Objective: Investigations into the influence of mental illness in families concentrates on how a parent’s mental illness has an effect on their child, but we now know over two thirds of children with a mental health issue also have a parent with a mental illness. This study examines experiences of these children.Methods: Thirty-eight children were interviewed, including two sibling groups. Interview transcripts were analysed using interpretative phenomenological analysis with a number of themes identified.Results: It was clear from children’s accounts that family life presents some unique challenges because of co-existing mental illness. These included social challenges; school issues; and family interactions. Children also postulated ideas on the support that they considered helpful for comparable children and families. The latter included coping strategies, experiences of professionals and support that they would have liked.Conclusions: The voices of these children indicate that interventions should not be considered in isolation and that it is important to focus on bidirectional influences of mental illness. Understanding the perceptions and interpreted realities of children in these families will facilitate more successful outcomes for the whole family. Providing a family-focused, bidirectional approach, is an important initial phase in helping children manage where mental illness is a ubiquitous feature for multiple family members.
{"title":"A child’s perspective of bidirectional impacts of mental illness in families: “It’s like a cold it goes from one of us to the next”","authors":"M. Naughton, D. Maybery, M. Goodyear","doi":"10.5430/CNS.V7N2P8","DOIUrl":"https://doi.org/10.5430/CNS.V7N2P8","url":null,"abstract":"Objective: Investigations into the influence of mental illness in families concentrates on how a parent’s mental illness has an effect on their child, but we now know over two thirds of children with a mental health issue also have a parent with a mental illness. This study examines experiences of these children.Methods: Thirty-eight children were interviewed, including two sibling groups. Interview transcripts were analysed using interpretative phenomenological analysis with a number of themes identified.Results: It was clear from children’s accounts that family life presents some unique challenges because of co-existing mental illness. These included social challenges; school issues; and family interactions. Children also postulated ideas on the support that they considered helpful for comparable children and families. The latter included coping strategies, experiences of professionals and support that they would have liked.Conclusions: The voices of these children indicate that interventions should not be considered in isolation and that it is important to focus on bidirectional influences of mental illness. Understanding the perceptions and interpreted realities of children in these families will facilitate more successful outcomes for the whole family. Providing a family-focused, bidirectional approach, is an important initial phase in helping children manage where mental illness is a ubiquitous feature for multiple family members.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V7N2P8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49647465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Hunt, S. Gropper, K. Miller, Barbara Tymczyszyn, D. Chapa
Muscle mass, strength, and function have been shown to decline with aging, and if of sufficient magnitude can result in sarcopenia. This study’s objective was to determine the prevalence of low muscle mass in a group of adults living in a “premier” Florida residential continuing care retirement community. The sample consisted of 80 older adults, ranging from young old (65-74 years) to the oldest old (85+ years) with the oldest participant being 94 years. Skeletal muscle mass was assessed via bioelectrical impedance analysis. Skeletal muscle index values were calculated and compared with established cut-off values to classify each individual’s muscle mass as normal or low (sarcopenic). The prevalence of sarcopenia among the males was 66% and among females was 73%. When examined by age, 56% of those in their 70s, 73% of those in their 80s, and 79% of adults in their 90s had low muscle mass indicative of sarcopenia. This study found a higher prevalence for sarcopenia in females and males, especially among the oldest groups, than previously reported in a nationally representative sample of adults. This study’s findings also suggest the need for further studies examining whether the prevalence of low muscle mass among adults in either classification varies with socioeconomic status and ethnicity. Continuing care retirement communities may provide excellent environments for the screening, diagnosis, and implementation of exercise and nutritional programs for residents to help prevent or attenuate sarcopenia’s deleterious effects. Nurse practitioners must incorporate screening for sarcopenia in their wellness package for their patients. Screening, nutritional education and support and exercise prescriptions are vital to prevent associated decline from sarcopenia.
