Perspectives in Psychiatric Care最新文献

Purpose: This study tested a hypothetical model to evaluate the relationship between job satisfaction, abusive supervision, and psychological ownership with the quality of nursing care.

Design and methods: In this cross-sectional study, a sample of 300 nurses from two public hospitals in Iran was selected. Exploratory factor analysis was used to assess the measurement model and the proposed structural model.

Findings: There was a significant negative relationship between abusive supervision with nurses' job satisfaction and quality of nursing care. A positive relationship between psychological ownership with nurses' job satisfaction and quality of nursing care was observed.

Practice implications: Given the importance of nurses' job satisfaction, nursing managers can enhance the quality of nursing care by providing a favorable work environment for nurses.

Purpose: This study aimed to perform a validity and reliability study of the Turkish version of the Aging Anxiety Scale for Middle-Aged Women.

Design and methods: This methodological study was conducted with 262 women aged between 40 and 59 years.

Findings: While language, content and construct validity analyses were performed at the validity phase of the scale, internal consistency and stability over time analyses were performed at the reliability stage. Factor analyses were performed for the construct validity, and it was determined that the items of the scale were classified under four factors; this was consistent with the original form. The Cronbach's α reliability was 0.962 for the overall scale and ranged between 0.836 and 0.949 for the four subdimensions.

Practice implications: The study determined that the Turkish adaptation of the scale is a valid and reliable measuring instrument.

Purpose: The study was conducted to test the validity and reliability of the Turkish version of the "Nurses' Occupational Stressor Scale," which was developed to determine the occupational stressors that nurses experience during work.

Design and methods: "Nurses' Introductory Form" and "Nurses' Occupational Stressor Scale" were used to collect the research data.

Findings: The factor loading values of the scale items varied between 0.351 and 0.670. X² /SD was 2.27, Goodness of Fit Index (GFI) = 0.92, Adjusted GFI = 0.92, Comparative Fit Index = 0.91, Root Mean Square Error of Approximation = 0.061, and Standardized Root Mean Square Residual = 0.055. As a result, the scale was shaped with 21 items and a single dimension.

Practice implications: "Nurses' Occupational Stressor Scale" is a valid and reliable scale. Using this scale, stressors in nurses' work environment can be measured, and while intervention is applied, the effectiveness of such intervention can be evaluated.

Purpose: To describe nursing students' perceptions of care and compassion in the context of the clinical environment.

Design and methods: This phenomenological study data were collected by focus groups and Giorgi et al. stages used in the data analysis.

Findings: Sixteen students participated in this study. Four themes and 12 subthemes were determined. The themes were "Discovering the existence of care and facing up to care", "advancing on the road to becoming a nurse: from theory to practice," "compassionate care, beyond medical care," and "the effect of nursing education on professional compassion."

Practice implications: This study showed that nursing students grew by giving care and knowledge. In addition, compassionate care is gained by real-life stories and a supportive environment.

Purpose: The aim was to investigate the possible associations of suicide attempt with childhood trauma, social support, psychological support seeking, stigmatizations. The study was case-control study and included 100 participants (50 suicide, 50 controls).

Conclusion: BDI, BAI scores were higher in the patient (p < 0.001). While scores of all-subscales of Childhood-Trauma-Questionnaire were higher (p < 0.05) in the patients, scores of Perceived-Social-Support were lower (p < 0.001). Repeating suicide attempts has higher Stigma-Scale-for-Receiving-Psychological-Help scores than the patients who attempted to the first time (p = 0.045).

Practice implication: Suicide is relationship with more childhood traumas, less social support. Repeating suicide attempts, individuals felt public stigma for receiving psychological help.

Purpose: Through an evolutionary concept analysis, social isolation (SI) was defined as lack of social belonging and engagement with others, minimal number of social contacts, and insufficient quality relationships. This definition represents broader understanding of most contributing factors to SI and supports the concepts of reduced communication and socialization experienced during the COVID-19 pandemic. The COVID-19 pandemic served to heighten this problem, including communication challenges, and brought negative outcomes of SI to light. The overall research question examined the impact of communication challenges and SI on OAs with Alzheimer's disease, related dementias, and subjective cognitive changes (2020-2021). This scoping literature review was developed to compare the psychosocial and mental health of older adults between prepandemic and pandemic lockdown of 2020-2021.

