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McIntosh JT, Jacobowitz W. Attitudes of Emergency Nurses toward Clients with Mental Illness: A Descriptive Correlational Study in a Nationwide U.S. Sample. Issues Ment Health Nurs 2024; 45:105-113. [PMID: 38190395 DOI: 10.1080/01612840.2023.2278773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2024]
Abstract
Introduction: Individuals with mental illness often experience stigma from healthcare professionals, including emergency nurses. The purpose of this study was to identify personal and professional attributes of emergency nurses that may be related to their level of stigma toward people with mental illness in the U.S. Methods: Secondary analysis of a cross-sectional study to analyze emergency nurses' characteristics against their perceptions of stigma toward mental illness as measured by the Mental Illness: Clinicians' Attitudes Scale-4 (MICA v4). Data analyses consisted of descriptive statistics; stepwise linear regression; and analysis of the internal consistency of the MICA v4 in the current sample. Results: The mean MICA v4 scores for this sample were 53.4. The linear regression analysis revealed a significant model explaining 23.5% of the variance of MICA v4 scores (F[34] = 6.4, p < 0.001, R2 = 0.235). Many attributes were found to have a strong association with lower stigmatizing attitudes. Discussion: The results of this study indicated high levels of stigma toward individuals with mental illness. Findings from this study can inform nursing education and research, and ultimately improve the health outcomes of individuals with mental illness.
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Affiliation(s)
- Jennifer T McIntosh
- Yale School of Nursing, Orange, Connecticut, USA
- Adelphi University, Garden City, New York, USA
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2
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Chen J, El-Den S, Pham L, O’Reilly CL, Collins JC. Healthcare professionals' knowledge, confidence and attitudes in relation to psychosis care: A systematic review. Int J Soc Psychiatry 2023; 69:1856-1868. [PMID: 37691420 PMCID: PMC10685701 DOI: 10.1177/00207640231194490] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/12/2023]
Abstract
BACKGROUND Psychosis is a mental disorder that, despite its low prevalence, causes high disease and economic burden. Inadequate knowledge, lack of confidence and stigmatising attitudes of healthcare professionals (HCPs) may lead to suboptimal care. AIM To review the literature exploring HCPs' knowledge, confidence and attitudes in relation to psychosis care. METHOD A systematic search was undertaken across three databases (MEDLINE, Embase, PsycINFO) using a search strategy encompassing the concepts: 'healthcare professionals', 'knowledge, attitude, and confidence in care' and 'psychotic illnesses and symptoms' to identify relevant records published from 1st January 2002 to 18th March 2022. Results were screened against predetermined inclusion and exclusion criteria by title and abstract, followed by full text. Data were extracted into tables and synthesised narratively. RESULTS Initially, 7,397 studies were identified. Following two-stage screening, 24 studies were eligible for inclusion. Of these studies, 16 explored attitudes, four explored knowledge and attitudes, one explored knowledge, one explored confidence, one explored attitudes and confidence in care and one explored all three constructs. Most HCPs in the included studies demonstrated stigmatising attitudes towards people with psychosis. Furthermore, certain HCPs, including nurses and general practitioners, demonstrated low levels of knowledge, while psychiatrists, occupational therapists, psychologists and nurses had low levels of confidence in caring for people with psychosis. Conversely, positive attitudes were also observed in some HCPs resulting from having acquaintances with lived experience of psychosis. The need for additional education and training to improve HCPs' knowledge and confidence in relation to caring for people living with psychosis was identified. CONCLUSIONS Most attitudes identified were negative and stemmed from stigma, while some were positive due to HCPs' compassion and familiarity with psychosis. The level of knowledge and confidence identified were mostly suboptimal, and so further research is required to develop and evaluate tailored interventions to address this gap.
