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

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.

Author(s):  
Jessica Gloria Mogi ◽  
Gustaaf A. E. Ratag

Background: The Indonesian government recognizes the importance of mental health issues as indicated by the inclusion of such issues as indicators in the national program, the Healthy Indonesian Program with Family Approach (PIS-PK). This program is enforced in community health centers (puskesmas) in every regency in the country. However, the continually increasing number of mental disorder cases and the intense stigmatization of people with these disorders indicate the need to re-evaluate the capacity and delivery of designated centers’ mental health programs.Methods: This community survey involved interviewing the program directors of four community health centers in north Minahasa using the WHO-AIMS 2.2 questionnaire.Results: Very little effort has been made to improve mental health facilities and programs. Examples of aspects of health facilities that are lacking include training for health workers, the provision of psychotropic drugs, and supported employment or occupational rehabilitation.Conclusions: Community health centers are primary healthcare facilities for society. Therefore, mental health services should be implemented as one of their main programs.


2018 ◽  
Vol 32 (8) ◽  
pp. 287
Author(s):  
Arif Rahman ◽  
Carla Raymondalexas Marchira ◽  
Ibrahim Rahmat

Role and motivation of mental health nurse in “restraint free” program: a case study from MataramPurposeThis study aimed to describe the mental health nurse’s role and motivation of the implementation of a ‘restraint free’ program (program bebas pasung) at community health centers, Mataram, West Nusa Tenggara.MethodsThis was a qualitative research with case study design. The subjects were ten nurses of mental health programs, three persons from families of sufferers, two employees of community health service and one person who was a former sufferer of a mental disorder. Data collection used focus group discussions (FDG), in-depth interviews and observations. ResultsThe nurses had been carrying out their role as executors of nursing care policy, as the direct nursing caregivers, and were giving the nursing to sufferers and their families as well as continuing therapy for sufferers, and as educators also educated the family. Mental health information provided guidance to intern students doing mapping of cases of mental disorders and empowering the sufferer. The form of the work involves motivation of nurses while working conditions were a factor that cannot support nurses for giving the nursing care to suffers and family. ConclusionNurses have been implementing a ‘restraint free’ program. however, it has not been always well received in the working conditions experienced. So, it is recommended that mental health nurses be given help and support partners or stakeholders to enhance preventive efforts, in their promotive, curative and rehabilitative programmes. 


2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Habsyah Saparidah Agustina ◽  
Suryani S ◽  
Efri Widianti

At present, Mental health issue becomes one of the main issues in public health issues in community health centers such as the complexity of the issues in the work of nurses in charge of mental health programs. The purpose of this study was to explore the nurse’s life experience as a person in charge of mental health programs in community health centers. The research design used descriptive phenomenology. The study population was nurses responsible for mental health programs in community health centers, experienced in taking care of people with mental disorders for at least six months, and at least had a Diploma in nursing.  The number of participants was determined by purposive sampling technique to obtain seven participants. The experiences of nurses were explored through in-depth interviews, and data were analyzed using the Colaizzi method of analysis. Study results found five themes: (1) feeling burdened by the responsibility for mental health programs; (2) feeling insecure due to the lack of knowledge; (3) feeling there were many barriers and constraints in caring for people with mental illness during the recovery period; (4) hoping to collaborate with relevant government institutions; and (5) being more grateful for caring for people with mental illness.  In conclusion, nurses are responsible for mental health programs even though they feel burdened with their workload, but they can still do their jobs because they always have hope and are grateful. The nurses are trained nurses and can collaborate with relevant government institutions.


2006 ◽  
Vol 96 (10) ◽  
pp. 1779-1784 ◽  
Author(s):  
Benjamin G. Druss ◽  
Thomas Bornemann ◽  
Yvonne W. Fry-Johnson ◽  
Harriet G. McCombs ◽  
Robert M. Politzer ◽  
...  

2020 ◽  
Vol 112 (5) ◽  
pp. S41-S42
Author(s):  
Shawn Smith ◽  
Kristen Everett ◽  
Yolanda Lewis-Ragland ◽  
Theiline Gborkorquellie ◽  
Faith Kelley ◽  
...  

2020 ◽  
Vol 110 (S2) ◽  
pp. S225-S231
Author(s):  
Katherine L. Nelson

Objectives. To describe partnerships between US local health departments (LHDs) and community organizations and assess the relationship between the types of activities performed in these partnerships and LHD engagement in population-based activities to prevent mental health conditions. Methods. Data were derived from 457 LHDs that responded to module 1 of the 2016 Profile Study conducted by the National Association of County and City Health Officials. These data were used to assess the presence of partnerships with community organizations and examine associations between the types of activities performed in such partnerships and LHDs’ participation in population-based activities to prevent mental health conditions. Results. LHDs had higher odds of participating in population-based activities to prevent mental health conditions if they shared personnel or resources or had written agreements with mental health or substance use disorder providers, held regularly scheduled meetings with hospitals, or shared personnel or resources with community health centers. Odds were reduced if they exchanged information with community health centers or shared personnel or resources with faith-based organizations. Conclusions. This study offers an improved understanding of how the types of activities performed in cross-sector partnerships affect LHDs’ participation in population-based activities to prevent mental health conditions, which is important as public policies, programs, and funding initiatives continue to encourage cross-sector partnership building.


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