Issues in mental health nursing
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Issues Ment Health Nurs · Aug 2019
Randomized Controlled TrialMental Health Promotion Intervention for Nurses Working in German Psychiatric Hospital Departments: A Pilot Study.
This pilot study aimed to implement a mental health promotion program to support nurses working in Psychiatric hospital departments. Eighty-six nurses working in psychiatric hospitals were randomized to either an intervention group (IG) or a waitlist control group (WCG). The intervention took place in groups over a period of 12 weeks. ⋯ No comparable results could be found in the WCG. A mental health promotion intervention for psychiatric nurses was successfully implemented. Further research is necessary to generalize these pilot study findings.
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Issues Ment Health Nurs · Dec 2016
Randomized Controlled TrialAggression in Psychiatric Wards: Effect of the Use of a Structured Risk Assessment.
Health care workers are often exposed to violence and aggression in psychiatric settings. Short-term risk assessments, such as the Brøset Violence Checklist (BVC), are strong predictors of such aggression and may enable staff to take preventive measures against aggression. This study evaluated whether the routine use of the BVC could reduce the frequency of patient aggression. ⋯ The regression discontinuity analysis found a 45% reduction in the risk of aggression (Odds Ratio (OR) = 0.55, 95% confidence interval: 0.21-1.43). The study did not find a significant reduction in the risk of aggression after implementing a systematic short-term risk assessment with the BVC. Although our findings suggest that use of the BVC may reduce the risk of aggression, the results need to be confirmed in studies with more statistical power.
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Issues Ment Health Nurs · Oct 2014
Randomized Controlled TrialCompassion fatigue in adult daughter caregivers of a parent with dementia.
Adult daughters face distinct challenges caring for parents with dementia and may experience compassion fatigue: the combination of helplessness, hopelessness, an inability to be empathic, and a sense of isolation resulting from prolonged exposure to perceived suffering. Prior research on compassion fatigue has focused on professional healthcare providers and has overlooked filial caregivers. ⋯ Four themes were identified in adult daughter caregiver interviews: (a) uncertainty; (b) doubt; (c) attachment; and (d) strain. Findings indicated adult daughter caregivers are at risk for compassion fatigue, supporting the need for a larger study exploring compassion fatigue in this population.
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Issues Ment Health Nurs · Mar 2009
Randomized Controlled TrialEffectiveness of cognitive-behavioral therapy on depressive symptomatology, stress and coping strategies among Jordanian university students.
The study examined the effectiveness of cognitive behavioral therapy (CBT) with university students suffering from moderate to severe depressive symptoms in Jordan. Eighty-four university students were recruited and assigned randomly to control and intervention groups. Intervention impact was assessed on measures of depressive symptoms, perceived stress, and coping strategies at three time points; baseline, postintervention, and 3-months postintervention. ⋯ Overall, using CBT showed a significant improvement in the outcome measures. At postintervention, students had lower scores on perceived stress, lower depressive symptoms, less use of avoidance coping strategies, and more use of approach coping strategies. The findings are discussed in terms of treatment implications and recommendations for use at academic and health care settings.