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Affiliation(s)
- Jenny Chen
- The University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, NSW, Australia
| | - Sarira El-Den
- The University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, NSW, Australia
| | - Lily Pham
- The University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, NSW, Australia
| | - Claire L O’Reilly
- The University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, NSW, Australia
| | - Jack C Collins
- The University of Sydney School of Pharmacy, Faculty of Medicine and Health, The University of Sydney, NSW, Australia
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Marthoenis M, Sari H, Martina M, Alfiandi R, Asnurianti R, Hasniah H, Safitri SD, Fathiariani L. The prevalence of and perception toward mental illness: a cross-sectional study among Indonesian mental health nurses. BMC Psychiatry 2023; 23:569. [PMID: 37550645 PMCID: PMC10408091 DOI: 10.1186/s12888-023-05063-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Accepted: 07/29/2023] [Indexed: 08/09/2023] Open
Abstract
BACKGROUND The emergence of the Coronavirus disease 2019 (Covid-19) pandemic has affected nurses' mental and psychological health. This study investigates the prevalence of depression, anxiety, and stress among Indonesian mental health nurses and their perception of mental illness. METHODS A cross-sectional study was conducted shortly before the height of the Covid-19 outbreak in Indonesia. The data were collected using the 21 items of the Depression, Anxiety, and Stress Scale (DASS-21), the questionnaire on perception toward mental illness, and demographic information. RESULTS Approximately 2.5%, 6.5%, and 1.9% of the nurses had the symptoms of depression, anxiety, and stress, respectively. The vast majority of them perceive that society should treat well people with mental illness (94.8%) and that the government should protect them (94.8%). More than half also believe that they can eat anything but seldom get physically ill (62.1%) and that in Islam, people with mental illness are innocent and are destined for paradise (61.1%). CONCLUSIONS A considerably low prevalence of mental distress was discovered, which might be attributed to the nurses' implementation of mental health skills and effective coping mechanisms. Further training and awareness-raising campaigns are needed to address their misconceptions about mental illness.
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Affiliation(s)
- Marthoenis Marthoenis
- Department of Psychiatry and Mental Health Nursing, Universitas Syiah Kuala, Banda Aceh, 23111, Indonesia.
| | - Hasmila Sari
- Department of Psychiatry and Mental Health Nursing, Universitas Syiah Kuala, Banda Aceh, 23111, Indonesia
| | - Martina Martina
- Department of Psychiatry and Mental Health Nursing, Universitas Syiah Kuala, Banda Aceh, 23111, Indonesia
| | - Rudi Alfiandi
- Department of Psychiatry and Mental Health Nursing, Universitas Syiah Kuala, Banda Aceh, 23111, Indonesia
| | - Rini Asnurianti
- Department of Psychiatry and Mental Health Nursing, Universitas Syiah Kuala, Banda Aceh, 23111, Indonesia
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Phoa PKA, Ab Razak A, Kuay HS, Ghazali AK, Ab Rahman A, Husain M, Bakar RS, Abdul Gani F. Predictors of Mental Health Literacy among Parents, Guardians, and Teachers of Adolescents in West Malaysia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:825. [PMID: 36613147 PMCID: PMC9819300 DOI: 10.3390/ijerph20010825] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Revised: 12/07/2022] [Accepted: 12/26/2022] [Indexed: 06/17/2023]
Abstract
Parents, guardians, and teachers are the informal sources of mental health support that adolescents rely on. Nevertheless, limited mental health knowledge limits their ability and confidence in providing appropriate assistance. This study aims to (1) evaluate the relationship between the roles of parents/guardians and teachers and their responses to discover the common misconceptions on mental health among those providing informal support to adolescents and (2) determine which demographic factors would act as the strongest predictor influencing their mental health literacy (MHL) status. The cross-sectional study recruited 867 parents, guardians, and teachers of adolescents from 24 government secondary schools' parent-teacher associations via multistage stratified random sampling. Parents, guardians, and teachers' MHL were evaluated using the Mental Health Knowledge Schedule-Malay Version (MAKS-M). The collected data were analyzed using Pearson's Chi-squared test to investigate the association between the respondents' roles and responses. Multiple Regression analysis was used to determine the predictors of MHL. The score of MAKS-M for the current study sample is 73.03% (M = 43.82, SD = 4.07). Most respondents responded incorrectly on Items 1 (employment), 6 (help-seeking), 8 (stress), and 12 (grief). Teachers provided more favorable responses on several items than parents and guardians. Finally, younger age, higher income, knowing someone with mental disorders, and having experience of attending formal training on mental health first aid were the significant predictors of MHL. MHL interventions in Malaysia should cater to older adults of lower socioeconomic status and lesser experience in mental health, specifically highlighting the stigmas on mental health help-seeking behaviors, treatment, and employment concerns, plus the recognition of various mental health diagnoses.