{"title":"Prevalence of older adults with low muscle mass living in a residential continuing care retirement community in Florida","authors":"D. Hunt, S. Gropper, K. Miller, Barbara Tymczyszyn, D. Chapa","doi":"10.5430/CNS.V7N1P83","DOIUrl":"https://doi.org/10.5430/CNS.V7N1P83","url":null,"abstract":"Muscle mass, strength, and function have been shown to decline with aging, and if of sufficient magnitude can result in sarcopenia. This study’s objective was to determine the prevalence of low muscle mass in a group of adults living in a “premier” Florida residential continuing care retirement community. The sample consisted of 80 older adults, ranging from young old (65-74 years) to the oldest old (85+ years) with the oldest participant being 94 years. Skeletal muscle mass was assessed via bioelectrical impedance analysis. Skeletal muscle index values were calculated and compared with established cut-off values to classify each individual’s muscle mass as normal or low (sarcopenic). The prevalence of sarcopenia among the males was 66% and among females was 73%. When examined by age, 56% of those in their 70s, 73% of those in their 80s, and 79% of adults in their 90s had low muscle mass indicative of sarcopenia. This study found a higher prevalence for sarcopenia in females and males, especially among the oldest groups, than previously reported in a nationally representative sample of adults. This study’s findings also suggest the need for further studies examining whether the prevalence of low muscle mass among adults in either classification varies with socioeconomic status and ethnicity. Continuing care retirement communities may provide excellent environments for the screening, diagnosis, and implementation of exercise and nutritional programs for residents to help prevent or attenuate sarcopenia’s deleterious effects. Nurse practitioners must incorporate screening for sarcopenia in their wellness package for their patients. Screening, nutritional education and support and exercise prescriptions are vital to prevent associated decline from sarcopenia.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V7N1P83","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41746412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Clinical handover is acting an important role which nurses are usually involved numerous times in daily working for providing patient care. In spite of the importance of clinical handover, there is no standardized handover practice in our healthcare settings. This study aimed to explore the effect of implementing a structured model of clinical handover (SHARED), and its influence on nurses’ satisfaction.Methods: Design: The quasi-experimental design was utilized. Settings: Conducted at Menoufia University Hospitals at inpatient departments/units. Subjects: A convenient sample of 167 staff nurses who had at least a year of experience and accept to participate in this study. Tools: Tool I, Handover Knowledge Questionnaire; Tool II: clinical handover questionnaire; and Tool III, nurses’ satisfaction questionnaire.Results: Nurses’ levels of total knowledge regarding practices of the current clinical handover were poor at pre-implementation and improved after implementation of the structured model as SHARED. Additionally, there was an improvement of clinical handover attitude after implementation of a SHARED framework among studied subjects and had a good level of attitude than pre-implementation phases.Conclusions: There was the highest level of nurses’ satisfaction regarding clinical handover practice at the post-implementation of SHARD model than pre-implementation.Recommendations: Ongoing educational sessions for nurses and periodic refresher training courses should be provided in order to keep nurses updating knowledge and practice regarding structured and standardized handover models.
{"title":"Implementing structured model of clinical handover (SHARED): Its influence on nurses’ satisfaction","authors":"S. Mohammed, S. Safan","doi":"10.5430/CNS.V7N1P71","DOIUrl":"https://doi.org/10.5430/CNS.V7N1P71","url":null,"abstract":"Objective: Clinical handover is acting an important role which nurses are usually involved numerous times in daily working for providing patient care. In spite of the importance of clinical handover, there is no standardized handover practice in our healthcare settings. This study aimed to explore the effect of implementing a structured model of clinical handover (SHARED), and its influence on nurses’ satisfaction.Methods: Design: The quasi-experimental design was utilized. Settings: Conducted at Menoufia University Hospitals at inpatient departments/units. Subjects: A convenient sample of 167 staff nurses who had at least a year of experience and accept to participate in this study. Tools: Tool I, Handover Knowledge Questionnaire; Tool II: clinical handover questionnaire; and Tool III, nurses’ satisfaction questionnaire.Results: Nurses’ levels of total knowledge regarding practices of the current clinical handover were poor at pre-implementation and improved after implementation of the structured model as SHARED. Additionally, there was an improvement of clinical handover attitude after implementation of a SHARED framework among studied subjects and had a good level of attitude than pre-implementation phases.Conclusions: There was the highest level of nurses’ satisfaction regarding clinical handover practice at the post-implementation of SHARD model than pre-implementation.Recommendations: Ongoing educational sessions for nurses and periodic refresher training courses should be provided in order to keep nurses updating knowledge and practice regarding structured and standardized handover models.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V7N1P71","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71202467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Workplace violence can be in the form of aggression, harassment or simply physical infliction of harm towards nurses. It can arise from many sources but primarily they are patient inflicted violence in different forms. It can be a physical violence, emotional or a combination of both. Incidence of violence towards health care professionals is a recognized global public health issue. Previous studies have already suggested that health care professionals, particularly nurses, have a higher risk of experiencing workplace violence than other professionals. This integrative review looked into the violence where patients are the primary source, as well as the types and impact of violence amongst psychiatric mental health nurses happening worldwide. Further, it looked into the nurses’ road to recovery from the experience of violence and what hospitals and facilities are advocating in stopping these events or at least minimizing the frequency of such acts. Published studies considered in this review found that nurses’ experienced physical pain, fear, anxiety, frustration, distress, resentment, apathy, job dissatisfaction and anger following the violent incident. Nurses after their exposure to a series of violence from their patients’ experience dramatic changes in their well-being.
