Дисертації: "Mental health personnel and patient"

1

Schroering, Joan B. "Gender bias among mental health professionals." Huntington, WV : [Marshall University Libraries], 2003. http://www.marshall.edu/etd/descript.asp?ref=376.

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2

Marth, Dean Markward Martha J. "A longitudinal study of differences in staff assaults by responses to residents in a forensic hospital." Diss., Columbia, Mo. : University of Missouri--Columbia, 2009. http://hdl.handle.net/10355/6134.

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Title from PDF of title page (University of Missouri--Columbia, viewed on Feb. 15, 2010). The entire thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file; a non-technical public abstract appears in the public.pdf file. Dissertation advisor: Dr. Martha Markward. Vita. Includes bibliographical references.

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3

Hill, Jennifer Marie Westefeld John S. "The experiences of mental health professionals providing services to persons who are dying a phenomenological study /." Iowa City : University of Iowa, 2009. http://ir.uiowa.edu/etd/378.

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4

Byrne, Mitchell K. "Medication alliance development and implementation of a mental health staff training program for the enhancement of patient medication adherence /." Access electronically, 2008. http://ro.uow.edu.au/theses/2070.

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Thesis (Ph.D.)--University of Wollongong, 2008.
Typescript. Computer optical disc inserted in pocket on p. 195 entitled: Medication alliance core skills demonstration. Includes bibliographical references: p. 147-179.

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5

Ross, Jane Daun. "Mental health nurse prescribing : using a constructivist approach to investigate the nurse patient relationship." Thesis, University of Aberdeen, 2013. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=196346.

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Background: The interpersonal relationship between nurses and clients is seen as the central element or core activity of mental health nursing. Without this relationship therapeutic alliance cannot take place. Concern has been expressed that nurse prescribing could have a negative impact on the nurse patient relationship and result in the nurse sacrificing nursing skills for the prescribing role. Aim: The aim of this study was to explore the nurse patient relationship in the mental health setting when the nurse is a prescriber. In order to do this a comprehensive literature review was undertaken and views of participants were explored and relationships described. Methodology and methods: Nurse prescribers were sent questionnaires to gather demographic data and basic qualitative data. Focus groups and interviews were undertaken within a large NHS Foundation Trust. A constructivist approach was used with 57 participants including nurse prescribers, pharmacist prescribers, nurse managers, clients and doctors. A discussion guide and an iterative approach were used to clarify findings. Data analysis was guided by a Framework approach. Findings: The majority of clients preferred to have their nurse prescribe for them. Trust was highly valued within the pre-established relationship and clients found nurses easier to talk to about their medication than doctors. Nurse prescribers placed high importance on being able to reduce and discontinue medication for the client, terming this ‘un-prescribing’. Nurse prescribers were uncomfortable with the concept of power, preferring to use the term ‘empowerment’. All groups of participants were unanimous that nurse prescribers continued to provide care and that they had not moved from a traditional ‘caring’ role to a ‘medical’ curing role and importance was placed on the therapeutic alliance between nurse prescribers and clients. Conclusion: Rather than detracting from the nurse patient relationship, results from this study suggest that nurse prescribing enables the mental health nurse prescriber to provide more holistic care than previously. The action of ‘un-prescribing’ may indicate a new culture around mental health nurse prescribing

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6

Nystrom, Nancy M. "Oppression by mental health providers : a report by gay men and lesbians about their treatment /." Thesis, Connect to this title online; UW restricted, 1997. http://hdl.handle.net/1773/11164.

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7

Lipusch, James T. "An exploration of influences of staff responses to adolescents on a twenty-four hour treatment milieu with special emphasis on self psychology /." Click here for text online. The Institute of Clinical Social Work Dissertations website, 1989. http://www.icsw.edu/_dissertations/lipusch_1989.pdf.

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Dissertation (Ph.D.) -- The Institute for Clinical Social Work, 1989.
A dissertation submitted to the faculty of the Institute of Clinical Social Work in partial fulfillment for the degree of Doctor of Philosophy.

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8

Kachik, Joseph Robert. "Reactions of mental health professionals to the death of clients from acquired immune deficiency syndrome (AIDS)." Morgantown, W. Va. : [West Virginia University Libraries], 1999. http://etd.wvu.edu/templates/showETD.cfm?recnum=1127.

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Thesis (Ph. D.)--West Virginia University, 1999.
Title from document title page. Document formatted into pages; contains viii, 178 p. Vita. Includes abstract. Includes bibliographical references (p. 158-168).

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9

Finn, Michael P. "Perceptions of discharge planning needs : A study of discharge planning in the mental health setting." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1995. https://ro.ecu.edu.au/theses/1158.

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Major mental disorder, with prolonged periods of dysfunction that require long term care, is an issue of concern amongst mental health professionals. Although substantial effort and resources are devoted towards returning mentally ill individuals to the community, one of the most distinctive and consistent features of the persistently mentally ill (PMI) is their high rate of readmission to hospital. Existing studies into discharge planning revealed that no research had been undertaken to determine if this is the case in Western Australia. This study sought to investigate perceptions of discharge planning held by patients, carers, nurses and allied health workers involved in discharge preparation in a major metropolitan psychiatric hospital operated by the Health Department of Western Australia. Eighty one subjects were selected from the four principal groups involved in care in this mental health setting, consisting of patients ( n = 21 ), carers ( n = 20 ), nurses ( n = 22 ) and allied health workers ( n = 18 ). Perceptions of discharge planning of these subjects were evaluated and compared using the Discharge Priorities Rating Scale. Farran, Carr & Maxson's model of goal congruence in discharge planning was used to guide this study. Significant differences were found to exist in the perceptions of discharge planning between patients, carers, nurses and allied health workers. Differences in perceptions are seen to have a detrimental effect on the discharge planning process, resu1ting in unnecessary and frequent readmission to hospital and the perpetuation of institutional dependency. Whilst the results of this study can only be applied to similar institutions, the findings are relevant for the persistently mentally ill who have patterns of frequent readmissions across the public and private mental health service settings. The results obtained indicate that nurses can facilitate effective discharge planning practices by adopting a more assertive role in the hea1th care team, in communicating patients' and their carers' concerns and promoting a more collaborative approach to care.

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10

Murtagh, Lynley. "The impacts of working with people experiencing suicidal ideation : mental health nurses describe their experience : a thesis submitted to the Victoria University of Wellington in partial fulfilment of the requirements for the degree of Master of Arts (Applied) in Nursing /." Researcharchive @Victoria, 2008. http://hdl.handle.net/10063/881.

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11

Shrewsbury, Jeffrey. "Perceptions of job satisfaction in an ICF/MR environment." Huntington, WV : [Marshall University Libraries], 2002. http://www.marshall.edu/etd/descript.asp?ref=72.

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12

Davies, Lesley. "Vicarious traumatization : the impact of nursing upon nurses : a thesis submitted to the Victoria University of Wellington in partial fulfilment of the requirements for the degree of Master of Nursing (Clinical) /." ResearchArchive@Victoria e-thesis, 2009. http://hdl.handle.net/10063/1227.

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13

Schröder, Agneta. "Quality of care in the psychiatric setting : perspectives of the patient, next of kin and care staff /." Linköping : Linköping University, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-8044.

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14

Voss, Horrell Sarah Christine. "Primary care physicians' management of depression in pediatric patients patterns of collaboration with mental health professionals /." Laramie, Wyo. : University of Wyoming, 2008. http://proquest.umi.com/pqdweb?did=1771527581&sid=1&Fmt=2&clientId=18949&RQT=309&VName=PQD.

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15

Petersen, Emelie, and Fleur Jessica La. "Hur personer med psykisk ohälsa upplever bemötandet inom primärvården : En litteraturöversikt." Thesis, Högskolan Väst, Avd för vårdvetenskap på grundnivå, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-7523.