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Affiliation(s)
- Picholas Kian Ann Phoa
- Department of Psychiatry, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kota Bharu 16150, Kelantan, Malaysia
| | - Asrenee Ab Razak
- Department of Psychiatry, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kota Bharu 16150, Kelantan, Malaysia
| | - Hue San Kuay
- Department of Psychiatry, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kota Bharu 16150, Kelantan, Malaysia
| | - Anis Kausar Ghazali
- Biostatistics and Research Methodology Unit, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kota Bharu 16150, Kelantan, Malaysia
| | - Azriani Ab Rahman
- Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kota Bharu 16150, Kelantan, Malaysia
| | - Maruzairi Husain
- Department of Psychiatry, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kota Bharu 16150, Kelantan, Malaysia
| | - Raishan Shafini Bakar
- Department of Psychiatry, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kota Bharu 16150, Kelantan, Malaysia
| | - Firdaus Abdul Gani
- Department of Psychiatry and Mental Health, Sultan Haji Ahmad Shah Hospital, Temerloh 28000, Pahang, Malaysia
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Giralt Palou R, Prat Vigué G, Torà Suarez N, Romeu-Labayen M, Tort-Nasarre G. The development of positive attitudes toward mental health among university nursing students: Countering the role of social desirability. Perspect Psychiatr Care 2022; 58:1680-1690. [PMID: 34873707 DOI: 10.1111/ppc.12976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Revised: 11/14/2021] [Accepted: 11/23/2021] [Indexed: 11/30/2022] Open
Abstract
PURPOSE This study analyses the evolution of attitudes of nursing students towards mental health, paying particular attention to the influence of social desirability. DESIGN AND METHODS Prospective longitudinal repeated-measures study in a sample of nursing students who completed the Community Attitudes toward Mental Illness scale and The Social Desirability Scale. FINDINGS After their training, and after adjusting for social desirability, students of female gender recognized attitudes that foster humanistic values than their male counterparts. However, attitudes of restrictiveness and authoritarianism continued to be manifested significantly when the students themselves had mental health problems (MHPs), had had previous training, or were older. PRACTICE IMPLICATIONS University courses should continue to foster attitudes of acceptance and destigmatization of people with MHPs, through responses that value authenticity.
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Affiliation(s)
- Rosa Giralt Palou
- Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida, Barcelona, Spain.,SaMIS Group, Division of Mental Health, Althaia Foundation, Manresa, Barcelona, Spain
| | - Gemma Prat Vigué
- SaMIS Group, Division of Mental Health, Althaia Foundation, Manresa, Barcelona, Spain
| | - Núria Torà Suarez
- Research & Innovation Unit, Althaia Foundation, Manresa, Barcelona, Spain
| | - Maria Romeu-Labayen
- Mental health department, Adult Mental Health Center Horta Guinardo, Barcelona, Spain.,Department of Public Health, Mental Health and Mother-Infant Nursing, University of Barcelona, L'Hospitalet del Llobregat, Spain
| | - Glòria Tort-Nasarre
- Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Lleida, Barcelona, Spain.,GREpS, Health Education Research Group, Department of Nursing and Physiotherapy, University of Lleida, Lleida, Spain
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Phoa PKA, Razak AA, Kuay HS, Ghazali AK, Rahman AA, Husain M, Bakar RS, Gani FA. The Malay Literacy of Suicide Scale: A Rasch Model Validation and Its Correlation with Mental Health Literacy among Malaysian Parents, Caregivers and Teachers. Healthcare (Basel) 2022; 10:healthcare10071304. [PMID: 35885830 PMCID: PMC9317984 DOI: 10.3390/healthcare10071304] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Revised: 07/08/2022] [Accepted: 07/08/2022] [Indexed: 12/02/2022] Open
Abstract
The 27-item Literacy of Suicide Scale (LOSS) is a test designed to measure the respondent’s suicide knowledge. The purpose of this study is to examine the psychometric properties of the Malay-translated version of the LOSS (M-LOSS) and its association to sociodemographic factors and mental health literacy. The 27-item LOSS was forward–backward translated into Malay, and the content and face validities were assessed. The version was distributed to 750 respondents across West Malaysia. Rasch model analysis was then conducted to assess the scale’s psychometric properties. The validated M-LOSS and the Malay version of the Mental Health Knowledge Schedule (MAKS-M) were then distributed to 867 respondents to evaluate their level of suicide literacy, mental health literacy, and their correlation. Upon Rasch analysis, 26 items were retained. The scale was found to be unidimensional, with generally satisfying separation and reliability indexes. Sex, socio-economic status, and experience in mental health were found to significantly impact the mean score for mental health literacy. This study also found a significant mean difference for suicide literacy across school types. Furthermore, while this study observed a weak but significant negative correlation between age and suicide literacy, no correlation was found between mental health and suicide literacy.
