Дисертації: "Psychiatric nursing"

1

Handy, Jocelyn Ayla. "Understanding occupational stress in psychiatric nursing." Thesis, Lancaster University, 1987. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.306055.

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2

Bray, Joy Dean. "An ethnographic study of psychiatric nursing." Thesis, University of Essex, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.274299.

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3

Sands, Natisha. "Psychiatric triage nursing : the new frontier." Thesis, The Author [Mt. Helen, Vic.] :, 2002. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/67855.

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4

MARANHAO, ROSA MARIA CARVALHAL SILVA. "PSYCHIATRIC REFORM: NEW WORK CARTOGRAPHIES FOR PSYCHIATRIC TECHNICIANS AND NURSING AUXILIARIES?" PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO, 2004. http://www.maxwell.vrac.puc-rio.br/Busca_etds.php?strSecao=resultado&nrSeq=5424@1.

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Esta tese analisa os efeitos da Reforma Psiquiátrica nas práticas cotidianas de trabalho dos técnicos e auxiliares de enfermagem, partindo da consideração do Trabalho como espaço possível de produção de sentidos e da Reforma, que postula uma construção permanente de saber, no exercício da prática, ao mesmo tempo em que a direciona, introduzindo, nesta práxis, uma dialética. Este estudo quer contribuir à criação de grupos de escuta sobre o trabalho desta categoria, objetivando reconhecimento e resgate de sua fala, possibilitando trocas, defrontamentos com o malestar do trabalho, engendrando possibilidades de subjetivação. Referindo-se à formação da enfermagem e aos impasses decorrentes da realidade desta profissão, esta tese visualiza a necessidade de mudanças neste campo teórico- técnico, importando aí a constatação de que os técnicos e auxiliares não possuem espaço para o seu saber, construído na prática (e só assim pode ser), e que esta categoria se constitui como invisível, na maioria das discussões, sobre a Reforma, quando é fundamental ao seu acontecer.
This thesis analyzes the effects of a psychiatric reform on everyday practices of the technicians and nursing auxiliaries work, coming from consideration of work as a possible space of feelings production and the reform, which means a permanent construction of knowing, by practicing, at the same time it leads, inserting ,in this praxis, a dialectics. This study helps to create listening groups about the work of this category, achieving recognition and rescue of its speaking, making exchanges, facing a feeling of discomfort at work, creating possibilities of subjectivation. Referring to the nursing formation and the impasses of the profession, this thesis visualizes the necessity of changes in this theoretical-technical field, proving that the technicians and the auxiliaries do not have any space for their knowing, built in practice (and it can only be this way),and that this category is considered invisible, in most of discussions, about the reform, being fundamental when it happens.

5

Robinson, David Keith. "Developing clinical quality indicators in psychiatric nursing." Thesis, Anglia Ruskin University, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.259517.

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6

Li, Tai-chiu Peter. "Job satisfaction among psychiatric nurse learners." Hong Kong : University of Hong Kong, 1996. http://sunzi.lib.hku.hk/hkuto/record.jsp?B17598242.

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7

Melchior, Matthijs Eduard Willem. "Burnout & work in long-stay psychiatric nursing." [Maastricht : Maastricht : Universiteit Maastricht] ; University Library, Maastricht University [Host], 1996. http://arno.unimaas.nl/show.cgi?fid=6696.

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8

Nolan, Peter W. "Psychiatric nursing past and present : the nurses' viewpoint." Thesis, University of Bath, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.328605.

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9

Fitchette, Mirandine Alce. "Seclusion Practice in Psychiatric Nursing: Assessing Nurses' Attitudes." Diss., The University of Arizona, 2015. http://hdl.handle.net/10150/593621.

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Background: Seclusion is the physical isolation of a patient for the purpose of protecting the patient from harming self or others. It is often nurses who place a patient in seclusion, especially in the psychiatric setting. Seclusion is a very common practice in a psychiatric setting. To date, there is limited evidence describing nurses' attitudes towards seclusion in the psychiatric setting. Purpose: This paper describes nurses' attitudes towards the use of seclusion in the inpatient psychiatric setting. Method and Sampling: A qualitative design was used to assess nurses' attitudes towards the use of seclusion. Participants were recruited through snowball sampling. Two focus group discussions were used to obtain descriptions of nurses' attitudes to the use of seclusion for patients in psychiatric settings. Twelve nurses with current and/or previous work experience in the inpatient psychiatric setting, ages 21-62, participated in the study. Results: Factors guiding nurses' attitudes included feelings and beliefs, the patient's behavior, and the participant's knowledge of seclusion. Behaviors such as violence, agitation, and/or elopement were perceived as threats to the patient's safety and the safety of others. Seclusion was used to eliminate such behaviors and was perceived as therapeutic for both the patient and the individual unit. While participants reported an overall positive attitude towards seclusion, they reported a lack of knowledge in regards to policies governing seclusion. Conclusion: Attitudes were found to influence the use of seclusion. Participants in this project felt seclusion was useful to reduce violent behaviors and agitation. Seclusion was also seen as therapeutic. Educating nurses is necessary to change their attitudes towards seclusion and to reduce the practice of seclusion in the inpatient psychiatric setting.

