Archives of Psychiatric Nursing via MedWorm.com

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Archives of Psychiatric Nursing — Fri, 15 Jan 2010 14:44:41 +0100

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Archives of Psychiatric Nursing — Fri, 15 Jan 2010 14:44:41 +0100

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Archives of Psychiatric Nursing — Fri, 15 Jan 2010 14:44:41 +0100

(Source: Archives of Psychiatric Nursing)

A Pilot Study Examining the Effect of Mindfulness on Depression and Anxiety for Minority Children

Archives of Psychiatric Nursing — Fri, 15 Jan 2010 14:44:40 +0100

DEPRESSION AND ANXIETY are the most common mental health problems affecting children today (). Research has documented an association among anxiety, depression, and psychosocial impairments including immaturity, inattention, concentration problems, academic difficulties, poor peer relations, low self-esteem, and low social competence (). (Source: Archives of Psychiatric Nursing)

The World Health Organization and Mental Health

Archives of Psychiatric Nursing — Fri, 15 Jan 2010 14:44:40 +0100

I recently had the honor of speaking on the broad topic of mental health to undergraduate students in South Korea. None of the students were health professionals so the presentation was geared to the general student, with particular attention to what could be done to make mental health services more available and acceptable in their country. I was not totally unaware of the needs of the country. I have had some long-term involvement in mental health in Korea, participating in the first United Nations Development Project, which provided funding for service provision for mentally ill individuals. (Source: Archives of Psychiatric Nursing)

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Archives of Psychiatric Nursing — Thu, 19 Nov 2009 14:51:09 +0100

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Archives of Psychiatric Nursing — Thu, 19 Nov 2009 14:51:08 +0100

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Archives of Psychiatric Nursing — Thu, 19 Nov 2009 14:51:08 +0100

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Looking 10 Years Back and 5 Years Ahead: Framing the Clinical Nurse Specialists Debate for Our Students

Archives of Psychiatric Nursing — Thu, 19 Nov 2009 14:51:08 +0100

Part of my job at Rush College of Nursing is talking to students applying to our psychiatric nurse practitioner program. This week, an applicant asked me to explain the split that he hears about between the psychiatric mental health (PMH) clinical nurse specialists (CNS) and PMH nurse practitioners (NPs). He is trying to learn about PMH nursing, and as he said, “piece together the important parts of our profession.” So he asks, “I have heard about this tension between the two roles along the edges but explain to me in a few minutes what is crux of the issue. Why does there seem to be this divide in the specialty about the role of advanced practice nurses.” Where to begin? (Source: Archives of Psychiatric Nursing)

Psychometric Properties of the Turkish Form of Codependency Assessment Tool

Archives of Psychiatric Nursing — Thu, 19 Nov 2009 14:51:08 +0100

This study evaluated the psychometric properties of the Codependency Assessment Tool (CODAT) developed by C. Hughes Hammer, D. S. Martsolf, and R. A. Zeller (1998a, 1998b) for Turkish students and investigated the relationship of codependency with attachment styles and family problems. After the translation of the CODAT, Beck Depression Inventory, Experiences in Close Relationships-Revised, and Family Problems of Young Adulthood Evaluation Scale, each was administrated to Turkish female nurse students (n = 400). Factor analysis and Cronbach's alpha values were then computed. Five-factor solution revealed a similar factor structure for the Turkish version of CODAT compared with that of the original tool. Five factors explained 48.38% of the variance. All of the items (with one exception) lo...

Bringing Science to the School Community

Archives of Psychiatric Nursing — Mon, 19 Oct 2009 00:00:00 +0100

The Adolescent Coping With Depression Course (CWD-A) is cognitive–behavioral treatment (CBT) group program targeting adolescents with unipolar depression and their parents (). The program has been tested in National Institutes of Health-supported studies and is manualized to be delivered in sixteen 2-hour sessions. In real-world treatment settings, it is not always possible to deliver the full 16-session dose or the parental component. However, a pilot study by demonstrated effectiveness (significant reduction in depressive symptoms) of adapting CWD-A in an 8-session school-based program. (Source: Archives of Psychiatric Nursing)

Author's Response to Letter Regarding Unintentional Injury Risk Among Preschoolers With Behavior Disorders

Archives of Psychiatric Nursing — Fri, 16 Oct 2009 00:00:00 +0100

WE THANK THE author for his thoughtful letter () regarding our study reported in the October 2008 issue of this journal (). We recognize Dr. Schwebel's substantive contributions to the injury field and expertise in the areas of disruptive behavior disorders and unintentional injuries in young children. We are also passionate about reducing the significant public health burden that results from unintentional childhood injuries. (Source: Archives of Psychiatric Nursing)

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Archives of Psychiatric Nursing — Tue, 22 Sep 2009 16:58:49 +0100

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Archives of Psychiatric Nursing — Tue, 22 Sep 2009 16:58:49 +0100

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Archives of Psychiatric Nursing — Tue, 22 Sep 2009 16:58:49 +0100

