scholarly journals Practice of Standard Safety Measures among Nursing Personnel at Tertiary Mental Health Institute, North-East, India

2021 ◽  
Vol 8 (6) ◽  
pp. 324-331
Author(s):  
Thangjam Langlen Devi ◽  
Arunjyoti Baruah
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Waste Disposal ◽  
Wound Dressing ◽  
Hand Washing ◽  
Nursing Personnel ◽  
Safety Measures ◽  
North East India ◽  
North East ◽  
Mental Health Institute

Background: Health care-associated infection (HAI) is a serious problem that deeply impacts patient safety and is a major cause of patient morbidity and mortality. Adherence to standard safety measures while performing procedures and related infection control measures is a part of nurses responsibility as it protects patients and health care workers from transmission of health-care associated infections. Assessing practice of standard safety measures while performing nursing procedures is immensely important so that necessary changes can be brought to enhanced quality nursing care. Methodology: The study adopted an observational descriptive research design. The setting of the study was the Tertiary Mental Health Institute, North-East, India. The sample of the study consisted of the thirty eight (38) nursing personnel who performed the total 150 procedures i.e. 30 times of each five domains (waste disposal, intramuscular injection, intravenous injection, hand-washing, aseptic wound dressing). Convenience sampling technique was used. Result: Finding showed that all the nursing personnel followed proper waste disposal practice but partially adhere to standard safety measures while administering intramuscular and intravenous injections. Whereas practice on standard safety measures while performing hand washing and aseptic wound dressing were less than average. Conclusion: The present study highlights the importance of in-service education on standard safety measures by incorporating new guidelines of nursing procedures based on evidence based practices. In-service education brought changes in the performance level as it is showed that the nursing personnel who had earlier received in-service education on Bio-medical waste management from the institute followed satisfactory waste disposal practice. Keywords: Standard safety measures, nursing personnel.

Jumping the Hurdles of Mental Health Care Wearing Cement Shoes: Where Does the Inpatient Psychiatric Nurse Fit in?

2003 ◽  
Vol 9 (4) ◽  
pp. 123-128 ◽  
Author(s):  
Will D. Benson ◽  
Leslie Briscoe
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Psychiatric Nursing ◽  
Nursing Personnel ◽  
Psychiatric Nurses ◽  
Psychiatric Nurse ◽  
Educational Backgrounds ◽  
Inpatient Nurses

Are inpatient psychiatric nurses stagnant in their practice? Delaney’s (2002) article on the topic might lead to the assumption that inpatient psychiatric nursing personnel have no foundation for practice. This article elaborates on the skills and knowledge that inpatient nurses have and the circumstances under which those skills are performed and knowledge applied. Although the ability to articulate a framework for practice varies, this is not equivalent to stagnation of practice or neglect of care. Based on their educational backgrounds, inpatient psychiatric nurses use various approaches and knowledge for care. Inpatient psychiatric nursing is relevant and dynamic.

scholarly journals The adequacy of health system measures in reducing vulnerability to COVID 19 among the health care providers working in primary health care in Rajasthan, India A Cross sectional Study

2020 ◽  
Author(s):  
Arup Kumar Das ◽  
Ambey Kumar Srivastava ◽  
Saswata Ghosh ◽  
Ruchi Bhargava ◽  
Rajan Kumar Gupt ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Providers ◽  
System Level ◽  
Care Providers ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
Safety Measures ◽  
Primary Level ◽  
Facility Level

Background This paper examines the role of individual, facility and system level preparedness in reducing the physiological and psychological vulnerability among primary-level health care providers (HCPs) of COVID19 pandemic in Rajasthan, India. Method and Material Online and telephonic interviews are conducted among 274 HCPs working in 24 PHCs (17 rural and 7 urban), across 13 districts of Rajasthan. Five dimensions of vulnerability covering awareness, exposure to infection (daily contact; contact with high risk individuals), physical and mental health conditions, while three aspects of preparedness at individual (personal care) and facility (provider safety; management and supervision) level are measured by employing factor analysis. Generalized ordered logit regression model is used to measure the effect of preparedness on COVID19 related vulnerability. Result: Among the 274 HCPs, majority of the staff are from rural PHCs (76 %), less than 35 years (87%), female (57%) and married (57 %). Almost half have high level exposure to COVID19, with mean contact rate is 90. Overall, 26% have comprehensive knowledge on COVID19, and 32% have any mental health issues. Although more than 70% of HCPs have reported more than one individual level preparedness, mental health measures adopted by the HCPs are comparably low. The facility level preparedness for enhancing safety are high such as social distance (79%) and maintaining record of each visitor (75%). However, management related measures adopted by the PHCs are perceived to be lower than the safety measures. The regression analyses suggest that safety related preparedness is significantly associated with reduction of vulnerability by 50%. The management-level preparedness has statistically no significant effect in explaining the variations in level of vulnerability. Conclusion: The facility-level safety measures, which lowers chances of acquiring infection has a positive effect on reducing vulnerability of COVID19. However, the HCPs do not have adequate preparedness at individual, facility management (PHC) and system level to reduce COVID19 vulnerability. Findings suggest that there is a need for a non-conventional approach of monitoring and supervision, in the absence of such measures there is a chance of moral injury that will make the HCPs at the primary level vulnerable to both physiologically and psychologically.

THE DEMISE OF THE ASYLUM IN LATE TWENTIETH-CENTURY BRITAIN: A PERSONAL HISTORY

2011 ◽  
Vol 21 ◽  
pp. 193-215 ◽  
Author(s):  
Barbara Taylor
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Twentieth Century ◽  
Mental Health Care ◽  
Personal Autonomy ◽  
Psychiatric Service ◽  
Healthcare Provision ◽  
North East ◽  
Late Twentieth ◽  
Late Twentieth Century

ABSTRACTMental health care in Britain was revolutionised in the late twentieth century, as a public asylum system dating back to the 1850s was replaced by a community-based psychiatric service. This paper examines this transformation through the lens of an individual asylum closure. In the late 1980s, I spent several months in Friern mental hospital in north-east London. Friern was the former Colney Hatch Asylum, one of the largest and most notorious of the great Victorian ‘museums of the mad’. It closed in 1993. The paper gives a detailed account of the hospital's closure, in tandem with my personal memories of life in Friern during its twilight days. Friern's demise occurred in an ideological climate increasingly hostile to welfare dependency. The transfer of mental health care from institution to community was accompanied by a new ‘recovery model’ for the mentally ill which emphasised economic independence and personal autonomy. Drawing on the Friern experience, the paper concludes by raising questions about the validity of this model and its implications for mental healthcare provision in twenty-first century Britain.

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