Nurses Perceptions regarding Current Skills in Minimizing Patient Aggression at a selected Psychiatric hospital in Lesotho

Background: Meta-analysis of international literature indicate high frequencies of aggression in a mental health setting. Several studies indicate that among professional health workers, nurses are more likely than other staff members to experience aggressive incidences from patients. Furthermore, based on cause, nurses apply a range of interventions in managing aggression, however, despite the perceived value of their intervention in managing aggression, no single intervention is sufficient for handling aggressive patients to stay in control in wards. Despite high priority placed on patient aggression management, insufficient research studies have been conducted on nurses perceptions regarding current skills in minimizing patient aggression. Objectives: The purpose of the study was to describe nurses perceptions regarding current assessment skills in minimizing patient aggression at a selected Psychiatric hospital. Methodology: Non-experimental, exploratory, descriptive research design was used to guide the research process. An all-inclusive sampling method was used with 119 nurses as respondents. Data was collected by means of a questionnaire, analyzed using SPSS version 25. Descriptive statistics procedure was used to present the findings of the study. Results: A minority of respondents, (n=27) 22.7% agreed that their current assessment skills for minimizing patients aggression were good compared to the majority of respondents, (n=92) 77.3%, who expressed a different opinion. This suggests that there are limited current assessment skills in identifying high-risk aggressive patients in a selected Psychiatric hospital. Conclusion: The findings of the study indicate that there are limited current assessment skills in minimizing patients aggression at selected Psychiatric hospital. Therefore, there is a need to provide comprehensive information on nurses current skills in minimizing patients aggression to obtain richer information.

Understanding the Occupational Burnout Experience of Medical Specialists at the Time of Education and Career Launch: A Case Study of the Sechenov First Moscow State Medical University Students and Residents of the Alekseev Psychiatric Hospital N1

BACKGROUND: Occupational burnout in the most general terms is seen as a long-lasting stressful situation resulting from continuing occupational stress of moderate intensity. AIM: The objective of this article is to provide analysis of occupational burnout in psychiatrists and nurses of psychiatric hospitals, and the development of occupational burnout in students and residents. MATERIALS AND METHODS: The level of occupational burnout was determined using the “Attitude to work and occupational burnout” test, Seashore Group Cohesion Index, Stolin’s Self-Concept Questionnaire, and the Freiburg Multidimensional Personality Questionnaire (Freiburg Personality Inventory). The study proved the existence of patterns of occupational burnout in psychiatrists and nurses of psychiatric hospitals, as well as in students and residents. RESULTS: It has been revealed that the development of the burnout syndrome is influenced by personal qualities of psychiatrists and nurses (residents and students), and the managerial features of their activities, and that occupational burnout develops in psychiatrists and nurses over the course of their professional careers, but starts to emerge during their education. The score of the Integrative Burnout Index ranges from 48.99 in students of the [BLINDED] University to 23.52 in psychiatrists of the Alekseev Psychiatric Hospital N1. Occupational burnout syndrome is spread in medical students worldwide, with its level higher than in the overall population, in students of other specialties. CONCLUSIONS: Burnout at the stage of getting the education can hinder the professional development of students, expose patients to risk, and promote the development of various personality problems in future psychiatrists and nurses. The need of preventing professional burnout at the stage of obtaining a specialty has been substantiated.

Opinion and perception of attitudes related to smoking and its prohibition in mental health services

