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Micheal, G. L., N. T. Fear, and J. Hacker Hughes. "Mental Health Referrals to the Falkland Islands British Military Mental Health Team, 1986-96." Journal of The Royal Naval Medical Service 93, no. 1 (March 2007): 12–16. http://dx.doi.org/10.1136/jrnms-93-12.
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AbstractObjectivesTo examine the pattern of out-patient mental health care referrals for military personnel deployed to the Falklands Islands, 1986-96.MethodsData from referral books of British Military Community Mental Health Nurses based in the Falkland Islands were abstracted, entered into an electronic database and analysed.ResultsOver the period 1986-96, 538 Service personnel were referred to the mental health out-patient facility on the Falkland Islands. The majority were male (96%) and junior ranks (81%). Approximately a third of patients were referred for reasons relating to alcohol (31%) and for over two-thirds of patients no follow-up was required (68%). Differences were observed by Service with the Army having more referrals due to alcohol than the other two Services, whilst the Navy had more deliberate self-harm referrals and the RAF more referrals for anxiety.ConclusionsThe lack of information on the total population deployed to the Falkland Islands over this period limit the interpretation of the results.
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Hegedűs, Katalin. "Health protection of health care personnel working with seriously ill patients." Mentálhigiéné és Pszichoszomatika 13, no. 2 (June 2012): 243–52. http://dx.doi.org/10.1556/mental.13.2012.2.8.
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Granek, Leeat, Ora Nakash, Samuel Ariad, Shahar Shapira, and Merav Ben-David. "Cancer Patients' Mental Health Distress and Suicidality." Crisis 40, no. 6 (November 2019): 429–36. http://dx.doi.org/10.1027/0227-5910/a000591.
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Abstract. Background: A substantial number of people with cancer endorse suicidality when compared with the general population. Thus, oncology healthcare workers may experience the death of a patient to suicide over their careers. Aims: To explore the impact of patients' mental health distress and suicidality on oncology personnel with a secondary aim of exploring how personnel cope with these types of events. Method: We interviewed 61 healthcare professionals (HCPs) at two cancer centers. The grounded theory method (GT) was used. Results: The impact of patients' mental health distress and suicidal ideation on oncology HCPs included sadness, depression, worry and concern, and feeling emotionally overwhelmed. The impact of patient suicide on HCPs included trauma, guilt, and surprise. Oncology personnel reported a change in practice, including communication style, being attuned to patient cues, and changing the physical environment. Coping strategies included colleague support, seeking professional help, and setting boundaries between their work and home life. Limitations: It is likely that HCPs who participated in the study represent those who are more willing to discuss issues related to suicide. Thus, the impact of patient suicide on healthcare providers may be even more pronounced among the general oncology HCP community. Conclusion: Given the higher risk of suicide among cancer patients, it is necessary to increase awareness about the impact these events may have on HCPs. Professional guidelines can highlight the need for a balance between ensuring the availability of informal support and more formal methods of help.
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Budiono, Arief, Septyan Wijayanti Kusuma Wardani, Abdullah Al Mamun, and Yogi Prasetyo. "Legal Protection of Mental Hospital Patients Who Experienced Acts of Violence Committed by Medical Personnel (A Study at Dr. Arif Zainudin Regional Mental Hospital Surakarta, Indonesia)." Jurnal Penegakan Hukum dan Keadilan 4, no. 2 (September 30, 2023): 59–66. http://dx.doi.org/10.18196/jphk.v4i2.18106.
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Every citizen, including mental hospital patients, has the right to legal protection, as they are vulnerable to experiencing acts of violence by medical personnel. This study aims to analyze the legal protection for people with mental health conditions who once experienced acts of violence committed by medical personnel. This study used sociological research methods with a descriptive qualitative research approach. This study used primary and secondary sources of data. The authors collected data through observation and interviews. The data in this research were analyzed and then described as narrative texts. The results showed that people with mental health conditions could obtain legal protection from acts of violence committed by medical personnel if they truly experienced bad treatment. It ensures that people with mental health conditions obtain their rights as citizens to be equally treated before the law. In undergoing their tasks, medical personnel must follow the SOP (Standard Operating Procedures), which includes prioritizing patient safety and comfort to keep patients from rebelling when their illnesses recur.
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Zhang, Erliang, Huilun Li, Hangyu Han, Yuhua Wang, Shuheng Cui, Jie Zhang, Minzhi Chen, et al. "Dietary Rhythmicity and Mental Health Among Airline Personnel." JAMA Network Open 7, no. 7 (July 15, 2024): e2422266. http://dx.doi.org/10.1001/jamanetworkopen.2024.22266.
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ImportanceMisaligned dietary rhythmicity has been associated with metabolic diseases; however, its association with mental health remains largely unexplored.ObjectiveTo examine the association between dietary rhythms and the mental health condition of shift workers, specifically airline crew members.Design, Setting, and ParticipantsThis cross-sectional study analyzed data collected from the Civil Aviation Health Cohort of China, an ongoing large-scale health survey of pilots, flight attendants, and air security officers employed by major airline companies in China. Participants aged 18 to 60 years were invited through text messages to complete a web-based survey. The data collection period was December 2022 to March 2023. Statistical analysis was performed from July 24, 2023, to April 12, 2024.ExposureData on timing of breakfast and dinner on workdays and rest days, daily time windows for food intake, and meal and eating jet lags were collected and calculated.Main Outcomes and MeasuresAnxiety and depressive symptoms were measured using the 7-item Generalized Anxiety Disorder Assessment and the 9-item Patient Health Questionnaire. Multivariate logistic regressions were performed to evaluate the associations of anxiety and depression with meal timing, eating window time, meal jet lag (ie, delayed meals), and eating jet lag (ie, delayed eating). All models were adjusted for individual socioeconomic, demographic, and lifestyle characteristics.ResultsOf the 22 617 participants (median [IQR] age, 29.1 [26.3-33.7] years; 13 712 males [60.6%]), 1755 (7.8%) had anxiety and 2768 (12.2%) had depression. After controlling for confounding factors, having dinner after 8 pm on morning-shift days was associated with increased odds of anxiety (adjusted odds ratio [AOR], 1.78; 95% CI, 1.53-2.05) and depression (AOR, 2.01; 95% CI, 1.78-2.27), compared with consuming dinner before 8 pm. Similar results were observed on night-shift days and rest days. An eating window of less than 12 hours was associated with reduced odds of anxiety (AOR, 0.84; 95% CI, 0.75-0.93) and depression (AOR, 0.81; 95% CI, 0.75-0.89) on morning-shift days; the results remained significant on rest days. Delayed dinner on morning-shift days was associated with increased odds of anxiety (AOR, 1.32; 95% CI, 1.13-1.54) and depression (AOR, 1.39; 95% CI, 1.22-1.58). On night-shift days, delayed dinner was associated with higher odds of anxiety (AOR, 1.22; 95% CI, 1.06-1.39) and depression (AOR, 1.21; 95% CI, 1.08-1.36). On morning-shift days, delayed eating rhythms were associated with higher odds of depression (AOR, 1.35; 95% CI, 1.13-1.61), whereas advanced eating rhythms were associated with lower odds of anxiety (AOR, 0.78; 95% CI, 0.70-0.87).Conclusions and RelevanceThis cross-sectional study found that meal timing, long eating window, and meal jet lags were associated with increased odds of depression and anxiety. These findings underscore the need for interventions and supportive policies that help mitigate the adverse implications of shift work and irregular working hours for the mental health of shift workers.
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Swain, Sarada Prasanna, Manoj Kumar Dash, Jigyansha Ipsita Pattnaik, and Neelamadhab Rath. "An analysis of occupation related mental health referrals of paramillitary forces to a tertiary care hospital." International Journal Of Community Medicine And Public Health 4, no. 4 (March 28, 2017): 1131. http://dx.doi.org/10.18203/2394-6040.ijcmph20171337.
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Background: The security personnel of our country including Army Personnel, C.I.S.F., Police and other security personnel bear a large amount of physical and psychological stress to maintain law and order situations at different corners of the country at different situations. To assess the Psychiatric Morbidity in C.I.S.F., the course of referrals of Para-military persons to a tertiary care hospital and to evaluate the Mental Health burden in the Para-military set up by virtue of their occupation. Methods: The study sample included all the consecutive patients referred by CISF Headquarters Hospital to the Mental Health Institute (MHI), S.C.B. Medical College, Cuttack, Odisha, from April 2015 to March 2016. The clinical information is collected from the patient and accompanying personnel from CISF or family members who accompanied the patient. The diagnosis is based on ICD-10 and the final opinion is given by the consultants of Psychiatry after final evaluation of all the reports. Results: Psychiatric assessment for job fitness (48%) was the dominant cause for referral of PMF staff to MHI. Substance abuse (alcohol) related disorders were the next common cause of referral (20%).Conclusions: Mental health burden in Para-military bases are substantial which should be taken care of in urgency basis. There is urgent need of posting of Psychiatrists with Clinical Psychologists and Psychiatric Social Worker or a team of the Mental Health Professionals should visit the paramilitary set ups regularly to look into improper diagnosis and review cases.
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Langlen Devi, Thangjam, and Arunjyoti Baruah. "Practice of Standard Safety Measures among Nursing Personnel at Tertiary Mental Health Institute, North-East, India." International Journal of Research and Review 8, no. 6 (June 29, 2021): 324–31. http://dx.doi.org/10.52403/ijrr.20210641.
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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.
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Goldsmith, Jill, and Sharon Kurpius. "Older Adults and Integrated Health Settings: Opportunities and Challenges for Mental Health Counselors." Journal of Mental Health Counseling 37, no. 2 (March 31, 2015): 124–37. http://dx.doi.org/10.17744/mehc.37.2.q57403638j4671n0.
