According to the article, “A Risk to Himself: Attitudes Toward Psychiatric Patients and Choice of Psychosocial Strategies Among Nurses in Medical-Surgical Units”, Nurses professional attitudes towards stereotyped psychiatric patients have a major effect on the psychosocial interventions chosen for that patient.” In the article, stereotype is defined as a cognitive element of a strongly held attitude toward a particular social group (Nelson, 2006). Nurses working in different units outside of the psych unit in the hospital are expected to know how to care for psychiatric patients ( Zolneirek, 2009). These nurses base there nursing implications on past personal experience with dealing with other psychiatric patients (MacNeela, Scott, Treacy, & Hyde, 2010). The article elaborates on a research study done by 13 nurses that watch a video of a psychiatric patient with anxiety that was admitted to a med-surgical unit. Research in Nursing and Health, discovered that “Nurses professional attitudes play a key factor in the psychosocial strategies chosen for psychiatric patients”. The two attitudes chosen amongst the nurses in the research study for the psychiatric patient were risk, vulnerability, or both. Depending on the attitude towards the patient, the nurses recommended three psychosocial interventions: Reassurance, encouragement, and structured engagement.
According to the article, nine out of twelve nurses watching the video of the psychiatric patient with anxiety chose reassurance as a psychosocial intervention. The nurses with vulnerable attitudes and risk attitudes thought, “This strategy would give the patient a chance to express his feeling and needs”. As a result, this would decrease the patient’s anxiety, provide emoti...
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... The focus of the psychosocial interventions should be aimed at doing what is beneficial for the client’s physical health, mental health, and safety all at once.
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MacNeela, P., Scott, P., Treacy, M., Hyde, A., & O'Mahony, R. (2012). A risk to himself: Attitudes toward psychiatric patients and choice of psychosocial strategies among nurses in medical-surgical units. Research In Nursing & Health, 35(2), 200-213. doi:10.1002/nur.21466
MacNeela, P., Scott, A., Treacy, P., & Hyde, A. (2010). In the know: Cognitive and social factors in mental health nursing assessment. Journal of Clinical Nursing, 19, 1298–1306.
Nelson, T. D. (2006). The psychology of prejudice (2nd ed.). Boston, MA: Pearson
Zolnierek, C.D. (2009). Non- psychiatric hospitalization of people with mental illness: Systematic review. Journal of Advanced nursing, 65, 1570-1583
The phenomenon of interest has been identified as the expressions of caring by nurses on acute care general surgical wards (Enns, C., Gregory, D., 2007). This problem statement was addressed promptly and clearly in the article. The caring research that has been obtained in other studies has yielded inconsistent results due to the varying definitions of caring. Numerous research has been done on the phenomenon of caring by nurses specializing in several areas but the population of surgical nurses has been “relatively neglected in caring research” (Enns, 2007). Caring is a phenomenon that has been universal throughout nursing, it is a trend that will forever be current due to the ever changing scope of nursing. Increasing demands on nursing staff and the acuity of the patients causes stressors to the “surgical ward environment (and) affect nurses’ ability to provide ideal care” (Enns, 2007). The aim of this report is to answer the question “What are the expressions of caring from a surgical nurses’ perspective?” (Enns, 2007). An appropriate qualitative study has been chosen because “...
Still, the previous advantages discussed should influence the nurse to improve in identifying patient vulnerability. This is evident by this patient where I utilized my interpersonal skills to communicate to this patient so that he/she is aware that he/she is not alone in this journey. Nurses need to utilize models and theories to guide nursing practice. For instance, McCormack’s framework focuses on patient-centered care which influences nurses to understand the patient as a whole and their values (Abley, 2012, p. 42). Being able to identify values will give nurses and myself a better comprehension about the patients resulting in worthiness and belonging expressed. As a result, informing nurses about patient’s subjective vulnerability because a trust and understanding relationship is established. This is supported in a clinical experience where a patient “felt understood and opened up for further interactions based on trust” through an honest, supportive relationship with a nurse (Gjengedal, 2013, p. 134). Nurses should provide patient-focused provision of service, and assist this patient in overcoming his/her obstacle as a way of encouragement. Furthermore, Sellman (2005) explains how encouragement may compromise human flourish (p. 7), it is dependent on the situation and it cannot be assumed all encouragement will lead to harm. This informs nurses to be aware of the consequences that prevent the
Psychiatric mental health nursing (5th ed. , pp. 1). 319-362). See also. St. Louis, MO: Elsevier Mosby.