10

Li, Tai-chiu Peter, and 李帝昭. "Job satisfaction among psychiatric nurse learners." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1996. http://hub.hku.hk/bib/B31959003.

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11

Prebble, Catherine Mary. "Ordinary men and uncommon women : a history of psychiatric nursing in New Zealand public mental hospitals, 1939-1972 /." e-Thesis University of Auckland, 2007. http://hdl.handle.net/2292/1516.

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12

Rice, Judy A. "Behind Bars: Providing Advanced Practice Psychiatric Nursing in Jail." Digital Commons @ East Tennessee State University, 2002. https://dc.etsu.edu/etsu-works/7612.

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13

Cathcart, Janice. "The circumstances and impact of powerlessness in psychiatric nursing." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0035/MQ62468.pdf.

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14

Moss, Rose. "Communication Skills of Novice Psychiatric Nurses with Aggressive Psychiatric Patients." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/326.

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Communication Skills of Novice Psychiatric Nurses with Aggressive Psychiatric Patients by Rose L. Moss MS, University of Hartford, 1996 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University March 2015 The transition from novice nurse to a competent psychiatric staff nurse is often associated with major communication challenges, primarily when caring for aggressive patients. Guided by Peplau's theory, this quantitative study assessed the communication skills of novice psychiatric nurses (N = 25) who worked 24 months or less in the state psychiatric hospital with aggressive psychiatric patients. Additionally, certain demographic data such as gender, age range, level of education, and length of time working were analyzed to determine their impact on communication skills. The survey consisted of 20 questions which assessed demographic data, communications skills, and hospital-based orientation. Based on ANOVA, novice nurses did not differ on hospital-based orientation based on gender, age, level of education, or length of time working. Novice nurses' communication skills did not differ by gender, age or level of education; however, novice psychiatric nurses who had worked 19-24 months had stronger communication skills than those working less time with aggressive patients (F = 6.9, p < 0.005). A communication skills class during hospital orientation to prepare novice nurses to communicate effectively with aggressive patient was recommended to nursing leadership and staff. A communication skills class held during hospital orientation could enhance the nurse-patient relationship, cultivate a safer and secure milieu, and improve patient outcomes. The findings have implications for positive social change for staff development to improve the hospital orientation for novice psychiatric nurses to become better equipped as effective communicators with aggressive psychiatric patients.

15

Okafor, Chika Emelda. "Educational Intervention on Metabolic Syndrome for Psychiatric Providers." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7417.

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Statistics show a high prevalence of metabolic syndrome (MetS) in patients with mental illness receiving second-generation antipsychotic medications. MetS is associated with elevation of obesity, truncal obesity, blood pressure, cholesterol, and fasting glucose. The purpose of this project was to educate psychiatric providers about the importance of MetS screening, early detection, management, and referral for better treatment and management. The project was guided by Lewin's theory of change model. The project inquired if educational intervention on MetS improved providers' knowledge and intent to adopt MetS guidelines. A literature review and established guidelines of the American Psychiatric Association and American Diabetic Association about MetS in psychiatric patients directed the educational content. Five expert panelists with over 10 years of experience in psychiatric mental health reviewed the educational content using a Likert-type questionnaire. Findings resulted in the acceptance of the educational content without further recommendation. Twelve staff attended the educational session presented on MetS. Comparison of the pretest and posttest questionnaires that has 5 multiple choice questions indicated some positive effects. The good knowledge of MetS, how to screen for MetS, health promotion activities with consumers, metabolic profile of different neuroleptic medications, providers' roles in MetS. The participants' overall knowledge about MetS screening improved from 8.3% pretest to 83.3% after receiving the educational program. The educational project for MetS screening might foster positive social change by improving continuity and quality of care, which will lead to better patient outcomes, reduce healthcare cost, and impact positive patient outcomes.

16

Phillips, Martha A. "Improving the Transition of Care for Psychiatric Patients Moving from Inpatient to Outpatient Psychiatric Healthcare Settings." Thesis, University of Louisiana at Lafayette, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=10815412.

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Abstract The aim of this quality improvement (QI) project was to explore whether the implementation of an enhanced telephone reminder system improved the rate of attendance at initial follow-up appointment and medication adherence. A total of 86 patients, discharged from inpatient psychiatric units with a follow-up within 7 days of discharge, were eligible to receive the enhanced telephone contact reminder and follow-up text. A preliminary retrospective chart review was conducted to collect historical data on medication and attendance adherence. A prospective interventional design was used to implement the QI project. Patients received telephone contact within 24-72 hours of discharge and text message reminder strategies. A medication adherence assessment was completed at telephone contact and at initial follow-up appointment. An analysis of the data examined the impact of the TCM strategy on patient?s rate of adherence to medication and initial follow-up appointments. Descriptive analysis assessed the frequency of medication adherence in retrospective and implementation data. Inferential statistics analyzed factors of association such as prior clinic services and rate of attendance at follow-up appointment. In the retrospective chart review (n=57), data revealed a 28% attendance rate and an 81% medication adherence at the follow-up appointment, with no statistical difference in a 145 history of prior series on attendance. Implementation data on medication adherence at telephone contact and at first follow-up appointment revealed a 61.5% medication adherence rate at telephone contact and 80% adherence rate at first follow-up appointment. The predictor value of a prior history of service on attendance at first follow-up appointment revealed no statistically significant difference. The project, however, resulted in clinically significant benefits that promoted individual patients? medication-taking behaviors and decisions to attend follow-up appointments, and improved clinical practices at the BHC.