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The growing number of older adults and the increasing recognition and growth of integrated health teams are creating expanded career opportunities for mental health counselors (MHCs). Collaborative integrated teams, staffed with medical personnel and MHCs, can provide comprehensive patient-centered care that addresses client issues from a biopsychosocial perspective. However, working with older adults on an integrated health team or in an interdisciplinary setting presents unique challenges and raises ethical issues. The evolving opportunities and strategies to address accompanying challenges are highlighted so that MHCs can be prepared to work effectively with older adults in interdisciplinary settings and on integrated health care teams.
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Boothby, Neil, Maggie Veatch, and Matina Pentes. "Evaluating treatment of Axis I mental health disorders in Aceh, Indonesia." Psychiatrist 35, no. 7 (July 2011): 248–55. http://dx.doi.org/10.1192/pb.bp.110.030205.
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Aims and methodTo share evaluation findings of a new decentralised mental healthcare system addressing Axis I disorders, developed in four subdistricts of Aceh Besar in Indonesia following the 2004 Asian tsunami. Two complementary methodologies were employed: an adequacy survey that assessed whether agreed programme implementation tasks were completed, and an outcome study that utilised patient, caregiver and staff assessment of the programme to determine what changes, if any, resulted from participation in the programme.ResultsThe system is functional in 3 of 4 subdistricts, and 47 of 53 subdistrict clinics (puskesmas) have trained mental healthcare nurses. Both patients and caregivers reported statistically significant differences when ranking patient wellbeing and were able to qualitatively describe specific changes in patient symptomatology and social functioning.Clinical implicationsResults indicate that (a) the creation of a decentralised system with outreach at multiple levels, (b) emphasis on staff capacity building within a wider household-to-hospital continuum of care, and (c) incorporation of community volunteers working with trained medical personnel led to effective treatment options for people with Axis I disorders in a resource-poor setting.
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Thériault, François L., Bryan G. Garber, Franco Momoli, William Gardner, Mark A. Zamorski, and Ian Colman. "Mental Health Service Utilization in Depressed Canadian Armed Forces Personnel." Canadian Journal of Psychiatry 64, no. 1 (July 17, 2018): 59–67. http://dx.doi.org/10.1177/0706743718787792.
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Background: Major depression is prevalent, impactful, and treatable in military populations, but not all depressed personnel seek professional care in a given year. Care-seeking patterns (including the use of primary vs. specialty care) and factors associated with the likelihood of mental health service utilization in depressed military personnel are poorly understood. Methods: Our sample included 520 Regular Force respondents to the 2013 Canadian Forces Mental Health Survey. All study participants had past-year major depression. Subjects reported whether they had spoken about their mental health with at least one health professional in the past 12 months. We used multivariate Poisson regression to explore factors associated with past-year mental health service use. Results: Three-quarters of Canadian military personnel with past-year depression had sought mental health care in the previous 12 months. Among care-seeking personnel, 70% had seen a psychologist or psychiatrist, while 5% had exclusively received care from a primary care physician. Belief in the effectiveness of mental health care was the factor most strongly associated with care seeking. Female gender, functional impairments, and psychiatric comorbidities were also associated with care seeking. Surprisingly, stigma perceptions had no independent association with care seeking. Conclusions: The proportion of depressed Canadian Armed Forces personnel who seek professional care and who access specialty mental health care is higher than in most other populations. However, an important minority of patients are not accessing health services. Efforts to further increase mental health service utilization in the Canadian military should continue to target beliefs about the effectiveness of mental health care.
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Thériault, François L., William Gardner, Franco Momoli, Bryan G. Garber, Mila Kingsbury, Zahra Clayborne, Daniel Y. Cousineau-Short, Hugues Sampasa-Kanyinga, Hannah Landry, and Ian Colman. "Mental Health Service Use in Depressed Military Personnel: A Systematic Review." Military Medicine 185, no. 7-8 (February 17, 2020): e1255-e1262. http://dx.doi.org/10.1093/milmed/usaa015.
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Abstract Introduction Major depression is a leading cause of morbidity in military personnel and an important impediment to operational readiness in military organizations. Although treatment options are available, a large proportion of individuals with depression do not access mental health services. Quantifying and closing this treatment gap is a public health priority. However, the scientific literature on the major depression treatment gap in military organizations has never been systematically reviewed. Methods We systematically searched the EMBASE, MEDLINE, and PsychINFO databases for studies measuring recent mental health service use in personnel serving in the armed forces of a Five-Eye country (Australia, Canada, New Zealand, the United Kingdom, or the United States). We excluded studies conducted with retired veterans. Because of the substantial heterogeneity in included studies, we did not pool their results. Instead, we computed median period prevalence of mental health service use. Results Twenty-eight studies were included in the systematic review; 12 had estimated mental health service use in personnel with depression, and another 16 had estimated mental health service use in personnel with depression or another mental health disorder. The period prevalence of mental health service use in depressed military personnel ranged from 20 to 75% in 12 included studies, with a median of 48%, over 2–12 months. The other 16 studies yielded similar conclusions; they reported period prevalence of mental health service use in personnel with any mental health disorder ranging from 14 to 75%, with a median of 36%, over 1–12 months. The median was higher in studies relying on diagnostic interviews to identify depressed personnel, compared to studies relying on screening tools (60% vs. 44%). Conclusions There is a large treatment gap for major depression in particular, and for mental health disorders in general, among military personnel. However, our results highlight the association between the use of measurement tools and treatment gaps: estimated treatment gaps were larger when depressed patients were identified by screening tools instead of diagnostic interviews. Researchers should be wary of overestimating the mental health treatment gap when using screening tools in future studies.
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Saadi, Altaf, and Victor E. Ray. "Police Violence in Health Care Settings in US Media Coverage." JAMA Network Open 6, no. 11 (November 13, 2023): e2342998. http://dx.doi.org/10.1001/jamanetworkopen.2023.42998.
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ImportanceHospitals do not collect or share data tracking their policing and security activities despite their reliance on police and security personnel, including armed officers. Thus, little is known about how hospital security is associated with patient and staff safety.ObjectiveTo examine the harms exerted by health care–affiliated police and security personnel.Design, Setting, and ParticipantsFor this qualitative study, data were collected using a systematic Media Cloud search for US news media coverage from January 2011 to May 2022. A total of 18 987 articles on policing and hospitals were screened and a content and thematic analysis of articles that met the search criteria was conducted, which involved incidents that revealed harm to patients, patients’ families, and staff. Data were analyzed from October 2022 to April 2023.Main Outcomes and MeasuresIncident year, incident location (hospital name, city, state), survivor and victim characteristics (race and ethnicity, presence of mental illness), and a narrative description of the incident focusing on outcomes of harm exerted by police and security personnel in the health care setting.ResultsA total of 48 unique stories across 25 US states were included. The median (range) year published was 2017 (2009-2022). Harms reported to have been perpetuated by health care–affiliated police and security personnel were identified within 5 domains from 48 unique incidents: (1) patients shot by police or security personnel (17 patients); (2) patients subject to excessive use of force (17 patients); (3) patients arrested (7 patients); (4) patients subject to sexual assault (2 patients); and (5) hospital personnel or those considered collateral damage shot, injured, or arrested (5 individuals). Most survivors and victims were Black, although the race and/or ethnicity of involved individuals was not routinely reported across the news stories. Mental illness was the most documented medical condition among patients injured or killed by health care–affiliated police and security personnel.Conclusions and RelevanceThis qualitative study of US news media found that police and security personnel in hospitals were reported to have perpetuated harm via excessive force, sexual assaults, injuring patients and health care workers, and fatal shootings. Compounded by a lack of transparency and accountability mechanisms, this may represent an underrecognized manifestation of structural racism at the organizational level. Policy suggestions include introducing accountability measures, deescalation techniques, and removing arms from hospital security personnel to reduce harm and fulfill health care’s healing mission.
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Guo, Dan, Yi Guo, and YanJi Xing. "Data on the Impact of Epidemic on Nursing Staff’s Mental Health in the Context of Wireless Network." Journal of Healthcare Engineering 2022 (April 7, 2022): 1–11. http://dx.doi.org/10.1155/2022/3413815.
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The research was aimed to analyze the impact of epidemic pneumonia on nursing personnel’s mental health under wireless network background and to improve the selection of random forest classification (RFC) algorithm parameters by the whale optimization algorithm (WOA). Besides, a total of 148 in-service nursing personnel were selected as the research objects, and 148 questionnaires were recycled effectively. The collected data were analyzed by the improved RFC algorithm. In addition, the research investigated the impacts of demographic factors on nursing personnel’s mental health by the one-way variance method. The results demonstrated that the accuracy of the improved algorithm in training samples and test samples reached 83.3% and 81.6%, respectively, both of which were obviously higher than those of support vector machine (SVM) (80.1% and 79.3%, respectively) and back-propagation neural network (BPNN) (78.23% and 77.9%, respectively), and the differences showed statistical meanings P < 0.05 . The Patient Health Questionnaire-9 (PHQ-9) showed that the depression levels of 9.46% of the included personnel were above moderate. The Generalized Anxiety Disorder (GAD-7) demonstrated that the anxiety levels of 3.38% of the included personnel were above moderate. The insomnia severity index (ISI) indicated that the insomnia levels of 3.38% of the included personnel were above moderate. The average score of male personnel (3.65) was obviously lower than that of female personnel (3.71). Besides, the average scale score of married personnel (3.78) was significantly higher than that of unmarried personnel (3.65). The average scale scores of personnel with bachelor’s (3.66) and master’s degrees (3.62) were obviously lower than those of personnel with junior college (3.77) and technical secondary school (3.75) diplomas. The average scale score of personnel with over 5-year work experience (3.68) was significantly lower than that of personnel working for less than five years (3.72). The average scale score of personnel with experience in responding to public emergencies (3.65) was obviously lower than that of personnel without related experience (3.74). The differences all showed statistical meaning P < 0.05 . The results of this research revealed that the accuracy of the improved RFC algorithm was remarkably higher than that of the SVM and BPNN algorithms. Furthermore, many nursing personnel suffered from mental diseases at different levels with the impact of the epidemic. Gender, marital status, education level, and experience in responding to public emergencies were the main factors affecting nursing personnel’s mental health.