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Affiliation(s)
- Picholas Kian Ann Phoa
- Department of Psychiatry, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kubang Kerian 16150, Kelantan, Malaysia; (P.K.A.P.); (H.S.K.); (M.H.); (R.S.B.)
| | - Asrenee Ab Razak
- Department of Psychiatry, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kubang Kerian 16150, Kelantan, Malaysia; (P.K.A.P.); (H.S.K.); (M.H.); (R.S.B.)
- Correspondence:
| | - Hue San Kuay
- Department of Psychiatry, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kubang Kerian 16150, Kelantan, Malaysia; (P.K.A.P.); (H.S.K.); (M.H.); (R.S.B.)
| | - Anis Kausar Ghazali
- Biostatistics and Research Methodology Unit, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kubang Kerian 16150, Kelantan, Malaysia;
| | - Azriani Ab Rahman
- Department of Community Medicine, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kubang Kerian 16150, Kelantan, Malaysia;
| | - Maruzairi Husain
- Department of Psychiatry, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kubang Kerian 16150, Kelantan, Malaysia; (P.K.A.P.); (H.S.K.); (M.H.); (R.S.B.)
| | - Raishan Shafini Bakar
- Department of Psychiatry, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kubang Kerian 16150, Kelantan, Malaysia; (P.K.A.P.); (H.S.K.); (M.H.); (R.S.B.)
| | - Firdaus Abdul Gani
- Department of Psychiatry and Mental Health, Sultan Haji Ahmad Shah Hospital, Temerloh 25000, Pahang, Malaysia;
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Almeida B, Samouco A, Grilo F, Pimenta S, Moreira AM. Prescribing stigma in mental disorders: A comparative study of Portuguese psychiatrists and general practitioners. Int J Soc Psychiatry 2022; 68:708-717. [PMID: 33730898 DOI: 10.1177/00207640211002558] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Physicians, including psychiatrists and general practitioners (GPs), have been reported as essential sources of stigma towards people diagnosed with a mental disorder (PDMDs), which constitutes an important barrier to recovery and is associated with poorer clinical outcomes. Therefore, psychiatrists and GPs are key populations where it is crucial to examine stigma, improve attitudes and reduce discrimination towards psychiatric patients. AIMS This study is the first to explore mental health-related stigma among Portuguese psychiatrists and GPs, examining the differences between these two specialities and assessing whether sociodemographic and professional variables are associated with stigma. METHOD A cross-sectional study was performed between June 2018 and August 2019. A consecutive sample of 55 Psychiatrists and 67 GPs working in Porto (Portugal) filled a 25-item self-report questionnaire to assess their attitudes towards PDMDs in clinical practice. The instrument was designed by the authors, based on previous mental health-related stigma studies and validated scales. The questionnaire includes 12 stigma dimensions (Autonomy, Coercion, Incompetence, Dangerousness, Permanence, Pity, Responsibility, Segregation, Labelling, Diagnostic Overshadowing, Shame and Parental Incompetence), and its total score was used to measure Overall Stigma (OS). Sample characteristics were examined using descriptive statistics, and the factors affecting stigma were assessed through regression analysis. RESULTS GPs exhibit significantly higher OS levels than psychiatrists, and present higher scores in the dimensions of dangerousness, parental incompetence, diagnostic overshadowing and responsibility. Besides medical speciality, several other sociodemographic variables were associated with sigma, including age, gender, having a friend with a mental disorder, professional category, agreement that Psychiatry diverges from core medicine and physician's interest in mental health topics. CONCLUSIONS Our data suggest that both psychiatrists and GPs hold some degree of stigmatizing attitudes towards PDMDs. Overall, these results bring new light to stigma research, and provide information to tailor anti-stigma interventions to Portuguese psychiatrists and GPs.