{"title":"An integrative review on patient inflicted violence among mental health nurses","authors":"M. Alshammari","doi":"10.5430/cns.v7n1p62","DOIUrl":"https://doi.org/10.5430/cns.v7n1p62","url":null,"abstract":"Workplace violence can be in the form of aggression, harassment or simply physical infliction of harm towards nurses. It can arise from many sources but primarily they are patient inflicted violence in different forms. It can be a physical violence, emotional or a combination of both. Incidence of violence towards health care professionals is a recognized global public health issue. Previous studies have already suggested that health care professionals, particularly nurses, have a higher risk of experiencing workplace violence than other professionals. This integrative review looked into the violence where patients are the primary source, as well as the types and impact of violence amongst psychiatric mental health nurses happening worldwide. Further, it looked into the nurses’ road to recovery from the experience of violence and what hospitals and facilities are advocating in stopping these events or at least minimizing the frequency of such acts. Published studies considered in this review found that nurses’ experienced physical pain, fear, anxiety, frustration, distress, resentment, apathy, job dissatisfaction and anger following the violent incident. Nurses after their exposure to a series of violence from their patients’ experience dramatic changes in their well-being.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/cns.v7n1p62","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46920622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Type 2 diabetes (T2D) may develop slowly with few symptoms and may remain undetected for many years, leading to severe complications that potentially could have been prevented with timely diagnosis and treatment. Undiagnosed diabetes has been reported high in Greenland. However, awareness and knowledges about diabetes in the general population remains unexplored.Methods: This study was performed as an observational cross sectional study based on telephone interview among a random sample of Greenlanders. The interview was performed in Greenlandic or Danish according to participant’ preference and included information about age, gender, place of birth, place of residence, medical history of diabetes, awareness of the diabetes, risk factors, symptoms, complications, and local possibilities to get tested for diabetes.Results: In total, telephone contact was established with 196 adults. Of those, 161 participants completed the interview while 35 were unwilling to participate in the interview corresponding to a response rate of 82% (161/196). The majority of responders, 85.7%, were aware of diabetes and local testing possibilities. However, only around 65% were aware of risk factors of diabetes. Also, the knowledge about common symptoms of diabetes was quite low, around 50%, and in particular low, around 40%, among males and inhabitants in settlements.Conclusions: The vast majority of the population was aware of diabetes. However, the present study revealed shortage of knowledge of common risk factors, symptoms, and complications to diabetes. This is challenging the effort to prevent diabetes and new alternative information strategies are needed. Furthermore, the shortage of knowledges of risk factors may not be isolated to diabetes and further studies on health literacy in Greenland are recommended.