17

Warner, Jackie. "The experiences which influence the decisions made by third year undergraduate nursing students to choose psychiatric nursing as a speciality area of practice." Thesis, The Author [Mt. Helen, Vic.] :, 1999. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/36476.

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The purpose of this study is to look at the reasons why few students are choosing to enter the field of psychiatric nursing. The aim is to identify issues of concern and make recommendations to rectify the situation regarding the shortage of psychiatric nurses.
Master of Nursing

18

Wong, Tak-po Mike. "Nursing stress in acute-care and psychiatric hospitals: a comparison." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1996. http://hub.hku.hk/bib/B29697712.

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19

Chambers, M. G. A. "Learning psychiatric nursing skills : the contribution of the ward environment." Thesis, University of Ulster, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.260843.

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20

Rose, II James Michael. "Prayer as a Predictor for Burnout Among Psychiatric Nursing Assistants." ScholarWorks, 2020. https://scholarworks.waldenu.edu/dissertations/7732.

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The psychiatric nursing assistants who care for psychiatric patients in inpatient hospitals, like others who work in the human service field, experience some degree of burnout during their careers. This research used Pargament’s theory of religious coping to examine prayer as a predictor variable for a decrease in burnout experienced by psychiatric nursing assistants. The Maslach Burnout Inventory-Human Services Survey and the Prayer Functions Scale were used to examine the predictor variables of prayer, gender, and years of service in correlation to the 3 dimensions of burnout. An N = 97 was obtained from the psychiatric nursing assistant population from a designated state psychiatric hospital. The data collected were processed through simultaneous multiple linear regression analysis in order to determine if correlates for burnout among the predictor variables existed. The results of this research suggested that prayer, gender, and years of service are predictor variables for the 3 dimensions of burnout. This study can aid in finding better adaptive coping skills among the psychiatric nursing assistants population, which could reduce burnout and negative effects associated with it.

21

Ojose, Maureen. "Improving Staff Knowledge of Hypertension in Psychiatric, Homeless Patients." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4667.

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Hypertension is a serious health problem in the United States. Clinical nurses may serve as facilitators in the screening, diagnosis, and treatment of hypertension. The purpose of this project was to evaluate the effectiveness of an education program on hypertension screening guidelines for nurses working in an outpatient psychiatric clinic. The project was supported by the health promotion model. The project used a pre- and post survey designed by the DNP student to collect data on nurses' knowledge, attitudes, and willingness to screen psychiatric patients for hypertension. Surveys consisted of 10 questions using a 5-point Likert-type scale. The results of the project indicated that the educational program was effective in changing the practice of nurses regarding the screening of patients for hypertension. Before administering the educational program, 9 nurses were not screening patients on a consistent basis. After the educational program, survey results indicated that 11 nurses would use a policy to screen each clinic patient for hypertension. It is recommended, based on the findings of this study, that the clinic develops a regular training and education program on hypertension screening for the staff. The implications for social change move beyond the study setting. Results may be used to improve screening for hypertension in the future. This could create social change in the way screenings are performed, which could affect the overall health of patient.

22

Dickens, Geoff. "Nursing in secure and forensic psychiatry : contexts, contributions and concepts." Thesis, University of Northampton, 2011. http://nectar.northampton.ac.uk/8854/.

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23

Dinsmore, Kimberly R., and L. Lee Glenn. "Uncontrolled Variables in Standardized Psychiatric Patient Methodology." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/7457.

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The conclusions of Sarikoc, Ozcan, and Elcin (2017) had weaknesses. An uncontrolled variable (time spent in training) could account for the results. The difference in the control and experimental groups was not statistically significant. Acceptance of the hypothesis that video with interviews is more effective than videos alone is premature.

24

Rice, Judy A. "Assessing the Physical Health of Psychiatric Patients." Digital Commons @ East Tennessee State University, 2001. https://dc.etsu.edu/etsu-works/7619.

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25

Øvre, Sørensen Nelli. "I virkeligheden udenfor : et dobbelt perspektiv på sygeplejerskers arbejde i en psykiatrisk institution : en analyse af magt, styrings- og selvstyrings teknikker /." Roskilde : Institut for uddannelsesforskning, Forskerskolen i livslang læring, Roskilde universitetscenter, 2006. http://hdl.handle.net/1800/2057.

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26

Rebelo, Natalie P. "Improving Compassion Fatigue and Vicarious Trauma Knowledge for Psychiatric Nurses." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7252.