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Affiliation(s)
| | - Ana Samouco
- Unidade Local de Saúde do Norte Alentejano EPE, Portalegre, Portugal
| | - Filipe Grilo
- Departamento de Economia, Faculdade de Economia da Universidade do Porto, Portugal
| | - Sónia Pimenta
- Electroconvulsive Therapy Unit, Hospital de Magalhães Lemos EPE, Porto, Portugal
| | - Ana Maria Moreira
- Community Mental Health Service, Hospital de Magalhães Lemos EPE, Porto, Portugal
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Giralt Palou R, Prat Vigué G, Romeu-Labayen M, Tort-Nasarre G. Analysis of Stigma in Relation to Behaviour and Attitudes towards Mental Health as Influenced by Social Desirability in Nursing Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19063213. [PMID: 35328900 PMCID: PMC8955242 DOI: 10.3390/ijerph19063213] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Revised: 02/26/2022] [Accepted: 03/02/2022] [Indexed: 01/24/2023]
Abstract
The training undergraduate nursing students receive, both in terms of theoretical input and clinical practice, may help to instil a less stigmatising perception of mental health. To analyse the perceived evolution of attitudes and expected behaviours, a longitudinal repeated measures study was conducted in a population of student nurses during their undergraduate mental health education. The Mental Illness: Clinicians’ Attitudes Scale, a Scale for measuring attitudes to the mentally ill among future Health workers, and the Reported and Intended Behaviour Scale were completed. A mixed linear model was used to assess the effect of each factor in the questionnaires before and after the various stages of the students’ training in mental health. The overall effect of each factor was assessed by testing the interaction between factor and group, both with and without adjustment with the Social Desirability Scale. The results showed that the clinical practice stage, due to the proximity to care for people with mental health problems, improves attitudes and behaviours towards mental health in students who have not had mental health problems, and also in younger students. In conclusion, integrated, holistic training during the period of clinical practice was associated with positive changes in the attitudes and intended behaviour.
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Affiliation(s)
- Rosa Giralt Palou
- Faculty of Nursing and Physiotherapy, University of Lleida, 25003 Lleida, Spain;
- SaMIS Group, Division of Mental Health, Althaia Foundation-UVic, 08243 Barcelona, Spain;
- Correspondence: or
| | - Gemma Prat Vigué
- SaMIS Group, Division of Mental Health, Althaia Foundation-UVic, 08243 Barcelona, Spain;
| | - Maria Romeu-Labayen
- Adult Mental Health Center Horta Guinardo, Department of Public Health, Mental Health and Mother-Infant Nursing, University of Barcelona, 08007 Barcelona, Spain;
| | - Glòria Tort-Nasarre
- Faculty of Nursing and Physiotherapy, University of Lleida, 25003 Lleida, Spain;
- Health Education Research Group, Nursing and Phisioterapy Department, University of Lleida, 25003 Lleida, Spain
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Ghuloum S, Mahfoud ZR, Al-Amin H, Marji T, Kehyayan V. Healthcare Professionals' Attitudes Toward Patients With Mental Illness: A Cross-Sectional Study in Qatar. Front Psychiatry 2022; 13:884947. [PMID: 35651821 PMCID: PMC9148967 DOI: 10.3389/fpsyt.2022.884947] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Accepted: 04/20/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Negative attitudes toward mental illness by Health Care Professionals (HCP) have been reported in many countries across the world. Stigmatizing attitudes by HCP can have adverse consequences on people with mental illness from delays in seeking help to decreased quality of care provided. Assessing such attitudes is an essential step in understanding such stigma and, if needed, developing and testing appropriate and culturally adapted interventions to reduce it. AIMS To assess physicians and nurses attitudes toward mental illness and to determine associated factors with different levels of stigma. METHODS A cross-sectional survey was conducted among Physicians and Nurses. The Mental Illness Clinician's Attitudes (MICA) scale was used to assess attitudes toward mental illness. MICA scores range between 1 and 6 with higher values indicating higher stigmatizing attitudes. Demographic and work related information were also gathered. Descriptive statistics along with multivariate linear and multivariate logistic regression models were used. RESULTS A total of 406 nurses and 92 doctors participated in the study. The nurses' mean MICA score was significantly higher than that of the physicians. Among nurses, being Asian and working in a geriatric, rehabilitation and long-term care facility were associated with lower MICA scores. Among physicians, being female or graduating more than 1 year ago were also associated with lower MICA scores. CONCLUSION Stigmatizing attitudes toward people with mental illness by healthcare workers are present in Qatar. They are higher among nurses as compared to physicians. Factors associated with higher stigmatizing attitudes could be used in creating appropriate intervention to reduce the magnitude of the problem.