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Background: Mental illness has increased in Sweden and the individuals seeking care expect to be met with respect. The way patients perceive themselves to be treated by health care professionals plays a central part to care and treatment of patients, and the patients experience will decide how future care will proceed. The majority of complaints from patients with mental illness suggest that the way they are treated in health care is inadequate. For people with mental illness it is crucial how they perceive themselves to be treated since poor treatment can lead to reluctance in seeking future help. Aim: The purpose of this study was to describe how people with mental illness perceive themselves to be treated in primary health care. Method: A literature review was chosen as a method and data was collected from seven articles, both qualitative and quantitative. Results: The results were analyzed and compiled into three main themes; (1) To feel exposed to generalization, (2) To feel respected and (3) To feel involved. The subthemes describe experiences of; focus on medicine, one size fits all, lack of knowledge, to be listened to, humanity, attitudes, time, information and dialogue. Conclusion: There are both positive and negative experiences of how patients perceive themselves to be treated in primary health care but the negative experiences are predominant. This study can lead to an increased understanding and knowledge of how the primary care professionals should treat people with mental illness and which actions should be avoided.

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16

Kellogg, Wendy Jean. "Barriers of mental health professionals in "willingness to treat" AIDS and HIV seropositive clients." CSUSB ScholarWorks, 1992. https://scholarworks.lib.csusb.edu/etd-project/781.

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17

Sundborg, Stephanie Anne. "Foundational Knowledge and Other Predictors of Commitment to Trauma-Informed Care." Thesis, Portland State University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10281105.

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Trauma-informed care (TIC) is an approach to service delivery based on the understanding of the prevalence of psychological trauma among service users, knowledge about the impact trauma has on engagement to services, and recognition that service settings can be re-traumatizing. For more than a decade, momentum has been building on this topic. Practitioners are pursuing the knowledge and skills needed to implement trauma-informed service delivery, while organizations are building infrastructure and processes aimed at supporting this approach. Disciplines across many human service sectors are eager to incorporate TIC into policy and practice. Despite this enthusiasm, implementation efforts are slow. Acquiring foundational knowledge about TIC has typically been recommended as a first step when implementing a trauma-informed approach. However, slow progress in implementation suggests knowledge may not be enough. This study investigated the individual characteristics that impact a commitment to TIC, with specific attention to the relationship between foundational knowledge about trauma-informed care and commitment to TIC. Other variables of interest included perceived principal support, TIC self-efficacy, beliefs about trauma and its impact, and organizational strain. Survey data were collected from 118 participants working in mental health, public health, and early childhood. Results from structural equation modeling suggest that foundational knowledge predicts affective commitment to TIC both directly and with the partially mediated paths through principal support, TIC self-efficacy, and beliefs about trauma. Organizational strain does not moderate these effects. However, group differences based on high and low levels of perceived organizational strain were observed and discussed. These findings add to the growing literature on TIC and should be considered as organizations strive to implement TIC.

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18

Kissinger, Donald M. "Clinicians' beliefs regarding variables that contribute to the honest disclosure of adolescent males in sexual offender treatment." [Kent, Ohio] : Kent State University, 2009. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=kent1257116719.

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Thesis (Ph.D.)--Kent State University, 2009.
Title from PDF t.p. (viewed Apr. 28, 2010). Advisor: Donald Bubenzer. Keywords: adolescent sexual offender treatment; adolescent; sexual offender treatment; honesty; clinicians' beliefs. Includes bibliographical references (p. 181-197).

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19

Häggqvist, Nicole, and Lisa Viström. "Att vårda patienter med psykisk ohälsa i den somatiska vården : En litteraturstudie om vårdpersonals upplevelser och attityder." Thesis, Umeå universitet, Institutionen för omvårdnad, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-105548.

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20

Ahmad, Yousif Tara, and Sanne Ludvigsson. "Yrkesverksamma och blivande sjuksköterskors attityder gentemot patienter med psykisk ohälsa och sjukdom : Faktorer som kan påverka omvårdnaden." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-312794.

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Bakgrund: Psykisk ohälsa och sjukdom är vanligt förekommande i Sverige, tidigare studier har visat att personer med psykisk ohälsa eller sjukdom löper större risk att drabbas av somatiska sjukdomar jämfört med den generella populationen. Det förekommer att dessa patienter upplever stigmatisering i så väl samhället i stort som inom hälso- och sjukvården, vilket kan medföra risk för bristfällig omvårdnad av denna patientgrupp inom den somatiska vården. Syfte: Syftet var att utforska verksamma och blivande sjuksköterskors attityder gentemot patienter med psykisk ohälsa och sjukdom inom den somatiska vården. Metod: Elva vetenskapliga studier inkluderades i en litteraturstudie inom det valda forskningsområdet. Databaserna PubMed, CINAHL och PsycInfo användes för datainsamling. Samtliga artiklar kvalitetsgranskades och besvarade frågeställning och syfte. Resultat: Resultatanalysen resulterade i tre kategorier som beskriver attityder till psykisk ohälsa bland sjuksköterskor och blivande sjuksköterskor. Dessa kategorier är; Positiv attityd, Negativ attityd och Undvikande attityd. Erfarenhet, utbildning och kunskap är några av de viktigaste faktorerna som visat sig ha en inverkan på attityden till att vårda patienter med psykisk ohälsa. Slutsats: Sjuksköterskor och sjuksköterskestuderande har varierande attityder till att vårda patienter med psykisk ohälsa och sjukdom inom somatisk vård. Bristande kunskap och erfarenhet av psykisk ohälsa kan bidra till stigmatiserande och avståndstagande attityder, vilket kan leda till att patienten inte alltid får en optimal och likvärdig vård. Kunskap om dessa attityder kan bidra till att utveckla omvårdnaden för personer med psykisk sjukdom inom somatisk vård.
Background: Mental illness is common in Sweden, previous studies demonstrate that people with mental illness have an increased risk of physical illness compared to the general population. These patients often experience stigmatization generally in society, as well as within health care, which can result in a deficient care of these patients in the somatic care. Purpose: The aim of the study was to explore registered nurses and nursing students’ attitudes towards patients with mental illness in somatic care. Method: Ten scientific studies were included in a literature study of the chosen research field. The databases PubMed, CINAHL and PsycInfo was used for data collection. All the articles reviewed for quality and answered the purpose. Findings: The analysis resulted in three categories that describe attitudes to mental illness among nurses and nursing students. These categories are; Positive attitude, Negative attitude and Avoiding attitude. Experience, education and knowledge are some of the factors that can have an impact on the attitude towards caring for patients with mental illness. Conclusion: Nurses and nursing students express varying attitudes towards caring for patients with mental illness treated in somatic hospital settings. Lack of knowledge and experience of mental illness can result in stigmatization and rejection attitudes towards the patient, as well as an unequal care. Increased awareness about such attitudes can contribute to developing nursing care for these patients.

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Färg, Tanya, and Maja Kindgren. "Patienter med psykisk ohälsa i somatisk vård : En litteraturöversikt om upplevelser och erfarenheter av bemötande från vårdpersonal." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-5965.

