Journal articles on the topic 'Mental health personnel and patient'
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1
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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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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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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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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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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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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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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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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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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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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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.
Abstract:
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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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.
Abstract:
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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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.
Abstract:
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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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.
Abstract:
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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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.
Abstract:
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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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.
Abstract:
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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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.
Abstract:
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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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.
Abstract:
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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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.
Abstract:
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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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.
Abstract:
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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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.
Abstract:
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.
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Rajhans, Pallavi, Koushik Sinha Deb, and Rakesh Kumar Chadda. "COVID-19 Pandemic and the Mental Health of Health Care Workers: Awareness to Action." Annals of the National Academy of Medical Sciences (India) 56, no. 03 (July 2020): 171–76. http://dx.doi.org/10.1055/s-0040-1715285.
Abstract:
AbstractThe enormity of the coronavirus disease-2019 (COVID-19) pandemic has overwhelmed most health services and has placed health care service providers under unprecedented stress. The rapidity of spread, uncertain clinical course, and unavailability of effective treatment make clinical decisions cognitively demanding. Extended work hours inside uncomfortable protective gears, improper hydration, with conflictual health systems and patients at work; and social stigma and isolation after it ends, have created an unending downward spiral of mental health in care providers. Care providers are at increased risk of developing mental health problems in form of burnout, stress reactions, anxiety, depression, and post trauma stress. Concerted strategies for managing the mental health of care providers are urgently needed at individual and systems level. A plethora of strategies, developed from previous experience of crisis management, need to be made available to care providers through accessible mediums of delivery. This paper explores the mental health problems encountered by health care personnel and examines various strategies which need to be implemented to manage them.
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Laukkala, T., H. Haravuori, K. Tuisku, K. Junttila, T. Haapa, A. Kujala, E. Pukkala, J. Suvisaari, T. Rosenström, and P. Jylhä. "Personnel well-being and potentially traumatic COVID-19 pandemic related events (PTES) in the hus helsinki university hospital – baseline results." European Psychiatry 64, S1 (April 2021): S276. http://dx.doi.org/10.1192/j.eurpsy.2021.741.
Abstract:
IntroductionA majority of the Finnish COVID-19 pandemic patients have been cared for in the HUS Helsinki University Hospital since March 2020.ObjectivesJune 2020 baseline results of an ongoing prospective cohort study are reported.MethodsAn electronic survey was created to assess potentially traumatic COVID-19 pandemic related events (PTEs) of the HUS personnel.Results The survey was sent to 25494 HUS employees, and 4804 (19%) answered. Out of the respondents, 62% were nursing staff, 9% medical doctors, and the rest special employees or other personnel. Mean age was 44 years, 88% were female. PTEs were more common in the personnel directly caring for COVID-19 patients than other personnel (p< 0.001). PTEs predicted psychological distress among all personnel (OR 5.05; 95%CI 4.26–6.00). Table. Potentially traumatic events (PTEs) among HUS personnel, June 2020. One respondent may have one or more PTEs. In direct care of COVID-19 patients PTE11 PTE22 PTE33 PTE44RespondentsYes (N; %)325 (26.6%)358 (29.3%)46 (3.8%)9 (0.7%)532No (N; %)281 (8.2%)574 (16.6%)88 (2.5%)30 (0.9%)7601Has your work with COVID-19 patients or suspected patients included exceptionally disturbing or distressing assignments? 2Have you had strong anxiety due to your own or close one’s risk of contracting serious illness for your work with COVID-19 patients or suspected patients? 3Have you or your close one contracted a hospital care requiring serious COVID-19? 4Has a close one to you died of COVID-19?ConclusionsOur data highlight the need to ensure psychosocial support services to HUS personnel with PTEs.Conflict of interestNo significant relationships.
