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Nuño L, Barrios M, Moller MD, Calderón C, Rojo E, Gómez-Benito J, Guilera G. An international survey of Psychiatric-Mental-Health Nurses on the content validity of the International Classification of Functioning, Disability and Health Core Sets for Schizophrenia. Int J Ment Health Nurs 2019; 28:867-878. [PMID: 30834663 DOI: 10.1111/inm.12586] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/07/2019] [Indexed: 12/12/2022]
Abstract
The International Classification of Functioning, Disability and Health (ICF) Core Sets for schizophrenia describe the key problems in functioning that are experienced by individuals with this disorder. This study examines the content validity of these Core Sets and aims to identify the most frequent problems faced by people with schizophrenia, considering for this analysis the perspective of Psychiatric-Mental-Health Nurses. The study complied with the COREQ checklist for qualitative studies. A total of 101 nurses from 30 countries covering all six World Health Organization regions participated in a Delphi study. Their responses in Round 1 were linked to ICF categories, retaining those reported by at least 5% of participants. In Round 2, they were asked to rate the relevance of each of these categories to the nursing care of patients with schizophrenia. This process was repeated in Round 3. A total of 2327 concepts were extracted in Round 1 and linked to ICF categories. Following the analysis, 125 categories and 31 personal factors were presented to the experts in rounds 2 and 3. Consensus (defined as agreement ≥75%) was reached for 97 of these categories and 29 personal factors. These categories corresponded to all those (N = 25) in the Brief Core Set and 87 of the 97 categories of the Comprehensive Core Set for schizophrenia. Ten new categories emerged. The Delphi process identified the problems in functioning that nurses encounter when treating individuals with schizophrenia, and the results supported the content validity of the Core Sets. We conclude that these Core Sets offer a comprehensive framework for structuring clinical information and guiding the treatment process.
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Affiliation(s)
- Laura Nuño
- Clinical Institute of Neuroscience (ICN), Hospital Clinic, Barcelona, Spain.,Department of Social Psychology and Quantitative Psychology, University of Barcelona, Barcelona, Spain
| | - Maite Barrios
- Department of Social Psychology and Quantitative Psychology, University of Barcelona, Barcelona, Spain.,Group on Measurement Invariance and Analysis of Change (GEIMAC), Institute of Neuroscience, University of Barcelona, Barcelona, Spain
| | - Mary D Moller
- School of Nursing, Pacific Lutheran University, Tacoma, Washington, USA
| | - Caterina Calderón
- Group on Measurement Invariance and Analysis of Change (GEIMAC), Institute of Neuroscience, University of Barcelona, Barcelona, Spain.,Department of Clinical Psychology and Psychobiology, University of Barcelona, Barcelona, Spain
| | - Emilio Rojo
- Hospital Benito Menni CASM, Sisters Hospitallers, Sant Boi de Llobregat, Spain.,Department of Psychiatry, International University of Catalonia, Sant Cugat del Vallès, Spain
| | - Juana Gómez-Benito
- Department of Social Psychology and Quantitative Psychology, University of Barcelona, Barcelona, Spain.,Group on Measurement Invariance and Analysis of Change (GEIMAC), Institute of Neuroscience, University of Barcelona, Barcelona, Spain
| | - Georgina Guilera
- Department of Social Psychology and Quantitative Psychology, University of Barcelona, Barcelona, Spain.,Group on Measurement Invariance and Analysis of Change (GEIMAC), Institute of Neuroscience, University of Barcelona, Barcelona, Spain
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Patterson C, Moxham L, Taylor E, Sumskis S, Perlman D, Brighton R, Heffernan T, Keough E. Perceived Control among People with Severe Mental Illness: A Comparative Study. Arch Psychiatr Nurs 2016; 30:563-7. [PMID: 27654238 DOI: 10.1016/j.apnu.2016.04.002] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2016] [Revised: 04/01/2016] [Accepted: 04/03/2016] [Indexed: 11/29/2022]
Abstract
BACKGROUND Given the importance of perceived control to mental health and recovery, research is needed to determine strategies to increase perceived control for people with a mental illness. AIM Investigate the implications of a therapeutic recreation program on the perceived control of people with a mental illness. METHOD Participants of an intervention group (n=27) and comparison group (n=18) completed the Perceived Control Across Domains Scale at three time intervals. Subscale and total scores were analysed. RESULTS AND DISCUSSION Significant variation occurred in the perceived control areas of substance use, personal cognition and personal empowerment. IMPLICATIONS A unique nurse led therapeutic recreation initiative, such as Recovery Camp, can improve and maintain facets of perceived control among people with mental illness.
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Affiliation(s)
- Christopher Patterson
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, NSW, Australia.
| | - Lorna Moxham
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, NSW, Australia.
| | - Ellie Taylor
- Global Challenges Program, University of Wollongong, NSW, Australia.
| | - Susan Sumskis
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, NSW, Australia.
| | - Dana Perlman
- School of Education, Faculty of Social Sciences, University of Wollongong, NSW, Australia.
| | - Renee Brighton
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, NSW, Australia.
| | - Tim Heffernan
- Illawarra Shoalhaven Local Health District, Mental Health Services.
| | - Emily Keough
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, NSW, Australia.
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Schlimme JE, Brückner B. [Deactualization and orthostrophy. Phenomenological psychopathology of receding delusions]. DER NERVENARZT 2015; 86:872-83. [PMID: 25740384 DOI: 10.1007/s00115-015-4258-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
In this article we develop a phenomenological psychopathology of receding delusions in persons with a diagnosis of schizophrenia. Drawing on Klaus Conrad's (1905-1961) descriptions of beginning schizophrenia and an in-depth single case study, we develop descriptions of the process of receding delusions as opposed to ongoing delusions in the manner of a double-orientation to reality. We distinguish two stages in this process of social recovery and term these stages deactualization and orthostrophy. We argue that delusional convictions lose importance and persuasive power if they are no longer supported by corresponding value apprehensions or perceptions and perception-like experiences (i.e. hallucinations). Consequently, we propose that the process of receding delusions proceeds in layers comparable to a regression of the process of upcoming delusions. Lastly we discuss both stages of receding delusions (deactualization and orthostrophy) and ongoing delusions (double-orientation to reality) as possible continuous manners of social recovery concerning delusional psychosis (diagnosis of schizophrenia) and argue for specific interventions according to these different continuous manners.
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Affiliation(s)
- J E Schlimme
- Psychiatrische Universitätsklinik der Charité im St. Hedwig Krankenhaus, Charité Universitätsmedizin, Große Hamburger Str. 5-11, 10115, Berlin, Deutschland,
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Moller MD, McLoughlin KA. Integrating recovery practices into psychiatric nursing: where are we in 2013? J Am Psychiatr Nurses Assoc 2013; 19:113-6. [PMID: 23946958 DOI: 10.1177/1078390313490955] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Mary D. Moller
- Mary D. Moller, DNP, ARNP, APRN, PMHCNS-BC, CPRP, FAAN, Yale University School of Nursing, New Haven, CT, USA
| | - Kris A. McLoughlin
- Kris A. McLoughlin, DNP, APRN, PMH-CNS, BC, CADC-II, FAAN, Santa Monica, CA, USA
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