Movies and shows like, “Girl Interrupted” and “American Horror Story: Insane Asylum” portray hospitals in a way that has truth to it, however they portray the people in a negative way. It has become more known to society that the hospitals that the mentally ill are subjected to living in are not a good place to be. However, the stigma that mentally ill people are dangerous and cannot overcome their illness is still widely
This stereotype contributes to the stigma individuals’ face and encourages social exclusion and intolerance, especially in schizophrenia (Ray & Brooks Dollar, 2014). Ken sought out help and went to the emergency room because he recognized he was severely depressed. There, the doctor promised he would not be put in restraints, yet when he was taken to the hospital, he was placed in restraints because it was company policy (Steele & Berman, 2001). Due the stigma that individuals with mental illness are violent, Ken was not treated fairly (Stuart & Arboleda-Florez, 2012). Stuart and Arboleda-Florez (2012) are very credible authors to be writing on the effects of stigma in mental health. Both authors have experience in psychiatry, combatting stigma and mental health issues.
Walsh, A. & Clarke, V. (2009) Fundamentals of Mental health Nursing New York: Oxford University Press.
The research question I derived from this work was, “What problems does the desensitization of medical staff to their patients present to patient treatment, and what
Stuart, G. W. (2009). Principles and Practice of Psychiatric Nursing (9th ed. pp 561). St. Louis, MO: Elsevier Mosby.
We all have our own perception of psychiatric hospitals. Some people may see them as a terrifying experience, and others may see them as a way to help people who cannot keep their disorders under control. David Rosenhan's perception led him to a variety of questions. How could psychiatric hospitals know if a patient was insane or not? What is like to be a patient there? According to Rosenhans study, psychiatric hospitals have no way of truly knowing what patients are insane or not; they quickly jump to labeling and depersonalizing their patients instead of spending time with them to observe their personality.
This article was written by several well educated professionals in the nursing field. The article appears in a peer reviewed nursing journal that covers topics in psychiatric and mental health nursing that has a 37-year history. The sources history, along with the use of various references from other professional sources establish the journal entries
In today’s society, the stigma around mental health has caused many people to fear seeking medical treatment for problems they are dealing with. With an abundance of hateful outlooks and stereotypical labels such as: crazy, psycho, and dangerous, it is clear that people with a mental illness have a genuine reason to avoid pursuing medical treatments. Along with mental health stigma, psychiatric facilities that patients with a mental health issue attend in order to receive treatment obtain an excessive amount of unfavorable stereotypes.
In mental health nursing, as stated above, mental illnesses can affect the physical biological health of the body (same above source). A person may not know they are sick pending they are triggered by their environmental. For example, stressful environments like workplace settings can and bring about an anxiety disorder. Although anxiety is the natural way for the body to cope with stress, the constant triggers of stress can cause a loss of control of one’s anxiety making is disorderly (source) . Similarly, a person can be more at risk if there are genetically predisposed (source ). All in all same, the biological influence shows us the similarities that are seen in general nursing. The notion that one can be biologically sick from a mental health disorder has demonstrated the similarities of care that is provided in both types of nursing. This is because mental health nurses must care for the physical complications coming from the mental disorders and therefore ...
Videbeck SL (2004) “Nursing Care Plan: Depression” Psychiatric Mental Health Nursing, Third Edition, page 325-326
Newell, R. Gournay, K (2000) Mental Health Nursing - An evidence based approach. London: Churchill Livingstone.
Varcarolis, E. M., Carson, V. B., & Shoemaker, N. C. (2006). In Foundations of Psychiatric Mental Health Nursing (p. 283). St. Louis: Elsevier Inc.