Spirituality Meanings Reported by Southeast Brazilian Nursing Staff at the Psychiatric Ward of a University General Hospital: a Clinical-qualitative Study

2017 ◽  
Author(s):  
Egberto Ribeiro Turato
Keyword(s):  
Qualitative Study ◽  
General Hospital ◽  
Nursing Staff ◽  
Psychiatric Ward

Spirituality meanings reported by Southeast Brazilian nursing staff at the psychiatric ward of a university general hospital: A clinical-qualitative study

2017 ◽  
Vol 41 (S1) ◽  
pp. S519-S519
Author(s):  
G. Lavorato-Neto ◽  
L. Rodrigues ◽  
E. Turato ◽  
C.J.G. Campos
Keyword(s):  
General Hospital ◽  
Nursing Staff ◽  
Psychiatric Ward ◽  
Clinical Settings ◽  
Living Together ◽  
Generic Qualitative ◽  
Competing Interest ◽  
Spiritual Counseling ◽  
Internal Balance ◽  
Nursing Professionals

IntroductionDespites nursing holistic trends for caring, in psychiatric wards of general hospitals the spiritual dimension remains controversy. Evidence shows spirituality rule in recovering and also alerts about complications associated to mental disorders and spirituality.AimTo describe spirituality meanings attributed by a psychiatric nursing team and discuss how they apply them on professional cares.MethodClinical-qualitative design is a particularization of generic qualitative strategies brought from humanities to approach symbolic research questions in clinical settings. A semi-directed interview with open-ended question, in-depth, was carried out with a team of 22 nursing professionals in the psychiatric ward of a general hospital in Southeast Brazil. Data analysis was driven under the Ricoeur understanding of Freudian symbolic meaning, which affirm that a statement revels multiple meanings overwritten.ResultsSpirituality is developed from several sources of restlessness and living together. The function of spirituality is to help fulfill social roles, keep internal balance and to maintain sacred practice attitudes towards life that brings symbolic salvation: help or redemption to hard life times. Nature of mental illness remains as spiritual stigma and a suspicion contradictorily to spiritual approach caring to patients in inpatients services, which is described, as inappropriate or confusable.ConclusionsEven spirituality meanings are covered by symbolism, which expresses human attitudes to help in life crises they are surrounded by contradictions that situate this dimension in the limit of reason, which approximates carriers and patients causing weirdness. Nursing staff still needs training to deliver holistic care, and spiritual counseling to gain clarity in this issue.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Observations of the observed: a study of inpatients' perceptions of being observed

1996 ◽  
Vol 13 (2) ◽  
pp. 59-61 ◽  
Author(s):  
SR Moorhead ◽  
M Langenbach ◽  
J Kennedy ◽  
CM Hodgson ◽  
P Ruiz ◽  
...  
Keyword(s):  
General Hospital ◽  
Psychiatric Hospital ◽  
Nursing Staff ◽  
District General Hospital ◽  
Psychiatric Ward ◽  
Vulnerable Group ◽  
Chi Square

AbstractObjective: Examination of the process of therapeutic observation, as performed by nursing staff on acute assessment wards, from the perspective of adult inpatients.Method: One week after admission, patients were asked to complete a questionnaire, enquiring whether they had noticed their observation, and the extent to which they found it intrusive. Diagnoses were categorised by ICD–9, from the case-notes. Chi-square was used to analyse the results.Results: Fifty six per cent of patients perceived changes in the intensity of their observation. Psychotic patients were significantly more likely than the rest (p = 0.016) to feel that they were observed too closely, despite not being uncomfortable with this. There was a trend for patients in the traditional psychiatric hospital to feel more discomfort than those on a psychiatric ward in the district general hospital (p = 0.12).Conclusion: Respect for privacy and dignity may notentirely be attainable for the most vulnerable group of psychotic patients. Opportunities may exist to improve matters with the closure of asylums and attention to ward layout and design.