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Wieczorek, Aleksandra, Agnieszka Fusińska-Korpik, and Łukasz Cichocki. "Educational program “Communication in the Treatment Process” – description, goals, and theoretical background." Psychiatria i Psychologia Kliniczna 21, no. 2 (July 30, 2021): 134–40. http://dx.doi.org/10.15557/pipk.2021.0015.
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Effective medical communication is an extremely important aspect of patient-centered medicine. It allows for achieving better treatment outcomes and is of key importance in the case of patients experiencing mental problems. Research clearly indicates that the quality of communication is a fundamental element of medical services, which not only affects patient satisfaction, but can also reduce the risk of burnout among staff who have contact with patients. A sense of mutual understanding translates into trust and contributes to more conscientious adherence to medical recommendations. Considering the cooperation of all medical and non-medical personnel, high-quality communication reduces the risk of tensions and conflicts, as well as the number of complaints reported by patients. Both research findings and our own experience show that individuals with mental disorders often feel misunderstood, stigmatised, or ignored by healthcare personnel. Based on the above assumptions, the experts from Józef Babiński Specialist Hospital in Kraków developed their own program entitled “Communication in the Treatment Process.” It was implemented in 2018 by the Ministry of Health among over 2,500 professionals in the Małopolskie and Podkarpackie provinces. The aim of the project was to improve the communication skills of medical and non-medical personnel in the context of communication with patients with mental disorders. The paper describes in detail the theoretical background, the goals, and the course of the program.
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Shields, Robyn E., Stephanie Korol, R. Nicholas Carleton, Megan McElheran, Andrea M. Stelnicki, Dianne Groll, and Gregory S. Anderson. "Brief Mental Health Disorder Screening Questionnaires and Use with Public Safety Personnel: A Review." International Journal of Environmental Research and Public Health 18, no. 7 (April 3, 2021): 3743. http://dx.doi.org/10.3390/ijerph18073743.
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Brief mental health disorder screening questionnaires (SQs) are used by psychiatrists, physicians, researchers, psychologists, and other mental health professionals and may provide an efficient method to guide clinicians to query symptom areas requiring further assessment. For example, annual screening has been used to help identify military personnel who may need help. Nearly half (44.5%) of Canadian public safety personnel (PSP) screen positive for one or more mental health disorder(s); as such, regular mental health screenings for PSP may be a valuable way to support mental health. The following review was conducted to (1) identify existing brief mental health disorder SQs; (2) review empirical evidence of the validity of identified SQs; (3) identify SQs validated within PSP populations; and (4) recommend appropriately validated brief screening questionnaires for five common mental health disorders (i.e., generalized anxiety disorder (GAD), major depressive depression (MDD), panic disorder, posttraumatic stress disorder, alcohol use disorder). After reviewing the psychometric properties of the identified brief screening questionnaires, we recommend the following four brief screening tools for use with PSP: the Patient Health Questionnaire-4 (screening for MDD and GAD), the Brief Panic Disorder Symptom Screen—Self-Report, the Short-Form Posttraumatic Checklist-5, and the Alcohol Use Disorders Identification Test-Consumption.
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Makhashvili, N., T. Latibashvili, R. Badriashvili, and L. Gaprindashvili. "Assessing the impact of mental health capacity building of Primary Health Care (PHC) personnel." European Psychiatry 65, S1 (June 2022): S620—S621. http://dx.doi.org/10.1192/j.eurpsy.2022.1589.
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Introduction COVID-19 poses an immense challenge to health systems and societies, associated with a burden of mental health in the population. The pandemic is uncovering treatment gaps in mental health systems, especially in Low and Middle-Resource Countries, as Georgia. The high burden calls for renewed efforts to integrate mental health into Primary Health Care (PHC) to address increased mental health needs of the population. The capacity building of PHC personnel is ongoing since October 2020, according to mhGAP algorithm. Family doctors (FD) are trained in identification and management in priority mental conditions. Objectives The overall aim of the study was to assess the impact of capacity building of PHC personnel. This was an implementation research seeking to understand how effective was the offered capacity building process and what could be lessons learnt. Methods We employed a mixed-methods process evaluation design utilising a series of instruments specifically designed to provide data for the domains as training/capacity building, service delivery and user satisfaction. Results FD were able to identify the most prevalent conditions - Anxiety (74%) and Depression (39%); in 22.8% the comorbidity was recognized. The psychoeducation was the most common method of management used by 72%. In 39.4% FD were able to recommend at least one medicine to their patients. 83.3% of patients reported improved conditions. Conclusions The family doctors are able to identify and manage certain mental health conditions after proper trainings and regular supervision. This study has simultaneously identified targets for change within the broader mental health system. Disclosure No significant relationships.
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DiBenigno, Julia, and Michaela Kerrissey. "Structuring mental health support for frontline caregivers during COVID-19: lessons from organisational scholarship on unit-aligned support." BMJ Leader 4, no. 3 (June 2, 2020): 124–27. http://dx.doi.org/10.1136/leader-2020-000279.
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BackgroundAlthough the COVID-19 pandemic exposes frontline caregivers to severe prolonged stresses and trauma, there has been little clarity on how healthcare organisations can structure support to address these mental health needs. This article translates organisational scholarship on professionals working in organisations to elucidate why traditional approaches to supporting employee mental health, which often ask employees to seek assistance from centralised resources that separate mental health personnel from frontline units, may be insufficient under crisis conditions. We identify a critical but often overlooked aspect of employee mental health support: how frontline professionals respond to mental health services. In high-risk, high-pressure fields, frontline professionals may perceive mental health support as coming at the expense of urgent frontline work goals (ie, patient care) and as clashing with their central professional identities (ie, as expert, self-reliant ironmen/women).FindingsTo address these pervasive goal and identity conflicts in professional organisations, we translate the results of a multiyear research study examining the US Army’s efforts to transform its mental health support during the wars in Iraq and Afghanistan. We highlight parallels between providing support to frontline military units and frontline healthcare units during COVID-19 and surface implications for structuring mental health supports during a crisis. We describe how an intentional organisational design used by the US Army that assigned specific mental health personnel to frontline units helped to mitigate professional goal and identity conflicts by creating personalised relationships and contextualising mental health offerings.ConclusionAddressing frontline caregivers’ mental health needs is a vital part of health delivery organisations’ response to COVID-19, but without thoughtful organisational design, well-intentioned efforts may fall short. An approach that assigns individual mental health personnel to support specific frontline units may be particularly promising.
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Iversen, Amy C., Lauren van Staden, Jamie Hacker Hughes, Tess Browne, Neil Greenberg, Matthew Hotopf, Roberto J. Rona, Simon Wessely, Graham Thornicroft, and Nicola T. Fear. "Help-seeking and receipt of treatment among UK service personnel." British Journal of Psychiatry 197, no. 2 (August 2010): 149–55. http://dx.doi.org/10.1192/bjp.bp.109.075762.
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BackgroundFor armed forces personnel, data on help-seeking behaviour and receipt of treatment for mental disorders are important for both research and policy.AimsTo examine mental healthcare service use and receipt of treatment in a sample of the UK military.MethodParticipants were drawn from an existing UK military health cohort. The sample was stratified by reserve status and by participation in the main war-fighting period of the Iraq War. Participants completed a telephone-based structured diagnostic interview comprising the Patient Health Questionnaire and Primary Care Post-Traumatic Stress Disorder Screen (PC–PTSD), and a series of questions about service utilisation and treatment receipt.ResultsOnly 23% of those with common mental disorders and still serving in the military were receiving any form of medical professional help. Non-medical sources of help such as chaplains were more widely used. Among regular personnel in receipt of professional help, most were seen in primary care (79%) and the most common treatment was medication or counselling/psychotherapy. Few regular personnel were receiving cognitive–behavioural therapy (CBT). These findings are comparable with those reported for the general population.ConclusionsIn the UK armed forces, the majority of those with mental disorders are not currently seeking medical help for their symptoms. Further work to understand barriers to care is important and timely given that this is a group at risk of occupational psychiatric injury.
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George, Alma Cuevas, Francisco Javier Fernández-Clamont, Jesús Reyna Figueroa, Citlali Torres Linares, Karla Gutiérrez Jaramillo, César Botello Ortíz, and Alfredo Díaz-Martínez. "Psycho-emotional factors in health personnel during COVID-19 pandemic." South Florida Journal of Development 3, no. 2 (March 8, 2022): 1708–20. http://dx.doi.org/10.46932/sfjdv3n2-007.
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The COVID-19 pandemic has caused a worldwide emotional health crisis, which has affected front-line health personnel in care of patients with COVID-19; under this condition, they are at risk of developing psychological disorders, compromising their personal integrity and their work performance. Assessing their mental health will allow the identification of vulnerable health personnel for their care and planning actions for diagnosis, prevention and care of mental health. The objective was to identify psycho-emotional factors in health personnel in the face of the COVID-19 pandemic. Through an analytical cross-sectional study in 1166 health professionals from the Instituto de Salud del Estado de México (ISEM) evaluating anxiety, depression, burnout, resilience and fear of COVID-19, through a digital questionnaire. Our results show that apparently the majority of health professionals were mentally prepared to receive the pandemic; It is important to emphasize that the studied health personnel received training months before the first case was presented in the country, which allowed a window of preparation to identify risks. It is necessary to propose possible alternative solutions such as support and help networks for better mental health.
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Darmadi, Darmadi, and Riska Habriel Ruslie. "Coronavirus Disease-2019 and Mental Health." Open Access Macedonian Journal of Medical Sciences 8, T1 (October 5, 2020): 268–71. http://dx.doi.org/10.3889/oamjms.2020.5304.