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Bakgrund: Samsjuklighet är vanligt förekommande bland personer med psykisk ohälsa. Samtidigt finns indikationer på att patienter med vanligt förekommande psykiatriska diagnoser riskerar att inte få fullgod behandling av sina somatiska sjukdomstillstånd. Bristande vårdkvalité och tillgänglighet är två orsaker som anses vara bidragande till förlust av levnadsår hos denna patientgrupp. Patienter med psykisk ohälsa har rätt till en vård utan diskriminering, men forskningen visar att det kan förekomma negativa attityder och stigmatisering mot dessa patienter från vårdpersonal. Syfte: Syftet med litteraturöversikten var att belysa upplevelser och erfarenheter hos patienter med psykisk ohälsa av bemötande från vårdpersonal i den somatiska vården. Metod: Litteraturöversikt med 13 vetenskapliga artiklar från sex olika länder hämtades från Cinahl och PsycINFO. Artiklarna analyserades enligt Friberg. Resultat: Fyra huvudteman identifierades: Erfarenheter av att bli marginaliserad, Erfarenheter av bra bemötande, Erfarenheter av att vården inte räcker till och Konsekvenser av negativt bemötande. Diskussion: Med Orlandos teori om det dynamiska förhållandet mellan sjuksköterska och patient som teoretisk utgångspunkt diskuteras resultatet i relation till Orlandos nyckelbegrepp: evidensbaserad vård, dialog och reflektion. Behov av ytterligare kompetens hos vårdpersonal i att vårda patienter med psykisk ohälsa var en sak som lyftes.
Background: Somatic and psychiatric comorbidity are frequent in patients with mental illness. There is a risk that patients with common mental disorders don’t get adequate treatment for their somatic health problems. Lack of care quality and availability to somatic health care are issues considered contributory to years of life lost to these patients. Patients with mental disorders have the right to receive care without discrimination, though research indicates that negative attitudes and discrimination by health-care personnel towards these patients may occur. Aim: The aim of this literature review was to reveal how patients with mental illness experience the encounter with health care personnel in somatic care. Method: A literature review with 13 original research articles from six different countries was retrieved from the databases Cinahl and PsycINFO. The studies were analyzed based on Fribergs method. Results: Four main themes were crystallized: Experiences of being marginalized, Positive experiences of health care, Experiences of health care not being good enough and Consequences of negative attitudes. Discussion: The article result was discussed related to Orlando’s nursing process The dynamic nurse-patient relationship and her key concepts: evidence-based nursing, communication, dialogue and reflection. The need for additional expertise in caring for patients with mental illness was one of the points raised.

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22

Morgan, Minor Latham. "When Patients Threaten to Kill: A Texas View of Tarasoff." Thesis, North Texas State University, 1986. https://digital.library.unt.edu/ark:/67531/metadc331002/.

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A serious problem confronts the psychologist whose patient threatens, within the privacy of a therapy session, to inflict violent harm upon some third person. Therapists in Texas face a risk of unjust legal liability because of a lack of widely accepted, clearly and fully articulated standards. A questionnaire was submitted to Texas psychologists and Texas judges of mental illness courts. It involved a hypothetical case of a patient who threatened to kill his girlfriend. The hypothesis that no consensus exists at present among psychologists or judges appears to be supported by the data. Comparisons are made of the attitudes of psychologists and judges. Correlations between psychologist attitudes and certain demographic and practice variables are reported. The need for new legislation in Texas concerning legal liability of therapists for the violent behavior of patients is discussed. Proposed legislation for Texas is set out. Among its important features are (1) recognition that continued therapy is itself a protective strategy and (2) establishment of good faith as the standard by which the behavior of the therapist is to be judged.

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23

Qvarfordt, Madeleine, and Morgan Råström. "Äldre personer med psykisk ohälsa i mötet med hälso- och sjukvårdspersonal inom öppen- och slutenvård : En litteraturöversikt utifrån ett patientperspektiv." Thesis, Ersta Sköndal Bräcke högskola, Institutionen för vårdvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-6806.

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Bakgrund: Det finns begränsat med studier som behandlar äldre personer med psykisk ohälsa i mötet med hälso- och sjukvårdspersonalen. Psykisk ohälsa hos äldre personer är vanligt förekommande. Nationella samt internationella kartläggningar visar att äldre personer med psykisk ohälsa har erfarit negativa upplevelser i mötet med hälso- och sjukvårdspersonal. Hälso- och sjukvårdspersonal möter äldre personer med psykisk och fysisk samsjuklighet och de har en skyldighet att erbjuda god vård på lika villkor för hela befolkningen. Hälso- och sjukvårdspersonal påverkar mötet med äldre personer med psykisk ohälsa. Syfte: Syftet med litteraturöversikten var att undersöka hur äldre personer med psykisk ohälsa upplever mötet med hälso- och sjukvårdspersonal inom öppen- och slutenvård Metod: Litteratursökningar från januari 2005 till April 2018 samlades in från CINAHL Complete, PsycINFO och Nursing & Allied Health Database. Artiklar från Australien, Norge, Nederländerna, Sverige, Storbritannien och USA inkluderades från databaserna. Resultat: Resultatet består av huvudtemat Vårdrelation med sex underteman: Psykosociala faktorer, Personlig relation, Motiverande samtal och praktiskt stöd, Misstro, Meningsskiljaktigheter samt Att inkluderas och att exkluderas. Diskussion: Äldre personer med psykisk ohälsa klargör positiva och negativa aspekter i mötet med hälso- och sjukvårdspersonalen. Vänligt bemötande och en personlig relation där patienter tilläts vara delaktiga och samtala om sådant som de önskade ansågs positivt i mötet med hälso- och sjukvårdspersonalen. Negativa erfarenheter som framkom var patienternas upplevelse av misstro och stigmatisering från hälso- och sjukvårdspersonalen. Vidare resonemang synliggör att bemötandet hos hälso- och sjukvårdspersonalen brister vilket även strider mot den filosofi som Hildegard Peplau förespråkar. Det framgår även att hälso- och sjukvårdspersonalens förhållningssätt skiljer sig åt beroende på i vilken vårdkontext som de är verksamma inom. Det talar för att hälso- och sjukvårdspersonalen saknar adekvat kunskap inom ämnet och är i behov av utbildning för att kunna erbjuda god vård på lika villkor för alla.
Background: There is paucity of research to assess the elderly people with mental disorders encounter with healthcare professionals´. National and international research elucidate that elderly people with mental disorders have had negative experiences in the encounter with healthcare professionals´. Healthcare professionals´ encounter elderly people with physical and psychological comorbidity and they are required to offer satisfactory care on equal terms for the entire population. Healthcare professionals impact the encounter with elderly people with mental illness. Aim: The aim of this literature review was to investigate elderly people with mental illness experiences of the encounter with healthcare professionals in an outpatient and an inpatient care setting Method: Literature searches from January 2005 to April 2018 was conducted using CINAHL Complete, PsycINFO and Nursing & Allied Health Database. Articles from Australia, Norway, Netherlands, Sweden, United Kingdom and USA were drawn from the databases. Results: The result consists of one main theme: Caring relationship and it represents six subtopics: Psychosocial factors, Personal relationship, Motivating conversation and practical support, Distrust, Difference of opinion and Being included or being excluded. Discussion: Elderly people with mental illness acknowledge positive and negative aspects about the encounter with healthcare professionals. Friendly healthcare professionals who engaged in personal conversations with the patients were considered positive. Negative aspects that emerged were patients' experiences of distrust and stigma. Further argumentations elucidate that healthcare professionals fail to uphold a good standard of the care provided which also contradicts the framework that Hildegard Peplau is advocating. The healthcare professionals approach appear to differ depending on the care setting that they are working in. It indicates that healthcare professionals lack adequate awareness and need education to offer quality care on the same terms for all people.

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Glanzner, Cecília Helena. "O descompasso entre o trabalho real e o prescrito : prazer e sofrimento dos profissionais das equipes de Saúde da Família no Grupo Hospitalar Conceição." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2014. http://hdl.handle.net/10183/114596.