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Urgent Intervention Needed

Archives of Psychiatric Nursing — Tue, 22 Sep 2009 16:58:49 +0100

Nursing leaders have long called for examination of theory, research, and curriculum in psychiatric nursing (e.g., Stuart, Krauss, and McCabe). They called for an assessment of what we teach, examination of sacred cows, and breaking through tradition and dogmatic approaches that may be historically valuable but unrepresentative of an evidence base from which we can derive practice concepts and research ideas. They warned that psychiatric nursing may become irrelevant if we fail to bring it into the 20th century. Have we heeded? (Source: Archives of Psychiatric Nursing)

Demystifying Self-Transcendence for Mental Health Nursing Practice and Research

Archives of Psychiatric Nursing — Tue, 22 Sep 2009 16:58:49 +0100

Because human development is an integral aspect of life, pathways to mental health necessarily involve developmentally based issues or resources. This column provides an overview of self-transcendence as one developmentally based resource for mental health. The Self-Transcendence Scale is presented to encourage its use in mental health nursing practice and research. (Source: Archives of Psychiatric Nursing)

Resilience

Archives of Psychiatric Nursing — Tue, 22 Sep 2009 16:58:48 +0100

We all know those who we would characterize as psychologically resilient, those who demonstrate the great capacity to cope with extreme stress, catastrophe, and negative life events. We can recount several experiences in the lives of patients, students, colleagues, and friends that have led to displays of resilience. We might have even encountered these adverse life events ourselves and responded in ways that others would note as resilient. (Source: Archives of Psychiatric Nursing)

Understanding the Gender Differences in Pathways to Social Deviancy: Relational Aggression and Emotion Regulation

Archives of Psychiatric Nursing — Mon, 17 Aug 2009 00:00:00 +0100

This study explored the associations among childhood emotion regulation, overt aggression, relational aggression, and adolescent deviant social behaviors. Data were drawn from the Family Health Project, a longitudinal study conducted over 4 years. The sample consisted of 111 children at Time 1 who ranged in age from 51/2 to 12 years at Time 1 and 8 to 14 years at Time 3. A significant finding was that, for girls, lower emotion regulation predicted later relational aggression (β = −2.95, P < .05). Moreover, low prosocial skills coupled with relational aggression were associated with deviant social behaviors. (Source: Archives of Psychiatric Nursing)

Feasibility of the Walk, Address, Learn and Cue (WALC) Intervention for Schizophrenia Spectrum Disorders

Archives of Psychiatric Nursing — Fri, 07 Aug 2009 00:00:00 +0100

We described theoritical underpinnings of the WALC intervention and how we adapted it for SSDs. We conducted a feasibility study of the adapted intervention in 17 persons with SSDs. The adapted intervention incorporated low intensity stretches, exercise education and exercise cues. The intervention was feasible and acceptable to participants; approximately two-thirds of all groups were attended and nearly half of participants attended at least 75% of groups. Follow up studies should examine the effect of the intervention upon future exercise behavior, with the goal of identifying evidence based interventions to increase exercise in this group. (Source: Archives of Psychiatric Nursing)

Nursing Care of Clients Treated with Atypical Antipsychotics Who Have a Risk of Developing Metabolic Instability and/or Type 2 Diabetes

Archives of Psychiatric Nursing — Fri, 07 Aug 2009 00:00:00 +0100

Conclusions: Metabolic instability, especially weight gain, is associated with some psychotropic medicines. Nursing interventions need to include care assessment, planning, intervention, and evaluation for clients treated with antipsychotic medicines in terms of risk minimization strategies in routine nursing care. (Source: Archives of Psychiatric Nursing)

The Effect of an Anger Management Program for Family Members of Patients With Alcohol Use Disorders

Archives of Psychiatric Nursing — Fri, 07 Aug 2009 00:00:00 +0100

This study was aimed to test the structured anger management nursing program for the family members of patients with alcohol use disorders (AUDs). Families with the AUDs suffer from the dysfunctional family dynamic caused by the patients' deteriorative disease processes of alcohol dependence. Family members of AUDs feel bitter and angry about the uncontrolled behaviors and relapses of the patients in spite of great effort for a long time. This chronic anger threatens the optimal function of the family as well as obstructs the family to help the patients who are suffering from AUDs. Sixty three subjects were participated who were referred from community mental health centers, alcohol consultation centers, and an alcohol hospital in Korea. Pre-post scores of the Korean Anger Expression Inven...

Restraints and the code of ethics: An uneasy fit

Archives of Psychiatric Nursing — Fri, 07 Aug 2009 00:00:00 +0100

This article examines the use of physical restraints through the four broad principles of ethics common to all helping professions. It asks whether the continued use of physical restraints is consistent with ethical practice through the lens of those principles. It also examines where the necessity to use restraints in the absence of empirically supported alternatives leaves professionals in terms of conflicts between ethical principles and makes recommendations for changes in education and clinical practice. It concludes that an analysis through a bioethics lens demonstrates that the use of restraints as a tool in psychiatric settings is a complex and multifaceted problem. Principles of ethics may often be in conflict with each other in instances where patients must be physically restrain...