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BACKGROUND: Coronavirus disease-2019 (COVID-19) emerges in Wuhan, China and becomes a pandemic on March 2020. Its manifestations mainly cover respiratory and gastrointestinal symptoms. In fact, mental health disorders are common in patients with COVID-19 but receive minimum attention.
AIM: We aimed to discuss mental health disturbances in relation to COVID-19 and its management.
MATERIALS AND METHODS: We gathered literature regarding the topic from electronic sources, including PubMed and Google Scholar.
RESULTS: There are several pathogeneses proposed regarding the incidence of mental health problems. The symptoms of mental health problems vary widely and also affect health-care personnel. Diagnosing mental health problem in COVID-19 patients is quite difficult because no examinations are specific enough. The management of mental health problems includes psychological and medical managements.
CONCLUSION: Further study regarding mental health problem and its management in patients with COVID-19 is mandatory.
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Restuputri, Dian Palupi, Anindia Karunia Pangesti, and Annisa Kesy Garside. "The measurement of Physical Workload and Mental Workload Level of Medical Personnel." Jurnal Teknik Industri 20, no. 1 (February 26, 2019): 34. http://dx.doi.org/10.22219/jtiumm.vol20.no1.34-44.
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As the primary health reference center, a hospital is required to provide excellent quality services to each patient. The impact of the extreme physical and mental workload cause negligence in activities. It affects the quality of services provided by medical personnel. This study investigated the level of mental workload and physical workload in medical staff in a hospital. This study was conducted at 15 units in the hospital. The mental workload was assessed using the NASA-TLX Questionnaire. The physical workload analysis was carried out with the Heart Rate reserve percentage of medical personnel. The results of this study show that the mental workload on nurses in the ICU is higher than the other units. Whereas the calculation of physical load using% HR reserve turns out the head of the nurse in-unit class 1 has the highest value compared to the others unit. The statistical analysis showed there was a difference in the general practitioner workload toward the Head of the NursingAs the primary health reference center, a hospital is required to provide excellent quality services to each patient. The impact of the extreme physical and mental workload cause negligence in activities. It affects the quality of services provided by medical personnel. This study investigated the level of mental workload and physical workload in medical staff in a hospital. This study was conducted at 15 units in the hospital. The mental workload was assessed using the NASA-TLX Questionnaire. The physical workload analysis was carried out with the Heart Rate reserve percentage of medical personnel. The results of this study show that the mental workload on nurses in the ICU is higher than the other units. Whereas the calculation of physical load using% HR reserve turns out the head of the nurse in-unit class 1 has the highest value compared to the others unit. The statistical analysis showed there was a difference in the general practitioner workload toward the Head of the Nursing.
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Kazlauskas, Evaldas, Austeja Dumarkaite, Odeta Gelezelyte, Auguste Nomeikaite, and Paulina Zelviene. "Validation of the Recovery Experience Questionnaire in a Lithuanian Healthcare Personnel." International Journal of Environmental Research and Public Health 20, no. 3 (February 3, 2023): 2734. http://dx.doi.org/10.3390/ijerph20032734.
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Healthcare workers (HCWs) often experience high levels of stress, anxiety, and depression due to high workloads and responsibilities in their professional activities. Therefore, recovery from work-related stress is highly important in HCWs. The Recovery Experience Questionnaire (REQ) is a 16-item self-reported measure covering four stress recovery domains: psychological detachment from work, relaxation, mastery, and control. The current study aimed to test the REQ’s psychometric properties in a sample of Lithuanian HCWs. In total, 471 HCWs from various healthcare institutions participated in this study. Confirmatory factor analysis (CFA) was used to test the structure of the REQ. We also used the Brief Patient Health Questionnaire (PHQ-4) and the World Health Organization Psychological Well-Being Index (WHO-5) to assess the mental health of the study participants. The CFA analysis supported the correlated four-factor structure of the REQ. Furthermore, we found significant correlations between the levels of REQ and anxiety, depression, and well-being. We conclude that the REQ is a valid measure that could be a useful tool in research on HCWs’ mental health. It could also be used in healthcare settings for the evaluation of well-being among healthcare staff.
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Whitehorne-Smith, Patrice, Robyn Martin, Daniel Oshi, Wendel Abel, Ben Milbourn, Kristen Smith, and Sharyn Burns. "A qualitative exploration of the health system responses to the screening and management of comorbid mental illness and chronic physical illness in Jamaica." PLOS ONE 18, no. 12 (December 14, 2023): e0290975. http://dx.doi.org/10.1371/journal.pone.0290975.
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Background People with comorbid mental illness (MI) and chronic physical illness (CPI) face a range of health and quality of life challenges. The appropriate screening and management of comorbid MI and CPI are crucial to improving outcomes for this population. Despite this, there is a dearth of research exploring the health system response to the screening and management of patients with these comorbidities in public primary care settings, in several jurisdictions including Jamaica. This study explored and described the attitudes, perspectives, experiences, and practices of policymakers, primary care physicians, psychiatrists, and mental health nurses regarding screening and management of comorbid MI and CPI. Method Twenty-nine participants representing policymakers, primary care physicians, psychiatrists, and mental health nurses took part in semi-structured interviews. Data was collected over the period April to November 2020 and subject to thematic analysis. Results Three overarching themes emerged from the data related to: 1) Policies and Protocols; 2) Clinical Practice; and 3) Personnel. The interplay of these themes illustrated fragmentation and gaps between national policies and guidelines and clinical practice. The findings also identified factors related to personnel, including barriers that limit clinicians’ abilities to adequately screen and manage this patient population. Conclusion There is a need for the continued development and revision of policies and protocols that support integrated care for patients with comorbid MI and CPI in primary care settings in Jamaica. Additionally, programs and strategies to improve clinicans knowledge, skills and access to resources are necessary to help them offer improved quality of care around screening and management for this patient population.
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Giorgi, S., T. Oniani, G. Nino, K. Giorgi, and L. Estate. "Prevalence Study of Mental Disorders in Georgian Military Personnel Participating in Peace-keeping Missions." European Psychiatry 41, S1 (April 2017): S723—S724. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1312.
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IntroductionDue to the professional activities acute stress disorder and PTSD are most diffuse disorders among military servants. Number of studies revealed relationships between post-traumatic stress and depression, anxiety or somatic complaints.ObjectiveThough Georgian military personnel actively take part in the international peacekeeping missions since 2004 and no research was conducted to investigate the prevalence of abovementioned disorders.AimsThus, this study aims to investigate the prevalence of PTSD, depression, anxiety and somatic complaints in the cohort of Georgian military servants.MethodThe research participants were 2799 military servicemen who had been deployed on the 6 month long period to the peace-keeping missions and were screened for psychological problems after deployment. All of them were Caucasian males, with average age of 29.3 years. All participants were asked to complete a PTSD Checklist for DSM-5 (PCL-5), as well as a 15-item somatic subscale of the Patient History Questionnaire (PHQ-15), a 9-item depression subscale of the Patient History Questionnaire (PHQ-9), a 7-item anxiety subscale of the Patient History Questionnaire (GAD-7).ResultsPrevalence rate of probable PTSD screened by the PCL-5 was 2.7%. Further investigation showed that depressive, anxiety and somatic symptoms among them was 21.6%, 8.7% and 21.7% respectively.ConclusionAppreciable positive relationship was found (r = 0.65–0.70; P < 0.001) between these variables in the deployed military servants. Therefore, it is recommended that military servants should be screened on all above mentioned conditions along with PTSD, in order to see full picture of co-morbid problems.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Turner, Mark A., Mathew D. Kiernan, Andrew G. McKechanie, Peter J. C. Finch, Frank B. McManus, and Leigh A. Neal. "Acute military psychiatric casualties from the war in Iraq." British Journal of Psychiatry 186, no. 6 (June 2005): 476–79. http://dx.doi.org/10.1192/bjp.186.6.476.
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BackgroundThe view that most military personnel evacuated from war zones are suffering from combat stress reactions, or are otherwise traumatised by the horrors of war, has an impact on all aspects of military psychiatry.AimsTo delineate the reasons for psychiatric aeromedical evacuation from Iraq from the start of build-up of UK forces in January 2003 until the end of October that year, 6 months after the end of formal hostilities.MethodA retrospective study was conducted of field and in-patient psychiatric assessments of 116 military personnel evacuated to the UK military psychiatric in-patient facility in Catterick Garrison.ResultsEvacuees were mainly non-combatants (69%). A significant proportion were in reserve service (21%) and had a history of contact with mental health services (37%). Only 3% had a combat stress reaction. In over 85% of cases evacuation was for low mood attributed to separation from friends or family, or difficulties adjusting to the environment.ConclusionsThese findings have implications especially for screening for suitability for deployment, and for understanding any longer-term mental health problems arising in veterans from Iraq.
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Chang, Yu-Tung, and Yih-Jin Hu. "Burnout and Health Issues among Prehospital Personnel in Taiwan Fire Departments during a Sudden Spike in Community COVID-19 Cases: A Cross-Sectional Study." International Journal of Environmental Research and Public Health 19, no. 4 (February 16, 2022): 2257. http://dx.doi.org/10.3390/ijerph19042257.
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A spike in COVID-19 cases in Taiwan’s communities caused a significant increase in workload and infection concerns among prehospital personnel working in Taiwan fire departments. The present study was aimed at investigating their health status during this period. The target population was prehospital personnel who are from Taiwan fire departments, and who responded to COVID-19 patients during the community outbreak period. A questionnaire was employed to assess their physical and mental health status. The results showed that prehospital personnel suffered from moderate to severe degrees of burnout. Workload, body burden, and perceived pressure increased significantly during this period. Participants received more support from friends, family, and colleagues than they did from authorities. The paramedics reported higher scores for personal burnout than the emergency medical technicians (EMTs). Compared to non-COVID-19 response units, special COVID-19 response units reported higher scores for workload, body burden, and supportive environment. The results suggested that personal and work-related burnout were associated with higher perceived pressure. This study is the first investigation of physical and mental health burdens among prehospital personnel in Taiwan fire departments during the COVID-19 pandemic. The physical and mental health status of these personnel should be continuously monitored, and intervention provided as necessary.