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Løvsletten, Maria, Tonje Lossius Husum, Elisabeth Haug, and Arild Granerud. "Cooperation in the mental health treatment of patients with outpatient commitment." SAGE Open Medicine 8 (January 2020): 205031212092641. http://dx.doi.org/10.1177/2050312120926410.
Abstract:
Background: Patients with outpatient commitment have a decision on coercive treatment from the specialist health services even if they are in their own home and receive municipal health services. Objective: The aim of this study is to gain more knowledge about how the outpatient commitment system works in the municipal health service and specialist health services, and how they collaborate with patients and across service levels from the perspectives of healthcare professionals. Methods: This is a qualitative study collecting data through focus group interviews with health personnel from the municipal health service and specialist health services. Results: The results describe the health personnel’s experiences with follow-up and interactions with the patients with outpatient commitment decisions, and their experiences with collaboration between service levels. Conclusion: The study show that outpatient commitment makes a difference in the way patients with this decision are followed up. The legislative amendment with new requirements for consent competence was challenging. Collaboration between services levels was also challenging.
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Sæterstrand, T. M. "Taking Care of People Suffering from Neuropsychiatric Illness Living at Home." European Psychiatry 41, S1 (April 2017): S614. http://dx.doi.org/10.1016/j.eurpsy.2017.01.979.
Abstract:
Content backgroundPeople suffering from neuropsychiatric illness are often in need of caring and nursing over a long period of time. Research shows that patients suffering from such illness do not very often get enough care in practice.AimTo gain knowledge about nurses experiences from taking care of older people living at home and suffering from chronic and neuropsychiatric illness.MethodQualitative analysis: fieldwork and qualitative interviews with 11 nurses who worked in four units in two different municipalities in Norway.ResultsChallenges in clinical nursing explain the process nurses work in when they take care of people with neuropsychiatric illnesses living at home. This is caring for patients, taking care of family members, managing complex patient situations and the need for coaching and cooperation.ConclusionTo gain a good cooperation with other health personnel to strengthen the competence is important, especially when the goal is caring. Nurses with education in neuropsychiatric care can strengthen the competence maybe and reach a better patient care. The organization of the community health system needs to be studied.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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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.
Abstract:
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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Lyyra, Eeva, Mervi Roos, and Tarja Suominen. "The workplace culture in addiction psychiatry in Finland as described by healthcare personnel." Advances in Dual Diagnosis 14, no. 3 (July 6, 2021): 132–46. http://dx.doi.org/10.1108/add-11-2020-0024.
Abstract:
Purpose The purpose of this study is to describe the workplace culture and factors associated with it from the viewpoint of the personnel providing care to patients with dual diagnosis. Design/methodology/approach Data were collected from six organizations using an electronic survey in 2019. The respondents (n = 75) worked in addiction psychiatry in specialized health care and provided care to patients. The data were statistically analyzed. Findings Workplace culture was evaluated as positive. Stress was experienced occasionally (Md = 2.58, Q1 = 1.96, Q3 = 3.03), job satisfaction levels were moderate (Md = 4.83, Q1 = 4.28, Q3 = 5.44) and the practice environment was evaluated as neutral (Md = 4.46, Q1 = 4.00, Q3 = 5.04). Gender, age in years, employment relationship, work time, staffing, number of patients and the participants’ experience in health care and experience in their current workplace had statistically significant associations with workplace culture. Originality/value In Finland, there have been attempts to reform service structures that also influence mental health and substance addiction services. Workplace culture is one approach to promote service development. Yet, there has been no research on workplace culture in the context of the care of patients with dual diagnosis. The results of this study bring knowledge about how health-care personnel perceives stress, job satisfaction and their practice environment in addiction psychiatry, which can be used to further develop services and workplace culture.
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Park, Young Suk. "Mental Health of Clinical Nurses during the COVID-19 Pandemic in South Korea." Crisis and Emergency Management: Theory and Praxis 17, no. 10 (October 31, 2021): 55–67. http://dx.doi.org/10.14251/crisisonomy.2021.17.10.55.