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A Saúde da Família configura-se em uma estratégia de reorientação do modelo assistencial que busca melhor compreensão do processo saúde-doença e a assistência integral e continuada com foco nas famílias de uma área adscrita. Caracteriza-se, ainda, como trabalho complexo, exigindo, dos profissionais, uma construção coletiva. O objetivo desta pesquisa foi avaliar a organização do trabalho, prazer, sofrimento e as estratégias de mediação do sofrimento dos profissionais das equipes de Saúde da Família do Grupo Hospitalar Conceição (GHC). Pesquisa com abordagem quantitativa transversal e qualitativa estruturada a partir da metodologia da Psicodinâmica do Trabalho. A coleta dos dados quantitativos ocorreu de setembro a novembro de 2011, com a aplicação do Inventário de Risco de Adoecimento relacionado ao Trabalho (Itra) junto aos profissionais das equipes de Saúde da Família de 12 unidades de saúde do GHC localizadas em Porto Alegre/RS, Brasil. A partir dos resultados da análise fatorial de correspondência da etapa quantitativa participaram. do estudo qualitativo, três unidades de saúde da família, que obtiveram, com aplicação do Itra, menor, moderado e maior risco de adoecimento relacionado ao trabalho. Para a coleta dos dados qualitativos, foram realizadas observação e entrevistas coletivas semiestruturadas com os profissionais das equipes de Saúde da Família no período de outubro a dezembro de 2012 e, para a análise, utilizou-se a Análise de Conteúdo. O Itra avaliou que o contexto de trabalho das equipes de Saúde de Família apresenta moderado risco de adoecimento relacionado ao trabalho quanto à organização (3,32), condições (3,03) e relações socioprofissionais (2,58) no trabalho. Quanto ao custo humano de trabalho, os custos físicos (2,72) e afetivos (2,66) foram avaliados como críticos, e o cognitivo (3,77) como grave risco de adoecimento relacionado ao trabalho. As vivências de prazer, com os indicadores realização profissional (4,21) e liberdade de expressão (4,21), foram consideradas satisfatórias, enquanto que as de sofrimento e falta de reconhecimento (1,80) foram igualmente avaliadas como satisfatórias. O indicador de sofrimento por esgotamento profissional (3,33) foi avaliado como crítico. Os três fatores da escala de danos relacionados ao trabalho, físico (2,33), psicológico (1,37) e social (0,70) foram considerados suportáveis. Da análise qualitativa emergiram três temas: prazer, sofrimento e estratégias de enfrentamento do sofrimento. Os profissionais avaliam a autonomia, a criatividade e trabalho em equipe com fontes de prazer na organização do seu trabalho. O sofrimento é percebido nas exigências do trabalho, condições da estrutura física e a complexidade do trabalho realizado pelas equipes de Saúde da Família; dizem, ainda, que utilizam estratégias de enfrentamento do sofrimento como o compartilhamento do trabalho e estratégias individuais. Conclui-se que o estudo destaca a importância e a necessidade de os profissionais disporem de espaços de fala e escuta para discutirem e refletirem sobre a organização do seu trabalho, dando potência à subjetividade do trabalho, ou seja, entendendo-o realizado por pessoas com identidade, com história; pessoas que não são somente instrumentos, mas os produzem na relação com características prazerosas para alcance do seu fim, no caso a promoção da saúde. Considera-se que produzir espaços para produção/reflexão do trabalho é ferramenta necessária, a qual contribuirá para a saúde dos profissionais da saúde, auxiliando a compreensão sobre o sofrimento que antecede a formação de sintomas e doenças relacionadas ao trabalho.
The Family Health program configures a strategy that designs the care model with a new guiding outline which looks for better comprehension of the health-disease process as well as the whole and continuous care with focus on families from an restricted area. In addition, it features a complex work that requires a collective construction by the professionals. The objective of this research was to evaluate the work organization, pleasure, suffering and the strategies to mediate the suffering of the professionals from the staffs of the Family Health program of Grupo Hospitalar Conceição (GHC). It is a research with cross-sectional quantitative and qualitative approach structured from the methodology of the Psychodynamics of Work. The collection of quantitative data was carried out from September to November 2011 by applying the Illness Risk Inventory regarding Work (Itra) with professionals of the Family Health staffs from 23 health centers of the GHC located in Porto Alegre/RS, Brazil. From the results of the correspondence factor analysis of the quantitative step, three family health centers participated of the qualitative study that, after application of the Itra, obtained minor, moderated, and higher illness risk in connection with work. For the collection of the qualitative data, observation and semi-structured collective interviews were carried out with professionals from the Family Health staffs in the period from October to December 2012 and for the analysis, the Content Analysis method was utilized. The Itra evaluation evidenced that the working context of Family Health staffs presents moderated illness risk regarding the work as to the organization (3.32), conditions (3.03) and social and professional relations (2.58) in the labor environment. As to the working human cost, physical costs (2.72) and affective costs (2.66) were assessed as critical while cognitive costs (3.77) showed severe illness risk regarding work. Pleasure experiences, with indicators like professional achievement (4.21) and expression freedom (4.21) were considered satisfactory while those like suffering and lack of recognition (1.80) were also evaluated as satisfactory. The suffering indicator due to professional burnout (3.33) was evaluated as critical. The three factors of the scale for damages in connection with work, i.e., physical (2.33), psychological (1.37) and social (0.70) were considered tolerable. From the qualitative analysis, three themes have emerged: pleasure, suffering and strategies to face suffering. Professionals evaluated autonomy, creativity and team work with sources of pleasure in their working organization. Suffering is perceived within working requirements, physical structure conditions and the complexity of the work carried out by the Family Health staffs; they say, yet, that they utilize strategies to face suffering like sharing work and individual strategies. The conclusion drawn is that the study points out the importance and the professionals´ need of speaking and listening spaces in order to discuss and to reflect about their work organization, by giving power to the work subjectivity, that is, by understanding it as done by people with identity, history; namely, by people who are not only tools, but who produce them within a relationship with pleasing characteristics in order to achieve their goal, namely, health promotion. Designing spaces in order to produce and to reflect about work is considered a needed tool which will contribute for the well-being of healthcare professionals by helping them to understand suffering that occurs before the rise of symptoms and diseases in connection with work.
El programa Salud de la Familia configura una estrategia de reorientación del modelo asistencial que busca mejor comprensión del proceso salud-enfermedad así como la asistencia integral y continuada con foco en las familias de un área adscrito. Se caracteriza, aún, como trabajo complejo, exigiendo, de los profesionales, la construcción colectiva. El objetivo de esta investigación fue evaluar la organización del trabajo, el placer, el sufrimiento y las estrategias de mediación del sufrimiento de los profesionales de los equipos de Salud de la Familia del Grupo Hospitalario Conceição (GHC). Se trata de una investigación con planteamiento cuantitativo transversal y cualitativo estructurado desde la metodología de la Psicodinámica del Trabajo. La recopilación de los datos cuantitativos se realizó de septiembre a noviembre de 2011, con la aplicación del Inventario de Riesgo de Enfermedad relacionado al Trabajo (Itra) junto a los profesionales de los equipos de Salud de la Familia de 12 unidades de salud del GHC localizadas en Porto Alegre/RS, Brasil. A partir de los resultados del análisis factorial de correspondencia de la etapa cuantitativa participaron del estudio cualitativo, tres unidades de salud de la familia, que obtuvieron, a través de la aplicación del Itra, menor, moderado y mayor riesgo de enfermedad relacionado al trabajo. Para la recopilación de los datos cualitativos, se realizaron observación y entrevistas colectivas semi-estructuradas con los profesionales de los equipos de Salud de la Familia en el período de octubre a diciembre de 2012 y, para el análisis, se utilizó el Análisis de Contenido. El Itra concluyó que el contexto de trabajo de los equipos de Salud de la Familia presenta moderado riesgo de enfermedad relacionado al trabajo en cuanto a la organización (3,32), condiciones (3,03) y relaciones sociales y profesionales (2,58) en el trabajo. En cuanto al consumo humano de trabajo, el consumo físico (2,72) y lo afectivo (2,66) fueron evaluados como críticos, mientras lo cognitivo (3,77) como grave riesgo de enfermedad relacionado al trabajo. Las experiencias de placer, con los indicadores realización profesional (4,21) y libertad de expresión (4,21), fueron consideradas satisfactorias, mientras las de sufrimiento y falta de reconocimiento (1,80) fueron igualmente evaluadas como satisfactorias. El indicador de sufrimiento por agotamiento profesional (3,33) fue evaluado como crítico. Los tres factores de la escala de daños relacionados al trabajo, físico (2,33), psicológico (1,37) y social (0,70) fueron considerados soportables. Del análisis cualitativo emergieron tres temas: placer, sufrimiento y estrategias de enfrentamiento del sufrimiento. Los profesionales evalúan la autonomía, la creatividad y el trabajo en equipo con fuentes de placer en la organización de su trabajo. El sufrimiento es percibido en las exigencias del trabajo, en las condiciones de la estructura física y en la complejidad del trabajo realizado por los equipos de Salud de la Familia; dicen, aún, que utilizan estrategias de enfrentamiento del sufrimiento como el compartimento del trabajo y estrategias individuales. Se concluye que el estudio destaca la importancia y la necesidad de que los profesionales dispongan de espacios de habla y escucha para que discutieran y reflejaran acerca de la organización de su trabajo, dando potencia a la subjetividad del trabajo, o sea, entendiéndolo realizado por personas con identidad, con historia; personas que no se vean solamente como instrumentos, pero que los produzcan en la relación con características placenteras para alcanzar su fin, es decir, la promoción de la salud. Se considera que producir espacios para producción y reflexión del trabajo es herramienta necesaria, la cual contribuirá para la salud de los profesionales de la salud, auxiliando la comprensión sobre el sufrimiento que antecede la formación de síntomas y enfermedades relacionadas al trabajo.