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Nurses are exposed to traumatic patients and high stress regularly; this repeated exposure can increase rates of compassion fatigue and vicarious trauma. When nurses are not properly educated about compassion fatigue and vicarious trauma, it can impact their ability to provide effective patient care and result in harmful effects including insecurity, altered cognitive functioning, loss of empathy and diminished self-esteem. This project focused on educating psychiatric nurses regarding compassion fatigue and vicarious trauma. The theory guiding the project was the Neuman's system model. Fifty-six psychiatric nurses were administered a pretest consisting of 10 multiple choice test questions. They were educated on the concepts of vicarious trauma and compassion fatigue using a presentation and handouts. After the education was completed, participants were administered a posttest with the same 10 multiple choice questions. An evaluation tool consisting of Likert-scale questions to evaluate the presentation was also completed after the posttest. The pretest and posttest scores were analyzed using a learning-scores-gained formula. The results showed that the mean pretest score was 89.2% while the posttest score was 97.1%. The aggregate score difference was 7.9, indicating a group knowledge gain of 7.3 %. The majority scores for the educational presentation evaluation were outstanding and all feedback was positive. This project would benefit nurses by increasing their knowledge on compassion fatigue and vicarious trauma leading to positive social change by improving their workplace environment and reducing nursing turnover.

27

Wojtowicz, Bernadine. "Moral distress during psychiatric clinical placements : perspectives of nursing students and their instructors." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Health Sciences, c2012, 2012. http://hdl.handle.net/10133/3240.

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The purpose of this study is to gain a richer understanding of the experiences of moral distress for nursing students within the context of psychiatric-mental health clinical placements, examine strategies students use to effectively manage distress, and explore student and instructor roles as agents of change to reduce the negative impact of moral distress. Nursing students and instructors engaged in semi-structured interviews and focus groups, respectively, to examine the complexities of this phenomenon. This study utilized second-person action research based on Jürgen Habermas’ Theory of Communicative Action. Findings indicated that nursing students experience moral distress when they are powerless and lack role models to follow in taking action to address situations that are “not right”. Nursing instructors acknowledge their responsibility to prepare students for practice, but are also powerless as “guests” within the practice setting and are powerless to effect change on a hierarchical medical system. Findings indicate that both nursing education and health care institutions must make changes in their approaches to practice if they wish to empower nursing professionals to provide safe, competent, and ethical care to patients.
vii, 139 leaves ; 29 cm

28

Bolton, Mychal. "Perceived Barriers to Obtaining Psychiatric Treatment at Johnson City Community Health Center." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/honors/223.

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The purpose of this study was to describe the perceived barriers to obtaining psychiatric treatment at the Johnson City Community Health Center. The context of the study was a rural area in Eastern Tennessee. Five patients with confirmed DSM-IV mental health diagnoses were recruited during treatment and interviewed at the Johnson City Community Health Center after their scheduled appointments with a Mental Health Nurse Practitioner (MHNP). The semi-structured interview focused on perceived barriers to obtaining treatment, perceptions of treatment received, and perceived availability of treatment. From those interviews, two themes were identified and each of which had two sub-themes identified: Realities of Treatment with the sub-themes of Therapy-Related Realities and Logistics Realities, The Way It Is with the sub-themes of Take Care of It Myself and Don’t Want People to Know. The findings indicate that there is a duality of positive and negative aspects of treatment at Johnson City Community Health Center. Understanding the needs and perceptions of those with psychiatric diagnoses will assist all staff and mental health providers in developing programs that are better suited for those with psychiatric diagnoses receiving treatment from Johnson City Community Health Center.

29

Feely, Malachy. "Depression : what's in a name? : a psychiatric nursing theory of connectivity." Thesis, University of Ulster, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.435495.

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30

Abdellatif, S. "The group interaction technique, communication skills and a psychiatric nursing course in Cairo High Institute of Nursing." Thesis, Cranfield University, 1987. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.379501.

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31

Muñoz, Anahi. "Metabolic syndrome protocol : effects on improving outcomes in a mobile psychiatric practice." NSUWorks, 2015. https://nsuworks.nova.edu/hpd_con_stuetd/15.

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32

He, Jiayi, and Yue Zhu. "Experience of Workplace Violence among Psychiatric Nurses : A descriptive literature review." Thesis, Högskolan i Gävle, Avdelningen för vårdvetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-36806.

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33

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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34

Wells, Karen. "Exploring the one-to-one." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Health Sciences, c2013, 2013. http://hdl.handle.net/10133/3366.

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The purpose of this study was to explore the experiences of mental health nursing instructors and students regarding the one-to-one in mental health contexts. Using person-centered interviewing, nursing instructors and students were asked to share their views related to the one-to-one, the skills and techniques used to conduct the one-to-one, and the teaching and evaluation strategies used in clinical settings. Findings indicate ambiguity surrounding the one-to-one for both instructors and students. Students also feel anxious and uncertain without models to guide their one-to-ones, and instructors feel frustrated with how to teach and evaluate the one-to-one. Finally, findings indicate the need for further articulation of the one-to-one within nursing literature, and the development of guidelines to support student learning of the one-to-one in clinical settings.
vii, 117 leaves ; 29 cm

35

Prince, Anne Patricia. "Practice nurses educational needs in mental health : a descriptive exploratory survey : a thesis submitted to the Victoria University of Wellington in fulfilment of the requirements for the degree of Master of Arts (Applied) in Nursing /." ResearchArchive@Victoria e-thesis, 2009. http://hdl.handle.net/10063/1029.

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36

McCardle, John. "The exploration of the nature of community psychiatric nursing practice and the role of community psychiatric nurses (CPNS) in Ireland." Thesis, University of Ulster, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.399189.

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37

Noone, Stephen J. "Analysis of staff explanations about challenging behaviour." Thesis, Bangor University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.364557.