Abstract:
Mental health of frontline nurses, who are critical healthcare personnel, is essential to overcome the COVID-19 pandemic. This study aimed to investigate the symptoms of depression, anxiety, perceived stress, and post-traumatic stress disorder of frontline nurses during the COVID-19 pandemic in South Korea. This was a cross-sectional online survey using the Patient Health Questionnaire, Generalized Anxiety Disorder, Perceived Stress Scale, and Impact of Event Scale-Revised from November 2020 to February 2021. The subjects were 249 nurses with work experience of at least one month at the frontline of the COVID-19 response. 39.4% of the participants had a higher than moderate level (≥10) of depression, 49.7% had a higher than mild level (≥5) of anxiety, and 40.1% were above the threshold of partial PTSD (≥18). The influencing factors of PTSD were depression, anxiety, COVID-19-related work period, and skipping meals, and their explanatory power was 60% (F=54.26, p<.001). Mental health of frontline nurses in clinical fields of COVID-19 screening/treatment need to be monitored and managed. In that regard, mental health programs and policies should be developed and legally guaranteed.
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Wagner, Shannon, Paula M. Di Nota, Dianne Groll, Liana Lentz, Robyn E. Shields, R. Nicholas Carleton, Heidi Cramm, Becky Wei Lin, and Gregory S. Anderson. "Mental Health Risk Factors Related to COVID-19 among Canadian Public Safety Professionals." Psychiatry International 4, no. 1 (December 26, 2022): 1–11. http://dx.doi.org/10.3390/psychiatryint4010001.
Abstract:
Public safety personnel (PSP) are known to experience difficult and demanding occupational environments, an environment that has been complicated by the COVID-19 pandemic. Firefighters, paramedics, and public safety communicators were among the front-line workers that continued to serve the public throughout the course of the pandemic. The present study considered the potential impacts of the COVID-19 pandemic on self-reported symptoms of mental health challenges in Canadian firefighters, paramedics, and public safety communicators. Participants were firefighters (n = 123), paramedics (n = 246), and public safety communicators (n = 48), who completed an online survey, including demographics, questions related to COVID-19 exposure and worry, the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7, the Social Interaction Phobia Scale, and the Posttraumatic Stress Disorder Checklist-5. Results revealed that risk factors for increased mental health symptom reporting were paramedic occupation, self-identified female, younger in age, COVID-19 personal contact, requirement to self-isolate, and self-perception of COVID-19 contraction (without confirmation through testing). The COVID-19 pandemic should be considered a risk factor for increased mental health symptom reporting in PSP.
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Kwon, Chan-Young, Boram Lee, O.-Jin Kwon, Myo-Sung Kim, Kyo-Lin Sim, and Yung-Hyun Choi. "Emotional Labor, Burnout, Medical Error, and Turnover Intention among South Korean Nursing Staff in a University Hospital Setting." International Journal of Environmental Research and Public Health 18, no. 19 (September 26, 2021): 10111. http://dx.doi.org/10.3390/ijerph181910111.
Abstract:
Nurses are vulnerable to mental health challenges, including burnout, as they are exposed to adverse job conditions such as high workload. The mental health of this population can relate not only to individual well-being but also to patient safety outcomes. Therefore, there is a need for a mental health improvement strategy that targets this population. This cross-sectional survey study investigates emotional labor, burnout, turnover intention, and medical error levels among 117 nursing staff members in a South Korean university hospital; it also analyzes correlations among outcomes and conduct correlation analysis and multiple regression analysis to determine relationships among these factors. The participants had moderate to high levels of emotional labor and burnout, and 23% had experienced medical errors within the last six months. Save for medical errors, all outcomes significantly and positively correlated with each other. These results can be used to improve the mental health outcomes of nurses working in the hospital and their consequences. Specifically, the job positions of nursing personnel may be a major consideration in such a strategy, and job-focused emotional labor and employee-focused emotional labor may be promising targets in ameliorating turnover intention and client-related burnout, respectively.