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Affiliation(s)
| | - Ziyad R Mahfoud
- Division of Epidemiology, Department of Population Health Sciences, Weill Cornell Medicine, Cornell University, New York, NY, United States.,Department of Medical Education, Weill Cornell Medicine-Qatar, Al-Rayyan, Qatar
| | - Hassen Al-Amin
- Department of Medical Education, Weill Cornell Medicine-Qatar, Al-Rayyan, Qatar
| | - Tamara Marji
- Primary Health Care Corporation, Doha, Qatar.,Faculty of Nursing, University of Calgary in Qatar, Doha, Qatar
| | - Vahe Kehyayan
- Faculty of Nursing, University of Calgary in Qatar, Doha, Qatar
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10
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Labrague LJ, De Los Santos JAA, Fronda DC. Perceived COVID-19-associated discrimination, mental health and professional-turnover intention among frontline clinical nurses: The mediating role of resilience. Int J Ment Health Nurs 2021; 30:1674-1683. [PMID: 34374480 PMCID: PMC8447016 DOI: 10.1111/inm.12920] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Accepted: 07/26/2021] [Indexed: 12/20/2022]
Abstract
COVID-19-associated discrimination (CAD) is an important issue that may adversely affect frontline nurses' work effectiveness and well-being. This study examined the relationships between frontline nurses' perceptions of COVID-19-associated discrimination and their resilience, mental health, and professional-turnover intention. This cross-sectional descriptive study involved 259 frontline nurses in the Central Philippines and used four online self-report measures. The results revealed that frontline nurses perceived a moderate level of COVID-19-associated discrimination. Frontline nurses who perceived a higher level of discrimination during the coronavirus pandemic reported poorer mental health and higher professional-turnover intention. Resilience acted as a mediator and reduced the effects of COVID-19-associated discrimination on nurses' mental health and their professional-turnover intention. Proactive measures to reduce the negative consequences of discrimination during the pandemic, and efforts to foster resilience in nurses who are in the forefront of the fight against the highly transmissible virus, should be given high priority by hospital and nursing administrators to better support nurses' mental health and foster retention.
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Dalky HF, Hamdan-Mansour AM, Amarneh BH, AlAzzam RN M, Yacoub NR, Khalifeh AH, Aldalaykeh M, Dalky AF, Rawashdeh RA, Yehia DB, Alnajar M. Social discrimination perception of health-care workers and ordinary people toward individuals with COVID-19. SOCIAL INFLUENCE 2020. [DOI: 10.1080/15534510.2020.1838945] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Heyam F. Dalky
- Psychiatric Mental Health, Faculty of Nursing, Jordan University of Science & Technology, Irbid, Jordan
| | | | - Basil H. Amarneh
- Psychiatric Mental Health, Epidemiology, and Biostatistics, Jordan University of Science & Technology, Irbid, Jordan
| | - Manar AlAzzam RN
- Associate professor/Psychiatric Mental Health Nursing, Princess Salma Faculty of Nursing, Al al-Bayt University, Mafraq, Jordan
| | | | - Anas H. Khalifeh
- Department of Nursing, Prince Hamzah Hospital, Ministry of Health, Amman, Jordan
| | - Mohammed Aldalaykeh
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Alaa Fawwaz Dalky
- Faculty of Medicine, Jordan University of Science & Technology, Irbid, Jordan
| | | | | | - Malek Alnajar
- Clinical Instructor, Faculty of Health Science/Nursing Department, Higher Colleges of Technology, Sharjah, United Arab Emirates
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