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38

Hernandez, Sarah E. "PREDICTING BURNOUT AMONG PSYCHIATRIC TECHNICIANS." CSUSB ScholarWorks, 2016. https://scholarworks.lib.csusb.edu/etd/304.

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This thesis attempted to examine stressors associated with the psychiatric technician profession and levels of burnout amongst them. This was accomplished through the use of a survey which included demographic data, the Maslach Burnout Inventory Human Services Survey (MBI‑HSS), an adaptation of the Nursing Stress Scale (NSS) and a self‑care assessment tool. A total of three research questions were examined statistically including levels of burnout on subcategories (personal accomplishment, emotional exhaustion and depersonalization), most common stressors identified by psychiatric technicians and percentage of participants who utilized therapy to cope with work related stress. The survey was made available via survey monkey and posted on the website for the California Association of Psychiatric Technicians website and via links posted on Union Chapter social media pages. A total of 123 Psychiatric Technicians participated in the study. Results indicated high levels of emotional exhaustion, depersonalization and personal accomplishment among psychiatric technicians. Results indicate that extended work hours and staffing minimums were significant issues impacting union members. Also significant among participants, was high level of difficulty attending work due to work related stress during the last three months. For future research, it is recommended that similar studies of psychiatric technicians be conducted to provide further insight into burnout, how it happens and how to avoid it.

39

Foth, Thomas. "Analyzing Nursing as a Dispositif : Healing and Devastation in the Name of Biopower. A Historical, Biopolitical Analysis of Psychiatric Nursing Care under the Nazi Regime, 1933-1945." Thèse, Université d'Ottawa / University of Ottawa, 2011. http://hdl.handle.net/10393/20286.

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Under the Nazi regime in Germany (1933-1945) a calculated killing of chronic “mentally ill” patients took place that was part of a large biopolitical program using well-established, contemporary scientific standards on the understanding of eugenics. Nearly 300,000 patients were assassinated during this period. Nurses executed this program through their everyday practice. However, suspicions have been raised that psychiatric patients were already assassinated before and after the Nazi regime, suggesting that the motives for these killings must be investigated within psychiatric practice itself. My research aims to highlight the mechanisms and scientific discourses in place that allowed nurses to perceive patients as unworthy of life, and thus able to be killed. Using Foucauldian concepts of “biopower” and “State racism,” this discourse analysis is carried out on several levels. First, it analyzes nursing notes in one specific patient record and interprets them in relation to the kinds of scientific discourses that are identified, for example, in nursing journals between 1900 and 1945. Second, it argues that records are not static but rather produce certain effects; they are “performative” because they are active agents. Psychiatry, with its need to make patients completely visible and its desire to maintain its dominance in the psychiatric field, requires the utilization of writing in order to register everything that happens to individuals, everything they do and everything they talk about. Furthermore, writing enables nurses to pass along information from the “bottom-up,” and written documents allow all information to be accessible at any time. It is a method of centralizing information and of coordinating different levels within disciplinary systems. By following this approach it is possible to demonstrate that the production of meaning within nurses’ notes is not based on the intentionality of the writer but rather depends on discursive patterns constructed by contemporary scientific discourses. Using a form of “institutional ethnography,” the study analyzes documents as “inscriptions” that actively interven in interactions in institutions and that create a specific reality on their own accord. The question is not whether the reality represented within the documents is true, but rather how documents worked in institutions and what their effects were. Third, the study demonstrates how nurses were actively involved in the construction of patients’ identities and how these “documentary identities” led to the death of thousands of humans whose lives were considered to be “unworthy lives.” Documents are able to constitute the identities of psychiatric patients and, conversely, are able to deconstruct them. The result of de-subjectification was that “zones for the unliving” existed in psychiatric hospitals long before the Nazi regime and within these zones, patients were exposed to an increased risk of death. An analysis of the nursing notes highlights that nurses played a decisive role in constructing these “zones” and had an important strategic function in them. Psychiatric hospitals became spaces where patients were reduced to a “bare life;” these spaces were comparable with the concentration camps of the Holocaust. This analysis enables the integration of nursing practices under National Socialism into the history of modernity. Nursing under Nazism was not simply a relapse into barbarism; Nazi exclusionary practices were extreme variants of scientific, social, and political exclusionary practices that were already in place. Different types of power are identifiable in the Nazi regime, even those that Foucault called “technologies of the self” were demonstrated, for example, by the denunciation of “disabled persons” by nurses. Nurses themselves were able to employ techniques of power in the Nazi regime.

40

Spielmann, Marchell Rene. "Tobacco Treatment Education Module for Nurses Working in the Inpatient Psychiatric Setting." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7080.