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Thériault, François L., R. A. Hawes, B. G. Garber, F. Momoli, W. Gardner, M. A. Zamorski, and I. Colman. "Incidence of major depression diagnoses in the Canadian Armed Forces: longitudinal analysis of clinical and health administrative data." Social Psychiatry and Psychiatric Epidemiology 55, no. 5 (September 26, 2019): 581–88. http://dx.doi.org/10.1007/s00127-019-01754-2.
Abstract:
Abstract Purpose Major depression is a leading cause of morbidity in military populations. However, due to a lack of longitudinal data, little is known about the rate at which military personnel experience the onset of new episodes of major depression. We used a new source of clinical and administrative data to estimate the incidence of major depression diagnoses in Canadian Armed Forces (CAF) personnel, and to compare incidence rates between demographic and occupational factors. Methods We extracted all data recorded in the electronic medical records of CAF Regular Force personnel, at every primary care and mental health clinical encounter since 2016. Using a 12-month lookback period, we linked data over time, and identified all patients with incident diagnoses of major depression. We then linked clinical data to CAF administrative records, and estimated incidence rates. We used multivariate Poisson regression to compare adjusted incidence rates between demographic and occupational factors. Results From January to December 2017, CAF Regular Force personnel were diagnosed with major depression at a rate of 29.2 new cases per 1000 person-years at risk. Female sex, age 30 years and older, and non-officer ranks were associated with significantly higher incidence rates. Conclusions We completed the largest study to date on diagnoses of major depression in the Canadian military, and have provided the first estimates of incidence rates in CAF personnel. Our results can inform future mental health resource allocation, and ongoing major depression prevention efforts within the Canadian Armed Forces and other military organizations.
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Merhej, Rita. "Stigma on mental illness in the Arab world: beyond the socio-cultural barriers." International Journal of Human Rights in Healthcare 12, no. 4 (August 29, 2019): 285–98. http://dx.doi.org/10.1108/ijhrh-03-2019-0025.
Abstract:
Purpose Research on mental illness stigma in the Arab world has traditionally focused on socio-cultural barriers that deprive persons with mental illness from their fundamental human right for privacy and informed consent. The purpose of this paper is to address the question whether or not mental health legislations in a number of Arab countries effectively safeguard the human rights of people with mental illness and protect them from stigmatizing and discriminatory practices. Design/methodology/approach A qualitative review of literature was performed over two rounds of search, targeting published research on mental illness stigma in the Arab world from year 2000 until now and existing national mental health legislations in the Arab world, using English and Arabic databases. Findings The review reveals that beyond society and culture, persistence of mental illness stigma in the Arab world may be explained by absent or inefficient monitoring mechanisms of mental health legislations and policies within the health-care setting. Although integration of mental health services into the primary health care system is being gradually implemented as a step toward de-stigmatization of mental illness, more remains to be done to change the stigmatizing behavior of the health personnel toward mental illness. Originality/value Mental health authorities in the Arab world need to be more aware of the public perceptions explaining people’s fear and reluctance to seek mental health care, so as to ensure that the control and monitoring mechanisms at both the primary and mental health care levels foster a human rights, culturally competent, patient-friendly and non-stigmatizing model of mental health care.
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Grajek, Mateusz, Patryk Szlacheta, Karolina Sobczyk, Karolina Krupa-Kotara, Beata Łabuz-Roszak, and Ilona Korzonek-Szlacheta. "Postpandemic Stress Disorder among Health Care Personnel: A Cross-Sectional Study (Silesia, Poland)." Behavioural Neurology 2022 (November 14, 2022): 1–9. http://dx.doi.org/10.1155/2022/1816537.