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Njah, D., H. Kefi, I. Bouzouita, A. Baatout, C. Bencheickh, S. Eddif, and A. Oumaya. "Mental health problems in tunisian military population." European Psychiatry 66, S1 (March 2023): S897. http://dx.doi.org/10.1192/j.eurpsy.2023.1900.
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IntroductionMilitary personnel can face unique risks and challenges to their mental health. High-stress situations, prolonged absences, and difficulty adjusting to civilian life can affect their mental health and hence develop psychiatric disorders , particularly major depressive disorder (MDD) and post-traumatic stress disorder( PTSD). That’s why searching for involved factors that could have an impact on these mental disorders or help predict them is crucial in the military population.ObjectivesOur objectives were to describe the epidemiological profile of military patients followed in the psychiatric department of the military hospital of Tunis (MHT) and to identify the risk factors associated to psychiatric disorders in this population.Methods This was a retrospective study conducted over a period of 4 weeks , in the psychiatry department of the MHT. We included in our study patients drawn at random at the outpatient clinics, all psychiatric disorders included. We analyzed the epidemiological characteristics of the patients as well as the risk factors with the SPSS software 26.0.ResultsOne hundred military patients were included in our study. The mean age of the patients was 38.74(±9.73) years, 93% of them were male, 86% had a high school education, 71% belonged to middle socioeconomic category, and 59% lived in the military barracks. The mean duration of service was 17.68(±9.22) years. Active military members were assigned to weapons jobs (45%), administrative (15%), technical (24%), transportation (8%), and health (6%) specialities.We found that MDD was the main psychiatric disorder found in 64% of the patients with a mean severity of 76.9%. Besides , administrative specialities were the most frequent source of MDD (73.3%), while transportation posts were the most common cause of the PTSD (12.5%). And finally weapons specialties were the most likely to cause adjustment disorders (13.3%). In addition, we found that a long military service duration was associated with a chronic evolution of all the mental disorders (p :0.002).ConclusionsThe army is mostly affected by major depressive disorder . The position occupied by the patient seems to play a role in the type of the disorder . The seniority in the military service would be a risk factor for chronicity of the mental disorder.Disclosure of InterestNone Declared
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Botega, Neury José, Diogo Gomes Reginato, Sidney Volk da Silva, Carlos Filinto da Silva Cais, Claudemir Benedito Rapeli, Marisa Lúcia Fabrício Mauro, Janaína Phillipe Cecconi, and Sabrina Stefanello. "Nursing personnel attitudes towards suicide: the development of a measure scale." Revista Brasileira de Psiquiatria 27, no. 4 (December 2005): 315–18. http://dx.doi.org/10.1590/s1516-44462005000400011.
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OBJECTIVE: To describe the construction of the Suicide Behavior Attitude Questionnaire (SBAQ) which measures attitudes of nursing personnel towards suicide, and verify attitude differences among these professionals. METHODS: The Suicide Behavior Attitude Questionnaire comprises 21 visual analogue scale items (beliefs, feelings and reactions on suicidal patients) selected from a pool of attitude statements generated by focal groups and experts' judgement. The questionnaire was completed by 317 nursing professionals who worked in a teaching hospital. Factor analysis and internal consistency were calculated. RESULTS: Three interpretable factors were extracted, accounting jointly for 40% of the total variance: Feelings when caring for the patient, Professional Capacity and Right to Suicide, comprising 7, 4 and 5 items, respectively. The Cronbach's alpha coefficients were 0.7, 0.6 and 0.5, respectively. Greater Professional Capacity was reported by nursing assistants and those who had already took care of suicidal patients. The belief that a person does not have the right to commit suicide was stronger among older professionals, those who had never taken care of suicidal patients, those who had a family history of suicide, those who were Protestants and that used to go more frequently to church services. CONCLUSIONS: The Suicide Behavior Attitude Questionnaire proved to be user-friendly and quite a simple instrument to assess attitude towards suicide among nursing personnel.
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Jeganish, A., Pretesh R. Kiran, Darryl Rodney Lyngdoh, Joseph Abhay, Rahul Anand, Priyanka Chowdary Goalla, and Nancy A. Gnanaselvam. "Health status of police personnel in a selected subdivision of Bengaluru District, Karnataka, India." International Journal of Occupational Safety and Health 14, no. 1 (January 9, 2024): 37–44. http://dx.doi.org/10.3126/ijosh.v14i1.53102.
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Introduction: Police personnel perform untiring duties to maintain law and order. The objectives of this study were to assess the physical and mental health status of police personnel in a selected rural subdivision of Bengaluru District. Methods: A cross-sectional study was conducted among 142 police personnel in 7 police stations of the selected rural subdivision using a universal sampling technique. A structured interview schedule was used, which included socio-demographic details, occupational details, anthropometry, blood pressure and blood sugar measurements, Patient Health Questionnaire-9 (PHQ-9) to screen for depression and Perceived Stress Scale (PSS) to identify stress. Results: The mean age of the police personnel was 40.28±10.97 years. Most of the workforce were males (83%). About 68.3% of the studied group were obese. High random blood sugar and high blood pressure values were observed in 5.6% and 48.6% of the personnel who had no previous history of diabetes mellitus and hypertension. The prevalence of mild to severe depression was found to be 36% and that of high stress was 83.1%. Conclusion: The high prevalence of increased blood pressure, obesity, depression and perceived stress warrants the need for routine screening and application of various levels of prevention. Health promotion and improved working conditions can improve their health status.
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Korolkiewicz, Paweł K., Amir Salloum, Gursimran Gaba, Leszek Bidzan, and Jakub Grabowski. "Mental Health Care in Poland." Taiwanese Journal of Psychiatry 38, no. 1 (2024): 10–19. http://dx.doi.org/10.4103/tpsy.tpsy_4_24.
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Abstract Background: Like in other industrialized countries, the development of Polish psychiatry has followed a typical trajectory, initially marked by the establishment of large mental health hospitals using an isolation-based care model. Subsequently, there has been a decline in these institutions, characterized by a reduction in the number of hospital beds, and an ongoing evolution toward decentralized community psychiatry, specifically mental health-care centers. The hospitalizations are for emergency/acute care only. The authors describe how clinical services and personnel training in Poland that have been adjusted in response to societal changes and global trends in mental health care. Methods: The authors collected and critically reviewed information based on literature relevant to the organization of mental health care in Poland. In addition, official government publications such as reports from the Central Statistical Office and Ministry of Health were perused to gather data on the population structure, gross domestic product, and the organizational structure of the mental health care and relevant health-care indices. Results: Mental health care in Poland is evolving and gradually improving, providing more opportunities for collaboration and networking among nongovernmental organizations, patients’ associations, and psychiatrists working toward common goals. Training curricula have been updated and/or modified, with new specialty and subspecialty trainings being offered to meet the demands of health-care professionals and patients alike. Conclusion: Demographic changes, the presence of Ukrainian war refugees, and global trends in psychiatry profoundly influence the delivery of mental health-care services in Poland.
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Bjertnaes, Oyvind, and Hilde Hestad Iversen. "Inpatients’ assessment of outcome at psychiatric institutions: an analysis of predictors following a national cross-sectional survey in Norway." BMJ Open 8, no. 12 (December 2018): e023587. http://dx.doi.org/10.1136/bmjopen-2018-023587.
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ObjectivesThe objective was to assess the importance of different types of predictors for patient-reported outcome, both background factors at the patient level and healthcare predictors related to structure and processes of healthcare.DesignCross-sectional patient experience survey.SettingAll 280 secondary care institutions in Norway providing inpatient care for adult psychiatric patients.Participants1683 inpatients responded to the questionnaire on-site (73.4%).Primary outcome measuresThe outcome scale of the Psychiatric Inpatient Patient Experience Questionnaire–On-Site was the primary dependent variable. The scale consists of five items relating to overall patient satisfaction, benefit of treatment and patient enablement. Regressions were used to assess predictors, for all patients and for five different patient groups reported by the patients including anxiety/depression, drug-related problems and eating disorders.ResultsMultilevel linear regression for all patients showed that background factors related to overall current state, self-perceived mental health before admission and admission type were the most important predictors for patient-assessed outcome. Poor current state was associated with poor assessment of outcome (estimate: 8.64, p<0.001), poor health before admission was associated with better outcome (estimate: −6.89, p<0.001) and patients with urgent admission had poorer scores on the outcome scale (estimate: 4.40, p<0.001). A range of structure and healthcare variables were related to patient-assessed outcome, the most important being clinicians/personnel understanding your situation, treatment adjusted to your situation and adequate information about mental health condition.ConclusionsSelf-perceived mental health before admission, current overall state and type of admission were the most important background factors for patient-assessed outcome. The most important structure and process variables were related to patient-centred interaction. The background factors should be considered in case-mix adjustments of quality indicators, while the process variables could be used as focus areas in work aiming to improve patients’ assessment of outcome.
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Almaazmi, Amna M., Shamma H. Alhammadi, Amna A. Al Ali, Najat I. Alzaabi, and Joelle Makoukji Kiklikian. "Riding to the Rescue: A Comprehensive Review of Health and Safety Measures in Ambulance Cars." International Journal of Occupational Safety and Health 14, no. 2 (March 25, 2024): 282–93. http://dx.doi.org/10.3126/ijosh.v14i2.55311.
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Paramedics are registered health professionals in numerous countries. Whilst ambulance services must prioritize their patients, they also require personnel to be healthy to perform at their utmost to provide optimal patient care. Ambulance transport is associated with predictable and likely preventable occupant hazards. Ambulance services provide care 24 hours a day, 7 days a week, and shift work is known to be a risk factor for poor health. Working unsociable hours has detrimental consequences on the health and well-being of healthcare workers and can ultimately result in compromised patient care. Ambulance service utilization rates are high, with paramedics working in unpredictable environments, and undertaking complex clinical and manual handling tasks whilst caring for critically unwell patients; thus, there are several reasons postulated for poor health in this professional group. These include injuries, serious infections, high rates of musculoskeletal diseases, stress, and mental health problems. This review article aims to identify the occupational risks in an ambulance service, assess their impact on the health of employees, and explore control measures that can be implemented to reduce the risks and improve the safety of healthcare workers and patients.
