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Issues in Mental Health Nursing

Vered Ben-David, Melissa Jonson-Reid, Ron Tompkins
The aim of the present study was to examine the role of nurse's clinical judgment in the uptake of an evidence-based tool assessing postpartum depression, the Edinburgh Postpartum Depression Scale. Nurses in a home visitation program were being asked to regularly screen for postpartum depression. The screener was introduced as a new standard of practice for nurses. A qualitative investigation of the nurses' reactions in addition to an evidence-based screener was conducted. Prior to and during the implementation, several meetings were held with the nurses and the research team to discuss the nurses' experience with the tool...
August 3, 2017: Issues in Mental Health Nursing
Henry J Bladon
Mental health nursing occupies an important place in mental health care, and nurses perform valuable work, yet fiction writers tend to rely on outdated imagery to portray the profession. This imagery reinforces negative stereotypes of mental health nursing. This article examines the problem and explores the implications for the profession, particularly in relation to stigma and public confidence. It outlines a significant gap in narrative literature, specifically in relation to the therapeutic relationship, and asks what can be done to encourage more realistic portrayals of the role...
August 3, 2017: Issues in Mental Health Nursing
Barbara A Coles
No abstract text is available yet for this article.
August 2, 2017: Issues in Mental Health Nursing
Aude Paquet, Brigitte Plansont, Anaïs Labrunie, Dominique Malauzat, Murielle Girard
Many intercurrent factors may be involved in the modulation of the pain message and its expression, such as the previous experience of pain built along the life. In this study, we aimed to determine whether susceptibility to experimentally induced pain is differentially influenced by the individual previous painful experience in subjects with schizophrenia (SC) major depression (MD), and controls (C). METHODS: The SC (30), MD (32) and C (30) groups participated in experimental pain tests (application of pressure and induction of ischemia) after a semi-structured interview to make an inventory of the previous painful experiences, and the evaluation of anxiety either with autonomic (heart rate, blood pressure) or psychological (Hospital Anxiety Depression scale HAD) measures, and catastrophism...
August 2, 2017: Issues in Mental Health Nursing
Tatiana Longo Borges, Kelly Graziani Giacchero Vedana, Ellen Carolina Dias Castilho, Adriana Inocenti Miasso
There were no Brazilian studies regarding potential drug-drug interactions (DDIs) in primary health care (PHC) analysing common mental disorders (CMDs) and psychotropic medication. OBJECTIVES: To identify DDI prevalence in that setting; to classify DDI; to verify correlations with demographics, pharmacotherapeutics, psychotropic medication and CMDs. Among 430 patients interviewed 190 had more than two medications prescribed, 58.4% had DDI. Factors associated were age and number of medications...
August 2, 2017: Issues in Mental Health Nursing
Adam Searby, Phillip Maude, Ian McGrath
Dual diagnosis has been identified as a significant challenge to mental health services, resulting in higher rates of psychiatric relapse and greater illness severity. Much research explores dual diagnosis in the adult mental health cohort, however little research attention has been paid to older adults with dual diagnosis. Far from being a trivial issue, preliminary studies have shown that dual diagnosis in older adults is under diagnosed and poorly identified by clinicians with few specific treatment options available...
August 2, 2017: Issues in Mental Health Nursing
Pamela Recto, Jane Dimmitt Champion
According to the United States (U.S.) Census Bureau, Hispanics are the fastest growing ethnic minority in the U.S. As such, Hispanic females have the highest birth rate (35 per 1000) among adolescents between the ages of 15 and 19 years. Despite high fertility rates, there is limited mental health information among Hispanic adolescents during the perinatal period. Perinatal depression is a major concern as it poses health risks for both the mother and infant. Adverse outcomes such as preterm birth, low infant birth weight, and poor maternal-infant attachment may result from perinatal depression...
August 2, 2017: Issues in Mental Health Nursing
Kuniyoshi Nagai, Etsuko Kajita
When persons with mental disorders attempt to live independently in the community, they face situations where they must decide whether to disclose their disorder (i.e., "come out"), which will affect self-concept, self-stigma, and empowerment. We conducted a self-reported questionnaire among users of psychiatric daycare facilities (N = 150) to gather correlational data on these variables among others. Sixty-one percent had positive intentions to come out, which was influenced by affirmativeness and self-efficacy...
August 2, 2017: Issues in Mental Health Nursing
Kosuke Niitsu, Julia F Houfek, Cecilia R Barron, Scott F Stoltenberg, Kevin A Kupzyk, Michael J Rice
Although clinicians and researchers are interested in the phenomenon of resilience, there is no agreed-upon definition of resilience. Scientific evidence suggests that resilience is influenced by intrapersonal (e.g. personality traits) and environmental (e.g. social support) variables. A concept analysis was conducted to better understand the meaning of resilience. In this analysis, the antecedent of resilience was a potentially traumatic event; the defining attributes were ego-resiliency, emotion regulation, social support, and heredity; and the consequences were none to mild psychopathological symptoms and positive adaptation...
August 2, 2017: Issues in Mental Health Nursing
Brian Keogh, Ingela Skärsäter, Louise Doyle, Heikki Ellilä, Henrika Jormfeldt, Mari Lahti, Agnes Higgins, Oonagh Meade, Jan Sitvast, Theodore Stickley, Nina Kilkku
Family and informal caregivers provide a substantial amount of care and support to people who experience mental health problems. The aim of this study was to explore mental health nurses', students' and service users' perceptions of the knowledge, skills and attitudes that are required by mental health nurses to work with families and carers using a qualitative methodology. Three themes emerged from the data: Knowledge of the family and how mental distress affects the family; working with the family - support and education; and valuing the role of the family...
