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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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The clinical practice experience in psychiatric clinic of nursing students and career intention in China: A qualitative study. J Prof Nurs 2021; 37:916-922. [PMID: 34742522 DOI: 10.1016/j.profnurs.2021.07.013] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Indexed: 11/24/2022]
Abstract
BACKGROUND Nursing students face a lot of complicated situations and problems when they participate in psychiatric clinical practice for the first time. However, the nursing students' internship experience and career intention in psychiatry have not been well described in China. PURPOSE This study aims to explore the experience and career intention of Chinese nursing undergraduates during their first psychiatric internship. METHOD This is a qualitative design using phenomenological approach. Data were collected through a case-study, semi-structured, two face-to-face in-depth interviews (N = 13) with third-year nursing students from a university in China on their first clinical internship in a psychiatric department. We followed the consolidated criteria for reporting qualitative research (COREQ) checklist. RESULTS Four themes were identified: negative stereotype perceptions about mental illness, professional maturation, personal development, attitude towards psychiatric patients and career choice. CONCLUSIONS The experience of nursing students in psychiatric clinical practice was constantly changing. This study indicated that nursing students went through a continuous development process of psychiatric care professional maturation and personal development. However, psychiatric nursing was not an ideal career choice of nursing students. This study provides guidance for educators to optimize the internship experience and take comprehensive measures to improve the professional attractiveness and professional identity of psychiatric nursing.
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Günaydin N, Arguvanli Çoban S. Experiences of nursing students during clinical education in mental health clinics: A phenomenological qualitative study. Nurse Educ Pract 2021; 54:103113. [PMID: 34118777 DOI: 10.1016/j.nepr.2021.103113] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2020] [Revised: 05/21/2021] [Accepted: 06/02/2021] [Indexed: 11/16/2022]
Abstract
AIM Nursing students have both positive and negative experiences during clinical education. This study was conducted to identify experiences of nursing students during clinical education in mental health clinics. DESIGN This phenomenological qualitative design study was conducted with 4th year undergraduate nursing students from a university in Turkey to identify their experiences specifically in mental health clinics. METHODS The data were collected using focus groups interviews with 40 nursing students and assessed with the 7-stage phenomenological analysis method described by Colaizzi. RESULTS Three main themes were determined: (i) the need for supportive interventions to cope with negative emotions; (ii) difficulty in translating theoretical knowledge into practice; and (iii) the lack of role model nurses and teaching staff. CONCLUSIONS The results of this study indicate that supportive interventions should be given to nursing students before clinical education. Also, the duration of clinical education, the teaching methods to be used and role model nurses and teaching staff effectiveness in clinical education should be planned carefully.
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Affiliation(s)
- Nevin Günaydin
- Department of Psychiatric Nursing, Health Sciences Faculty, Ordu University, Ordu, Turkey.
| | - Sibel Arguvanli Çoban
- Department of Psychiatric Nursing, Health Sciences Faculty, Zonguldak Bülent Ecevit University, Kozlu, Zonguldak, Turkey.
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Bujold A, Pariseau-Legault P, de Montigny F. [The unpopularity of mental health/psychiatry care settings among nursing students: A systematic review]. Rech Soins Infirm 2020; 141:17-37. [PMID: 32988187 DOI: 10.3917/rsi.141.0017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
In every population and country around the world, mental health needs are great and are on the rise. Through their training and their vast field of expertise, nurses are an important lever for addressing the issue of accessibility in these care settings. While the increase in the number of new nursing graduates should have helped this issue, recent data show a sharp increase in the shortage of nurses in these care settings. This systematic review (n=40) using the CINAHL, MEDLINE, PsycArticles, and Scopus databases aims to explore why psychiatric and mental health care settings are unpopular with the next generation of nurses. Guided by Parse's theory, this review identifies three major themes : (1) nursing students' perspectives on mental health issues, (2) the influences of educational interventions on these perspectives, and (3) the factors facilitating and constraining a career in these care settings for new nursing graduates. These results enable a better understanding of what can affect the recruitment of new graduate nurses in mental health/psychiatry, while proposing various levers of intervention to specifically address this issue.
