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Understanding aggressive behaviour in patients with schizophrenia through social cognitive theory: a narrative literature review 从社会认知理论理解精神分裂症患者的攻击行为:叙述性文献综述
Pub Date : 2020-11-06 DOI: 10.12968/bjmh.2020.0002
S. Ndoro
Background/Aims Studies have shown that some people diagnosed with schizophrenia are more predisposed to distress than others because of positive and negative symptoms of schizophrenia, leading to ...
背景/目的研究表明,由于精神分裂症的阳性和阴性症状,一些被诊断为精神分裂症的人比其他人更容易感到痛苦,导致…
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引用次数: 1
Reflection and mental health nursing. Part 6: the importance of reflective evidence 反思与心理健康护理。第六部分:反思性证据的重要性
Pub Date : 2020-11-02 DOI: 10.12968/BJMH.2020.0038
J. Fowler
One of the most important ways that a mental health nurse develops their clinical expertise is by reflecting on their professional experiences. Previous articles in this series have examined some of the key elements of reflection and how these can be developed and incorporated into routine clinical practice for ongoing development. This formative approach to reflective practice helps build clinical expertise as a nurse moves from novice student to expert practitioner. While post-registration degrees and courses can help a nurse gain new ideas and knowledge, it is the learning gained from self-reflection on lived clinical and professional experiences, termed ‘experiential learning’ that will enable a nurse to move along the novice to expert continuum.
精神健康护士发展临床专业知识的最重要的方法之一是反思他们的专业经验。本系列以前的文章已经研究了反思的一些关键要素,以及如何发展这些要素并将其纳入常规临床实践以进行持续发展。这种对反思实践的形成性方法有助于建立临床专业知识,因为护士从新手学生转变为专家从业者。虽然注册后的学位和课程可以帮助护士获得新的想法和知识,但只有从临床和专业经验的自我反思中获得的学习,即“体验式学习”,才能使护士从新手过渡到专家。
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引用次数: 2
Postnatal depression in fathers: a quiet struggle? 父亲产后抑郁症:一场无声的斗争?
Pub Date : 2020-11-02 DOI: 10.12968/bjmh.2019.0042
Pras Ramluggun, Adams A. Kamara, M. Anjoyeb
The mental health of fathers is now receiving more attention as a part of a national policy designed to address mens' mental health. Fatherhood can be a challenging period in a man's life and some men are at risk of developing depression leading up to and following the birth of their child. It is estimated that, on average, 8% of new fathers are diagnosed with paternal postnatal depression. It has been reported that this condition is not well understood and that support for these fathers is limited. This paper examines literature on the emerging evidence for paternal postnatal depression, its prevalence, risk factors and how new fathers, who are susceptible to this condition, can be better supported in health care settings.
父亲的心理健康作为一项旨在解决男子心理健康问题的国家政策的一部分,现在得到了更多的关注。在一个男人的一生中,做父亲可能是一个充满挑战的时期,一些男人在孩子出生之前和之后都有患抑郁症的风险。据估计,平均有8%的新父亲被诊断患有父亲产后抑郁症。据报道,这种情况没有得到很好的理解,对这些父亲的支持是有限的。本文研究了关于父亲产后抑郁症的新证据,其患病率,风险因素以及如何在卫生保健机构中更好地支持易受这种情况影响的新父亲。
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引用次数: 2
The Great War: letters from mental nurses 大战:精神科护士的来信
Pub Date : 2020-11-02 DOI: 10.12968/bjmh.2020.0042
P. Nolan
Peter Nolan delves into the past and highlights letters sent to and from various staff members at the York Retreat during the First World War
彼得·诺兰(Peter Nolan)深入研究了过去,并重点介绍了第一次世界大战期间约克撤退的各种工作人员之间的信件
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引用次数: 0
Psychosis in the family 家族中有精神病
Pub Date : 2020-11-02 DOI: 10.12968/bjmh.2020.0039
P. Chadwick
Peter Chadwick discusses how psychosis affected the people he lived with in a psychiatric aftercare hostel.