Introduction: The opinions and perceptions about smoking in the psychiatric population contribute to the fact that its prevalence in this population remains two or three times higher than that found in other groups.Aims: 1) To compare the opinions of the psychiatric population and general population regarding the smoking ban in mental health services, as well as their perception of mental health professionals’ attitudes in relation to smoking; 2) To identify the association between personal and clinical variables with opinions and perception of attitudes.Methods: This Brazilian cross-sectional epidemiological study took place in: Mental Health Outpatient Unit (n=126), Psychiatric Hospital (n=126) and Primary Health Unit (n=126). Individual interviews were performed using a questionnaire.Results: Most participants believe that smoking ban may aggravate psychiatric symptoms. When comparing the responses of the psychiatric population with those of the general population, it is observed that the two groups have similar opinions regarding the effects of tobacco on psychiatric symptoms and behaviors. The population hospitalized in the psychiatric hospital was the one that most agreed with the perception of the attitudes of professionals working in mental health services towards smoking, possibly due to situations experienced in the psychiatric hospital. Among the personal and clinical variables, the illiterate or those who studied up to primary/junior high school were the ones who most agreed that the smoking ban aggravates psychiatric symptoms.Conclusions: This study contribute to the practice of psychiatric nursing by disclosing the opinions and perceptions of attitudes associated with smoking in mental health services. Introducción: Las opiniones y percepciones acerca del tabaquismo de la población psiquiátrica contribuyen a que su prevalencia, en esa población, sea de dos a tres veces superior a la encontrada en otros grupos.Objetivos: 1) Comparar las opiniones de la población psiquiátrica y de la población general en relación a la prohibición de fumar, en los servicios de salud mental, así como comparar la percepción que tienen de las actitudes de profesionales de salud mental, en relación al tabaquismo; 2) Identificar la asociación entre variables personales y clínicas con las opiniones y percepciones de las actitudes.Método: Este estudio epidemiológico brasileño de corte transversal fue realizado en Ambulatorio de Salud Mental (n=126), en Hospital psiquiátrico (n=126) y en Unidad Básica de Salud (n=126). Fueron realizadas entrevistas individuales usando un cuestionario.Resultados: La mayoría de los participantes cree que los síntomas psiquiátricos pueden agravarse con la prohibición de fumar. Al comparar las respuestas de la población psiquiátrica con la población general, se observó que los dos grupos tienen opiniones similares acerca de los efectos del tabaco en los síntomas psiquiátricos y en el comportamiento. La población internada en el hospital psiquiátrico fue la que más concordó con las afirmaciones relacionadas a las actitudes de los profesionales que trabajan en los servicios de salud mental, en relación al tabaquismo, posiblemente debido a las situaciones que experimentan en el hospital psiquiátrico. Entre las variables personales y clínicas, los analfabetos y los que estudiaron hasta la enseñanza fundamental fueron los que más concordaron que la prohibición de fumar puede agravar los síntomas psiquiátricos.Conclusión: Este estudio contribuye para la práctica de la enfermería psiquiátrica, al revelar las opiniones y percepciones de actitudes relacionadas al tabaquismo, en los servicios de salud mental. Introdução: As opiniões e percepções acerca do tabagismo da população psiquiátrica contribuem para sua prevalência, nessa população, ser duas a três vezes superior à encontrada em outros grupos.Objetivo: 1) Comparar as opiniões da população psiquiátrica e da população geral em relação à proibição do fumo nos serviços de saúde mental, bem como a percepção que elas têm das atitudes dos profissionais de saúde mental em relação ao tabagismo; 2) Identificar a associação entre variáveis pessoais e clínicas com as opiniões e percepção das atitudes.Método: Este estudo epidemiológico brasileiro de corte transversal foi realizado em: Ambulatório de Saúde Mental (n=126), Hospital psiquiátrico (n=126) e Unidade Básica de Saúde (n=126). Foram conduzidas entrevistas individuais usando questionário.Resultados: A maioria dos participantes acredita que os sintomas psiquiátricos podem ser agravados com a proibição do fumo. Ao comparar as respostas da população psiquiátrica com as da população geral, é observado que os dois grupos têm opiniões similares acerca dos efeitos do tabaco nos sintomas psiquiátricos e no comportamento. A população internada no hospital psiquiátrico foi a que mais concordou com as afirmativas relacionadas às atitudes dos profissionais que trabalham nos serviços de saúde mental em relação ao tabagismo, possivelmente devido às situações que experienciam no hospital psiquiátrico. Dentre as variáveis pessoais e clínicas, os analfabetos e os que estudaram até o ensino fundamental foram os que mais concordaram que a proibição do fumo pode agravar os sintomas psiquiátricos.Conclusão: Este estudo contribui para a prática da enfermagem psiquiátrica ao revelar as opiniões e percepções das atitudes relacionadas ao tabagismo nos serviços de saúde mental.