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Deihl, Christine D. "Recruitment and retention of mental health personnel in Pennsylvania." Instructions for remote access. Click here to access this electronic resource. Access available to Kutztown University faculty, staff, and students only, 1996. http://www.kutztown.edu/library/services/remote_access.asp.

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Wolff, Jan. "Patient-specific resource intensity of inpatient mental health care." Thesis, King's College London (University of London), 2016. https://kclpure.kcl.ac.uk/portal/en/theses/patientspecific-resource-intensity-of-inpatient-mental-health-care(0e6cd3ef-b97b-48f5-a5c0-28d8d1191a23).html.

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Understanding differences in resource use between patient groups is required for decision- making in clinical practice and health care policy. The overall aim of this research project was to show whether patient-specific resource use of inpatient mental health care can be inferred from patient characteristics. This aim was subdivided into four objectives, namely 1) to analyse the association between patient characteristics and length of stay, 2) to synthesise current scientific knowledge considering the association between patient characteristics and per diem resource use, 3) to analyse differences in per diem staff time use between patient groups and 4) to analyse patient-specific determinants of total per diem hospital costs. A systematic review was carried out to synthesise the current knowledge. Data of consecutively sampled patients were used to analyse the association between length and intensity of care and patient and service characteristics. A work time study was used to measure differences in staff time use. Eight potential cost drivers were identified on the basis of previous studies. Strong and significant effects on length and intensity of care were found in both patient and service characteristics. It was neither possible to reliably predict length of stay nor to reliably predict the intensity of care. Idiosyncrasies of inpatient mental health care might have hindered the identification of patient groups that are homogenous in terms of resource use. Decision makers in clinical practice and health policy should be aware of potential differences in resource use between apparently similar patients.

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Klingshirn, Joseph. "Creating Adaptable Behavioral Health Patient Environments." University of Cincinnati / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1427898682.

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28

Rothberg, Stacy. "The journey of female cancer patients or survivors while striving for personal work-life balance." Thesis, Pepperdine University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3667787.

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This phenomenological study explored how cancer impacted female patients or survivors while striving for personal work-life balance. Since female cancer patients and survivors encounter unique stressors, challenges, and experiences related to their cancer journey, this study examined the narratives of 10 women identified as having cancer and a comparison group matched on age via random sample for the birth year. The 20 narratives were a subset of the larger Weber (2011) sample collected by Digital Women's Project research team. The foundational theoretical framework is provided by Giele's (2008) life story method, which analyzed narratives through the lenses of identity, relationship style, drive and motivation, and adaptive styles of women.

However, this study focused on the following two themes: drive and motivation and adaptive style. The personal experiences of the ten diverse women, who received a cancer diagnosis (Group A), described ways that cancer changed their lives. The comparative sample of women without cancer diagnoses (Group B) were also analyzed along these themes. The findings reveal the differences between Group A and B with their outlook, lifestyles, and how work-life balance was navigated. Successful strategies of navigating work-life balance for the two groups were explored: faith, support systems, healthy lifestyle, resources, therapy, and hobbies.

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Jormfeldt, Henrika. "Dimensions of Health among Patients in Mental Health Services." Doctoral thesis, Lund University, Sweden, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-16873.

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Empirical studies focusing on the subjective experience of health among patients in contact with the mental health services are rare and most questionnaires are based on a medical model that emphasizes objectively observed disease-oriented health indicators. In studies I and II perceptions of the concept of health among patients and nurses in mental health services were explored and described using a phenomenographic approach. The perceptions and description categories that emerged from these studies were transformed into a number of items forming a questionnaire intended to measure subjectively experienced health among patients in mental health services. In study III, a randomly selected sample was used to test the psychometric properties of the new Health Questionnaire. A factor analysis revealed three factors labelled Autonomy, Social Involvement and Comprehensibility. The purpose of study IV was to examine the construct validity of the Health Questionnaire. The hypothesis was that subjectively experienced health would be positively associated to self-esteem, empowerment and quality of life, and negatively associated to psychiatric symptoms, perceived stigmatization experiences and perceived attitudes of devaluation and discrimination. This hypothesis was mainly confirmed insofar that overall health was positively correlated to self-esteem, empowerment and quality of life and negatively correlated to symptoms, attitudes of devaluation and discrimination and rejection experiences. The results of this thesis show that health is more than just an absence of disease and support a focus on health promotion interventions in mental health care.

Medicine doktorsexamen

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Macpherson, Elinor Carol. "Manpower substitution in mental health service delivery." Thesis, University of British Columbia, 1988. http://hdl.handle.net/2429/27988.

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The study developed a model for projecting potential economies from manpower substitution among the four core mental health professions and applied the model to a proposed substitution situation which would substitute psychologists for psychiatrists in the delivery of a proportion of present private practice (fee-for-service) psychiatry services in British Columbia. The model identifies three controlling variables: treatment substitutability (TS), practice privilege constraints (PPC), and relative payment rates (RR). In the model, TS and PPC are conceptualized as determining the estimated substitutable share of costs (SSC%); RR, in combination with the values derived for SSC%, is then used to estimate potential cost savings (CS%). Two conditions were defined for each of the three controlling variables in order to provide a range of possible values for SSC% and CS%. For reasons of data availability, data were obtained from the Manitoba Health Services Commission for private practice psychiatry services for FY 1984 and estimates of SSC% calculated. These estimates were then applied to B.C. Medical Services Commission data for FY 1984, and projected values of CS% calculated. Calculations were made both for all services and for the subset of psychotherapy services, which accounted for 80 percent of the larger set of services. The results of the study indicated considerable possibilities for manpower substitution, ranging from 35 to 70 percent for all services and 40 to 75 percent for psychotherapy services. However, the study also found that while salaried psychologists offered the possibility of substantial cost savings, a fee-for-service arrangement suggested virtually no potential savings. Projected values of CS% for the salaried alternative were 20 to 40 percent for all services and 15 to 30 percent for psychotherapy services but in the fee-for-service alternative, only 4 to 8 percent for all services and 4 to 7 percent for psychotherapy services. Licensure and market rigidities which might pose barriers to implementation were evaluated and a review of professional training standards (TS), licensure standards (PPC), and funding alternatives (RR) indicated that the projected economies could be achieved with no necessity for modifications in existing arrangements. PPC appear to present almost no barriers to economies from the proposed manpower substitution and those barriers which are presented by TS and RR limitations still allow considerable potential for economies. Thus, the greatest opportunities for intervention in achieving and enhancing the projected, economies appear to be in the exploration of relative payment rates and relative effectiveness of treatment methods (e.g., psychotherapy vs. pharmacotherapy). The study concludes with a discussion of factors lying outside the boundaries of the model but which impinge, nonetheless, upon the feasibility of the proposed substitution and fall, necessarily, to policy makers to address. The existing network of B.C. community mental health centres was suggested as a possible mechanism for the delivery of the substitutable share of private practice psychiatry services.
Medicine, Faculty of
Population and Public Health (SPPH), School of
Graduate

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31

Thierer, Karen R. "A study of community attitudes toward out-patient mental health facilities." Thesis, Kansas State University, 1986. http://hdl.handle.net/2097/9975.