彼得·查德威克讨论了精神病是如何影响他住在精神病院的人。
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引用次数: 0
Working with self-disclosure 自我表露
Pub Date : 2020-11-02 DOI: 10.12968/BJMH.2020.0022
P. Archard
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引用次数: 0
Mental health nurses' confidence in applying pharmacological knowledge: a survey 心理卫生护士应用药理学知识的信心调查
Pub Date : 2020-11-02 DOI: 10.12968/bjmh.2019.0031
S. Sanjeevi, A. Cocoman
The literature highlights gaps on how nurses apply pharmacology knowledge to their medication management, particularly in relation to knowledge on the mechanism of action and drug interactions. The aim of this study was to research a sample of mental health nurses to explore their confidence, knowledge and skills in applying their pharmacological knowledge.A paper-based survey questionnaire was distributed to 209 mental health nurses working in direct patient care in Ireland. A total of 129 completed the questionnaire with a response rate of 61.7%.The vast majority of mental health nurses were confident in their knowledge of pharmacological principles to medication management, in relation to dosage, formulation, adverse effects, and predictable side effects, including patient education and medication information. Nurses were less confident in their knowledge of pharmacodynamics related to their knowledge on the mechanism of action, and on the pharmacokinetics of drug clearance. This may negatively impact on their ability to educate patients about their medications.The findings suggest that there is need for an increased focus on continuing education on pharmacology for nurses at service level, particularly on the mechanism of action and clearance of commonly used medications in order for nurses to more effectively support patients to manage their medications.
文献强调了护士如何将药理学知识应用于药物管理的差距,特别是在作用机制和药物相互作用方面的知识。摘要本研究旨在探讨心理健康护理人员在运用药理学知识方面的信心、知识和技能。向在爱尔兰从事直接病人护理工作的209名精神卫生护士分发了一份纸质调查问卷。共有129人完成问卷,回复率为61.7%。绝大多数精神卫生护士对其药物管理的药理学原理、剂量、配方、不良反应和可预测的副作用的知识(包括患者教育和药物信息)有信心。护士对自己的药效学知识缺乏信心,而对药物的作用机制和药物清除的药代动力学知识则缺乏信心。这可能会对他们教育患者有关药物的能力产生负面影响。研究结果表明,有必要加强护理人员的药理学继续教育,特别是对常用药物的作用机制和清除,以便护士更有效地支持患者管理他们的药物。
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引用次数: 0
Clinical supervision in a high secure hospital: a service evaluation 高安全性医院的临床监督:一种服务评价
Pub Date : 2020-11-02 DOI: 10.12968/bjmh.2019.0025
S. Lewis, J. Mead, I. Treasaden
Few environments demand a higher level of emotional competences than forensic care settings, and the importance of clinical supervision to mitigate against the risks of such an environment cannot be underestimated. This paper explores the efficacy of clinical supervision provided to nursing staff within a high secure hospital using the Manchester Clinical Supervision Scale. Results indicated that the nursing workforce were overall very satisfied with their clinical supervision, specifically clinical team leaders are most likely to be very satisfied. Results also showed the significance of time: clinical supervision is more effective when it lasts between 30–60 minutes, but correspondingly, time is one of the key barriers to accessing clinical supervision.