Penerimaan dan Kualitas Hidup Caregiver dengan Kekambuhan pada Pasien Rawat Jalan Skizofrenia

<p><strong>Abstract. </strong><em>Relapse is a state of recurrence and worsening symptom experienced by patient. Acceptance and quality of life of caregivers can affect their attitude toward patient and might be affecting the possibility of schizophrenia relapse</em>. <em>This study intended to seek the correlation between caregiver’s acceptance and quality of life with relapse of schizophrenia outpatient in Surakarta Regional Psychiatric Hospital that involved 35 caregivers with incidental sampling technique. The measurement used on this study are BPRS for assessing schizophrenia relapse (α = 0,908), Caregiver Acceptance Scale (α = 0,934), and Caregiver Quality of Life Scale (α = 0,960). This study used multiple linear regression analysis to analyze the output.</em> <em>Based on the data showed that the level of acceptance and quality of life perceived by caregivers didn’t affect the likelihood of relapse of schizophrenia outpatient in Surakarta Regional Psychiatric Hospital.</em></p><p><strong><em>Keywords: </em></strong><em>Acceptance, Caregiver, Schizophrenia Relapse, Quality of Life</em><strong></strong></p><p><strong>Abstrak.</strong><em> </em><em>Relapse </em>merupakan keadaan muncul kembali dan bertambah parah simptom yang dialami oleh pasien skizofrenia. Penerimaan dan kualitas hidup dari <em>caregiver </em>dapat mempengaruhi sikapnya dalam merawat pasien sehingga mungkin mempengaruhi kemungkinan terjadinya <em>relapse</em>. Penelitian ini bertujuan untuk mengetahui hubungan antara penerimaan dan kualitas hidup <em>caregiver</em> dengan <em>relapse </em>pada pasien rawat jalan skizofrenia di RSJ Daerah Surakarta yang melibatkan 35 <em>caregiver</em> dengan teknik <em>incidental sampling</em>. Instrumen yang digunakan adalah Skala <em>Relapse </em>Skizofrenia (α = 0,908), Skala Penerimaan <em>Caregiver </em>(α = 0,934), dan Skala Kualitas Hidup <em>Caregiver </em>(α = 0,960). Analisis data dalam penelitian ini menggunakan uji regresi linear berganda. Berdasarkan hasil data penelitian menunjukkan bahwa tingkatan penerimaan dan kualitas hidup dari <em>caregiver </em>tidak memiliki pengaruh terhadap munculnya <em>relapse </em>pada pasien rawat jalan skizofrenia di RSJ Daerah Surakarta.</p><strong>Kata Kunci: </strong><em>Caregiver</em>, Kualitas Hidup, Penerimaan,<em> Relapse </em>Skizofrenia

Szpital psychiatryczny jako przykład instytucji totalnej

The aim of this article is attempting to answer the question whether the psychiatric hospital can still be considered as a total institution. The concept of a psychiatric hospital as a total institution was formulated by Erving Goffman. In this type of facility, the personnel has full control over the patient, their time, private life, and mobility. However, a psychiatric hospital is also a special place. Is this type of hospital still a total institution? Is it not better now to call it a quasi-total institution?

Bringing Lived Lives to Swift’s Asylum: a psychiatric hospital perspective

Background: Few “interventions” around suicide and stigma have reached into psychiatric institutions. Lived Lives is a science-arts approach to addressing suicide and stigma, informed by a psychobiographical and visual arts autopsy. The resulting artworks and mediated exhibition ( Lived Lives), has facilitated dialogue, response and public action around stigma-reduction, consistent with a community intervention. Recent evidence from Lived Lives moved us to consider how it may situate within a psychiatric hospital. Methods: Lived Lives manifested in St. Patrick’s University Hospital (Ireland’s oldest and largest psychiatric hospital) in November 2017. A mixed-methods approach was used to evaluate the exhibition as a potential intervention to address stigma around suicide, with quantitative and qualitative data collected via written questionnaire and oral data collected via video documentation. Bereavement support was available. A Clinician and an artist also provided independent evaluation. Results: 86 participants engaged with the exhibition, with 68 completing questionnaire data. Audiences included service users, policy makers, health professionals, senior hospital administrators and members of the public. 62% of participants who completed questionnaires were suicide-bereaved; 46% had experienced a mental health difficulty, and 35% had been suicidal in the past. 91% thought Lived Lives could be of benefit in the aftermath of a suicide death. Half of participants thought Lived Lives could help reduce suicidal feelings, whereas 88% thought it could benefit those with Mental Health difficulties. The emotional response was of a visceral nature, including fear, anger, sadness, disgust and anxiety. Conclusions: Lived Lives sits comfortably in discomfort, unafraid to call out the home-truths about stigma and its pervasive and pernicious impact, and with restoring identity at its core. Lived Lives can operate within a psychiatric hospital, as well as in community. The challenge is to move it forward for greater exposure and impacts in at-risk communities.