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Autès, Erwan. "Administrer la santé mentale : rhétoriques et politiques de l'expérience." Thesis, Lyon, 2020. http://www.theses.fr/2020LYSEN018.

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Dans l’espace politique de la santé mentale, la bureaucratie sanitaire ne cesse de faire l’objet de critique de la part des psychiatres. Or, les recherches se focalisent plus volontiers sur un exotisme de l’intérieur : le travail psychiatrique et l’expérience des patients. C’est ainsi que l’administration, qui est pourtant une sphère d’action concrète, est rendue plus abstraite encore, un simple rouage de la nouvelle raison instrumentale du monde. De ce fait, c’est l’analyse de cette « boîte noire » que se propose de réaliser cette thèse dans une perspective d’anthropologie politique de la santé mentale et d’épistémologie sociale. L’objectif est d’éclairer les évolutions institutionnelles de la santé mentale en France au cours de la décennie 2010. Dans cette conjoncture, « l’expérience » est devenue une catégorie au fondement d’une nouvelle économie morale dans les politiques publiques, reposant sur l’expérience de la maladie, les conceptions publiques de l’assistance, le rôle revisité des soins en santé mentale, l’agentivité morale des malades. L’étude est ancrée dans un travail de terrain multi-situé, conçue comme une ethnographie d’assemblage, explorant des manifestations locales d’un problème commun, à partir d’une posture d’agent d’administration locale de la santé. En conclusion, peut se dégager dans une perspective d’épistémologie sociale, le fondement empiriste des politiques de santé mentale et ses conséquences, ainsi que la valeur épistémique attribuée à l’expérience de la maladie, épreuve opposable aux preuves jugées les plus scientifiques
In the mental health arena, the bureaucracy is used to be criticized by psychiatrists.However, research often focuses on an exotic interior: psychiatric work and the experience of patients. This is how the administration, which is nevertheless a sphere of concrete action, ismade even more abstract, a simple cog in the new instrumental reason of the world.Therefore, it is the analysis of this "black box" that this thesis proposes to carry out from aperspective of political anthropology of mental health and social epistemology. The objectiveis to shed light on the institutional evolutions of mental health in France during the decade of2010. In this conjuncture, "experience" has become a category at the foundation of a newmoral economy in public policies, resting on the experience of the disease, public conceptions of assistance, the questioned role of mental health care, the moral agency of sick people. The study is grounded in multi-location fieldwork, conceived as an assemblic ethnography, exploring local manifestations of a common problem, from the posture of a local health administration officer. In conclusion, from a perspective of social epistemology, the empiricalbasis of mental health policies and its consequences can be seen, as well as the epistemicvalue attributed to the experience of the disease, a test opposable to the evidence consideredthe most scientific

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Long, Ann. "Promoting a person-valuing paradigm for mental health nurses." Thesis, University of Ulster, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.287221.

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Gorman, Debra L. Johnson. "Dementia and the Dental Patient| Dementia Training for Dental Professionals." Thesis, California State University, Long Beach, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10265551.

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Although the population of adults age 65 and older with Alzheimer’s disease and other dementias is growing exponentially, many dental professionals are not adequately prepared to work with these special needs patients in the clinical setting. The purpose of this project was to develop a training for dental professionals including basics about dementia, and communication and behavioral management. Personal oral hygiene, often lacking in a person with dementia, contributes to periodontal inflammation and oral infection that may be linked to potentially, life-threatening diseases, including cardiovascular disease, and aspiration pneumonia. This could result in poor quality of life, and hospital or nursing home admission. The training will help dental professionals to better provide preventive or maintenance dental care or assist in providing care. The training will meet a portion of the continuing education biennial course requirements and course provider requirements for license renewal of dental professionals in California. The training was presented to dental professionals. Their feedback, as well as suggestions from an expert panel, informed revisions to the training, such as increasing the length of the training and including “brain breaks” in the presentation.

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Park, Louisa. "The influence of effective communication between patients and health professionals on patients' perceptions of quality of care, health outcomes, and treatment compliance /." [St. Lucia, Qld.], 2006. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe19741.pdf.

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Kotze, Lynn Meagan. "The employment patterns of BPsych graduates in the Western Cape." Thesis, Link to online version, 2006. http://hdl.handle.net/10019/563.

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37

Slade, Catherine Putnam. "Does patient-centered care affect racial disparities in health?" Diss., Atlanta, Ga. : Georgia Institute of Technology, 2008. http://hdl.handle.net/1853/22569.

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Thesis (Ph. D.)--Public Policy, Georgia Institute of Technology, 2008.
Committee Chair: Robert J. Eger III, Ph.D.; Committee Member: Christopher M. Weible, Ph.D.; Committee Member: Gregory B. Lewis, Ph.D.; Committee Member: Monica M. Gaughan, Ph.D.; Committee Member: Valerie A. Hepburn, Ph.D.

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Parkes, J. "The safety and effectiveness of interventions for aggression in mental health nursing." Thesis, Coventry University, 2010. http://curve.coventry.ac.uk/open/items/f7b88b70-44a9-8c21-e94f-2a5688fbddf4/1.

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This document presents five published journal articles all of which investigate the safety and effectiveness of interventions for aggression in mental health nursing. Early work focuses upon studies of the safety and effectiveness of interventions in the clinical setting. In the first article the research project examined the safety and effectiveness of a course of training in ‗control and restraint‘ (C&R) at a medium secure mental health unit. Mixed findings are reported, with some aspects of the study showing an increase in injuries whilst the overall outcome showed no significant change. The second article reports the pattern of incidents, and staff interventions, over a three year period in a different medium secure unit. A low threshold of reporting was encouraged and substantial numbers of incidents are described. Later work narrows the focus of the study onto a specific area of the safety of physical interventions for aggression: sudden death related to restraint. A published review of the literature on ‗positional asphyxia‘ is presented, discussing the key literature and developing the concept of ‗positional asphyxia.‘ Two research publications are also presented. In the first article the effect of body position on the rate of recovery from exercise is studied using pulse oximetry as a proxy measure of respiration. Equivocal results are reported. The second study shows a development of the methodology, following a similar design but using computer assisted pneumotachography to provide direct measurement of lung function. A clear pattern is demonstrated showing significant changes in lung function in prone restraint positions where the participant is flexed and/or body weight is applied. 4 The development of the concept of positional asphyxia and the contribution of the articles, academic and professional, is discussed. It is suggested that positional asphyxia should be viewed as one factor in a multi-factorial model of risk. The body of work is presented as having clear implications for practice. Early work examining the pattern of incidents in clinical settings has relevance to staff training, particularly in terms of a clearer understanding of the potential risks which need to be addressed by training. Later work has considerable implication for both policy and training by identifying those restraint positions which present less risk to the restrained person. Directions for future research are discussed.

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Kling, Michael Patrick. "Needs Assessment for Mental Health Support Towards Emergency Medical Service (EMS) Personnel." Thesis, Regent University, 2021. http://pqdtopen.proquest.com/#viewpdf?dispub=27961789.