{"title":"Awareness of diabetes in the population of Greenland","authors":"M. L. Pedersen","doi":"10.5430/CNS.V7N1P56","DOIUrl":"https://doi.org/10.5430/CNS.V7N1P56","url":null,"abstract":"Objective: Type 2 diabetes (T2D) may develop slowly with few symptoms and may remain undetected for many years, leading to severe complications that potentially could have been prevented with timely diagnosis and treatment. Undiagnosed diabetes has been reported high in Greenland. However, awareness and knowledges about diabetes in the general population remains unexplored.Methods: This study was performed as an observational cross sectional study based on telephone interview among a random sample of Greenlanders. The interview was performed in Greenlandic or Danish according to participant’ preference and included information about age, gender, place of birth, place of residence, medical history of diabetes, awareness of the diabetes, risk factors, symptoms, complications, and local possibilities to get tested for diabetes.Results: In total, telephone contact was established with 196 adults. Of those, 161 participants completed the interview while 35 were unwilling to participate in the interview corresponding to a response rate of 82% (161/196). The majority of responders, 85.7%, were aware of diabetes and local testing possibilities. However, only around 65% were aware of risk factors of diabetes. Also, the knowledge about common symptoms of diabetes was quite low, around 50%, and in particular low, around 40%, among males and inhabitants in settlements.Conclusions: The vast majority of the population was aware of diabetes. However, the present study revealed shortage of knowledge of common risk factors, symptoms, and complications to diabetes. This is challenging the effort to prevent diabetes and new alternative information strategies are needed. Furthermore, the shortage of knowledges of risk factors may not be isolated to diabetes and further studies on health literacy in Greenland are recommended.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V7N1P56","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47179400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kedsaraporn Kenbubpha, I. Higgins, Amanda Wilson, S. Chan
Background: There is little evidence about the factors that influence the promotion of active ageing, and the level of activity, in older people with mental disorders living in rural areas in Thailand.Objective: The purpose of this study was to develop and test a new instrument: Promoting Active Ageing in Older People with Mental Disorders (PAA-MD).Methods: The study involved item generation, content validity testing, face validity testing in 15 participants, and pilot testing in 40 participants of the PAA-MD. Content validity was evaluated using relevance ratings from an expert panel to calculate the content validity index for individual items (I-CVI) and the content validity index for the overall survey (S-CVI). Internal reliability was tested using Cronbach’s alpha coefficient. External reliability was examined using Spearman’s rank correlation coefficient.Results: The PAA-MD uses a self-rating scale for primary care providers and consists of 59 items in three sections. Section I, 14 items, evaluates characteristics of participants and familiarity of active ageing and related concepts. Section II, 22 items, examines the promotion of active ageing amongst older people with mental disorders. Section III, 23 items, measures factors that influence the promotion of active ageing. A five-point Likert scale is used in sections II and III. S-CVI of section II and III were 0.82 and 0.84. Five items in section II and three items in section III were deleted (I-CVI < 0.78). Cronbach’s Alpha of section II and III was 0.975 and 0.964. The Spearman’s Correlation in section II and III was 0.970 and 0.988.Conclusions: The PAA-MD takes 10-15 minutes to complete, has good content validity, high internal reliability, and a strong correlation of external reliability.
{"title":"The development and pilot testing of a new instrument “Promoting Active Ageing in Older People with Mental Disorders Scale”","authors":"Kedsaraporn Kenbubpha, I. Higgins, Amanda Wilson, S. Chan","doi":"10.5430/CNS.V7N2P1","DOIUrl":"https://doi.org/10.5430/CNS.V7N2P1","url":null,"abstract":"Background: There is little evidence about the factors that influence the promotion of active ageing, and the level of activity, in older people with mental disorders living in rural areas in Thailand.Objective: The purpose of this study was to develop and test a new instrument: Promoting Active Ageing in Older People with Mental Disorders (PAA-MD).Methods: The study involved item generation, content validity testing, face validity testing in 15 participants, and pilot testing in 40 participants of the PAA-MD. Content validity was evaluated using relevance ratings from an expert panel to calculate the content validity index for individual items (I-CVI) and the content validity index for the overall survey (S-CVI). Internal reliability was tested using Cronbach’s alpha coefficient. External reliability was examined using Spearman’s rank correlation coefficient.Results: The PAA-MD uses a self-rating scale for primary care providers and consists of 59 items in three sections. Section I, 14 items, evaluates characteristics of participants and familiarity of active ageing and related concepts. Section II, 22 items, examines the promotion of active ageing amongst older people with mental disorders. Section III, 23 items, measures factors that influence the promotion of active ageing. A five-point Likert scale is used in sections II and III. S-CVI of section II and III were 0.82 and 0.84. Five items in section II and three items in section III were deleted (I-CVI < 0.78). Cronbach’s Alpha of section II and III was 0.975 and 0.964. The Spearman’s Correlation in section II and III was 0.970 and 0.988.Conclusions: The PAA-MD takes 10-15 minutes to complete, has good content validity, high internal reliability, and a strong correlation of external reliability.