Abstract:
Background. Postpandemic stress disorder (PPSD) is an unofficial term that refers to posttraumatic stress disorder (PTSD), a mental disorder resulting from increased stress, anxiety, and trauma associated with unpleasant life experiences. Many scientific studies indicate that symptoms of increased stress, job burnout, anxiety, and depressive disorders are associated with medical personnel performing their professional duties around COVID-19 patients. Objective. The purpose of this study was to assess the prevalence of symptoms that may indicate the presence of PPSD symptoms—depression, anxiety, and stress—in medical personnel. Material and Methods. The survey included 300 people, representatives of medical personnel. The group was divided into two sections. The first section numbered 150 and consisted of personnel in direct contact with COVID-19 patients (FR); the second group also consisted of 150 medical professionals, who but no longer directly involved in helping with COVID-19 cases (SR). The survey was conducted by indirect survey method using CAWI (computer-assisted web interview). The survey used a questionnaire technique. A proprietary tool enriched with standardized psychometric scales: BDI, GAD-7, FCV-19S, and PSS-10 was used. Kruskal-Wallis and Mann–Whitney U statistical tests were used in the statistical processing of the data. The probability level was 0.05. Results. Statistical inference made it clear that mental health problems that may indicate trauma are mainly present in the FR group. These symptoms decreased slightly in comparison between periods 2020 and 2021 ( p < 0.05 ). Conclusions. The COVID-19 pandemic significantly increased the prevalence of depression, anxiety, and stress among first responders. To ensure the psychological well-being of first responders, early assessment and care of mild depression, anxiety, and stress should be promoted to prevent the development of moderate and severe forms.
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Maloney, Danielle, and Garry Walter. "Contribution of ‘School-Link’ to an Area Mental Health Service." Australasian Psychiatry 13, no. 4 (December 2005): 399–402. http://dx.doi.org/10.1080/j.1440-1665.2005.02233.x.
Abstract:
Objective: To evaluate the contribution of the ‘School-Link’ initiative to an Area Mental Health Service. Method: Surveys and focus groups of school and health service personnel were conducted to examine the three foci of the School-Link initiative, namely prevention, early intervention and service access. Results: Improvements witnessed since the commencement of School-Link include an increasein the number of evidence-based mental health promotion programmes in schools, improvements in the communication between health and education departments, improvements in referral patterns and better practices, such as improved feedback, in both health and education sectors. School counsellors feel more supported in their role by health services and better able to manage certain patients. Conclusions: The actual and potential benefits of School-Link for young persons appear considerable. School-Link has provided opportunities for communication, upgrading of skills and collaborative work on mental health issues, in both education and health settings.
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Endsley, Patricia. "School Nurse Workload." Journal of School Nursing 33, no. 1 (December 8, 2016): 43–52. http://dx.doi.org/10.1177/1059840516681423.
Abstract:
The purpose of this scoping review was to survey the most recent (5 years) acute care, community health, and mental health nursing workload literature to understand themes and research avenues that may be applicable to school nursing workload research. The search for empirical and nonempirical literature was conducted using search engines such as Google Scholar, PubMed, CINAHL, and Medline. Twenty-nine empirical studies and nine nonempirical articles were selected for inclusion. Themes that emerged consistent with school nurse practice include patient classification systems, environmental factors, assistive personnel, missed nursing care, and nurse satisfaction. School nursing is a public health discipline and population studies are an inherent research priority but may overlook workload variables at the clinical level. School nurses need a consistent method of population assessment, as well as evaluation of appropriate use of assistive personnel and school environment factors. Assessment of tasks not directly related to student care and professional development must also be considered in total workload.
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Brady, John, and Catherine McDonnell. "Service innovation: development of a primary care-based assessment service." Psychiatric Bulletin 29, no. 6 (June 2005): 222–24. http://dx.doi.org/10.1192/pb.29.6.222.
