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Psychiatric and Mental Health Nursing Commons

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Les Conditions Favorables À La Relation Infirmière-Patient : Le Contexte De L’Hospitalisation Involontaire Lors D’Un Premier Épisode Psychotique, Myriam Clément, Chantal Verdon, Fanny Robichaud, Amal Abdel-Baki 2018 Université du Québec en Outaouais

Les Conditions Favorables À La Relation Infirmière-Patient : Le Contexte De L’Hospitalisation Involontaire Lors D’Un Premier Épisode Psychotique, Myriam Clément, Chantal Verdon, Fanny Robichaud, Amal Abdel-Baki

Science of Nursing and Health Practices - Science infirmière et pratiques en santé

Introduction. The nurse-patient relationship is a key element in recovery for individuals involuntarily hospitalized for first-episode psychosis. However, the power imbalance between nurse and patient in this context can be detrimental to the relationship. Indeed, it is difficult for nurses to provide person-centred care and to seek collaboration with the patient under the circumstances. Objective. The aim of this study was to co-construct a vision of the ideal relationship between nurse and involuntarily hospitalized patient based on the recovery model. Methods. An appreciative inquiry action-research approach was used to enable five individuals involuntarily hospitalized for a psychotic episode and five ...


Reexamining Overuse Of Frequent Observation For New Admissions On Psychiatric Units To Increase Nurse/Patient Engagement, Samuel Novela 2018 The University of San Francisco

Reexamining Overuse Of Frequent Observation For New Admissions On Psychiatric Units To Increase Nurse/Patient Engagement, Samuel Novela

Master's Theses

People in California who suffer from mental health conditions are often admitted involuntarily to hospitals on 72 hour psychiatric evaluation holds if they are deemed imminently dangerous to themselves, or others, or are gravely disabled. Observational patient safety checks are performed and based on patient acuity and hospital standards. Variations exist among different clinical settings with regard to best practices and the patient subpopulations that may warrant less frequent safety checks. Nurses experience different levels of satisfaction with regard to frequency of safety checks because there is no national consensus on which subsets of patients may require them. A senior ...


Improving Postpartum Depression Screening And Treatment Referral Rates In An Ob-Gyn Clinic, Ciddet Abrahams 2018 University of the Incarnate Word

Improving Postpartum Depression Screening And Treatment Referral Rates In An Ob-Gyn Clinic, Ciddet Abrahams

Doctor of Nursing Practice

Abstract

Background: Up to 25 % of adult women are diagnosed with postpartum depression. This diagnosis may also lead to poor health outcomes for the mother and the infant. Four out of five women with a positive screening for postpartum depression do not receive care from a mental health provider.

Purpose: The purpose of the project was to improve postpartum depression screening and follow-up care to mental health services in a clinic providing obstetrical and gynecological care in the central Texas area.

Objectives: The primary objective of the project was to increase postpartum depression screening rates. The second objective was to ...


Depression Screening At A Mental Health Outpatient Clinic: A Quality Improvement Project, Renee Licorish 2018 University of the Incarnate Word

Depression Screening At A Mental Health Outpatient Clinic: A Quality Improvement Project, Renee Licorish

Doctor of Nursing Practice

Project Background: Depression is one of the most common mental health problems in the United States. Many individuals may seek treatment but go undiagnosed due to the lack of recognition by clinicians. Clinical guidelines recommend the use of a standardized depression screening tool within a clinician’s evaluation process. The Patient Health Questionnaire 9 (PHQ-9) is such a tool and recommended for use in the outpatient care setting. Aims of the Project: To increase depression screening of clients at a hospital-based outpatient behavioral health clinic. Purpose and Objectives: Implementation of the PHQ-9 into the clinic’s mental health assessment process ...


A Quality Improvement Initiative To Implement The Geriatric Depression Scale In A Geriatric Inpatient Psychiatric Unit, Candice Hall 2018 University of the Incarnate Word

A Quality Improvement Initiative To Implement The Geriatric Depression Scale In A Geriatric Inpatient Psychiatric Unit, Candice Hall

Doctor of Nursing Practice

The World Health Organization (2017) estimated that over 300 million people worldwide have depression. According to the Centers for Disease Control and Prevention (2013), 7 million Americans over 65 years old experience depression annually. The United States Preventive Health Services Task Force recommends the use of a depression screening tool in the adult population. The purpose of this evidence-based quality improvement project was to improve screening for depression in an inpatient geriatric psychiatric unit. The primary objectives included educating nursing staff on depression screening and using the geriatric depression scale (GDS) to assess patient's level of depression at admission ...