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WYATT, R. J., I. D. HENTER, R. MOJTABAI, and J. J. BARTKO. "Height, weight and body mass index (BMI) in psychiatrically ill US Armed Forces personnel." Psychological Medicine 33, no. 2 (February 2003): 363–68. http://dx.doi.org/10.1017/s0033291702006694.
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Background. In both psychiatrically ill and psychiatrically healthy adults, the connection between health and individuals' height and weight has long been examined. Specifically, research on the idea that individuals with certain body types were prone to particular psychiatric diseases has been explored sporadically for centuries. The hypothesis that psychiatrically ill individuals were shorter and weighed less than psychiatrically healthy counterparts would correspond with the neurodevelopmental model of psychiatric disease.Method. To evaluate possible links between psychiatric illness and physique, the height, weight and BMI of 7514 patients and 85 940 controls were compared. All subjects were part of the National Collaborative Study of Early Psychosis and Suicide (NCSEPS). Patients were US military active duty personnel hospitalized for either bipolar disorder, major depressive disorder, or schizophrenia and controls were psychiatrically-healthy US military active duty personnel matched for date of entry into the service.Results. No consistent differences in height, weight or BMI were found between patients and controls, or between patient groups. Some weak ANOVA differences were found between age at the time of entering active duty and weight, as well as BMI, but not height.Conclusions. Unlike most previous studies that have looked at the links between height and psychiatric illness, this study of the NCSEPS cohort found that, at entry into the US Armed Forces, there were no consistent decreases in height for patients with bipolar disorder, major depressive disorder or schizophrenia compared with a large control group. Furthermore, there were no consistent differences for weight or BMI.
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Wańkowicz, Paweł, Aleksandra Szylińska, and Iwona Rotter. "Assessment of Mental Health Factors among Health Professionals Depending on Their Contact with COVID-19 Patients." International Journal of Environmental Research and Public Health 17, no. 16 (August 12, 2020): 5849. http://dx.doi.org/10.3390/ijerph17165849.
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It seems that the medical personnel in contact with patients infected with SARS-CoV-2 are at an especially high risk of adverse psychological effects. Therefore, the aim of this study was to assess the mental health factors among healthcare workers by quantifying the severity of anxiety, depression, and sleep disorders during the current SARS-CoV-2 pandemic, while taking into account coexisting diseases. The study involved 441 healthcare professionals including 206 healthcare workers at emergency wards, infectious wards, and intensive care units. The control group consisted of 235 healthcare workers working in wards other than those where individuals from the study group worked. Regression adjusted by age, gender, the occurrence of hypertension, diabetes mellitus, dyslipidemia, asthma, autoimmune diseases, and cigarette smoking showed the elevated risk of anxiety on the Generalized Anxiety Disorder (GAD-7) scale (OR = 1.934; p < 0.001), depression on the Patient Health Questionnaire (PHQ-9) scale (OR = 2.623; p < 0.001), and sleep disorders on the Insomnia Severity Index (ISI) scale (OR = 3.078; p < 0.001). Our study showed that healthcare workers who are exposed to SARS-CoV-2-infected patients at emergency wards, infectious wards, and intensive care units are at a much higher risk of showing symptoms of anxiety, depression, and sleep disorders than healthcare workers working in other wards.
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Savychenko, Оlha, Anna Lushchyk, Svitlana Melnychenko, and Yevgeniy Shunevych. "VOLUNTEERS' MENTAL HEALTH IN WAR." Scientific Notes of Ostroh Academy National University: Psychology Series 1, no. 17 (January 25, 2024): 90–96. http://dx.doi.org/10.25264/2415-7384-2024-17-90-96.
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Mental health difficulties and resources of Ukrainian volunteers in war are analyzed in the article. Attention is focused on three areas of volunteering – helping military personnel, civilians, and animals. The methodological basis of the study are the ideas of the World Health Organization, international and Ukrainian research on mental health. Empirical research is devoted to the study of the general state of volunteers’ mental health, mental disorders and other mental health complications, indicators of coping with stress and post-traumatic growth. The empirical study was conducted using a set of methods: "Mental Health Continuum – Short Form" (MHC-SF-UA), Perceived Stress Scale (PSS-10), Patient Health Questionnaire (PHQ-9), Brief Measure for Assessing Generalized Anxiety Disorder (GAD-7), Malach-Pines A. The Burnout Measure, Short Version (BMS), Emotional Regulation Questionnaire (ERQ), Athens Insomnia Scale (AIS), Brief Resilient Coping Scale (BRCS), The Posttraumatic Growth Inventory (PTGI). 81 people were covered by the study. It was established that the majority of volunteers have moderate mental health (42%), while the mental health of 35% of volunteers is flourishing, and 24% of volunteers have a languishing mental state. Mental health languishing is associated with impairments in the form of depression, anxiety, insomnia, stress, and burnout, while flourishing is associated with coping with stress, emotional regulation, and post-traumatic growth. It was found that volunteers helping the military effectively use emotional self-regulation strategies, so they do not have significant signs of anxiety, depression, or sleep disorders. However, systematic stay in stressful conditions reduces the level of coping with stress and leads to emotional burnout. Post-traumatic growth occurs mainly due to the expansion of one's own capabilities and strengthening personal and social resources. Volunteers helping civilians have difficulty coping with stress, leading to increased symptoms of depression and insomnia. Growth is driven by new opportunities, renewed values, and social significance. Volunteers helping animals have some difficulties with emotional self-regulation and coping with stress, so signs of anxiety and depression are observed. Post-traumatic growth is accompanied by coping with stress, accumulation of coping strategies and strengthening of values.
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Chawłowska, Ewelina, Monika Karasiewicz, Katarzyna Marcinkowska, Bogusz Giernaś, Paulina Jóźwiak, and Agnieszka Lipiak. "Nurses’ Perspectives on Smoking Policies, Safety and Cessation Support in Psychiatric Wards: A Cross-Sectional Survey." Healthcare 10, no. 9 (September 9, 2022): 1735. http://dx.doi.org/10.3390/healthcare10091735.
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A high prevalence of smoking and low rates of smoking cessation interventions can be observed in psychiatric wards. A questionnaire-based, cross-sectional study was performed in five hospitals among 107 psychiatric ward nurses. The aim was to investigate nurses’ views on patients’ smoking practices and their influence on the safety of both the patients and medical personnel. In addition, we asked about the availability of smoking cessation support. Most of the respondents noticed the negative impacts of smoking on patients and medical personnel. Nearly a third of our respondents (29.0%) recalled smoking-related accidents in their facilities. In 45.2% of these accidents, a patient set someone else on fire. Around one fifth of nurses had rather permissive attitudes towards tobacco use in hospital wards. Significant associations were identified between respondents’ smoking status and their opinions on amending smoking policies and on unsupervised smoking. Regarding professional help available to smoking patients, 88.8% of participants reported that interventions to address smoking were available in their wards. Psychiatric hospitalisation can be an opportunity to offer tobacco treatment to patients with mental health conditions. To make use of this opportunity, smoke-free policies need to be put in place and hospital personnel, particularly nurses, should be trained and equipped with the knowledge and skills needed to assist in the smoking care of psychiatric ward patients.
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Obuobi-Donkor, Gloria, Reham Shalaby, Ejemai Eboreime, Belinda Agyapong, Natalie Phung, Scarlett Eyben, Kristopher Wells, et al. "Text4PTSI: A Promising Supportive Text Messaging Program to Mitigate Psychological Symptoms in Public Safety Personnel." International Journal of Environmental Research and Public Health 20, no. 5 (February 27, 2023): 4215. http://dx.doi.org/10.3390/ijerph20054215.
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Background: Public safety personnel experience various mental health conditions due to their work’s complex and demanding nature. There are barriers to seeking support and treatment; hence, providing innovative and cost-effective interventions can help improve mental health symptoms in public safety personnel. Objective: The study aimed to evaluate the impact of Text4PTSI on depression, anxiety, trauma, and stress-related symptoms, and the resilience of public safety personnel after six months of providing supportive text message intervention. Methods: Public safety personnel subscribed to Text4PTSI and received daily supportive and psychoeducational SMS text messages for six months. Participants were invited to complete standardized self-rated web-based questionnaires to assess depression, anxiety, posttraumatic stress disorder (PTSD), and resilience symptoms measured on the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 scale (GAD-7), Posttraumatic Stress Disorder Checklist-Civilian Version (PCL-C), and the Brief Resilience Scale (BRS), respectively. The assessment of mental health conditions was conducted at baseline (enrolment) and six weeks, three months, and six months after enrollment. Results: One hundred and thirty-one subscribers participated in the Text4PTSI program, and eighteen completed both the baseline and any follow-up survey. A total of 31 participants completed the baseline survey and 107 total surveys were recorded at all follow-up time points. The baseline prevalence of psychological problems among public safety personnel were as follows: likely major depressive disorder (MDD) was 47.1%, likely generalized anxiety disorder (GAD) was 37.5%, low resilience was 22.2%, and likely PTSD was 13.3%. At six months post-intervention, the prevalence of likely MDD, likely GAD, and likely PTSD among respondents reduced; however, a statistically significant reduction was reported only for likely MDD (−35.3%, X2 (1) = 2.55, p = 0.03). There was no significant change in the prevalence of low resilience between baseline and post-intervention. There was a decrease in the mean scores on the PHQ-9, GAD-7, PCL-C, and the BRS from baseline to post-intervention by 25.8%, 24.7%, 9.5%, and 0.3%, respectively. However, the decrease was only statistically significant for the mean change in GAD-7 scores with a low effect size (t (15) = 2.73, p = 0.02). Conclusions: The results of this study suggest a significant reduction in the prevalence of likely MDD as well as the severity of anxiety symptoms from baseline to post-intervention for subscribers of the Text4PTSI program. Text4PTSI is a cost-effective, convenient, and easily scalable program that can augment other services for managing the mental health burdens of public safety personnel.