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Cha S, Moon H, Park E. Korean Nursing Students' First Experiences of Clinical Practice in Psychiatric Nursing: A Phenomenological Study. Healthcare (Basel) 2020; 8:healthcare8030215. [PMID: 32708988 PMCID: PMC7551649 DOI: 10.3390/healthcare8030215] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 07/14/2020] [Accepted: 07/15/2020] [Indexed: 11/16/2022] Open
Abstract
Nursing students have a more negative attitude toward psychiatric practice than other practices. In particular, Korean nursing students experience increased pressure during clinical practice in psychiatric nursing due to sociocultural and institutional influences, such as prejudices, fear, and anxiety towards mental illnesses. This study aimed to conduct an investigation on students’ first experiences of clinical practice in psychiatric nursing. Participants were 12 fourth year nursing students in South Korea. The data were collected through semi-structured interviews, and data analysis was done using Colaizzi’s phenomenological method. The students’ experiences of clinical practice in psychiatric nursing could be categorized into emotional fluctuation, burnout, transformation, and growth. The results of this study show that nursing students experienced emotional fluctuation and burnout at the beginning of their clinical practice in psychiatric nursing. At the end of the clinical practice, they experienced transformation and growth. The study suggests that nursing instructors and on-site staff need to interact with nursing students to understand the nature of these first experiences and support them through teaching and field guidance.
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Affiliation(s)
- Sunkyung Cha
- Department of Nursing Science, Sunmoon University, Asan 31460, Korea;
| | - Hyunjung Moon
- College of Nursing, Incheon Catholic University, Incheon 21987, Korea;
| | - Eunyoung Park
- College of Nursing, Chungnam National University, Daejeon 35015, Korea
- Correspondence: ; Tel.: +82-42-580-8323; Fax: +82-42-580-8309
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Gonella S, Brugnolli A, Randon G, Canzan F, Saiani L, Destrebecq A, Terzoni S, Zannini L, Mansutti I, Dimonte V, Palese A. Nursing students' experience of the mental health setting as a clinical learning environment: Findings from a national study. Perspect Psychiatr Care 2020; 56:554-563. [PMID: 31868232 DOI: 10.1111/ppc.12467] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2019] [Revised: 12/10/2019] [Accepted: 12/14/2019] [Indexed: 12/11/2022] Open
Abstract
PURPOSE To explore nursing students' perceptions of their clinical learning experiences in the mental health (MH) setting. DESIGN AND METHODS Secondary analysis of data collected within an Italian national cross-sectional study involving students (N = 9607) who were attending 95 3-year baccalaureate nursing programs. FINDINGS Students in MH settings scored the quality of the learning environment overall significantly higher (P = .008) compared to those who rotated in other clinical settings, specifically with respect to (a) the tutorial strategies' quality; (b) the learning opportunities; and (c) the learning environment's quality. PRACTICE IMPLICATIONS MH settings emerged as a worthy clinical environment where less pressing rhythms allow preceptors to provide students more learning opportunities that, in turn, affect the perceived degree of competence achieved and the desire to work in these contexts after graduation.