A Clinical Study of Violence in Patients Referred on a Form I to a General Hospital Psychiatric Unit

1988 ◽  
Vol 33 (8) ◽  
pp. 711-715 ◽  
Author(s):  
A.J. Cooper
Keyword(s):  
Emergency Department ◽  
Mental Illness ◽  
Clinical Study ◽  
Hospital Stay ◽  
General Hospital ◽  
Alcohol Misuse ◽  
Psychiatric Ward ◽  
Violent Behaviour ◽  
Initial Management ◽  
Retrospective Examination

A retrospective examination of all patients referred by the emergency department of a medium sized general hospital for a mandated Form I psychiatric assessment during a 12 month period was conducted. The principal aim was an analysis of the clinical phenomena and especially the antecedents and course of violent behaviour (following admission and throughout the hospital stay) which in the majority of cases was the reason for the referral. Thirty percent had behaved violently prior to admission but within 24 hours all had settled and during the remainder of their hospital stay were indistinguishable from the generality of the ward population (for example, non-violent). Two-thirds of the patients were non-psychotic; that is, not suffering from a major mental illness; nevertheless, they required a disproportionate amount of time and effort in initial management. A high proportion had several prior admissions to the psychiatric ward, particularly for alcohol misuse and/or a personality disorder.

Psychogeriatric Care in the General Hospital*

1981 ◽  
Vol 26 (5) ◽  
pp. 334-336 ◽  
Author(s):  
Joel Sadavoy
Keyword(s):  
General Hospital ◽  
Psychiatric Care ◽  
Treatment Approach ◽  
The Elderly ◽  
Term Therapy ◽  
Psychiatric Ward ◽  
Short Term ◽  
General Hospitals ◽  
Organic Brain

This study examines treatment outcome in 52 psychogeriatric patients to help determine the role of the general hospital in psychiatric care of the elderly. The author reviewed the charts of all patients 65 years of age and over admitted to the psychiatric ward from 1974 to 1978. Approximately 80% of this group showed symptom remission. Treatment failures correlated closely with the presence of major organic brain syndrome. Despite an average age of 73.4 years and a high proportion of widowed patients only 10 patients needed new placements on discharge. The author discusses the reluctance of general hospitals to treat the psychogeriatric patient despite the high success rate, the merits of such an active treatment approach and the effect of short-term therapy programs on the treatment of this group.

scholarly journals Difficulties and motivations for physical exercise in women older than 65 years. A qualitative study

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Yolanda López-Benavente ◽  
José Arnau-Sánchez ◽  
Tania Ros-Sánchez ◽  
Mª Beatriz Lidón-Cerezuela ◽  
Araceli Serrano-Noguera ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Qualitative Study ◽  
Physical Exercise ◽  
Qualitative Analysis ◽  
Focus Groups ◽  
Nursing Staff ◽  
Family Environment ◽  
Phenomenological Theory ◽  
The Other ◽  
Depth Interviews

ABSTRACT Objective: to identify difficulties and motivations for the practice of physical exercise in women older than 65 years. Method: qualitative study based on the phenomenological theory, with focus groups and in-depth interviews. The nursing staff selected 15 women by intentional sampling using the following criteria: age, time dedicated to physical exercise, independence, and absence of cognitive impairment and contraindication for this activity. Two focus groups were formed (one of them did physical exercise for less than 150 minutes per week and the other at least 150 minutes per week) in addition to conducting five in-depth interviews. Qualitative analysis of the data was performed through transcription, coding, categorization, and verification of results. Results: the difficulties to start and develop physical exercise were circumscribed to the perception of poor health and lack of free time; both circumstances result from care obligation, being represented as a gender imposition. However, the motivations are related to perception of strength, need for socialization, and perception of autonomy and freedom. Conclusions: the ideological representation of gender determines the women’s decision to exercise. Knowing the meaning and significance that women give to health and their role in the socio-family environment allows nurses to develop relationships and interventions to encourage the practice of physical exercise.

scholarly journals Perspectives of cardiac care unit nursing staff about developing hospice services in iran for terminally ill cardiovascular patients: A qualitative study