The Therapeutic Milieu Reconceptualized for the 21st Century

Archives of Psychiatric Nursing — Fri, 07 Aug 2009 00:00:00 +0100

The notion of the therapeutic milieu has come under fire for lack of relevance to current inpatient psychiatric care environments. Yet, in different fields of health care, scholars are suggesting a need to build healing environments. A view of the therapeutic milieu as an optimal healing environment based on continuous healing relationships, patient-centered care, safety as a systems priority, and cooperation among clinicians provides a framework to organize care in a holistic manner that supports positive health outcomes. This approach provides a platform for nurses and other clinicians to expand the view of a milieu traditionally limited to the unit environment to one that includes a broad systems context. (Source: Archives of Psychiatric Nursing)

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Archives of Psychiatric Nursing — Fri, 24 Jul 2009 11:17:17 +0100

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Archives of Psychiatric Nursing — Fri, 24 Jul 2009 11:17:17 +0100

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Archives of Psychiatric Nursing — Fri, 24 Jul 2009 11:17:17 +0100

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Erratum

Archives of Psychiatric Nursing — Fri, 24 Jul 2009 11:17:16 +0100

The footnote at the bottom of the article “Staff's Attitudes Toward the Delivery of Tobacco Cessation Services in a Primarily Psychiatric Veterans Affairs Hospital” (2009;23:231–242) should have been “Archives of Psychiatric Nursing, Vol. 23, No. 3 (June), 2009: pp. 231-242.” (Source: Archives of Psychiatric Nursing)

Psychiatric Mental Health Nursing and Health Care Reform: Learning to See the Playing Field

Archives of Psychiatric Nursing — Fri, 24 Jul 2009 11:17:15 +0100

Nearing his retirement, the sporting world became fascinated with the talents of Wayne Gretzky, the great National Hockey League player. His now famous quote, “A good hockey player plays where the puck is. A great hockey player plays where the puck is going to be,” raised several questions. Was Gretzky's ability to “see” the puck an innate skill or can one develop a sense of the field, learning to move toward where the energy was taking the game? The quote invites many analogies to life outside the ice, including consideration of how well one is reading the movement of his or her professional playing field. In this time of tremendous change in health care, it is certainly a question for psychiatric mental health (PMH) nursing. How well does specialty move with the direction of heal...

The Mental Health Needs of Children and Adolescents

Archives of Psychiatric Nursing — Fri, 24 Jul 2009 11:17:15 +0100

THE MENTAL HEALTH needs of children and adolescents cannot be met by any one discipline or specialty. As we examine the National Association of Pediatric Nurse Practitioners (NAPNAP) position statement, it becomes clear that there is a vision shared by both advanced practice psychiatric nurses and pediatric nurse practitioners. The synergism between these two specialties holds the potential for increasing networks and resources; enhancing knowledge and skills; and having more innovation in clinical practice, research, and education related to the mental health of children and adolescents. Everyone gains in such a collaborative relationship—pediatric nurse practitioners, advanced practice psychiatric nurses, and most importantly, our clients. (Source: Archives of Psychiatric Nursing)

Preventing Suicide: Developing Meaning in Life

Archives of Psychiatric Nursing — Fri, 24 Jul 2009 11:17:14 +0100

In the last 45 years, suicide rates have increased by 60% worldwide. Suicide is now the third leading cause of death among those aged 15 to 44 years (both sexes). Mental disorders (particularly depression and substance abuse) are associated with more than 90% of all cases of suicide; however, suicide results from many complex sociocultural factors and is more likely to occur particularly during periods of socioeconomic, family, and individual crisis situations (e.g., loss of a loved one, employment, honor). Although traditionally suicide rates have been highest among elderly men, rates among young people have been increasing. This age group now is the group at highest risk in a third of countries, in both developed and developing countries. Importantly, these figures do not include suicide...

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Archives of Psychiatric Nursing — Fri, 15 May 2009 16:46:24 +0100

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Archives of Psychiatric Nursing — Fri, 15 May 2009 16:46:24 +0100

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Archives of Psychiatric Nursing — Fri, 15 May 2009 16:46:24 +0100

(Source: Archives of Psychiatric Nursing)

“Normative orthodoxies in depression and the ‘space’ for alternative discourses”

Archives of Psychiatric Nursing — Fri, 15 May 2009 16:46:22 +0100

Irrespective of the country where one practices or the particular population(s) that one works with, the likelihood is extremely high that as a psychiatric nurse, you will encounter depressed people. Though the well documented problems in determining a case/non-case of depression mean that the associated epidemiological data should be treated with an appropriate degree of caution (see ) the indicate that the global rate of depression continues to rise. At the same time, there exists a parallel and more compelling body of evidence that shows how the incidence of prescriptions for anti-depressants (most noticeably Selective Serotonin Reuptake Inhibitors – SSRIs) has risen dramatically during the last two decades, particularly in ‘western’ countries (see ). With these data in mind, and ...

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