Perspectives in Psychiatric Care最新文献

Purpose: To build the final clinical data models regarding the nursing focuses "Delusion" and "Hallucination" with Meleis transitions theory as the theoretical reference model.

Design and methods: A qualitative descriptive design was adopted, using two focus groups.

Findings: The clinical data models obtained by this study recognize a perspective centered on the client's transition, which emphasizes the role of nursing in relation to a client suffering from delusion and hallucination.

Implications for nursing practice: These clinical data models may contribute towards improving nursing clinical decision-making and nursing care quality regarding these areas.

Purpose: The object of this systematic review is to examine the stigma status of people with disabilities and their families.

Design and methods: The systematic review was prepared based on the preferred reporting items for systematic review and meta-analysis protocols systematic review guidelines. The review was included thirteen studies.

Findings: In the results of the study, it was revealed that people with disabilities experienced inequality and social exclusion, negative attitudes were observed regarding their appearance, also their families were subjected to stigmatization by the society, could not participate in social environments.

Practice implication: To prevent stigmatization, it is recommended that awareness in public be raised by providing community educations.

Purpose: To find suggestions for a future definitive randomized control trial and examine the effects of physical exercise on neurocognition in schizophrenia.

Design and methods: Patients hospitalized with schizophrenia were randomly assigned to exercise (n = 5) or control (n = 17) groups. The experimental group performed an exercise regimen for 8 weeks. Following intervention, demographics, psychiatric symptoms, and neurocognitive functions were examined.

Findings: The patients in the control and exercise groups, 14 and 4, respectively, showed significant differences in hospitalization duration and negative symptoms. After controlling both, neurocognition improved in the exercise group compared with the control group.

Practice implications: Mild-intensity physical exercise improves global neurocognition in schizophrenic inpatients and could lead to earlier release.

Purpose: Psychotherapy is the essence of the Psychiatric-Mental Health Nurse Practitioner (PMHNP) role. Yet much debate exists within programs as to the best way to include psychotherapy in an already loaded curriculum.

Conclusion: Two large midwestern universities review their approaches to psychotherapy education; student evaluations measure the quality and effectiveness. Data revealed a high level of student satisfaction.

Practice implications: Programs will vary on how to teach psychotherapy skills, but the use of psychotherapy within the PMHNP role is crucial and informs the entire practice. Examples of how others teach psychotherapy can inform educators of innovative ways to prepare PMHNP students to practice psychotherapy.

Purpose: This study was conducted to investigate the relationship between pre-pregnancy premenstrual syndrome (PMS) history with postpartum depression and mother-infant bonding.

Design and methods: The sample of this descriptive and cross-sectional study included 322 mothers. Data were collected using the Premenstrual Syndrome Scale (PMSS), Edinburgh Postnatal Depression Scale (EPDS), and Brockington Postpartum Bonding Questionnaire (BPBQ).

Findings: There were positive statistically significant correlations between PMSS total and subscale scores and EPDS scores and BPBQ. In addition, there were statistically significant positive correlations between EPDS score scores and BPBQ.

Implications for nursing practice: Especially by achieving success in PMS management in the pre-pregnancy period, the risk of postpartum depression development can be prevented, and healthy development of mother-infant bonding can be achieved.

Purpose: To examine the association between menstrual cycle phases and other factors (depression, anxiety, and stress) with social, physical, and task attraction.

Methods: This cross-sectional study enrolled 662 female university students (December 2019-January 2020).

Results: Higher stress was associated with higher social and task attraction. Higher stress and depression were associated with higher physical attraction, whereas higher anxiety was associated with lower physical attraction. None of the cycle's phases was associated with attraction.

Practical implications: This study results showed a lot of contradictory information to what is present in the literature, in addition to new associations that are not tackled enough in the literature. Therefore, there is a crucial need for new firm studies that explore the relationship between women's hormonal levels and attraction levels.

Purpose: This study aimed to establish the Turkish validity and reliability of the Kiersma-Chen empathy scale (KCES) and determine its psychometric properties.

Design and methods: This methodological study was carried out with 227 nursing students between April and May 2019.

Findings: The Cronbach's alpha coefficient of the total scale is 0.854, the test-retest coefficient was high for the total scale (r = 0.989), and total-item correlations ranged between 0.398 and 0.712.

Practice implications: The KCES-TR is a valid and reliable scale to measure empathy in nursing students.

Purpose: This discussion article considers how an emotion-focused approach can be adopted to prevent psychological birth trauma and to optimize perinatal wellbeing for women and their families.

Conclusion: Emotion-focused approaches have a different perspective when compared to other classic psychotherapy methods. This approach may help women to resolve the negative impacts of psychological birth trauma; to prevent posttraumatic stress disorder onset; to lead to better results for mother and baby well-being; and may be cost effective.

Practice implications: Mental health nurses/midwives should receive education about emotion-focused approaches in addition to gaining competence in basic counseling skills so that they can utilize these approaches with women.

Purpose: Perform an integrative literature review on ways to improve somatic care access for people with autistic spectrum disorders (PASD).

Design and methods: Integrative review as described by Whittemore and Kanfl methodology has been chosen by the author to concatenate knowledge about somatic care situation and existing processes that could improve its access for PASD. The PRISMA diagram was applied for its synthetic and visual modeling of the research process.

Findings: Barriers that reduce somatic care access were discussed by five of the six selected articles, which suggest fields of improvement by using bio-psycho-sensorial profiling tools for PASD, healthcare preparation protocols, or visual pathway tools to prevent behavioral disorders.

Practice implications: Somatic care access for people with autism is improved by the tools presented in this review.