很少有环境比法医护理环境需要更高水平的情感能力,临床监督对减轻这种环境风险的重要性不可低估。本文探讨了使用曼彻斯特临床监督量表在高安全性医院内为护理人员提供临床监督的有效性。结果表明,护理人员对临床督导整体满意度较高,其中临床组长满意度最高。结果还显示了时间的重要性:临床监护在30-60分钟之间更有效,但相应的,时间是获得临床监护的关键障碍之一。
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引用次数: 0
Risks and predicting factors of suicidal ideation in lesbian, gay, bisexual and transgender communities 女同性恋、男同性恋、双性恋和跨性别群体自杀意念的风险和预测因素
Pub Date : 2020-11-02 DOI: 10.12968/bjmh.2018.0035
Christopher D. Manning, Y. Graham, Maria Freeman, Maria Freeman, C. Hayes
Lesbian, gay, bisexual and transgender people are at an increased risk of suicidal ideation and suicide, compared to the overall population. This article provides an insight into the identifiable risk factors and protective determinants that can impact on these increased risks. The aim of this study was to ascertain the protective determinants of suicide ideation in the lesbian, gay, bisexual and transgender population based on the extant published evidence base surrounding this issue in the context of health care generally and mental health nursing practice, specifically. A systematic review of five articles pertaining to suicidal ideation in the lesbian, gay, bisexual and transgender community was undertaken, in accordance with the 2009 Preferred Reporting Items for Systematic Reviews and Meta-Analyses Implementation Framework Guidelines. Datasets were synthesised using an inductive thematic analysis. Five core themes emerged from the data: (1) resilience (2) specific personality traits (3) mindfulness and self-esteem (4) social support and positive role modelling and (5) the need for culturally competent healthcare provision, of which mental health nurses are an integral part. The findings of the systematic review revealed the need for mental health nurses and adjunct healthcare staff to reflect on their interactions with the lesbian, gay, bisexual and transgender population, particularly where suicidal ideation or tendency is either directly articulated or suspected. Helping and supporting vulnerable members of society could potentially be driven by increasing awareness of these specific vulnerabilities in clinical practice.
与总人口相比,女同性恋、男同性恋、双性恋和变性人有自杀意念和自杀的风险增加。本文提供了对可识别的风险因素和可能影响这些增加的风险的保护性决定因素的见解。本研究的目的是确定在女同性恋、男同性恋、双性恋和跨性别人群中自杀意念的保护性决定因素,基于现有的已发表的证据基础,围绕这一问题,在卫生保健的背景下,特别是心理健康护理实践。根据2009年系统评价和元分析实施框架指南的首选报告项目,对五篇关于女同性恋、男同性恋、双性恋和跨性别群体自杀意念的文章进行了系统评价。使用归纳主题分析对数据集进行综合。从数据中出现了五个核心主题:(1)弹性(2)特定的人格特征(3)正念和自尊(4)社会支持和积极的角色塑造以及(5)对文化上称职的医疗保健服务的需求,其中心理健康护士是不可或缺的一部分。系统回顾的结果显示,精神卫生护士和辅助医护人员需要反思他们与女同性恋、男同性恋、双性恋和变性人群的互动,特别是在自杀意念或倾向直接明确或怀疑的情况下。通过在临床实践中提高对这些特定脆弱性的认识,可以潜在地推动对社会弱势成员的帮助和支持。
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引用次数: 0
Positive psychology: self-compassion and its role within mental health nursing 积极心理学:自我同情及其在心理健康护理中的作用
Pub Date : 2020-11-02 DOI: 10.12968/bjmh.2020.0037
J. Macfarlane
This is the eighth article in a series that explores the meaning of positive psychology and the importance of applying the latest research findings to improve the wellbeing of the mental health workforce. It will focus on the positive psychology intervention of developing self-compassion and considers how the workforce can experience its uplifting effects through contemporary use in the field of mental health nursing. This article will highlight the underpinning theoretical work of Kristen Neff, in relation to self-compassion. It will explain what the term self-compassion means and its effect on neurological changes when it is practised. Finally, it emphasises how the application of self-compassion can benefit the individual, the organisation and the client. The practical tasks provided in the boxes throughout the article will help the reader identify what self-compassion means for them and understand how to further develop its transferability through evidence–based, user friendly exercises.
这是探索积极心理学的意义和应用最新研究成果以改善心理健康工作人员福祉的重要性的系列文章中的第八篇。它将侧重于发展自我同情的积极心理学干预,并考虑劳动力如何通过当代心理健康护理领域的使用来体验其令人振奋的效果。本文将重点介绍克里斯汀·内夫在自我同情方面的基础性理论工作。它将解释“自我同情”一词的含义,以及它在实践时对神经系统变化的影响。最后,它强调了自我同情的应用如何使个人、组织和客户受益。整篇文章中提供的实践任务将帮助读者确定自我同情对他们意味着什么,并了解如何通过循证的、用户友好的练习进一步发展自我同情的可转移性。
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引用次数: 3
期刊
British Journal of Mental Health Nursing
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