scholarly journals Developing Communication Book for Schizophrenia in Aceh: Prospects and Challenges

2021 ◽  
Vol 5 (1) ◽  
pp. 76
Author(s):  
Maya Khairani ◽  
Rizanna Rosemary ◽  
Risana Rachmatan ◽  
Lely Safrina
Keyword(s):  
Mental Health ◽  
Patient Discharge ◽  
Recovery Process ◽  
Specific Information ◽  
Post Discharge ◽  
Group Discussions ◽  
Community Based ◽  
Mental Health Nurses ◽  
Health Practitioners ◽  
The Family

he lack of media information about Schizophrenia in Aceh explains caregivers’ limited understanding of mental disorders. Research on patient discharge systems found that communication media about Schizophrenia were still limited, mostly in the form of posters, flyers, or booklets. There was no specific information about the mental illness needed by the family or caregivers after the patient's discharged from the hospital. This study aims to develop and test a communication medium that can support the recovery process of post-discharge patients from the Mental Health Hospital or Rumah Sakit Jiwa (RSJ) in Aceh. This action research was carried out through focus group discussions (FGDs), interviews, and surveys to health practitioners (mental health nurses, psychiatrists, psychologists, community leaders) and family or caregivers of Patients with Schizophrenia (PWS). The study found that messages about Schizophrenia which are developed through a community-based approach are likely to be better accepted than the expert-led information.

Mental health nurses in non‐uniform: Facilitator of recovery process?

2020 ◽  
Vol 27 (5) ◽  
pp. 509-520
Author(s):  
Lok Yan Chu ◽  
Tin Wai Chang ◽  
Tsz Yuet Dai ◽  
Lok Hui ◽  
Hei Tung Ip ◽  
...  
Keyword(s):  
Mental Health ◽  
Recovery Process ◽  
Mental Health Nurses

Mental Health Nurses' Beliefs About Interventions for Schizophrenia and Depression: A Comparison with Psychiatrists and the Public

2000 ◽  
Vol 34 (4) ◽  
pp. 602-611 ◽  
Author(s):  
Tanya M. Caldwell ◽  
Anthony F. Jorm
Keyword(s):  
Mental Health ◽  
Belief Systems ◽  
Postal Survey ◽  
Mental Health Practitioners ◽  
Work Setting ◽  
Tertiary Sector ◽  
Mental Health Nurses ◽  
Factors Affecting ◽  
The Public ◽  
Health Practitioners

Objective: The main objective of this paper was to investigate and compare mental health nurses' beliefs about interventions for schizophrenia and depression with those of psychiatrists and the public. Factors affecting nurses' beliefs were also investigated. Method: This research used methods employed in previous surveys of professional and public beliefs. A postal survey of 673 Australian mental health nurses was carried out. The survey was comprised of a vignette describing a person with either depression or schizophrenia. Participants rated whether particular medical, psychological and lifestyle interventions were helpful, harmful or neither. Factors examined included: nurses' age, sex, degree of contact with similar problems, work setting, level of highest qualification and whether their education was hospital-based or completed within the tertiary sector. Results: The nurses agreed with psychiatrists (but not the public) about the interventions most likely to be helpful, such as antidepressants for depression and antipsychotic medication for schizophrenia. However, there were many differences between nurses, psychiatrists and the public. Nurses were more likely than psychiatrists to believe that certain non-standard interventions such as vitamins, minerals and visiting a naturopath would be helpful. Nurses' beliefs tended to form a bridge between the attitudes of psychiatrists and the public for some of these non-standard interventions. Age, work setting and qualifications were related to nurses' intervention beliefs. Conclusions: Mental health practitioners need to be aware of a range of beliefs within mental health services. The acknowledgement of differing belief systems is important for high quality, integrated care.

scholarly journals Perceptions of Lady Health Workers and their trainers about their curriculum for implementing the interventions identified for Essential Package of Health Services for Pakistan

2021 ◽  
Vol 37 (5) ◽  
Author(s):  
Shaherzad Sohail ◽  
Gohar Wajid ◽  
Saima Chaudhry
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Health Workers ◽  
Neonatal Resuscitation ◽  
Health Issues ◽  
Focus Group Discussions ◽  
Community Based Interventions ◽  
Group Discussions ◽  
Community Based ◽  
The Government

