The Role of Attachment Styles and Spiritual Intelligence in Predicting Women’s Emotional Divorce

Background: Emotional divorce refers to a situation in which the emotional relationship, support, passion, warmth, attention, love, and intimacy between couples (husband & wife) decline or diminish. Such conditions lead to an unaffectionate marital life to the point that the couples are only together under one roof. Accordingly, the present study aimed to explore the role of attachment styles and spiritual intelligence in predicting emotional divorce in women. Methods: This study employed a descriptive-correlational design. The research population included all women filing for divorce who were referred to marriage counseling and couple therapy centers in districts 5 and 6 in Tehran City, Iran, in 2020. In total, 400 women who met the inclusion criteria were selected as the study participants using voluntary response and convenience sampling techniques. The required data were collected by the Emotional Divorce Scale, the Adult Attachment Scale, and the Self-Report Measure of Spiritual Intelligence. The collected data were analyzed using the multiple regression analysis method in SPSS V. 22. Results: The obtained results suggested a significant positive relationship between the anxious-avoidant attachment style and emotional divorce (P<0.01). Furthermore, there was a significant negative relationship between spiritual intelligence and emotional divorce; the higher the spiritual intelligence, the lower the emotional divorce (P=0.02). Accordingly, spiritual intelligence and anxious-avoidant attachment style can predict emotional divorce (Multiple Regressions= -0.58). Conclusion: The present study data suggested that premarital education and counseling before spouse selection help in examining the personality traits of the parties. Moreover, paying attention to the role of health professionals, such as family counselors, psychologists, and psychiatric nurses in providing premarital counseling and education to couples and emphasizing the role of spiritual intelligence and attachment styles may prevent emotional separation and divorce among couples.

Validity and reliability of Psychiatric Nurse Self-Efficacy Scales: cross-sectional study

ObjectivesTo develop the Psychiatric Nurse Self-Efficacy Scales, and to examine their reliability and validity.DesignWe developed the Improved Self-Efficacy Scale (ISES) and Decreased Self-Efficacy Scale (DSES) using existing evidence. Statistical analysis was conducted on the data to test reliability and validity.SettingThe study’s setting was psychiatric facilities in three prefectures in Japan.ParticipantsData from 514 valid responses were extracted of the 786 responses by psychiatric nurses.Outcome measuresThe study measured the reliability and validity of the scales.ResultsThe ISES has two factors (‘Positive changes in the patient’ and ‘Prospect of continuing in psychiatric nursing’) and the DSES has three (‘Devaluation of own role as a psychiatric nurse’, ‘Decrease in nursing ability due to overload’ and ‘Difficulty in seeing any results in psychiatric nursing’). With regard to scale reliability, the Cronbach’s alpha coefficient was 0.634–0.845. With regard to scale validity, as the factorial validity of the ISES and DSES, for the ISES, χ2/df (110.625/37) ratio=2.990 (p<0.001), goodness-of-fit index (GFI)=0.962, adjusted GFI (AGFI)=0.932, comparative fit index (CFI)=0.967 and root mean square error of approximation (RMSEA)=0.062; for the DSES, χ2/df (101.982/37) ratio=2.756 (p<0.001), GFI=0.966, AGFI=0.940, CFI=0.943, RMSEA=0.059 and Akaike Information Criterion=159.982. The concurrent validity of the General Self-Efficacy Scale was r=0.149–0.446 (p<0.01) for ISES and r=−0.154 to −0.462 (p<0.01) for DSES, and the concurrent validity of the Stress Reaction Scale was r=−0.128 to 0.168 for ISES, r=0.214–0.398 for DSES (p<0.01).Statistical analyses showed the scales to be reliable and valid measures.ConclusionsThe ISES and DSES can accurately assess psychiatric nurses’ self-efficacy. Using these scales, it is possible to formulate programmes for improving psychiatric nurses’ feelings of self-efficacy.

Stres Kerja Perawat Psikiatri di Ruang Rawat Inap Rumah Sakit Jiwa

Psychiatric nursing is considered one of the most stressful jobs in the world. 1 to 3 medical workers in the department of psychiatry have been reported to have higher fatigue levels than medical workers in other departments. This study aimed to determine the level of work stress of psychiatric nurses in the Mental Hospital. This type of research is descriptive. The sampling technique used purposive sampling of as many as 83 nurses from 12 inpatient rooms at the Aceh Mental Hospital with the criteria of implementing nurses, marital status, D3, and S1 education, nurses on duty, and willing to be respondents in this study. The instrument used to measure work stress is The Workplace Stress Scale which contains 8 statement items with 5 Likert scales. The results showed that the majority of respondents were in the category of severe stress (32.5%) followed by moderate stress (28.9%), potentially dangerous (24.1%), and mild stress (14.5%). Work stress on psychiatric nurses in the Aceh Mental Hospital inpatient room is in the category of severe stress. It is recommended that the hospital increase cooperation between nurses and other health workers and clarify the duties of nurses to reduce work stress on psychiatric nurses.

Early Treatment Change in Perpetrators of Sexual Versus Non-Sexual Violence

The purpose of this study is to assess treatment change at both a group and individual level in a sample of 81 Dutch male patients who received mandated care for either violent (non-sexual) behavior or sexual violent behavior. Psychiatric nurses rated patients’ social skills, insight, hostility, physical violence with the BEST-Index every 6 months over the course of 2 years after patients were admitted to hospital. Mixed analysis of covariances and the reliable change index indicated that patients, irrespective of offense type, showed treatment change over time with exception of physical violence. This study shows that general treatment may be useful in the first 18 month for risk factors common to different types of offenses, but that specialized treatment is needed to establish further change.