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V7N2P1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45970868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Pregnancy after kidney transplantation should be considered as a major concern. Women with transplanted kidney were able to conceive for more than 50 years. Little studies are available highlighting the effects of transplantation on fetal and neonatal health.Purpose: This study was conducted with the purpose of identifying the maternal risks and pregnancy outcomes after kidney transplantation.Methods: Research design: A descriptive (non-experimental) design was used in conducting this study. Tools: Three tools were used during the course of this study, the interviewing questionnaire sheet, maternal risks assessment sheet and pregnancy outcomes sheet.Results: Regarding the maternal risks, there was a significant increase in mean serum creatinine, decrease in estimated glomerular filtration rate, increase in proteinuria, reported abortion rate was 16.3%, pregnancy induced hypertension rate was 20.9%; Among acquired infections, primary herpes simplex was very common with a rate of 18.6% while urinary tract infection rate was 39.5%. Among pregnancy outcomes, the mean gestational age was 35.4 ± 3, mean birth weight was 2,107.8 ± 567.7 and 74.4% of women delivered by C.s. 30.2% of delivered infants experienced incubator admission.Conclusions: The current findings succeeded in answering both study questions.Recommendation: Pregnant women with kidney transplantation should be followed-up more frequent than normal women for early detection of any risks and for obtaining favorable pregnancy outcomes. Women should be monitored frequently for kidney functions, early signs of pregnancy induced hypertension, acquired infections and other maternal risks reported by this study.
{"title":"What are the maternal risks and pregnancy outcomes after kidney transplantation?","authors":"Amer A. Rashed, M. M. Sharaf","doi":"10.5430/CNS.V6N4P111","DOIUrl":"https://doi.org/10.5430/CNS.V6N4P111","url":null,"abstract":"Background: Pregnancy after kidney transplantation should be considered as a major concern. Women with transplanted kidney were able to conceive for more than 50 years. Little studies are available highlighting the effects of transplantation on fetal and neonatal health.Purpose: This study was conducted with the purpose of identifying the maternal risks and pregnancy outcomes after kidney transplantation.Methods: Research design: A descriptive (non-experimental) design was used in conducting this study. Tools: Three tools were used during the course of this study, the interviewing questionnaire sheet, maternal risks assessment sheet and pregnancy outcomes sheet.Results: Regarding the maternal risks, there was a significant increase in mean serum creatinine, decrease in estimated glomerular filtration rate, increase in proteinuria, reported abortion rate was 16.3%, pregnancy induced hypertension rate was 20.9%; Among acquired infections, primary herpes simplex was very common with a rate of 18.6% while urinary tract infection rate was 39.5%. Among pregnancy outcomes, the mean gestational age was 35.4 ± 3, mean birth weight was 2,107.8 ± 567.7 and 74.4% of women delivered by C.s. 30.2% of delivered infants experienced incubator admission.Conclusions: The current findings succeeded in answering both study questions.Recommendation: Pregnant women with kidney transplantation should be followed-up more frequent than normal women for early detection of any risks and for obtaining favorable pregnancy outcomes. Women should be monitored frequently for kidney functions, early signs of pregnancy induced hypertension, acquired infections and other maternal risks reported by this study.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V6N4P111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45540177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Recent research has found over 70% of children attending a mental health service also have a parent with a mental illness. Research on the impact of mental illness in families focuses primarily on how parental mental illness impacts on children. What is not understood is the experience of parents and children where both have a mental illness. The aim of this study was to investigate the experiences of parents where both a child and a parent have a mental illness.Methods: Thirty-seven parents were interviewed using a narrative design to determine their personal and family experiences. Interviews were analyzed using interpretative phenomenological analysis with a number of themes highlighted.Results: Themes particular to this family type were: impact of parental mental illness; specific strategies; bidirectional impacts of mental illness; and intergenerational factors. Also raised were supports parents would have liked. From the narrative of these parents the challenges of families, where both a parent and a child have a mental illness, are highlighted.Conclusions: It is from these interviews, that awareness of clinicians can be raised, and more effective, well-thought-out interventions put in place. Interventions that take account of the bidirectional influences of mental illness will be more successful in meeting the needs of all members of a family. People do not operate in isolation and providing a family focused approach is an essential first step in helping people manage where mental illness is a prevalent factor for different family members.