Background and Objectives: Lady Health Workers (LHWs) form the central cadre of community-based health workers in Pakistan. They must be trained well for implementing community-based interventions identified for Essential Package of Health Services (EPHS) by the government of Pakistan. This study aims to explore the perceptions of LHWs and their trainers about their existing curriculum and identifies gaps in the curriculum for effective implementation of the interventions identified in EPHS. Methods: In this qualitative study, perceptions of 45 LHWs were taken through focus group discussions and their six trainers were interviewed as well. In addition, three experts analyzed the LHWs training curriculum to identify its relevance with achieving the community-based interventions as described in the EPHS by the government of Pakistan. Results: Thematic analysis of the information gathered by the interviews of trainers and focus group discussions from LHWs, was performed. Most participants were satisfied with their curriculum but suggested the addition of topics on emerging health issues, neonatal resuscitation, mental health and rehabilitation. Participants felt a deficiency in practical skills, communication skills and leadership skills. Experts identified gap in the current LHWs curriculum to address the recently identified community-based interventions. Conclusions: The current curriculum of LHWs need reforms to make it compatible with Essential Package of Health Services for Pakistan. The suggested areas for improvement include knowledge of emerging health issues, neonatal resuscitation, adolescent problems, mental health and rehabilitative services. doi: https://doi.org/10.12669/pjms.37.5.4175 How to cite this:Sohail S, Wajid G, Chaudhry S. Perceptions of Lady Health Workers and their trainers about their curriculum for implementing the interventions identified for Essential Package of Health Services for Pakistan. Pak J Med Sci. 2021;37(5):---------.  doi: https://doi.org/10.12669/pjms.37.5.4175 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals Recovery from ‘schizophrenia’: Perspectives of mental health nurses in the Eastern island of Indonesia

2021 ◽  
Author(s):  
Fandro Armando Tasijawa ◽  
Suryani Suryani ◽  
Titin Sutini ◽  
Sinthia Rosanti Maelissa
Keyword(s):  
Mental Health ◽  
Community Health ◽  
Community Health Centers ◽  
Nurse Managers ◽  
Recovery Process ◽  
Health Centers ◽  
Mental Health Nurses ◽  
New Vision ◽  
Colaizzi's Method ◽  
Mental Health Programs

Background: Recovery is a way of life to make people’s lives more meaningful by working and interacting socially in the community. The recovery has become a new vision of mental health services, including in persons with schizophrenia. However, this concept is relatively new and still limited to nurses in developing countries, such as Indonesia. Several studies among nurses related to this topic have been conducted in the Western part of Indonesia. Yet, no studies have been implemented in the Eastern part of Indonesia. Therefore, exploring nurses’ perspectives in the Eastern island of Indonesia is necessary to provide a complete understanding of recovery in patients with schizophrenia.Objective: To explore the perspectives of mental health nurses on recovery from schizophrenia. Methods: This was a qualitative study using a phenomenological design. The study was conducted from April to May 2020 at community health centers in Maluku, Indonesia. Eight nurses recruited using purposive sampling participated in in-depth interviews. The interviews were audio-recorded, transcribed verbatim, validated, and analyzed based on Colaizzi’s method of data analysis.Results: Five themes were generated, including (i) treat a patient like a brother, (ii) recovery as an unfamiliar term with various meanings, (iii) medication as the primary action but also the main problem, (iv) being recovered if referred to a mental hospital, and (v) ineffective mental health programs.Conclusion: The findings of this study can be used as an input and evaluation for nurse managers to make an effort to uniform the perception among nurses in Indonesia regarding the recovery process in schizophrenia. It is also suggested that community health centers leaders and mental health policymakers prioritize and optimize recovery-oriented mental health programs and services in the Eastern island of Indonesia. Additionally, the findings offer new insight about ‘we are brothers’ or called ‘hidop orang basudara’, which is expected to be one motto for nursing care in Indonesia and beyond.

scholarly journals The architecture of the primary mental healthcare system for older people in India: what public policies tell us

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Tom Kafczyk ◽  
Kerstin Hämel
Keyword(s):  
Mental Health ◽  
Older People ◽  
Old Age ◽  
Healthcare System ◽  
General Health ◽  
Older Persons ◽  
Mental Healthcare ◽  
Community Based ◽  
The Family ◽  
Policy Fields