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Muñoz-Ortega, Sandra, Daniela Santamaría-Guayaquil, Jade Pluas-Borja, Geovanny Alvarado-Villa, Verónica Sandoval, Rubén Alvarado, Ivan Cherrez-Ojeda, and Marco Faytong-Haro. "Mental Health in Healthcare Workers Post-COVID-19: A Latin American Review and Insights into Personalized Management Strategies." Journal of Personalized Medicine 14, no. 7 (June 25, 2024): 680. http://dx.doi.org/10.3390/jpm14070680.
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Over the COVID-19 pandemic, the impact of enduring mental health on healthcare workers has become increasingly evident. This review focuses on post-pandemic mental health challenges faced by healthcare personnel in Latin America. This highlights the persistent burden on healthcare workers, especially women, which is exacerbated by economic disparities, inadequacies in the healthcare system, and ongoing occupational stressors. Our literature review, utilizing databases such as PubMed, Scopus, and Google Scholar, scrutinized the mental health status of healthcare professionals in the region after the pandemic’s peak. The analysis indicated sustained levels of psychological distress, with frontline workers and women continuing to be affected disproportionately. These findings emphasize the urgent need for personalized interventions to effectively address the complex mental health challenges in this context. This review advocates strategic interventions, including tailored psychological support, innovative diagnostics, and technological solutions, integrated into patient-centered care models. Such approaches aim to enhance the mental resilience and overall well-being of healthcare professionals across Latin America in the post-COVID era.
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Tsarkov, Anatolii, Andréa Ferraz de Arruda Fernandez, Marcelo Leite Ribeiro, and Petro Petlovanyi. "Optimizing Patient Safety and Security Management in Zambian Mental Health Facility: A PDSA Quality Improvement Study." European Journal of Medical and Health Sciences 6, no. 3 (May 30, 2024): 1–9. http://dx.doi.org/10.24018/ejmed.2024.6.3.2112.
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Delivering specialized and top-tier psychiatric care necessitates an intricate and well-thought-out plan focusing on the safety and security of both healthcare professionals and patients. In the realm of mental health, particularly in specialized clinics and hospitals where patients may require admission and intricate treatment plans, the safety and security of the healthcare environment are paramount. It is crucial to ensure the comprehensive and tailored protection of mental health workers, particularly those operating in shift patterns. A well-devised strategy can significantly enhance the overall safety and security within a healthcare facility, potentially streamlining operational costs while minimizing both immediate and long-term risks associated with breaches in safety and security protocols. The aim of this research was to bolster safety and security protocols within mental health treatment establishments by identifying and addressing operational hurdles faced by ancillary mental health staff. To achieve this, the study implemented the Plan-Do-Study-Act (PDSA) cycle, a cornerstone methodology in quality management systems. The PDSA cycle’s pragmatic ethos encourages a methodical, iterative approach to integrating new methodologies into any process, particularly those aiming to elevate security and safety standards. This model was specifically employed to refine the functioning of the security and safety department at a private mental health facility in Lusaka, Zambia. The anticipated outcome is that this approach will not only safeguard the immediate and future well-being of healthcare personnel and patients but also foster a holistic and efficient operational environment for mental healthcare services.
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Kealeboga, Kebope Mongie, Mofatiki Eva Manyedi, and Salaminah Moloko-Phiri. "Nurses’ Perceptions on How Recovery-Oriented Mental Health Care Can Be Developed and Implemented." Nursing Research and Practice 2023 (August 23, 2023): 1–11. http://dx.doi.org/10.1155/2023/4504420.
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Aim. This study explored how nurses working in inpatient mental health units perceived the development and implementation of a recovery-oriented mental healthcare programme (ROMHCP). Background. The recovery-oriented mental healthcare approach (ROMHCA) in mental health is regarded as the future of mental health services and has been implemented in different countries worldwide. However, regarding developing and implementing the recovery approach, Africa appears to have been left behind by the rest of the continents. Design. The study used a qualitative approach to describe how a recovery-oriented mental healthcare approach could be developed. Methods. Thirty nurses who worked in Botswana’s four inpatient mental health facilities consented and voluntarily participated in the study. Data were collected from February to mid-March 2022 through online focus group discussions and analysed using thematic analysis. The COREQ checklist was used to report the findings. Results. Two main themes emerged as follows: (i) developing and implementing a recovery-oriented mental healthcare programme is possible and (ii) certain elements are required to develop and implement ROMHCP. Conclusion. The participants believed that people diagnosed with mental illness could recover from the illness and suggested how it could be achieved. They also contended that the programme’s success would lie mainly with multisectoral support from policymakers, facilities, hospital personnel, patients, and the community. Clinical Relevance. ROMHCP has the potential to benefit people with mental illness in the country. In addition, it would allow nurses to improve their knowledge and skills in managing mental illnesses. Patient or Public Contribution. The patients and the general public did not contribute to the study’s concept, design, and outcomes. However, the nurses working in mental health facilities volunteered to participate in the study.
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Pek, Elaine, Mythily Subramaniam, Janhavi Vaingankar, Yiong Huak Chan, and Rathi Mahendran. "Mental Health Professionals’ Perceived Barriers and Benefits, and Personal Concerns in Relation to Psychiatric Research." Annals of the Academy of Medicine, Singapore 37, no. 9 (September 15, 2008): 738–44. http://dx.doi.org/10.47102/annals-acadmedsg.v37n9p738.
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Aim: Mental health professionals can contribute to generating a strong evidence base for policy and practice in psychiatry. An insight into their perception of psychiatric research is important for planning support strategies. This study explored healthcare professionals’ perceptions of barriers, benefits and concerns about psychiatric research in a Singapore psychiatric hospital. Materials and Methods: Self-administered questionnaire was employed to collect socio-demographic data and opinions on research. Likert scale was used for the responses and descriptive statistics and ordinal regression were used for data analysing. Results: 93.8% respondents perceived “contribution to medical knowledge/ public health” to be a major benefit of conducting research. 86.7% respondents felt that “learning experience” was important. “Prestige/publication” (52.7%) and “financial gain” (76%) were perceived to be unimportant. “Clinical load of patients”, “lack of skilled personnel to assist in research” and “insufficient funding” were identified as important barriers by 72.4%, 70.6% and 68.9% respondents. “Time constraints”, “patient and family readiness to research participation”, “insufficient training” and “concerns about patient welfare” are major concerns while conducting research. Conclusion: To the study team’s best knowledge, this is the only study of mental health professionals’ perceptions on psychiatric research. It is useful for strategising research planning and enhancing the research culture in the hospital. Key words: Healthcare professionals, Mental health research, Research planning strategies
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Mamani-Benito, Oscar, Renzo Felipe Carranza Esteban, José Ventura-León, Tomás Caycho-Rodríguez, Rosa Farfán Solís, and Darwin Hidalgo Blanco Shocosh. "Effect of concern about COVID-19 on professional self-efficacy, psychological distress, anxiety, and depression in Peruvian health personnel." Salud mental 44, no. 5 (October 21, 2021): 215–20. http://dx.doi.org/10.17711/sm.0185-3325.2021.028.
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Introduction. Concern about becoming infected with COVID-19 is one of the reactions that has affected the mental health of Peruvian health care workers. Objective. To determine the effect of concern about COVID-19 on professional self-efficacy, psychological distress, anxiety, and depression in health personnel in the Puno region of Peru. Method. An explanatory, cross-sectional study was conducted with the voluntary participation of 401 health workers (such as nurses, physicians, nursing technicians, obstetricians, dentists, psychologists, and nutritionists) of both sexes (24.2% men and 75.5% women) from 12 health networks in the region of Puno, Peru. They were asked to answer the Scale of Concern for the Transmission of COVID-19 in Health Personnel (EPPC-Cov19), Patient Health Questionnarie-2 (PHQ-2, Generalized Anxiety Disorder Scale-2 (GAD-2) and the Professional Self Efficacy Scale (AU-10). Structural Equation Modeling (SEM) was used for data analysis. Results. The factor loads of the explanatory model showed a good fit: χ² (286) = 797.31, p
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Alsyouf, Wafa S., Ayman M. Hamdan-Mansour, Shaher H. Hamaideh, and Khaled M. Alnadi. "Nurses’ and Patients’ Perceptions of the Quality of Psychiatric Nursing Care in Jordan." Research and Theory for Nursing Practice 32, no. 2 (June 2018): 226–38. http://dx.doi.org/10.1891/1541-6577.32.2.226.
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Background:The quality of care provided for patients in mental health-care facilities remains a challenge for health-care providers in general and for nurses in particular. Identifying the level of quality of care provided for patients in mental health-care facilities as perceived by nurses and patients may help health-care providers improve the quality of care and improve patients’ outcomes.Objectives:The purpose of the study was to assess the perceptions of nurses and patients of the quality of nursing care, and explore the differences in their perceptions of quality of care in mental health-care facilities in Jordan.Methods:A cross-sectional study was conducted using two convenience samples of 123 nurses and 150 patients. The nurses completed the Karen-personnel instrument, a self-administered questionnaire; One hundred and fifty patients from several mental health-care facilities in Jordan were interviewed using the Karen-patient instrument. The interviews were structured.Results:Sixty-four percent of nurses rated the quality of psychiatric nursing care as satisfactory, and 47.6% of patients perceived the quality of nursing care as satisfactory. Male nurses, who attended courses in mental health nursing, chose to work in a psychiatric unit, committed to work in the future in a psychiatric unit, and were providing indirect care have significantly higher perception of quality of psychiatric nursing care than their counterparts. Patients in military hospitals have significantly higher perception of quality of psychiatric nursing care than those in governmental ones (p< .05).Implications for Practice:To improve the quality of care in psychiatric units, patients and nurses need to be educated about the quality indicators set by Joint Commission international standards related to mental health-care facilities.