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Understanding and assessing the needs of Emergency Medical Service (EMS) personnel and other first responders is crucial for providing these individuals with the resources needed within their community. The literature discusses how EMS personnel are at risk for psychological impairment due to routine exposure to traumatic events and occupational stressors within EMS organizations. Additionally, the research has supported the importance of positive coping abilities, organizational belongingness, and social support within the lives of EMS personnel to enable them to resiliently handle the occupational stress of their job. This study investigated the occupational needs of EMS providers to determine if they are receiving resources within their organization to cope with occupational stressors. Participants for this study comprised (n=153) paramedics and fire-fighters from the Tidewater EMS Council organization. A needs assessment was conducted to explore correlations between quality of life, resiliency, years of service, level of education, burnout, secondary traumatic stress, interpersonal support, positive and negative religious coping, and the occupational needs of EMS personnel. The results revealed that burnout (r=4.27**) and secondary traumatic stress (r.215*) were important factors for determining occupational turnover among EMS personnel. Furthermore, EMS providers reported occupational needs such as easier access to mental health, improved staff relations, adequate staffing, and improved shift hours are needed within their organization. Future research should explore differences in occupational needs with EMS providers among EMS organizations in metropolitan and rural communities. Keywords: Emergency Medical Services (EMS), Burnout, Occupational Stress, Traumatic Critical Incidents

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Bjørngaard, Johan Håkon. "Patient satisfaction with outpatient mental health services - the influence of organizational factors." Doctoral thesis, Norges teknisk-naturvitenskapelige universitet, Det medisinske fakultet, 2008. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-2227.

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Pasienttilfredshet med polikliniske tilbud i det psykiske helsevernet – betydningen av organisatoriske faktorer Pasientenes opplevelse og tilfredshet med behandlingstilbudet har i økende grad blitt vektlagt ved evaluering av tjenester til mennesker med psykiske lidelser. Systematiske målinger av brukererfaringer i det psykiske helsevernet skal inngå som en av flere kvalitetsindikatorer for spesialisttjenesten. Dette skal blant annet gi brukerne beslutningsgrunnlag for å kunne velge hvor man ønsker å behandles, fagfolkene innspill til egen kvalitetsutvikling og staten nødvendig styringsinformasjon. Hensikten med avhandlingen var å undersøke i hvilken grad organisatoriske forhold har betydning for pasientenes tilfredshet med behandlingstilbudet. Resultatene i avhandlingen bygger på analyser av data fra flere større undersøkelser med spørreskjema til pasienter om deres erfaringer med det psykiske helsevernet. Samlet sett viser resultatene at misnøye eller tilfredshet med tjenestetilbudet i liten grad var avhengig av hvor behandlingen fant sted. Det vil si at pasientene var fornøyd eller misfornøyd relativt uavhengig av hvor de ble behandlet. For eksempel blant pasienter i poliklinikker for voksne kunne bare om lag to prosent av variansen i tilfredshet knyttes til hvilken behandlingsenhet som sto for behandlingen. Resultatene viste også at ulike mål på den psykiske lidelsens alvorlighet var assosiert med pasienttilfredshet, noe som vil ha betydning ved sammenlikning av behandlingsenheter med til dels ulike behandlingsoppgaver. Avhandlingen viser at aggregerte mål for pasienttilfredshet har klare begrensninger som indikator på organisatorisk kvalitet. Det er grunn til å tvile på om gjennomsnittlig tilfredshet ved for eksempel en poliklinikk er egnet som styringsinformasjon. Det synes som om metoden i liten grad er egnet til å identifisere poliklinikker med dårlig kvalitet og det er også usikkert om de poliklinikkene som metoden beskriver som dårlige, faktisk er dårlige. Kandidat: Johan Håkon Bjørngaard, Institutt for samfunnsmedisin Veiledere: Jon Magnussen, Torleif Ruud og Svein Friis Finansieringskilde: Rådet for psykisk helse og Stiftelsen Helse og Rehabilitering

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Weber, Kurt Andrew. "An investigative inquiry into mental health professionals' perceptions of psychology's contributions to human and social welfare /." Digital version accessible at:, 1999. http://wwwlib.umi.com/cr/utexas/main.

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Latham, Patricia King. "Factors associated with social support in mental health workers /." The Ohio State University, 1987. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487332636474462.

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Enros, Brynn Marie. "Mental health social workers : strategies for social justice advocacy in a hospital setting." Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=99163.

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This qualitative, quasi-phenomenological study presents strategies and methods hospital-based mental health social workers utilize to promote social justice and advocate for their clients. Three frontline mental health social workers and one mental health department head were interviewed. The findings of this research demonstrated that the participating social workers utilized a variety of creative and flexible approaches to promote social justice and successfully advocate for their clients. These approaches included: the use of appropriate language, using the system against itself, developing written standards and regulations for their tasks, and forming a network of allies.

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Milton, Alyssa Clare. "Communication at the time of a mental health diagnosis." Thesis, The University of Sydney, 2016. http://hdl.handle.net/2123/15806.

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Background: The process of communication at the time of a mental health diagnosis is an important but under researched area in mental health settings. Aims: To understand the satisfaction levels, information requirements and support needs of people with a lived experience of diagnosis and what influences this. To explore what health professionals consider to be the barriers and facilitators to the communication process at the time of a mental health diagnosis. To synthesise strategies for support and best practice recommendations into a model of communication for use at the time of a mental health diagnosis. Methods: A systematic review (of 30 quantitative and qualitative papers), two qualitative studies (n=45 people with lived experience of diagnosis; n=19 health professionals) and two survey based quantitative studies (n=101 people with lived experience of diagnosis; n=131 health professionals) were undertaken. Results: There has been limited research into this area of mental health communication. The majority of individuals who experience a diagnosis want information; however, this is not always satisfactorily addressed. For clinicians, there was a lack of known specific health professional training programmes, and factors such as health professional background and confidence handling distress influenced beliefs and practice. Models of communication appraised by people with a lived experience of diagnosis were highly acceptable, however, consistently barriers, such as stigma and the need to address the changing circumstances of individuals, were identified as areas requiring further attention. The synthesised result is a more dynamic, multifaceted and less linear model of communication. Conclusion: Talking with an individual about a mental health diagnosis can be a non-linear, complex and changeable situation. The resulting model is offered to help further develop health professional communication training and support individuals at the time of mental health diagnosis.

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Xu, Wanlu. "Patient Perspectives on Barriers and Facilitators to Mental Health Support after a Traumatic Birth." eScholarship@UMMS, 2021. https://escholarship.umassmed.edu/gsbs_diss/1126.

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Background Up to 34% of perinatal individuals experience childbirth as traumatic. These individuals are at increased risk for developing depression, anxiety, and posttraumatic stress disorder (PTSD) after the traumatic event. The objective of this study was to elicit the perspectives of individuals with a traumatic birth experience on barriers and facilitators to receiving mental health support in the postpartum period after a traumatic delivery. Methods Individuals who delivered within the last three years and perceived their birth experience to be traumatic (n=32) completed an hour-long semi-structured phone interview. The interview included screening for PTSD, depression, and anxiety with validated instruments including the Posttraumatic Stress Disorder Checklist for DSM-V (PCL-5), the Patient Health Questionnaire depression scale (PHQ-8), and the Generalized Anxiety Disorder scale (GAD-7), respectively. Qualitative data was analyzed using a modified grounded theory characterizing participants’ barriers and recommendations for mental health support after traumatic births. Results Among participants, 34.4% screened positive for PTSD, 18.8% screened positive for major depressive disorder, and 34.4% screened positive for anxiety. Qualitative themes revealed multi-level barriers involving lack of communication, education, and resources which prevented obstetric professionals from recognizing and supporting patients’ mental health needs after a traumatic birth. Recommendations from participants included that 1) obstetric professionals should acknowledge trauma experienced by any individual after childbirth, 2) providers of multiple disciplines need to be integrated into postpartum care, and 3) mental health support is needed before the ambulatory postpartum visit. Conclusions There are multi-level barriers toward detecting and responding to individuals’ mental health needs after a traumatic birth. Obstetric professionals need to use a trauma-informed approach and proactively follow-up and assess mental health care in the postpartum period.