Abstract Background Old age mental healthcare is an issue that cuts across old age, general health, and mental healthcare policies. While strengthening the primary mental healthcare system in India is a common strategy across policy fields to improve the mental health of older persons, very little is known about the system’s planned architecture. This study explores public policy strategies for and approaches to the mental health of older persons, focusing on the primary healthcare (PHC) level and the role of the family. Methods A document analysis of 39 key public national policy documents (2007 – 2019) from three thematically grouped policy fields (mental health, old age, and general health) was conducted. Results Comprehensive community-based primary mental healthcare – focusing on vulnerable population groups including older persons – has been strengthened significantly since 2007. The promulgated approaches and strategies build on traditional community-based approaches to mental healthcare in India. They focus on (a) integrating community health workers into primary mental healthcare, (b) empowering the community to participate in healthcare planning, implementation, and monitoring, (c) supporting the family through a family-led approach to mental healthcare, and (d) integrating traditional Ayurveda, Yoga and Naturopathy, Unani, Siddha, Sowa-Rigpa and Homeopathy (AYUSH) services into primary mental healthcare. Conclusions While all policy fields address mental PHC, they do so in different ways, and approaches and strategies that promote an integrated perspective across policy fields are lacking. To realize the policies vision, strengthening PHC will be essential. Further research should evaluate strategies and approaches in light of social developments, such as eroding family norms and the poor state of the public health system in India, in order to assess their opportunities, challenges, and overall feasibility, with the benefits older people would experience taking centre stage in these inquiries.

scholarly journals BURDEN OF FAMILY CAREGIVER

2016 ◽  
Vol 2 (1) ◽  
pp. 10-18 ◽  
Author(s):  
Faida Annisa
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Family Caregivers ◽  
Health Care Providers ◽  
Nursing Care ◽  
Family Caregiver ◽  
Negative Consequences ◽  
Care Providers ◽  
Community Based ◽  
The Family

Shifting from hospital-based care to community-based care involves the family as advanced caregivers to the patients with Schizophrenia at their home. Yet, they have need of knowledge and skill in caring the patients as well as support from health care providers and society. Family caregivers should be well-prepared to take care the patients with Schizophrenia at home since it gets some negative consequences on their physical, psychological, social, and financial. Nurse need to assess the factors that might influence the family caregivers to felling burden, and include the family caregivers into nursing care in which would not only to improve the patients’ mental health but the family caregivers as well.

Abstract 16853: Going Beyond Patient Satisfaction: Unmet Psychosocial Needs Following Coronary Revascularization

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Matthew Manierre ◽  
Daniel J Elliott ◽  
Claudine T Jurkovitz ◽  
William S Weintraub ◽  
Steven S Martin
Keyword(s):  
Patient Satisfaction ◽  
Coronary Revascularization ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Patient Discharge ◽  
Recovery Process ◽  
Coronary Intervention ◽  
Psychosocial Needs ◽  
Post Discharge ◽  
Discharge Care

Background: Hospitals routinely employ measures of patient satisfaction to understand if patient needs are being met, but they rarely look beyond patient discharge and general satisfaction. This study’s objective was to assess both satisfaction and problems that may be faced by patients after discharge from a large east coast hospital following percutaneous coronary intervention or coronary artery bypass graft. Methods: Permission was gained from almost all patients to be contacted by phone after discharge. University researchers called them 90 days after discharge to gauge both their satisfaction with post-discharge care and any problems they may have experienced. Results: A total of 365 patients accepted to participate for a response rate of 42.1%. Surveys were administered on average 134 days after discharge (SD=22.7). While the three measures of patient satisfaction used found that 95% of the patients were satisfied or very satisfied with post discharge care, many patients still reported substantial difficulties since they were discharged. In particular, 28% had problems feeling depressed or stressed, 21% reported having difficulty paying for healthcare related expenses, and 32% had difficulty keeping up with diet or exercise plans. Open ended probes expanded on the first two problems. In the case of depression and stress, many respondents struggled to acclimate to reduced autonomy and mobility. Some of these patients described substantial social strain induced by feelings of isolation and inability to meet caregiving duties for other ill family members. Financial strains were often serious, sometimes resulting in struggles with the stress of debt collectors, being unable to afford medications, and missing bills. Even more important is the finding that, in spite of the widespread prevalence of these three problems, only 53% of respondents with these problems ever reported them to someone at the hospital or the post discharge care team, and only 58% of those reported being helped. Conclusion: These results suggest that a high number of potentially fixable issues may be going unassisted. Even patients expressing high satisfaction are still frequently subject to a wide array of psychosocial stressors that can influence the recovery process.

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