July 26, 2017: Issues in Mental Health Nursing
Neslihan Partlak Günüşen, Zekiye Çetinkaya Duman, Figen Şengün İnan, Sevecen Çelik İnce, Ayşe Sari, Burcu Aksoy
The aim of this qualitative study was to explore the factors that affect the choices of nursing students who chose a psychiatric nursing internship. The sample group of the study consisted of 13 students who listed psychiatric nursing as their first choice and 11 students who listed psychiatric nursing as their last choice. Four themes were determined: personal reasons, stigmatization, experiences related to psychiatric nursing, and perception of care. Providing activities in nursing education to reduce stigmatization and increasing the time allocated for psychiatric nursing theory and practice are recommended...
July 26, 2017: Issues in Mental Health Nursing
Francis Patrick Walsh, Pauline Meskell, Emer Burke, Maura Dowling
This longitudinal study describes the effects of recovery-based training on staff knowledge and attitudes to recovery. Mental health staff (n = 101) completed the study questionnaire (the Recovery Knowledge Inventory (RKI-20) and Recovery Attitudes' Questionnaire (RAQ-16)) before training and after six months. On the RKI, significant changes between pre- and post-training scores (p < 0.01) were found. On the RAQ, the scores showed significant changes in Factors 1 (p < 0.001) and 2 (p < 0.009). The results indicate a significant difference in confidence using a recovery model of care following training suggesting that recovery-based training positively affects staff knowledge and attitudes to recovery overall...
July 26, 2017: Issues in Mental Health Nursing
Krystal Hays
Studies report that African Americans are likely to experience severe, chronic, and disabling depressive symptoms leading to poor depression outcomes. There are several psychosocial and sociocultural factors that individually contribute to depression in African Americans (i.e. chronic stress, negative life events, negative social interaction, social support, and religiosity). However, African Americans are a heterogeneous population and the identification of subpopulations with distinct constellations of multiple co-occurring risk and protective factors may offer greater explanatory potential into depression burden for African Americans...
July 26, 2017: Issues in Mental Health Nursing
Kelly Graziani Giacchero Vedana, Dayane Rosa Alvarenga Silva, Adriana Inocenti Miasso, Ana Carolina Guidorizzi Zanetti, Tatiana Longo Borges
OBJECTIVE: To understand the meaning of stigma for people with mental disorders. METHOD: A qualitative study with 46 Brazilian adults with mental disorders. Data were collected through semistructured interviews and nonparticipant observation and submitted for a thematic analysis with symbolic interactionism. RESULTS: Stigma was considered as an experience of incomprehension and suffering. The society has difficulty in empathizing, respecting differences and understanding the extent of the suffering of people with mental disorders...
July 26, 2017: Issues in Mental Health Nursing
Nader Aghakhani, Violeta Lopez, Michelle Cleary
The use of drugs predominantly among Iranian men leads to health and social problems. Iran has established methadone maintenance therapy centres but there is limited research exploring the experiences of men who make use of this therapy. The aim of this qualitative study was to explore the experiences of men on methadone maintenance therapy in Urmia, Iran. Sixteen opioid-dependent males on methadone syrup substitution therapy were interviewed. Transcribed data were subjected to thematic analysis. Three themes emerged from the data: (1) the role of family in drug addiction; (2) the role of environment in drug addiction; and (3) the support needed to overcome drug addiction...
July 26, 2017: Issues in Mental Health Nursing
Nicholas Guenzel, Daniel J Schober
Years of research and clinical practice have demonstrated that individuals with certain mental health conditions are at an increased risk of obesity. However, no identified research has examined associations between multiple comorbid psychiatric disorders and body mass index (BMI). This study uses a secondary analysis to examine associations between a large number of combinations of various mental health conditions and BMI. Surprisingly, the results of this study indicate that the most comorbid psychiatric disorders are not associated with an increased risk of elevated BMI...
July 26, 2017: Issues in Mental Health Nursing
Thomas Tobin, Mary L Tobin
Given that approximately 70 million Americans suffer from sleep-wake disorders and their under-recognized role in practice, psychiatric nurses may see, or may be already seeing, patients with undiagnosed sleep disorders. Assessment of sleep-wake disorders can and should be a part of psychiatric nursing education and practice. Many practicing clinicians lack formal training regarding sleep-wake issues and treatment. Even as sleep disturbances are common concerns among psychiatric populations, sleep-wake issues may go unrecognized...
July 26, 2017: Issues in Mental Health Nursing
Lisa Ann Davenport
No abstract text is available yet for this article.
July 26, 2017: Issues in Mental Health Nursing
Ann E Helmke, Janna Lesser, Jacquelyn H Flaskerud
No abstract text is available yet for this article.
July 14, 2017: Issues in Mental Health Nursing
Carla Aparecida Arena Ventura, Bruna Sordi Carrara, Sireesha Bobbili, Kelly Graziani Giacchero Vedana, Akwatu Khenti, Miyeko Hayashida, Paulo Sergio Ferreira
People who use drugs are continuously subjected to harsh stigmatization through a process of relational and social degradation, which limits their possibility for recovery. This quantitative study explores the perspectives of family members or significant others of illicit drug users, regarding general beliefs about illicit drug use and their stigma. Respondents agree that most people do not trust people who use drugs, disregard individuals who have been hospitalized due to drug problems and do not think people who use drugs are as intelligent as the general population...
June 29, 2017: Issues in Mental Health Nursing
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