Resilience, Acculturative Stress, And Family Norms Against Disclosure Of Mental Health Problems Among Foreign-Born Filipino American Women, Andrew Thomas Reyes, Reimund Serafica, Chad L. Cross, Rose E. Constantino, Rogelio A. Arenas 2018 University of Nevada, Las Vegas

Resilience, Acculturative Stress, And Family Norms Against Disclosure Of Mental Health Problems Among Foreign-Born Filipino American Women, Andrew Thomas Reyes, Reimund Serafica, Chad L. Cross, Rose E. Constantino, Rogelio A. Arenas

Asian / Pacific Island Nursing Journal

The present study explores the relationships between resilience, acculturative stress, and family norms against disclosure of mental health problems among foreign-born Filipino American women. The sample consisted of 159 foreign-born Filipino American women aged 18 years and above and residing in Las Vegas, Nevada, United States. Participants completed paper-and-pencil questionnaires. Results indicated high levels of resilience and moderate levels of acculturative stress. Findings also showed a significant negative correlation between resilience and acculturative stress, and a significant predictive effect of resilience on acculturative stress. We also found a significant negative relationship between resilience and family norms against disclosure of mental ...


Searching For Wisdom: A Phenomenological Investigation Of Womens' Perspectives Following Participation In An Ovarian Cancer Supportive Care Group, Helen Butlin 2018 The University of Western Ontario

Searching For Wisdom: A Phenomenological Investigation Of Womens' Perspectives Following Participation In An Ovarian Cancer Supportive Care Group, Helen Butlin

Electronic Thesis and Dissertation Repository

This study used a novel methodology of hermeneutic-poetic-phenomenology to explore perspectives of women living with ovarian cancer. Each had participated in a supportive care group process Soul-Medicine prior to volunteering. Three women, Beth, Carrie, and Denise contributed to this study. The methodology was grounded in Gaston Bachelard’s philosophy of poetic-phenomenology. Data was analyzed with attention to image-centred knowledge; material imagination; reverie; and horizons of hope to elucidate their implicated aspects of wisdom and the ways participant’s formed their personal wisdom integrating feminist theories of embodiment and bioethics.

Findings are framed through three images of a uniquely formed inner ...


Consistently Using A Transportation Department For Patient Discharge To Sustain Nursing Staffing Levels, Victoria Boutin, Joseph East, Stephen Tyzik, Joy Moody, Mark Parker, Suneela Nayak, Ruth Hanselman, Amy Sparks 2018 Maine Medical Center

Consistently Using A Transportation Department For Patient Discharge To Sustain Nursing Staffing Levels, Victoria Boutin, Joseph East, Stephen Tyzik, Joy Moody, Mark Parker, Suneela Nayak, Ruth Hanselman, Amy Sparks

Operational Excellence

IMPROVING PATIENT FLOW BY UTILIZING A HOSPITAL TRANSPORTATION DEPARTMENT FOR DISCHARGES

Using a transportation department for transporting patients for discharge is the industry standard. At a large urban hospital, inconsistent use of this department has resulted in frontline caregivers (RNs) having to pick up this function, resulting in potentially unsafe staffing levels on the floor.

The goal of this quality improvement project was to improve the percent of discharges with the transport department from ≤10% to 70% by the end is fiscal year 2018 in an academic tertiary medical center.

Baseline metrics demonstrated the current state and a root cause ...


Recommended Interventions To Address The Education-Practice Gap In Mental Health Nursing: An Integrated Literature Review, Marlena D'Agostin 2018 DePaul University

Recommended Interventions To Address The Education-Practice Gap In Mental Health Nursing: An Integrated Literature Review, Marlena D'Agostin

Grace Peterson Nursing Research Colloquium

Abstract

Background: Mental health is all encompassing and is widely prevalent in the U.S. population, demonstrating a need for effective care for patients in the mental health setting. There is a gap, however, in providing the highest quality of care within this setting named the theory-practice gap. The theory-practice gap creates a barrier in translating knowledge that is being taught in the classroom to what is used in clinical practice.

Objectives: The purpose of this integrative literature review was to investigate the theory-practice gap in mental health nursing through the implementation of evidence-based practice (EBP) in the clinical practice ...


Common Components Of Fetal Alcohol Spectrum Disorder Prevention Intervention Programs: A Review Of Literature, Ross Siemering 2018 DePaul University

Common Components Of Fetal Alcohol Spectrum Disorder Prevention Intervention Programs: A Review Of Literature, Ross Siemering

Grace Peterson Nursing Research Colloquium

Abstract

Background: Fetal alcohol spectrum disorders (FASD) are the most common yet completely preventable cause of mental disability in the western world.