Design and methods: This review followed the procedures for scoping review reporting as stated by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for Scoping Reviews (PRISMA-ScR). In collaboration with an expert scientific information specialist assigned to the college of nursing, the literature was queried through MEDLINE(R) and Epub Ahead of Print, In-Process, In-Data-Review & Other Non-Indexed Citations and Daily 1946 to September 02, 2021; APA PsycInfo 1806 to August Week 5 2021; and Embase Classic+Embase 1947 to 2021 September 02. Search terms included social isolation; nursing home; home for the aged; long-term care; old age homes or convalescent home or nursing home; long-term care, or long-term care; aged or elders or seniors, dementia, Alzheimer's or dementia; osteoporosis; and fragility fracture.

Findings: Quantitative data informed outcomes through increased depression and anxiety, higher rates of depression during the pandemic than prepandemic, and increased symptomology in neuropsychiatric profiles. Further, COVID19-related restrictions, including impaired communication streams, seemed to be the origin of stress-related cognitive changes and symptomology. Communication challenges in residents with dementia may lead to feelings of social isolation. Qualitative evidence supports that dementia has a social, psychological, material, and socio-demographic impact. Further, the lockdown disrupted the existing flow of communication between all stakeholders and residents, resulting in heightened perceptions of SI and a profound sense of loss.

Practice implications: The results include a diverse and complex characterization of negative outcomes. Further, strong evidence indicates that communication and human contact can ameliorate negative outcomes.

Purpose: The purpose of this study is to explore psychiatric nurses' experiences of developing therapeutic relationships with adult survivors of child sexual abuse (CSA).

Design and methods: A qualitative descriptive design was adopted. Semistructured interviews were conducted with six registered psychiatric nurses. Data were analyzed using reflexive thematic analysis.

Findings: Although participants were able to develop therapeutic relationships with survivors and cited the importance of interpersonal skills, they felt uncomfortable discussing CSA.

Practice implications: Given the importance of developing trusting relationships, more support needs to be provided for nurses so they can build stronger alliances with survivors of CSA.

Purpose: To investigate the homophobia level among the healthcare professionals working in primary healthcare services and the affecting factors.

Design and methods: This descriptive and cross-sectional study conducted between November 2018 and April 2019, included 184 healthcare professionals.

Findings: The mean total score of the Hudson and Ricketts Homophobia Scale was 103.55 ± 30.47. There was a statistically significant difference between the marital status of the healthcare professionals, what they felt during the care/treatment of lesbian, gay, bisexual, transgender, and intersex (LGBTI) individuals, level of knowledge about such individuals, willingness to know more about them, and the status of having LGBTI acquaintances and the median homophobia score.

Practice implications: The results will be beneficial for LGBTI individuals, who have problems in communicating with primary healthcare personnel, to benefit from the services effectively.

Purpose: Nursing students suffer from stress more frequently than other students. The objective was to analyze the academic stressors that most affect new nursing students.

Design and methods: A cross-sectional study on new nursing students.

Findings: Two hundred and eighty-two students, 78% women, mean age of 21.46 (6.1) years. Giving presentations in class and lack of time for homework are the items that cause the greatest academic stress. Women had higher levels of academic stress, and higher levels of physical activity are related to lower academic stress.

Practice implications: Women have a higher level of academic stress. Doing sport is a protective factor that diminishes academic stress the more it is practiced. Encouraging nursing students to play sports could be beneficial in reducing their academic stress, with women benefiting the most.

Purpose: To obtain nurses' perspectives regarding integrated interventions for substance use cessation for patients in general hospital settings.

Design and methods: (a) Quantitative survey (N = 207) (nurses' knowledge, attitude, practice, confidence regarding integrated interventions; (b) Focus groups exploring nurses' perspectives regarding integrated interventions (N = 32).

Findings: Participants' scores (mean, SD): Knowledge-112.5 (10.4) (maximum score-198); Attitude-30.99 (7.05) (maximum-52); Practice-1.66 (2.63) (maximum-28); Confidence-11.90 (3.82) (maximum-24). From the focus groups, four themes were identified: Substance use patterns among patients seeking treatment at the hospitals where the nurses are employed; Nurses' role in providing integrated interventions; Nurses' training needs for providing integrated interventions; Feasibility of providing integrated interventions.

Practice implications: Findings provide clear justification for module development to train nurses in providing integrated interventions.