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Tobacco use among people with mental illness remain a significant problem in the western United States. At the project site, there is widespread tobacco use among patients with mental illness and lack of training for nurses to address the issue. The purpose of this project was to educate nurses working in the acute psychiatric setting about evidence-based tobacco treatment interventions. The practice-focused question addressed whether a tobacco education program would increase nurses' knowledge, confidence, and skills to provide tobacco treatment interventions to patients with a mental illness. Self-determination theory and the transtheoretical model of change provided the theoretical framework for the project. Evidence was obtained from a comprehensive literature search. The Psychiatry RX for Change education modules were used to implement the education intervention. Nine participants completed pre- and post-test knowledge-based questionnaires and the Skills and Confidence for Smoking Cessation Tool survey. Results from GraphPad t-test analysis indicated a statistically significant increase in perceived knowledge, skills, and confidence among nurses related to tobacco cessation treatment. The mean knowledge pre-test scores were 10.3 and the mean for the post-test score was 14.7. The mean on the pre-survey scores for the nine confidence questions was 16, and the mean on the postscores was 23. The mean obtained on pre-survey scores for the six skills questions was 11.0, and the mean obtained on the post-survey was 18.0. Findings support the use of tobacco education for nurses to improve tobacco treatment offered to patients. The implications of the project for positive social change are that results may be used to improve the quality of life and health outcomes for the patient population.

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Farrell, Sarah P. "Determinants of Continuity of Care for Persons Transitioning from State Psychiatric Facilities to Communities." VCU Scholars Compass, 1995. http://scholarscompass.vcu.edu/etd/4539.

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When individuals with serious mental illness are discharged to the community, continuous and coordinated care are both desirable and necessary. A lack of continuity places the individual at risk for becoming lost to further services. This study explores continuity of care for persons discharged from state psychiatric facilities in Virginia to communities. Continuity of care is defined as the successful initiation and maintenance of face-to-face contact by CSB staff with individuals to be discharged from state hospitals, and the subsequent provision of services post-discharge. This study identifies factors that influence continuity of care, examines the degree to which these factors play a role and the relationships between continuity of care and client characteristics. Predictor variables include characteristics of the population-at-risk: predisposing factors (i.e., age, gender, race), enabling factors (i.e., living situation, catchment area change, and geographic location of the CSB) and need factors (i.e., length of stay, legal status, and primary diagnoses). Data sources include two large data bases, 1) survey of CSB staff on the outcome of individuals discharged to their area in FY 1992, and 2) demographic information from state mental health authority. Findings from the survey show that 83% of persons discharged had a record of the discharge at the CSB. Inhospital contact by CSB staff prior to discharge was lower (54%). Results show that individuals are more likely to receive continuity of care if they are discharged to a CSB in a rural area, have a diagnosis of schizophrenia, and do not have a primary diagnosis of substance abuse. The theoretical framework, based on the Community Support System principles and the notion of vulnerability, leads to important policy and practice implications. For example, the study suggests that new and different programs might be more effective for individuals with substance abuse diagnoses, especially in urban areas. Recommendations include a mandate for nursing provision of services, or oversight of services to assure continuity of care between service settings. Future research could improve upon the measurement of the variables, and examine consumer and provider perceptions of continuity of care as an outcome.

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Banks, Charles. "Eliminating or Decreasing Restraint Use and Seclusion for Adults in an Inpatient Psychiatric Facility." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5603.

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Evidence from research around the world have indicated that the use of restraints and seclusion has become a controversial issue in mental health facilities relating to managing patients' aggressive behaviors. Evidence indicates that all other options should be used first and the use of restraints and seclusions should be used as a last resort when all other options have failed. The rationale is to bring about awareness of all of the options or alternative interventions that are available other than the use of restraints and seclusions, as research has indicated that restraints and seclusions provide no therapeutic value to the patient or mental health staff. The conceptual framework is based on the Tidal model, which focuses on empowering the mental health patient with the tools and resources to make a change and addressing their self-behaviors. This model also provides the foundation for the patient's growth. The conceptual framework also includes the Precede-Proceed model, which focuses on voluntary change and not forced change. This model indicates that a voluntary change will last longer and have more positive outcomes than a forced change. The research question is, will the use of therapeutic options decrease or eliminate the use of restraints and seclusions? This was a mixed method design using both quantitative and qualitative data. The qualitative data was based on the options that were used prior to restraint use. The quantitative data was based on a percentage value to all options from 100% for the most used option to 0% to option not used. It is recommended that all available options be used first prior to restraint and seclusion use because the options provide a therapeutic value for both the patient and staff member. Also, the use of the options does not interfere with the patient staff relationship.

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Pitiá, Ana Celeste de Araújo. "O Enfermeiro e seu Cotidiano: cenas de um manicômio." Universidade de São Paulo, 1997. http://www.teses.usp.br/teses/disponiveis/22/22131/tde-25052006-100049/.