{"title":"A parent’s perspective of the bidirectional impact of mental illness in families","authors":"M. Naughton, D. Maybery, M. Goodyear","doi":"10.5430/CNS.V7N1P46","DOIUrl":"https://doi.org/10.5430/CNS.V7N1P46","url":null,"abstract":"Objective: Recent research has found over 70% of children attending a mental health service also have a parent with a mental illness. Research on the impact of mental illness in families focuses primarily on how parental mental illness impacts on children. What is not understood is the experience of parents and children where both have a mental illness. The aim of this study was to investigate the experiences of parents where both a child and a parent have a mental illness.Methods: Thirty-seven parents were interviewed using a narrative design to determine their personal and family experiences. Interviews were analyzed using interpretative phenomenological analysis with a number of themes highlighted.Results: Themes particular to this family type were: impact of parental mental illness; specific strategies; bidirectional impacts of mental illness; and intergenerational factors. Also raised were supports parents would have liked. From the narrative of these parents the challenges of families, where both a parent and a child have a mental illness, are highlighted.Conclusions: It is from these interviews, that awareness of clinicians can be raised, and more effective, well-thought-out interventions put in place. Interventions that take account of the bidirectional influences of mental illness will be more successful in meeting the needs of all members of a family. People do not operate in isolation and providing a family focused approach is an essential first step in helping people manage where mental illness is a prevalent factor for different family members.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V7N1P46","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43410972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Beatriz Eva Pires, C. Mendes-Rodrigues, Fabiola Alves Gomes, R. D. Felice, I. A. Braga, Omar Pereira de Almeida Neto, Lívia Maria Ambrósio da Silva
Background: Cardiovascular diseases are the main cause of death and loss of quality of life in the long term. In the USA, cardiac surgeries represent the most performed surgery category, with an average cost of USD 40,000. Because it is a complex procedure and leads the patient to a critical post-operative state, there is a necessity of intensive care.Objective: Compare the health indicators of patients submitted to postoperative myocardial revascularization surgery when they are in a general Intensive Care Unit (GICU) or in a cardiac Intensive Care Unit (CICU) in a Brazilian institution.Methods: This is a quantitative, retrospective, descriptive study of patients submitted to a coronary artery bypass grafting surgery in a hospital of high complexity. Data were collected from the medical records and grouped into two phases. Phase 1 is the pre-implantation of the CICU, with a total of 50 patients, in a period in which the postoperative of myocardial revascularization surgeries were performed in the GICU. The second phase corresponds to the postoperative period performed in the CICU, with a total of 60 patients.Results: Males were predominant in the study, with the mean age being over 60 years. The most frequent comorbidities in the two groups were systemic arterial hypertension, dyslipidemias and type 2 diabetes mellitus. The main postoperative complications were surgical site infections, cardiac arrhythmias and pleural effusion. After the implementation of the specialized ICU, there was a reduction in the total hospitalization time and a reduction in cost by day and total cost of hospitalization.Conclusions: The specialized ICU promoted a reduction in the total hospitalization time of patients submitted to coronary artery bypass grafting surgeries and a reduction in hospital costs for the Brazilian public health service, facts that demonstrate the importance of these specialized services in high complexity hospitals.