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Affiliation(s)
- Silvia Gonella
- Department of Public Health and Pediatrics, University of Torino, Turin, Italy
| | - Anna Brugnolli
- Diagnostics and Public Health, University of Verona, Verona, Italy
| | - Giulia Randon
- Diagnostics and Public Health, University of Verona, Verona, Italy
| | - Federica Canzan
- Diagnostics and Public Health, University of Verona, Verona, Italy
| | - Luisa Saiani
- Diagnostics and Public Health, University of Verona, Verona, Italy
| | - Anne Destrebecq
- Department of Biomedical Sciences for Health, University of Milano, Milan, Italy
| | - Stefano Terzoni
- Department of Biomedical Sciences for Health, University of Milano, Milan, Italy
| | - Lucia Zannini
- Department of Biomedical Sciences for Health, University of Milano, Milan, Italy
| | - Irene Mansutti
- Department of Medical Sciences, University of Udine, Udine, Italy
| | - Valerio Dimonte
- Department of Public Health and Pediatrics, University of Torino, Turin, Italy
| | - Alvisa Palese
- Department of Medical Sciences, University of Udine, Udine, Italy
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Giralt Palou R, Prat Vigué G, Tort-Nasarre G. Attitudes and stigma toward mental health in nursing students: A systematic review. Perspect Psychiatr Care 2020; 56:243-255. [PMID: 31353478 DOI: 10.1111/ppc.12419] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2019] [Revised: 06/26/2019] [Accepted: 06/28/2019] [Indexed: 11/30/2022] Open
Abstract
PURPOSE This systematic review seeks to ascertain whether mental health-specific education reduces stigmatizing attitudes in nursing students. DESIGN AND METHODS A systematic review of the literature was performed. FINDINGS Thirteen studies met the inclusion criteria. Most of the results show an improvement in attitudes toward mental health, both in theory and clinical experience, but a greater improvement toward these stigmatizing attitudes was observed in clinical placements than in theory. PRACTICAL IMPLICATIONS Mental-health-specific training seems to improve perceptions toward mental health. Clinical placement underpins theory, leading to a decrease in negative attitudes and stigma regarding mental health.
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Affiliation(s)
- Rosa Giralt Palou
- Faculty of Nursing and Physiotherapy, Department of Nursing, University of Lleida, Barcelona, Spain.,Division of Mental Health, Althaia Foundation, Barcelona, Spain
| | - Gemma Prat Vigué
- Division of Mental Health, Althaia Foundation, Barcelona, Spain.,SaMIS Grup. Division of Mental Health, Althaia Foundation, Carrer Joan Soler, Manresa, Barcelona, Spain
| | - Glòria Tort-Nasarre
- Faculty of Nursing and Physiotherapy, Department of Nursing, Univesity of Lleida, Barcelona, Spain.,GREpS, Health Education Research Group, Nursing and Physiotherapy Department, Lleida, Spain
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Sun FK, Long A, Chiang CY, Wu MK, Yao Y. The psychological processes voiced by nursing students when caring for suicidal patients during their psychiatric clinical practicum: A qualitative study. J Clin Nurs 2019; 29:525-534. [PMID: 31715048 DOI: 10.1111/jocn.15090] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2019] [Revised: 10/06/2019] [Accepted: 10/17/2019] [Indexed: 12/01/2022]
Abstract
AIMS AND OBJECTIVES This study was designed to explore the psychological processes experienced by nursing students caring for suicidal patients during their first psychiatric clinical practicum. BACKGROUND Nursing students expressed fear when caring for patients who presented with suicidal behaviours. Yet, there is a lack of research exploring nursing students' feelings and thoughts when caring for suicidal patients. DESIGN A grounded theory study. METHODS A theoretical sample of 22 undergraduate nursing students who had cared for suicidal patients for at least 5 days during their psychiatric clinical practicum. Data were collected from 2016-2017, in three universities in Taiwan, using a semi-structured interview and constant comparative analysis. COREQ reporting guidelines were utilised. RESULTS Four categories emerged depicting the psychological processes and revealing that the student nurses navigated four phases when caring for patients exhibiting suicidal behaviours. The phases were as follows: (a) apprehension and fear: involving students being frightened about patients attempting suicide; (b) frustration and powerlessness: concerning students finding it challenging to focus on changing patients' suicidal ideations; (c) support and catharsis: covering the students having to ask for psychological support from other people and explore their painful emotions; (d) confidence and empathy: meaning that the students incorporated enhanced confidence and cultivated advanced empathy, leading to the integration of competent care competencies towards suicidal patients. CONCLUSIONS Findings could help nursing teachers to understand students' psychological processes when caring for suicidal patients. Teachers could provide appropriate support to help reduce students' negative thoughts and feelings and increase their care competencies when nursing suicidal patients during their psychiatric clinical practicum. RELEVANCE TO CLINICAL PRACTICE Clinical nurse teachers could support and facilitate students to develop their competencies and confidence as they negotiate the four phases and, actually, complete their internship goals on their clinical practicums.
