czech Republic ◽  
Regional Development ◽  
Project Managers ◽  
The Czech Republic ◽  
Knowledge And Skills ◽  
Investment Projects ◽  
Level Of Knowledge ◽  
Scope Management ◽  
High Level ◽  
The Given

The level of knowledge and skills of project managers in the field of regional development shows a high level of differentiation, which has an impact on management of (non)investment projects in the given region. For effective addressing problems of regional development is crucial that projects will be processed, handled and managed at a professional level. The paper aims to confirm or disprove the given hypothesis and to identify the knowledge areas affected by the ignorance the most. For this purpose the survey on the level of knowledge and skills of project managers in regional development in NUTS III region in the Czech Republic was conducted. The survey results has allowed identifying the level of knowledge and skills of project managers in regional development in project management knowledge areas and thereby has enabled to identify the knowledge areas affected by the ignorance the most. Among these knowledge areas belong mainly Risk management, Scope management and Quality management. The results have also enabled to present the level of differentiation of the level of knowledge and skills of project managers from the mean and to compare findings in the particular NUTS III region of the Czech Republic among each other. The findings show a high level of differentiation of the knowledge and skills of project managers.

scholarly journals Mental Health Nurses' Knowledge and Views on Talking Therapies in Clinical Practice

2021 ◽  
Author(s):  
◽  
Geertrui Wilhelmina Dent
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Nursing Practice ◽  
Evidence Based ◽  
Mental Health Nursing ◽  
Mental Health Nurses ◽  
Knowledge And Skills ◽  
Therapy Training ◽  
Health Nursing ◽  
Nurses Knowledge

<p>Nurses consider that their training, knowledge and skills in evidence-based talking therapy models are essential for competent mental health nursing practice. Using a qualitative descriptive research design this study explored nurses' knowledge and views on their talking therapy training and skills in practice. The study examined the use of talking therapies, or specialised interpersonal processes, embodied within the Te Ao Maramatanga: New Zealand College of Mental Health Nurses Inc (2004) Standards of Practice for Mental Health Nurses in New Zealand. A survey questionnaire was sent to 227 registered nurses from a District Health Board (DHB) Mental Health Service and a sample of eight nurses participated in a semi-structured interview. Content analysis based on the headings " knowledge views, skill acquisition and skill transfer" established the major themes from the data collection processes. The findings of this study confirmed that nurses believe their knowledge and skills in evidence-based talking therapies to be vitally important in mental health nursing practice. Nurses identified that talking therapy training courses needed to be clinically relevant and that some learning strategies were advantageous. The identification of some knowledge gaps for, nurses with limited post graduate experience, and for nurses who currently work in inpatient areas suggests that further consideration must be given to ensure that a cohesive, sustainable approach is ensured for progression of workforce development projects relevant to training in talking therapies for mental health nurses in New Zealand.</p>

scholarly journals MODELLING SUPPORT SYSTEMS FOR SELECTING PROFESSIONS FOR APPLICANTS IN THE CONTENT OF PERSONALIZATION OF EDUCATION

2020 ◽  
Vol 2 ◽  
pp. 83-97
Author(s):  
Huseyn Gasimov
Keyword(s):  
Neural Networks ◽  
Fuzzy Logic ◽  
Initial Level ◽  
Knowledge And Skills ◽  
Individual Approach ◽  
Input Layer ◽  
Level Of Knowledge ◽  
The Individual ◽  
High Level ◽  
Education Process

Various methods are currently being used in examining the initial “START” knowledge of applicants and their placement for specialties. Studies show that applicants are placed on the decreasing principle in terms of their overall scores at universities. In this case, applicants with a high level of knowledge are placed in the prestigious specialties as medicine and law as they require high results. Though, while applying for other professions, the applicants do not perform enough results on the key disciplines for the profession, they are placed in those professions when the general results enable it. This causes them to face a number of problems while working both in education process and in the industry. To avoid this problem and to place applicants in a specialty that is more relevant to their level of knowledge, the introduction of an individual approach to the evaluation of initial level of knowledge may be more promising. This article presents a modeling of the "evaluation – placement" support system for the individual approach to assessing applicants' knowledge and positioning them in relevant specialties. The main goal of the system is to give each applicant the opportunity to choose and study the specialty that is more relevant to their knowledge and skills, as well as to analyze the results for each discipline along with the overall results. The system is implemented using fuzzy logic based artificial neural networks. The network consists of 100 neurons in the input layer, two hidden layers and one output layer. The number of neurons at the output is the same as the number of specialties taught at university.

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