Objective: The purpose of this integrative literature review is to examine and identify the common elements among varying interventions for FASD prevention that have demonstrated effectiveness for reducing the risk of FASD to better understand what defining features may contribute to the efficacy of the interventions.

Methods: An integrative literature review was conducted. The databases searched included: CINAHL, PubMed, Cochrane Library, and Science Direct. Articles were then reviewed to determine if they were appropriate for inclusion based upon ...


Barriers To Providing Psychiatric Care Within Cook County Public Health System: An Integrative Literature Review, Elizabeth Ann Reuter 2018 DePaul University

Barriers To Providing Psychiatric Care Within Cook County Public Health System: An Integrative Literature Review, Elizabeth Ann Reuter

Grace Peterson Nursing Research Colloquium

Abstract

Background: Cook County Public Health Systems located in Cook County, Illinois, are responsible for providing free and low cost psychiatric care to thousands of residents despite continuing state and federal budget cuts and inadequate Medicaid reimbursements. This not only financially strains county taxpayers, but it also limits treatment options, negatively impacts patients, and places an extreme burden on the public service workforce.

Objectives: The purpose of this integrative literature review was to identify the major barriers of providing psychiatric care within Cook County Public Health Systems.

Method: An integrative literature review was conductedusing the databases of Academic Search ...


Nurses Role In Health Home Mixed Methods Study, Jacqueline S. Prokop 2018 University of Texas at Tyler

Nurses Role In Health Home Mixed Methods Study, Jacqueline S. Prokop

Nursing Theses and Dissertations

Managing individuals with chronic health conditions in the primary care setting continues to be a significant challenge in the U.S. health care system. This issue is further compounded for low-income individuals with both mental health and physical health chronic conditions. With the enactment of the Affordable Care Act (ACA), new chronic disease health home opportunities have emerged to address the existing structural and process gaps found in primary healthcare. The nurse’s role is integral to health homes as they empower nurses to play a greater role in improving patient experiences, population health, and lowering healthcare costs. Three research ...


Evaluation Of A Youth Emergency Room Enhancement Program For Behavioral Health, Anne Thatcher 2018 University of Missouri, St. Louis

Evaluation Of A Youth Emergency Room Enhancement Program For Behavioral Health, Anne Thatcher

Dissertations

Problem. Pediatric mental health complaints and subsequent hospitalizations have been steadily increasing. The Behavioral Health Network (BHN) developed an intensive outreach case management program aimed at reducing youth mental health emergency department (ED) visits and inpatient psychiatric admissions. The Youth Emergency Room Enhancement (YERE) program was a process improvement initiative to provide immediate case management to youth and caregivers for mental health care.

Methods. A Plan-Do-Study-Act (PDSA) method utilizing a retrospective case record review occurred over a six-month period. A convenience sample of youth aged 6-20 years presenting to one of eight healthcare facilities for either ED or inpatient hospitalization ...


Empirical Validation Of The Genetic Psychosocial Risk Instrument – French Version (Gpri-F), Christine Maheu, Mary Jane Esplen, Xin Gao, Irakli Dzneladze, Hao Bai, François Eisinger, Claire Julian-Reynier 2018 McGill University

Empirical Validation Of The Genetic Psychosocial Risk Instrument – French Version (Gpri-F), Christine Maheu, Mary Jane Esplen, Xin Gao, Irakli Dzneladze, Hao Bai, François Eisinger, Claire Julian-Reynier

Science of Nursing and Health Practices - Science infirmière et pratiques en santé

Objective. This study sought to validate a French version of the Genetic Psychosocial Risk Instrument (GPRI), an instrument used to screen for psychosocial risk in individuals undergoing genetic testing for adult-onset hereditary disease (AOHD). Methods. The French translation of the GPRI (GPRI-F) was first validated linguistically with ten French individuals undergoing genetic testing for AOHD. Then, a psychometric evaluation of the GPRI-F was carried out with a separate cohort of 132 individuals. Convergent validity was assessed with the Impact of Event Scale (IES) and the Perceived Risk Scale (PR), while divergent validity was assessed with a quality of life measure ...


Care For Inmates With Mental Illness: What Can Nurses Do?, Rebecca K. Sakai 2018 Seattle Pacific University

Care For Inmates With Mental Illness: What Can Nurses Do?, Rebecca K. Sakai

Honors Projects

This paper serves to inform nurses of the medical and psychiatric treatment that inmates with mental illness receive and to offer suggestions for treatment interventions. Current practice includes mental health screens, psychotropic medication administration, psychiatric departments, and administrative segregation. The recommended interventions include providing therapy (including Cognitive Behavioral Therapy and Group Therapy), decreasing administrative segregation, implementing reintegration programs, and training and collaborating with correctional officers.