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Affiliation(s)
- Fan-Ko Sun
- Department of Nursing, I-Shou University, Kaohsiung City, Taiwan
| | - Ann Long
- School of Nursing, Ulster University, Belfast, UK
| | | | - Ming-Kung Wu
- Department of Psychiatry, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan
| | - YuChun Yao
- Department of Nursing, I-Shou University, Kaohsiung City, Taiwan
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Oh E, Song E, Shin J. Individual Factors Affecting Self-esteem, and Relationships Among Self-esteem, Body Mass Index, and Body Image in Patients With Schizophrenia. Arch Psychiatr Nurs 2017; 31:588-595. [PMID: 29179826 DOI: 10.1016/j.apnu.2017.08.007] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2017] [Revised: 06/16/2017] [Accepted: 08/18/2017] [Indexed: 10/19/2022]
Abstract
The purposes of this study were to identify correlations between body mass index, body image, and self-esteem in patients with schizophrenia and to analyse the specific factors affecting self-esteem. This study had a descriptive design, utilising a cross-sectional survey. Participants were patients with schizophrenia who were admitted to a mental health facility in South Korea. A total of 180 questionnaires were distributed, and an appropriate total sample size of 167 valid questionnaires was analysed. Self-esteem was significantly correlated with body image, the subscale of appearance orientation, and body areas satisfaction. However, body mass index exhibited no significant correlation with any variable. The variables found to have a significant explanatory power of 21.4% were appearance orientation and body areas satisfaction. The explanatory power of all factors was 33.6%. The self-esteem of patients with schizophrenia was influenced by body mass index and body image. The positive symptoms of schizophrenia can be controlled by medication, whereas negative symptoms can be improved through education and nursing care with medication. Thus, psychiatric nurses should develop education and care programs that contribute to the positive body image and self-esteem of patients with schizophrenia.
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Affiliation(s)
- EunJung Oh
- Department of Nursing, Jeonbuk Science College, Republic of Korea
| | - EunJu Song
- Department of Nursing, Wonkwang University, Republic of Korea.
| | - JungEun Shin
- Department of Nursing, Maeumsarang Hospital, Republic of Korea
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Günüşen NP, Duman ZÇ, İnan FŞ, İnce SÇ, Sari A, Aksoy B. Exploration of the Factors Affecting the Choices of Nursing Students Who Choose Psychiatric Nursing as the First and Last Choice. Issues Ment Health Nurs 2017; 38:837-844. [PMID: 28745922 DOI: 10.1080/01612840.2017.1349223] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
The aim of this qualitative study was to explore the factors that affect the choices of nursing students who chose a psychiatric nursing internship. The sample group of the study consisted of 13 students who listed psychiatric nursing as their first choice and 11 students who listed psychiatric nursing as their last choice. Four themes were determined: personal reasons, stigmatization, experiences related to psychiatric nursing, and perception of care. Providing activities in nursing education to reduce stigmatization and increasing the time allocated for psychiatric nursing theory and practice are recommended.
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Affiliation(s)
| | - Zekiye Çetinkaya Duman
- a Faculty of Nursing, Psychiatric Nursing Department , Dokuz Eylul University , Izmir , Turkey
| | - Figen Şengün İnan
- a Faculty of Nursing, Psychiatric Nursing Department , Dokuz Eylul University , Izmir , Turkey
| | - Sevecen Çelik İnce
- a Faculty of Nursing, Psychiatric Nursing Department , Dokuz Eylul University , Izmir , Turkey
| | - Ayşe Sari
- a Faculty of Nursing, Psychiatric Nursing Department , Dokuz Eylul University , Izmir , Turkey
| | - Burcu Aksoy
- a Faculty of Nursing, Psychiatric Nursing Department , Dokuz Eylul University , Izmir , Turkey
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