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Palomino Limaylla, Victoria del Carmen, Gilio Albert Espinoza Villugas, Betsy Fatima Sanchez Estrella, Claudia Sofia Carrascal Choccare, Zayda Lizeth Barrientos Prada, María Gioconda Lévano Cárdenas, and Mónica Elisa Meneses la Riva. "Scientific evidence on mental health in nursing professionals in the hospital setting [Evidencias científicas sobre la salud mental en profesionales de enfermería en el contexto hospitalario]." Journal of Global Health and Medicine 6, no. 2 (December 3, 2022): 114–23. http://dx.doi.org/10.32829/ghmj.v6i2.180.
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Nowadays, given the pandemic situation caused by COVID 19, it has become clear that health personnel are at high risk of presenting emotional problems due to the uncertainty of the potential risks of the hospital environment. Objective: To determine the scientific evidence on mental health in nursing professionals in the hospital context. Method: Integrative, exploratory review in 2 databases, Dialnet and Google Scholar, considering the inclusion criteria as English, Spanish and Portuguese. Results. There is evidence of an increase in the presence of mental health problems in nurses, such as stress, anxiety, depression, fear, among others. In the face of unknown highly contagious illnesses that have appeared in recent years, which places them at high occupational risk and affects the quality of life of the professionals responsible for care. It is concluded that, in the face of the health emergency, nurses should use biosecurity and personal protection measures in health practice, such as taking care of their mental health, in order to maintain an adequate relationship involving patient-nurse care. It also favours timely preventive interventions in the mental health care of nurses.
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Pawlikowska - Łagód, Katarzyna, and Magdalena Suchodolska. "The Relationship between Doctor and Patient as an Indicator of the Level of Trust in Medical Care." Global Journal of Health Science 13, no. 7 (May 31, 2021): 56. http://dx.doi.org/10.5539/gjhs.v13n7p56.
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Communication between the doctor and the patient is one of the most important elements affecting the treatment process. The trust, which determines the patients’ health attitude and their implementation of medical recommendations, is built by maintaining an appropriate doctor-patient relationship. A trusting patients demonstrate better mental and physical well-being, obtain better diagnostic results, use preventive healthcare services more frequently, and show greater confidence in the overall health system. Nevertheless, in order for the patients to exhibit such behaviors, they must trust the physician, which is influenced by many important issues: the maintenance an appropriate doctor-patient relationship, the patients’ hope, the prevailing opinion about the physician as well as stereotypes about the medical profession (including age, gender, professional experience, professional and scientific title). This paper presents different models of the doctor-patient relationship and how each of them affects the level of trust in the discussed relationship. In addition, it is described how stereotypes about medical personnel influence the trust among patients. All information included in the study are based on the available literature.
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Cooper, A. J., and J. D. Mendonca. "A Prospective Study of Patient Assaults on Nursing Staff in a Psychogeriatric Unit." Canadian Journal of Psychiatry 34, no. 5 (June 1989): 399–404. http://dx.doi.org/10.1177/070674378903400507.
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A 27 month prospective study concerned with aspects of patient-nurse assaults on the geriatric unit (three wards) of a Canadian provincial mental hospital was conducted. The findings were compared with those for the other wards. The incidence of assaults was approximately the same in both areas (0.24–0.25 assaults/occupied bed/year respectively). In the former, the commonest diagnoses associated with assaultiveness were dementia followed by schizophrenia and in the rest of the hospital, schizophrenia. However, when base rates of assaultiveness were calculated allowing for the disproportionate number of patients with these conditions, mental retardation, and dementia were approximately twice as likely to be related to assaultiveness as schizophrenia; regardless of where the patients were located. In the geriatric unit attacks were more likely when patients were being physically guided or led and during the administration of drugs; elsewhere whilst physical restraints were being applied. In both hospital areas a comparatively small number of patients accounted for a disproportionate number of assaults and a few nurses were attacked repeatedly. The majority of episodes were trivial but in isolated cases personnel were off work for several months. The discussion focuses on the possibility of generalizing results.
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Li, Chao, Yuanyuan He, and Donghui Shen. "A Study of the Mental Health of Pre-Hospital First Responders and Its Associated Factors." Journal of Innovations in Medical Research 2, no. 7 (July 2023): 45–51. http://dx.doi.org/10.56397/jimr/2023.07.07.
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Pre-hospital first aid is the medical treatment of patients with sudden and threatening emergencies, trauma, poisoning and disaster accidents, which is mainly divided into on-site treatment and nursing in the transfer process. It is of great significance for hospitals to carry out rapid and efficient rescue in the early stage to save patients’ lives and reduce the mortality rate. Doctors, nurses, ambulance drivers, and stretcher bearers engaged in pre-hospital first aid work are collectively referred to as pre-hospital first responders. Because they are a special professional group, they work on the front line of rescuing sudden patients, critically ill patients and various trauma patients, which is difficult, complex and dangerous, and easy to cause serious mental health problems. Pre-hospital emergency is the first important part of the hospital emergency system, and the mental state of the first responders will directly affect the medical service level of emergency rescue, thus playing an important role in the follow-up treatment and psychological recovery of patients. However, the mental health work of first aid personnel has not received sufficient attention, and this paper reviews relevant literature at home and abroad, hoping to effectively protect and improve the mental health of first aid personnel in pre-hospital emergency work, and provide useful reference for further related work.
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Ortiz-Sandoval, Irene, María Dolores Martínez-Quiles, Jesús López-Pérez, and Agustín Javier Simonelli-Muñoz. "Triggers of Agitation in Psychiatric Hospitalization Ward According to Professional Experience Questionnaire." International Journal of Environmental Research and Public Health 19, no. 4 (February 11, 2022): 2014. http://dx.doi.org/10.3390/ijerph19042014.
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Aim: To create and analyze an instrument to assess the possible agitation triggers of hospitalized psychiatric patients. Background: No tools exist for identifying according to a professional’s experience. Methods: Descriptive and cross-sectional study. The questionnaire of possible triggers of agitation behaviors of patients hospitalized in psychiatric wards according to professional experience (TAPE) was designed and analyzed. Results: The questionnaire was provided to 156 mental health workers (76.9% women, average work experience: 10.15 ± 8 years, 46.8% were nurses specialized in mental health, and 21.2% psychiatrists). A good internal consistency was obtained, with a Cronbach α value of 0.791 in the initial test, and 0.892 in the retest. The factorial analysis found four factors: factor 1 “personnel”, factor 2 “routines”, factor 3 “norms–infrastructure”, and factor 4 “clinic”. Factor 1 obtained the highest value, with a mean of 4.16 ± 0.63, highlighting the item “lack of specialized personnel” (mean 4.38 ± 0.81). The specialized professionals provided higher scores to the items from the factors associated with the training of the personnel and routines (p = 0.017; p = 0.042). Conclusions: The TAPE questionnaire is useful for identifying the possible triggers that could lead to situations of agitation of hospitalized patients.
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Shetu, Sabakun Naher, and Takrima Jannat. "Telemedicine's Role in Pandemic Response and Control Measures." International Journal of Applied Research on Public Health Management 7, no. 1 (January 1, 2022): 1–18. http://dx.doi.org/10.4018/ijarphm.309410.
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The COVID-19 pandemic outbreak has changed the conventional method of interacting with healthcare personnel. The rapid adaptation of telemedicine facilities has commuted alternative medical facilities in emergency circumstances. The physicians, nurses, and patients all are adopting telemedicine rapidly under this COVID-19 health system pressure. The reduction of PPE usage increases in video consultations is the positive result of using telemedicine. Nevertheless, front-liners also confront some challenges of using telemedicine including proper infrastructure facilities, lack of physical examination, patient's privacy, and proper diagnosis. Telemedicine-specific legislation must be implemented to ensure patient digital security and set appropriate prices for e-health treatment. These simple e-health technologies may allow infected COVID-19 patients to communicate with one another and acquire relevant health information more readily, resulting in a higher quality of life and better mental health.
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Papanikolaou, K., N. Voura, N. Darai, G. Koukoulas, P. Roboti, and G. F. Angelidis. "The impact of a tragic accident on mental health professionals." European Psychiatry 26, S2 (March 2011): 1078. http://dx.doi.org/10.1016/s0924-9338(11)72783-3.
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ObjectiveTo investigate the psychological impact of the tragic accident in Tempi which cost of 21 students’ life (2003), on mental health professionals (MHP).MaterialBDI and Impact of Event Scale-Revised (IES-R) scores of PHPO MHP (psychiatrists/child-psychiatrist/psychologies/social workers) who offered support to victims’families/teachers/rest of the students.Method/resultsThe personnel were deployed to the area exposed to witnessing experiences/impressions of the accident. Participants responded to BDI 10 days and IES-R 9–10 months past-accident. There was an IES-R retest 7 years later. The response rate was 100%. All achieved mild depression scores. As for IES-R, common qualities of conscious experience were found among them, though with different personality styles. Two major response sets, intrusion (unbidden thoughts/troubled dreams/waves of feelings/repetitive behavior) and avoidance (denial of the meanings of the event/behavioral inhibition/counterphobic activity/emotional numbness) were abstracted from evaluation.No sex differences were mentioned as there was only one male in the group.A correlation of 0.42 (p > 0.0002) between intrusion and avoidance subscale scores indicated that the two subsets were associated, though not measuring identical dimensions.7 years later the mean score of the personnel on IES-R was 23: Impact Event: may be affected. All achieved a quite high score on the response ‘any reminder brought back feelings about it’.ConclusionMHP face additional emotional strain often over extended periods of time. There is a need to develop strategies such as insight oriented training. Research is imperative and an ethical requirement to find ways to protect the health of the carers and so their patients.