{"title":"Comparing outcomes of patients submitted to coronary artery bypass graft surgery accompanied in a general or cardiac Intensive Care Unit","authors":"Beatriz Eva Pires, C. Mendes-Rodrigues, Fabiola Alves Gomes, R. D. Felice, I. A. Braga, Omar Pereira de Almeida Neto, Lívia Maria Ambrósio da Silva","doi":"10.5430/CNS.V7N1P39","DOIUrl":"https://doi.org/10.5430/CNS.V7N1P39","url":null,"abstract":"Background: Cardiovascular diseases are the main cause of death and loss of quality of life in the long term. In the USA, cardiac surgeries represent the most performed surgery category, with an average cost of USD 40,000. Because it is a complex procedure and leads the patient to a critical post-operative state, there is a necessity of intensive care.Objective: Compare the health indicators of patients submitted to postoperative myocardial revascularization surgery when they are in a general Intensive Care Unit (GICU) or in a cardiac Intensive Care Unit (CICU) in a Brazilian institution.Methods: This is a quantitative, retrospective, descriptive study of patients submitted to a coronary artery bypass grafting surgery in a hospital of high complexity. Data were collected from the medical records and grouped into two phases. Phase 1 is the pre-implantation of the CICU, with a total of 50 patients, in a period in which the postoperative of myocardial revascularization surgeries were performed in the GICU. The second phase corresponds to the postoperative period performed in the CICU, with a total of 60 patients.Results: Males were predominant in the study, with the mean age being over 60 years. The most frequent comorbidities in the two groups were systemic arterial hypertension, dyslipidemias and type 2 diabetes mellitus. The main postoperative complications were surgical site infections, cardiac arrhythmias and pleural effusion. After the implementation of the specialized ICU, there was a reduction in the total hospitalization time and a reduction in cost by day and total cost of hospitalization.Conclusions: The specialized ICU promoted a reduction in the total hospitalization time of patients submitted to coronary artery bypass grafting surgeries and a reduction in hospital costs for the Brazilian public health service, facts that demonstrate the importance of these specialized services in high complexity hospitals.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V7N1P39","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43820354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kedsaraporn Kenbubpha, I. Higgins, Amanda Wilson, S. Chan
The promotion of active aging in community-dwelling older people with mental disorders is an under-researched area. Primary care providers play an important role in engaging older people with mental health disorders to optimize active aging and increase their quality of life. This study explored how primary care providers apply the concept of active aging in community-dwelling older people with mental disorders and to identify factors that facilitate or hinder such application for promoting active aging in this group. Two focus groups were conducted. Fourteen primary care providers were recruited by purposive sampling from two primary care units located in Ubonratchathani province, the northeast region of Thailand. Content analysis was used to analyse the data. The study found that the majority of primary care providers were unfamiliar with the notion of active aging and that older people with mental disorders were not encouraged to join the health promotion activities organised by the community centre. Thai primary care providers need to be supported with training to enhance skills for promoting active ageing in this group. They also lack resources from the national and local government. The findings of this study were used to help develop a new instrument to measure perspectives of primary care providers in a quantitative study.
{"title":"How primary care providers promote active aging in community-dwelling older people with mental disorders: A qualitative study","authors":"Kedsaraporn Kenbubpha, I. Higgins, Amanda Wilson, S. Chan","doi":"10.5430/CNS.V7N1P31","DOIUrl":"https://doi.org/10.5430/CNS.V7N1P31","url":null,"abstract":"The promotion of active aging in community-dwelling older people with mental disorders is an under-researched area. Primary care providers play an important role in engaging older people with mental health disorders to optimize active aging and increase their quality of life. This study explored how primary care providers apply the concept of active aging in community-dwelling older people with mental disorders and to identify factors that facilitate or hinder such application for promoting active aging in this group. Two focus groups were conducted. Fourteen primary care providers were recruited by purposive sampling from two primary care units located in Ubonratchathani province, the northeast region of Thailand. Content analysis was used to analyse the data. The study found that the majority of primary care providers were unfamiliar with the notion of active aging and that older people with mental disorders were not encouraged to join the health promotion activities organised by the community centre. Thai primary care providers need to be supported with training to enhance skills for promoting active ageing in this group. They also lack resources from the national and local government. The findings of this study were used to help develop a new instrument to measure perspectives of primary care providers in a quantitative study.","PeriodicalId":72616,"journal":{"name":"Clinical nursing studies","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5430/CNS.V7N1P31","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45074154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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