Family Nurse Practitioner Student Competencies In Integrated Psychiatric Healthcare, Mark Manning 2018 University of San Diego

Family Nurse Practitioner Student Competencies In Integrated Psychiatric Healthcare, Mark Manning

Doctor of Nursing Practice Final Manuscripts

Title: Practicum to Practice: Family Nurse Practitioner Student Competencies in Integrated Psychiatric Mental Healthcare.

Background: Major Depressive Disorder (MDD) is a widespread and costly diagnosis that affects nearly 16 million people annually and costs the United States nearly $83 Billion. Primary care providers such as Family Nurse Practitioners (FNP) play a crucial role in screening for health problems, preventing, and managing illness. Opportunities exist to integrate psychiatric mental healthcare into FNP curriculum and clinical practicums to better prepare providers to identify and screen for depression.

Purpose: The purpose of this evidenced-based practice project is to evaluate FNP student competencies in ...


Using An Educational Session To Improve The Knowledge, Confidence, And Beliefs About Psychopharmacology For Behavioral Health Clinicians, Sharon Bennett 2018 Boise State University

Using An Educational Session To Improve The Knowledge, Confidence, And Beliefs About Psychopharmacology For Behavioral Health Clinicians, Sharon Bennett

Doctor of Nursing Practice

Background: Psychiatric illness is unpredictable, has spasmodic tendencies, and represents one of the most reported types of disabilities in the United States. Behavioral health clinicians are front line respondents and considered a major ally to providers by supporting medication management recommendations and referring new patients for medication management. Basic evidence-based psychopharmacology improves behavioral health clinicians’ knowledge, however, is inadequate in curricula, and many undergraduate and graduate programs lack one dedicated psychopharmacology class. This abbreviated knowledge contributes to inadequate referrals for treatment and poor confidence in supporting the practitioners’ medication recommendations.

Method: This project examined behavioral health clinicians’ knowledge, confidence, and ...


Individualizing Care For Pediatric Patients With Autism Spectrum Disorder In Perioperative Services, Erin Scheller 2018 The University of San Francisco

Individualizing Care For Pediatric Patients With Autism Spectrum Disorder In Perioperative Services, Erin Scheller

Master's Theses

This research explores solutions for individualizing and improving care for pediatric patients with Autism Spectrum Disorder in the Perioperative Setting of an Outpatient Surgery Center. Specifically, it seeks to determine if providing parent and staff resources on Autism Spectrum Disorder is significantly helpful in increasing confidence in the staff by the parents and the staff themselves. Participants included thirty-five surveyed families who had pediatric patients visiting perioperative services and staff who work on the unit. Methods used include information dissemination with the use of printable and online evidence-based resources, an in-person education event for staff, and a pilot study of ...


Primary Care Provider Attitudes Towards Adoption Of Evidence Based Practice: Indicators Of Acceptance Towards Bibliotherapy, Shannon Scott 2018 Northern Michigan University

Primary Care Provider Attitudes Towards Adoption Of Evidence Based Practice: Indicators Of Acceptance Towards Bibliotherapy, Shannon Scott

DNP Scholarly Projects

The rising prevalence of depression is straining the skeletal mental health systems in rural communities, resulting in a majority of patients receiving management for their depression solely by their primary care providers. However, providers need to be empowered with evidence-based resources to provide adequate care beyond pharmacotherapy exclusively. Bibliotherapy, or the prescription of books for the treatment of disease, is readily used by psychologists but less incorporated into the traditional medical model of patient care. This small pilot study provided primary care providers in a rural area complimentary copies of the self-help text Feeling Good (Burns, 2009) to incorporate into ...


Empower: A Community-Based Approach To Improve Care For Women And Newborns Affected By Perinatal Substance Use Disorder, Linda Jablonski, Susan Marie Halpin 2018 Baystate Health

Empower: A Community-Based Approach To Improve Care For Women And Newborns Affected By Perinatal Substance Use Disorder, Linda Jablonski, Susan Marie Halpin

National Network of Libraries of Medicine New England Region (NNLM NER) Repository

New England has the second highest rate of prenatal opioid exposure in the country. This population of women and children is particularly vulnerable and requires a comprehensive, multidisciplinary approach in order to overcome barriers to care and support good outcomes. This webinar will describe how one rural community collaborated to create a screening, referral and support program called EMPOWER (Engaging Mothers for Positive Outcomes with Early Referrals). Learn how this innovative approach helps support women and improve outcomes by identifying and addressing barriers to care for patients, health care providers and their community.

Learning Objectives

Participants will:

  1. Recognize how prenatal ...


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