Frontline Response to High Impact Domestic Violence in Finland

Finland is committed to the Council of Europe Convention on preventing and combatting violence against women and domestic violence (Istanbul Convention). The Convention entered into force in Finland on August 1st 2015. The Current Government Programme of the Prime Minister also includes several initiatives to better combat domestic violence. In 2020, 10,800 incidents of domestic violence and intimate partner violence offences were reported to the authorities. The number of reported offences decreased by 1,2 per cent from 2019. Among all the adult victims of domestic violence and intimate partner violence, 75.2 per cent were women, whereas 78.1 per cent of suspects were men. In 2020, there were in total 29 shelters for victims of domestic violence in Finland. There are several NGOs supporting victims of domestic violence and providing perpetrator programmes in Finland. When discussing the good practices of cooperation, ‘Anchor’ ('Ankkuri') teams shall be mentioned. 'Anchor' teams are multi-agency teams working in several police departments in Finland. These teams often consist of police officers, social workers, and psychiatric nurses. The Anchor model supports the well-being of children and adolescents and prevents juvenile crime and violent radicalisation.

Experiences of advanced psychiatric nurses regarding the need for prescriptive authority in KwaZulu-Natal

Background: Nurse prescribing has become a global and transformational practice to ensure the achieving of optimal health outcomes, including advanced psychiatric nurses. Despite the transformational practice globally, South Africa seems to lag behind because nurses do not have permission to prescribe medication.Aim: To describe the experiences of advanced psychiatric nurses regarding the need to prescribe medication treatment in KwaZulu-Natal.Setting: The study took place in three mental healthcare institutions in KwaZulu-Natal in inpatient units.Method: The qualitative, descriptive design was used to collect the experiences of advanced psychiatric nurses in KwaZulu-Natal regarding the need for prescriptive authority. Six focus group interviews were conducted to gather information. The seven steps of Colaizzi’s method were used to analyze the data.Results: The study found two primary themes and two sub-themes. The findings highlighted the necessity for advanced psychiatric nurse role recognition and prescribing. Insufficient use of skilled psychiatric nurses caused delays in addressing mental health patients in emergencies.Conclusion: The two themes, prescribing role of advanced psychiatric nurses and role recognition, revealed that granting advanced psychiatric nurses’ autonomy to prescribe remained a challenge. Advanced psychiatric nurses are expected to provide high-quality care, but they are limited in their abilities. Because advanced psychiatric nurses are not used to prescribe in KwaZulu-Natal, they rely on psychiatrists to manage psychotic patients.Contribution: The evaluation of policies and procedures that guide advanced psychiatric nurses in prescribing psychotropic medications.

Developing Best Practice Guidance for Discharge Planning Using the RAND/UCLA Appropriateness Method

Background: Discharge from acute mental health inpatient units is often a vulnerable period for patients. Multiple professionals and agencies are involved and processes and procedures are not standardized, often resulting in communication delays and co-ordination failures. Early and appropriate discharge planning and standardization of procedures could make inpatient care safer.Aim: To inform the development of a multi-component best practice guidance for discharge planning (including the 6 component SAFER patient flow bundle) to support safer patient transition from mental health hospitals to the community.Methods: Using the RAND/UCLA Appropriateness method, a panel of 10 professional stakeholders (psychiatrists, psychiatric nurses, clinical psychologists, pharmacists, academics, and policy makers) rated evidence-based statements. Six hundred and sixty-eight statements corresponding to 10 potential components of discharge planning best practice were rated on a 9-point integer scale for clarity, appropriateness and feasibility (median ≥ 7–9) using an online questionnaire then remote online face-to-face meetings.Results: Five of the six “SAFER” patient flow bundle components were appropriate and feasible for inpatient mental health. One component, “Early Flow,” was rated inappropriate as mental health settings require more flexibility. Overall, 285 statements were rated as appropriate and feasible. Forty-four statements were considered appropriate but not feasible to implement.Discussion: This consensus study has identified components of a best practice guidance/intervention for discharge planning for UK mental health settings. Although some components describe processes that already happen in everyday clinical interactions (i.e., review by a senior clinician), standardizing such processes could have important safety benefits alongside a tailored and timely approach to post-discharge care.

Nurses’ experiences of the causes of their lack of interest in working in psychiatric wards: a qualitative study

Background The shortage of psychiatric nurses is a major healthcare challenge. Lack of interest (LOI) contributes to the shortage of psychiatric nurses. Nonetheless, there are limited studies in this area. The present study was conducted to explore nurses’ experiences of the causes of their LOI in working in psychiatric wards. Methods This qualitative study was conducted in 2016–2019 using the content analysis approach. Participants were 27 nurses purposively recruited with maximum variation from the psychiatric wards of three referral hospitals in Iran. Data were collected via unstructured interviews and were concurrently analyzed using the conventional content analysis approach recommended by Graneheim and Lundman. Results The causes of participants’ LOI in working in psychiatric wards were grouped into three main categories, namely inadequate professional skills for psychiatric care practice, negative public attitude towards psychiatric nurses, and concerns over patients. Conclusion This study suggests that the causes of nurses’ LOI in working in psychiatric wards are not only personal, but also social and organizational. Findings help managers and authorities develop strategies to increase psychiatric nurses’ interest in working in psychiatric wards through improving their work conditions and professional knowledge and skills.