Abstract:
The care of those with mental illness has moved away from asylums and in-patient care facilities. Community mental health teams (CMHTs) now deliver care but these vary widely in terms of personnel and function (Simmonds et al, 2001). Evidence suggests that CMHT management is not inferior to non-team standard care in any important respect, and that it may even be superior in promoting greater acceptance of treatment, reducing hospital admission and avoiding death by suicide (Tyrer et al, 2000). Despite this apparent improvement, there are problems for the CMHTs and the general practitioners (GPs) who refer individuals. CMHTs are often overstretched, with large workloads, increasing amounts of administration and lack of resources, leading to concerns that individuals with more severe illness may be neglected (Harrison, 2000). Various initiatives have been undertaken to combat these problems, including forging stronger links between the CMHT and GPs, by having an on-site mental health worker (Hamilton et al, 2002; Bower & Sibbald, 2003).
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Beecham, Jennifer, Daniel Chisholm, Anne O'Herlihy, and Jack Astin. "Variations in the costs of child and adolescent psychiatric in-patient units." British Journal of Psychiatry 183, no. 3 (September 2003): 220–25. http://dx.doi.org/10.1192/bjp.183.3.220.
Abstract:
BackgroundChild and adolescent inpatient care is a highly specialised service, ideally requiring planning at a national level, but there are no routine data collections specifically for these services.AimsTo estimate unit costs for child and adolescent psychiatric in-patient units and to analyse the variations in costs between units.MethodData collection alongside a national survey with cost estimations guided by principles drawn from economic theory. Bivariate and multivariate analyses are employed to identify cost influences.ResultsFifty-eight units could provide sufficient data to allow calculation of the cost per in-patient day; mean=$197 (s.d.=71.6; 1999–2000 prices). The management sector, type of provision, number of rooms, capacity and location explained nearly half of the cost variation.ConclusionsChild and adolescent psychiatric in-patient units are an expensive resource, with personnel absorbing two-thirds of the total costs. Costs per in-patient day vary fourfold and the exploration of cost variations can inform commissioning strategies.
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Launay, C., and B. Garnier. "Pratique et indication des outils de soins en réhabilitation psychosociale." European Psychiatry 28, S2 (November 2013): 83–84. http://dx.doi.org/10.1016/j.eurpsy.2013.09.223.
Abstract:
Le handicap psychique, à l’origine des difficultés d’insertion ou d’autonomie des patients atteints de trouble schizophréniques recouvre, en se surajoutant aux symptômes classiques de la maladie, plusieurs dimensions comme les troubles cognitifs (troubles de l’attention, de la mémoire et de flexibilité mentale), les troubles de la communication, les troubles de la cognition sociale, le défaut d’insight,… L’engagement des soins dans le cadre de la réhabilitation psychosociale implique la mise en place d’un dispositif de soins qui fait appel aux nouvelles techniques développées ces dernières années répondant de façon spécifique aux différentes dimensions du handicap psychique. Ainsi, nous disposons en France maintenant de plusieurs programmes dont plusieurs ont été validés comme :– pour les troubles cognitifs : les programmes RECOS et CRT ;– pour les troubles de la communication : le programme IPT ;– pour les troubles de la cognition sociale : le programme ToM Remed, Mickaël's game, entraînement métacognitif ;– pour le défaut d’insight : les modules de Libermann ;– pour les famille ou les proches : le programme Profamille.Le déroulement de la prise en charge du patient nécessite une première étape d’évaluation approfondie de ses besoins, de ses ressources, de ses capacités (cognitives et autres), de son état clinique, de son autonomie au quotidien. Les soins mis en place seront choisis en fonction de cette évaluation et du projet personnel du patient (comme l’insertion dans un logement indépendant, la reprise d’étude ou d’un travail,…). Régulièrement, en fonction de l’évolution de la personne, le dispositif de soins sera réaménagé. Nous développerons l’intérêt lié à la mise en pratique de ces dispositifs dans le cadre spécifique d’une hospitalisation de jour et avec un objectif privilégié de l’intégration en ESAT.