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Driot, Damien. "Comment optimiser la prise en charge et limiter l'impact de la défavorisation sociale des patients atteints d'un trouble anxieux ou d'un trouble dépressif en soins premiers ?" Electronic Thesis or Diss., Toulouse 3, 2023. http://www.theses.fr/2023TOU30259.

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Introduction : En France, les troubles mentaux sont largement prévalents, et touchent tout particulièrement les personnes les plus défavorisées. Ces patients précaires sont aussi moins bien pris en charge pour ces troubles. Les difficultés concernent aussi bien la prise en charge de ces patients que l'accès aux soins spécialisés (psychiatres, psychologues). Objectif : L'objectif des travaux réalisés est i) de définir la prise en charge optimale du trouble anxieux ou du trouble dépressif caractérisé en soins premiers, ii) d'évaluer l'impact de la défavorisation sur les prescriptions de psychotropes, et iii) de mettre en place des outils pour optimiser la prise en charge et limiter l'impact de la défavorisation sociale chez ces patients. Résultats : Un état de l'art a été réalisé pour définir la prise en charge optimale des principaux troubles mentaux rencontrés en soins premiers en réalisant plusieurs métarevues de la littérature. Elles ont permis de définir les critères d'évaluation d'études épidémiologiques qui ont évalué la conformité aux données scientifiques validées des prises en charge ambulatoires des patients précaires présentant un trouble mental. Ces études ont mis en évidence un impact significatif de la précarité sur la non-conformité aux recommandations des prises en charge en soins premiers des patients exposés à des médicaments psychotropes. Un faible recours aux thérapeutiques non pharmacologiques dans les troubles du sommeil a été mis en évidence en Haute-Garonne. L'ensemble de ces travaux confortait l'idée que des actions devaient être mises en place. Premièrement, le site internet psychotropes.fr a été créé afin de proposer un outil d'aide à la prise en charge des patients atteints de troubles mentaux. Il a été créé à partir des métarevues en proposant des algorithmes de prise en charge. Deuxièmement, un essai clinique a été soumis à un appel à projets de la caisse primaire d'assurance maladie afin d'évaluer l'expérimentation du remboursement des psychothérapies pour les troubles en santé mentale. Conclusion : Un essai clinique évaluant l'impact du site Psychotropes.fr sur les prises en charge par les médecins généralistes va être mené. Le protocole de recherche d'évaluation du dispositif de remboursement des psychothérapies a été classé second. Le dispositif a été généralisé à tout le pays en 2022, mais des problèmes d'adhésion des acteurs du dispositif émergent. Un travail collaboratif d'évaluation des besoins des différents professionnels impliqués, mais aussi des patients, pourrait permettre d'améliorer son efficience
Title: How to optimise healthcare and limit the impact of social deprivation for patients with anxiety or depressive disorders in primary care? Introduction: In France, mental disorders are widely prevalent, and affect particularly the most socioeconomically deprived patients. Healthcare management of these precarious patients is also less efficient. Difficulties include the healthcare management of these patients and access to specialised healthcare (psychiatrists, psychologists). Objective: The aim of the work carried out is i) to define the optimal management of anxiety or depressive disorders in primary care, ii) to assess the impact of social deprivation on psychotropic drug prescriptions, and iii) to implement tools to optimise management and limit the impact of social deprivation in these patients. Results: Systematic metareviews were conducted to determine the best practices for managing common mental disorders in primary care. They were used in order to define evaluation criteria for epidemiological studies performed to determine compliance with validated scientific data in the outpatient management of precarious patients with mental disorders. A significant influence of precariousness on inappropriate healthcare management in primary care of patients exposed to psychotropic drugs was shown. The little recourse to non-pharmacological therapies for sleep disorders was highlighted in the department of Haute-Garonne. These findings emphasised the need for actions to enhance patients' management by GP. Firstly, the website psychotropes.fr has been created to provide a tool to help GP with the management of patients encountering a mental health problem. It was created on the basis of the meta-reviews from which healthcare management algorithms have been designed. Secondly, a clinical trial has been proposed to the French Health Insurance to evaluate the efficiency of an experimentation of the reimbursement of psychotherapy for mental health disorders. Conclusion: A clinical trial evaluating the impact of the Psychotropes.fr website on the healthcare management of mental health issues by GP is to be carried out. The research protocol evaluating the reimbursement of psychotherapy was ranked second. This programme was extended to the whole country in 2022, but the adherence of the healthcare professionals is problematic. A collaborative research approach to assess the needs of the various professionals involved, as well as those of patients, could contribute to improving the programme's efficiency

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Antal, Chris J. "Patient to prophet| Building adaptive capacity in veterans who suffer military moral injury." Thesis, Hartford Seminary, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10673402.

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The US wields the most powerful military in the history of the world, and deploys military personnel throughout the globe to fight, kill and die in atoned conflict. US veterans number around 22.5 million or about 14% of the US population. Some veterans, troubled by violence, enroll in the Veterans Health Administration (VHA) and receive care from mental health providers who have developed, through their particular framework, the medical constructs of post-traumatic stress disorder (PTSD) and moral injury (MI) to diagnose and/or "treat" these veterans as "patients." The PTSD construct casts veterans as "patients with a disorder," minimizes legitimate moral pain, and enables the US public to avoid the work of reckoning with harmful consequences of US military action for which they hold ultimate responsibility. MI, a more recent and fluid construct, occurs at the intersection of religion and violence and thus invites the contribution of chaplains. A focused MI group for combat veterans within the VHA co-facilitated by a chaplain and psychologist provides veterans the opportunity for frame breaking and reframing and holds the possibility of systemic change in a response grounded not in individual therapy or treatment but rather in shared spiritual and moral community. A public ceremony with ritual and spiritual discipline creates sanctuary for veterans to provide adaptive leadership, as they transform themselves from patient to prophet, bearing witness to unsanitized and inglorious truths while the US public listens and wrestles with issues of culpability, obligation, and moral responsibility. The outcome is post-traumatic growth and spiritual development—indicated by greater moral engagement, awareness, forgiveness, and compassion. Such adaptive change may lead to increased resistance to militarism and greater reverence for all life on this fragile earth.

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Wong, Lai-cheung. "A study of hospice care : [factors affecting] communication between the health care professionals and the patients /." [Hong Kong : University of Hong Kong], 1992. http://sunzi.lib.hku.hk/hkuto/record.jsp?B13409475.

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Kimmel, Ainslee. "Mental health perceptions of rural community members and firefighting personnel after a wildfire." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Education, c2012, 2012. http://hdl.handle.net/10133/3285.

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Wildfires in Canada and around the world are increasing in frequency each year from factors such as accumulated fuel load, climate changes, and pine beetle infestation. Due to an increased proportion of individuals living in the wildland–urban interface areas within Canada and due to the increasing need for firefighters to fight the growing number of fires that burn each year, the potential threat for humans is also becoming greater. Conducted on the 2009 West Kelowna, British Columbia wildfires, this descriptive, exploratory, qualitative study incorporates quantitative validity measurements to investigate factors related to individual variations in psychological distress and posttraumatic growth (PTG). The findings revealed that perception of control, social support, compounding stressors (i.e., dual roles, ongoing responsibilities and personal issues), and coping methods (i.e., debriefing, humour, self-care behaviours, and reflection) were precursors to psychological health and resilience. Since wildfires are increasing in Canada as well as on a global scale, understanding how they affect residents and firefighting personnel from a mental health perspective is important to research, as it can lead to identifying more effective interventions, better provision of disaster relief services, and increase individual resilience.
xi, 193 leaves ; 29 cm

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Skellon, N. "Factors that impact on military personnel and military veterans accessing mental health services." Thesis, University of Liverpool, 2016. http://livrepository.liverpool.ac.uk/3004658/.

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Дисертації з теми "Mental health personnel and patient"

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