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Este trabalho é resultado de uma pesquisa do tipo estudo de caso, realizada em um macro-hospital público psiquiátrico de uma cidade do interior do Estado da Bahia. Enfoca o desenvolvimento das atividades dos enfermeiros no cotidiano institucional, suas formas de lidarem com as situações e as relações sociais estabelecidas com os demais profissionais de saúde que trabalham no hospital. Como docente da disciplina Enfermagem Psiquiátrica, tenho relação direta com o local, acompanhando estágio de estudantes de enfermagem, haja vista o convênio firmado entre a Secretaria de Saúde do Estado e a Universidade Estadual de Feira de Santana, a qual pertenço. Procedi a um recorte do campo, delimitando o espaço de um Pavilhão de internamento masculino. Como estratégia de levantamento dos dados utilizei a observação participante, entrevista semi-estruturada com os enfermeiros e demais membros que com ele convivem no dia-a-dia de trabalho, além de alguns documentos importantes na contextualização do trabalho desse profissional. Procedi a apresentação das atividades dos enfermeiros, estabelecendo a trama entre eles e deles com os demais profissionais da saúde. Observei uma grande concentração de suas tarefas em torno dos fazeres burocráticos, além de ver evidenciada a figura do paciente como intercorrências a serem resolvidas, denotando a visão que têm do doente mental. Na convivência com os outros profissionais, vêm-se como centro, apesar de essa visão nem sempre ser compartilhada por esses. Pelos dirigentes, o enfermeiro é visto como o grande contornador de situações, o que o coloca em uma posição politicamente conveniente na manutenção dos interesses majoritários. Nesse hospital, o profissional enfermeiro ocupa diversas funções hierarquicamente estratégicas junto à Diretoria, com a qual mantém contato direto e diário. As condições em que vivem os pacientes da instituição são extremamente precárias e degradantes para qualquer ser humano. A falta de prioridade dada à política de saúde mental no Estado contribui fortemente para a manutenção do modelo assistencial tradicional, ainda implementado nesse hospital.
The following study is the result of a case report held at a public pychiatric hospital of a city in the State of Bahia-Brazil. We focus on the development of nurses activities in the institutional routine and on their ways of dealing with situations and social relations with the other health professionals working at that hospital. Being a profesor in the Psychiatric Nursing field at Universidade Estadual de Feira de Santana (UEFS), I have direct contact at that hospital due to nursing students training (as a result of a partnership between the State Health Bureau and UEFS). We have mode a field sampling by taking one male, in-patient ward. We have used, as data-collecting strategy: participative observation, semi-structured questionaires applied to the nurses and other staff members who share daily work with them, and some documents which are important for contextualizing the work of such profesionals. We have presented the nursing tasks by establising their connections among nurses themselves and between nursing and other health profesionals. We have found great concentration of burocratic work among their tasks. Besides, we have found evidence of patients being considered medical problems to be solved, which expresses nurses views of the mentally-ill. In the staff daily routine, nurses considered themselves as being the core. However, this issue was not so evident when we looked upon the other profesionals views. Administrators considered nurses as being great situation managers. This places nurses at a politically-convenient situation for keeping majoritative interests. At this hospital, nurses have various hierarquically estrategic functions, close to the Board of Directors and having direct contact with them, daily. The living conditions of the patients in such institution are extremely poor and humiliating for any human being. The lack of priority given to mental health policies in this State of Bahia greatly contributes for the traditional assistential model, still playing at such hospital.

44

Godin, Paul Michael. "Doing the frontline work : a historical sociology of community psychiatric nursing in Britain." Thesis, University of Essex, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.369373.

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45

Mahgoub, Nelly Ahmed. "Bridging therapy in hospital- and community-based psychiatric nursing care : a comparative study." Thesis, Sheffield Hallam University, 1988. http://shura.shu.ac.uk/20834/.

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This study presents a detailed account of Bridging Therapy - an innovative intervention aimed at providing relatively comprehensive psychiatric nursing care for mentally ill patients. Starting at hospitalisation, Bridging Therapy continues as planned nursing care based on detailed assessment of the patient's short- and longer-term needs both before and after discharge to the community, delivered where possible by the same nurse, or by members of the same nursing team. Bridging Therapy thus presents a remedial model for current fragmented patterns of nursing care, based on an eclectic approach to psychotherapy and nursing process known as the "flexible integrative approach" (FIA).The study recognises problems caused by lack of patient outcome measures in psychiatric nursing; and approaches this by developing an appropriate assessment instrument, the Behaviour Adjustment Inventory (BAI), which is initially tested in concurrent use with a well-validated psychometric instrument (the GHQ); with a second well-validated instrument (the EPI) acting as an initial screening device. The BAI assesses patients' initial status on admission and subsequent responses to Bridging Therapy on a five-point scale, used in conjunction with detailed clinical criteria of behaviour and attitude change. Clinical evaluation of patients in the contrasted contexts of Sheffield and Cairo is described. In each context, experimental (Bridging Therapy) and control (non-Bridging Therapy) groups are studied (Sheffield total N = 22: Cairo total N = 18). Assessment of initial condition was carried out on admission to hospital; recovery status on discharge, and at the close of therapeutic follow-up in the community. Results indicate similar levels of recovery for Sheffield and Cairo groups, with a more pronounced tendency to recovery in the experimental (Bridging Therapy) groups; however, this difference does not reach statistical significance. Psychometric findings are augmented by qualitative descriptions of the implementation process. Two detailed nursing studies from each context are presented. The investigation highlights the complexity of the research problem, including important transcultural considerations; identifies multifactorial issues governing patient care; and supports further research into Bridging Therapy as a potential remedy for current gaps in psychiatric nursing care, both in Britain and Egypt. Relevant materials concerning historical/structural aspects of mental health care and varieties of psychotherapy (Chapters 1 through 3) are included because of their contextual importance both to British and Egyptian workers.

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Buttacavoli, Myra P. "The hardiness of adult survivors of childhood sexual abuse and their adaptation to a healthy adult life style." FIU Digital Commons, 1995. http://digitalcommons.fiu.edu/etd/2002.