2015 ◽  
Vol 21 (1) ◽  
pp. 56 ◽  
Author(s):  
MirHossein Aghaei ◽  
Saber Azami-Aghdash ◽  
Morteza Ghojazadeh ◽  
Mohammad Naghavi-Behzad ◽  
Shahin Imani
Keyword(s):  
Qualitative Study ◽  
Nursing Staff ◽  
Terminally Ill ◽  
Cardiac Care ◽  
Cardiovascular Patients ◽  
Cardiac Care Unit

scholarly journals Meanings attributed by nursing staff about permanent education in cardiovascular institution

Rev Rene ◽  
2016 ◽  
Vol 17 (1) ◽  
pp. 93 ◽  
Author(s):  
Cintia Koerich ◽  
Alacoque Lorenzini Erdmann
Keyword(s):  
Qualitative Study ◽  
Health Services ◽  
Nursing Care ◽  
Nursing Staff ◽  
Management Practice ◽  
Staff Education ◽  
Professional Qualification ◽  
Daily Work ◽  
Managerial Training ◽  
Nursing Professionals

Objective: to understand the meanings attributed by the nursing staff to permanent educational practices in a reference cardiovascular hospital. Methods: this is a qualitative study, which used the Grounded Theory in Data for collecting and analyzing data. The sample consisted of 22 nursing professionals. Results: the study presents two categories that highlight the need for further clarification of the nursing staff about the concept of permanent education in health, as well as reinforce the permanent education of nurses as a management practice which needs to be incorporated into other assignments in daily work. Conclusion: it is admitted the need to work the concepts of permanent education in health even in professional qualification, as well as place greater emphasis on managerial training of nurses, so they acquire the power to take their assignment as a nursing care manager and the nursing staff education contribute to the necessary changes in the health services.

Audit of new long-stay patients in a district general hospital

1994 ◽  
Vol 11 (1) ◽  
pp. 42-43 ◽  
Author(s):  
Mathew Kurian ◽  
Shobha George ◽  
Clive G Ballard ◽  
Ramalingam NC Mohan ◽  
Stuart Cumella
Keyword(s):  
General Hospital ◽  
Antisocial Behaviour ◽  
District General Hospital ◽  
Primary Diagnosis ◽  
Psychiatric Ward ◽  
Psychiatric Unit ◽  
Prolonged Stay ◽  
Diagnosis Of Dementia ◽  
Rehabilitation Facilities ◽  
Discharge From Hospital

AbstractObjective: To describe the characteristics of “new” long-stay patients in a district general hospital psychiatric unit. Method: A “new” long-stay patient was defined as a patient aged 18 or more who on the census date had been in a district general hospital psychiatric ward for longer than six months but less than six years. There was no upper age limit but patients with a primary diagnosis of dementia were excluded from the study. Information about each patient was obtained from medical and nursing cases notes. Patients were interviewed by one interviewer to determine their views on discharge from hospital. All the members of the multi-disciplinary team were interviewed by one interviewer to obtain their judgements about future accommodation needs of the patients. Results: “New” long-stay patients are typically single in their mid-forties with no supportive relatives. Most have a primary diagnosis of schizophrenia. They have a long psychiatric history and the majority had been in hospital between 6 months and three years. The principle reasons for prolonged stay were persistence of active psychotic symptomatology, schizophrenic defect state, poor social skills and antisocial behaviour. Conclusion: A group of “new” long-stay patients have accumulated in Wolverhampton district general hospital psychiatric unit, despite modern methods of treatment and the availability of a good range of rehabilitation facilities. They are a diverse group including patients with a severe schizophrenic disorders, affective disorders, personality disorders and organic disorders. Ideally, if these patients are to be placed in the community, rather than remaining as inpatients, then placement would need to be in specialised facilities like hospital hostels.

Staff confidence, morale and attitudes in a specialist unit for general hospital patients with dementia and delirium-a qualitative study

2014 ◽  
Vol 29 (12) ◽  
pp. 1315-1317 ◽  
Author(s):  
Karen Spencer ◽  
Pippa E. R. Foster ◽  
Kathy H. Whittamore ◽  
Sarah E. Goldberg ◽  
Rowan H. Harwood
Keyword(s):  
Qualitative Study ◽  
General Hospital ◽  
Hospital Patients
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