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There are many negative consequences of childhood sexual abuse, (Browne Finkelhor, 1990). These effects do not vanish with adulthood and some adults stay scarred for life. However, it has been noted that some victims of childhood sexual abuse recover better than others regardless of the particular type of abuse. Could this adaptation be related to, or represent "hardiness" of the adult? The purpose of this report is to explore the hardiness of adult victims of child sexual abuse and the adaptation strategies practiced. To achieve this goal, The Health Related Hardiness Scale, created by Susan Pollock, PhD. was adopted. Data was collected from fifteen adult females who, by their own definition were sexually abused as children. They completed the HRHS questionnaire and a demographic questionnaire. Data analysis revealed a significant p-value of 0.0002 indicating that support is an important component to "buffer" the negative effects of stress. However this study revealed a high level of hardiness overall in the participating individuals

47

Newton, Linda. "A comparison of psychiatric nursing consultations with psychiatric medicine consultations." 1993. http://hdl.handle.net/1993/17770.

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48

Madela, Edith Nonhlanhla. "A model for culture-congruent psychiatric nursing." Thesis, 2014. http://hdl.handle.net/10210/9608.

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D.Cur. ( Psychiatric Nursing)
A marked "revolving door" system is noticeable in health services in South Africa, and the more so in psychiatric services. This is happening in the form of psychiatric patients who are repeatedly being readmitted to psychiatric hospitals for the same or related problem. In most cases this is caused by the psychiatric patients' lack of compliance with the psychiatric treatment prescribed for them once they have been released back into the community. Lack of compliance by the psychiatric patients with their treatment means that the treatment that is prescribed to help the patient to function in the community, is not congruent with his/her life ways, social structure and environmental context. These are the components of everyone's culture, and they determine the psychiatric patients' cultural beliefs, values and practices, including those concerning mental health care. The purpose of this research study is to explain and describe the influence of culture on approaches to mental illness and the patients' compliance with psychiatric treatment, to generate a practice model for culture-congruent psychiatric nursing and guidelines for a culture-congruent approach in psychiatric nursing. The Nursing for the Whole Person Theory was used as the paradigmatic framework of the entire study. The research study followed three distinct phases in which different objectives were addressed. In Phase 1, an explanatory-descriptive study was conducted for the purpose of compiling explanatory case studies reflecting cultural approaches to mental illness and the patients' compliance with psychiatric treatment. The sample population consisted of four psychiatric patients randomly selected from four different long-term wards at the same psychiatric hospital, a group of psychiatric nurses nursing these patients, and the psychiatrists treating these patients, making a total of 22 respondents. Literature was first reviewed on the interrelationships among world view, culture, health beliefs, values and practices, approaches to mental illness and the patients' compliance with psychiatric treatment. The information obtained from literature review was utilized to compile guidelines for explanatory case studies. The explanatory case studies were compiled for each of the four psychiatric patients based on information from interviews, field notes and the patients' clinical...

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Arunachallam, Sathasivan. "Community based curriculum in psychiatric nursing science." Thesis, 2012. http://hdl.handle.net/10210/6328.

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M.Cur.
The purpose of this study is to describe guidelines for a Community Based Curriculum in Psychiatric Nursing Science for a nursing college in KwaZulu Natal. The study consists of 4 phases. To reach the purpose of the study, a situational analysis was done in 3 phases to identify the principles for a Community Based Curriculum in Psychiatric Nursing Science. In Phase I - a document analysis of relevant government policies and legislation was conducted to obtain the principles of mental health care. In Phase H - the statistics of the psychiatric diagnoses of patients from two community psychiatric clinics and one psychiatric hospital admission unit were collected. From the prevalence of the mental disorders, the mental health needs and problems were identified. These were the principles of Phase II. Phase III - was the focus group interviews with the psychiatric nurse educators of a nursing college in KwaZulu Natal to ascertain their viewpoints on a Community Based Curriculum in Psychiatric Nursing Science. From the findings of the focus group interviews, a literature control and conceptual framework were done. Thereafter, the principles of mental health care from this phase were identified. The principles of Phase I, II and III were used to formulate Phase IV, which was the guidelines for the operationalisation of Community Based Curriculum in Psychiatric Nursing Science. The outcomes based approach was used in the Community Based Curriculum in Psychiatric Nursing Science in accordance with the National Qualifications Framework of the South African Qualifications Authority. Recommendations concerning nursing practice, nursing education and further study were made at the end of the study including the limitations affecting the study

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JUNG-LIN and 林絨. "Quality of care in Psychiatric Nursing Home." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/72172751296314988898.

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碩士
佛光大學
管理學研究所
95
This study aims to investigated Quality of care in the Psychiatric Nursing Home from the view points of residents, families, nursing aides, expert and nurses. By purposive sampling of a qualitative research method and in-depth interviews with the Psychiatric Nursing Home in the eastern part of Taiwan, we examined 28 participants, including nine residents,four families, five nursing aides, five expert and five nurses. The study present 9 categories of quality of care for psychiatric nursing home including of environment, rights safeguard, quality assurance, social reconcile, direct care competencies, complete medical serve, classification care, occupation rehabilitation and needs satisfaction. The results of the research will provide a reference material for the team workers and the common indicators for establishing the instrument of care in the Psychiatric Nursing Home.

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