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Objective: The study to assess the effectiveness of psychological adaptation model of mental health nursing for nurse survivors experiencing post-earthquake post-traumatic stress syndrome (PTSS). Method: This study used a quasi-experimental pre- post-test without control group method. Respondents amounted to 42 people who have been screened for PTSS. Research took place in a district in West Java. Research instrument consisted of: 1) questionnaire for respondent's characteristics and the skills of nurses, and 2) psychological adaptation model of mental health nursing intervention in the form of modules. Data collected was analyzed using bivariate analysis namely the t test dependent. Results: Nurse survivors experienced increased ability in areas including analysis of self-awareness, communication or interaction, coping mechanisms, and intrinsic motivation after undertaking the PTSS intervention. Women were more likely to experience PTSS than men. Conclusions: The model can be used for nursing theory development, and as disaster management algorithms. The model is useful for training programs, in the form of certification of nurse expertise, and improve the ability of nurses to help themselves and others
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Humanos , Masculino , Femenino , Adulto Joven , Adulto , Persona de Mediana Edad , Terremotos , Modelos Psicológicos , Enfermería Psiquiátrica , Enfermeras y Enfermeros/psicología , Trastornos por Estrés Postraumático/psicología , Adaptación Psicológica , Indonesia , AutoinformeRESUMEN
Objective: Patients with violent behavior can harm themselves, others and environment. It can be an indicator for mental health hospital admission. Violent behaviors can be characterized by verbal and physical attacks demonstrated by the individuals intensively. Management of violent behaviors in hospital often uses restraint, but it has physical and psychological effects. This study aimed to explore experience of restraint use among patients with violent behaviors in mental health hospital. Method: To gain deep understanding related to the patients' experiences, this study used a qualitative design with a phenomenological approach. Purposive sampling was employed to find patients who were restrained during their hospitalization. The number of participants in this study was 8 participants. The data were analyzed with Colaizzi's method. Results: Patients with violent behavior, specifically with physical restraint during their hospital-ization had negative impacts on patients. The results of this study were described in three themes: 1) aggressive behavior as one of the main reason of restraint; 2) professional healthcare supports during the restraint use, and 3) physical and psychosocial impact of the restraint use. Conclusions: The impact of restraint is related to human right violations and ethical dilemma. The process of decision-making for employing restraint, especially in relation to violent behavior management, requires a consideration of the rights of the patient. Every individual has the right of self-determination, liberty, security and physical integrity
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Humanos , Adulto , Persona de Mediana Edad , Hospitalización , Restricción Física/efectos adversos , Restricción Física/psicología , Violencia , Hospitales Psiquiátricos , Investigación CualitativaRESUMEN
Objective: Substance misuse tends to be higher among adolescents. This study explored the experience of substance misuse during adolescence. Method: This qualitative study employed a descriptive phenomenological approach. A purposive sampling was adopted to involve 8 former drug users. Data were analyzed using Collaizi's method. Results: This study generated the following themes: 1) smoking as an initial exposure to substance use; 2) substance use is aimed to explore self-identity; 3) lack of information and education about substance and drug use in the family and community; 4) the quality of family relationships influencing substance misuse, and 5) stigmas related to substance abuse. Conclusions: Smoking precedes other substance use among adolescents. To be socially accepted, adolescents tend to take risky decisions. Inadequate knowledge of drugs and poor family relationships can contribute to substance abuse. Nevertheless, inadequate familial or community support to encourage drugs users in rehabilitative programs is also problematic. Moreover, drugs users are often stigmatized and socially isolated even after becoming clean
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Humanos , Masculino , Femenino , Adolescente , Adulto Joven , Adulto , Persona de Mediana Edad , Consumidores de Drogas/psicología , Psicología del Adolescente , Trastornos Relacionados con Sustancias/epidemiología , Indonesia/epidemiología , Investigación Cualitativa , Factores de Riesgo , Trastornos Relacionados con Sustancias/psicologíaRESUMEN
Objective: Social isolation is one of the negative symptoms of schizophrenia that is likely to persist after hospitalization. This study aimed to describe family experiences in communicating with post-hospitalized family members experiencing social isolation. Method: This study used a descriptive phenomenology qualitative approach. The research sample consisted of seven participants selected by a purposive sampling method. Data were obtained through in-depth interviews with family members of people with schizophrenia who experienced social isolation after hospitalization. Data were analyzed using Colaizzi's method. Results: Five themes emerged in this study: a) emotional reactions towards communication changes after hospitalization; b) family coping strategies in communicating with post-hospitalized clients; c) stigma and emotional expression as factors aggravating limited social interaction; d)types of family communication used to fulfill the psychological needs of patients, and e) family involvement in communicating with socially-isolated clients after hospitalization. Conclusions: Family communication becomes part of the adaptation of the family to caring for a family member with a chronic illness. It is recommended that nurses provide mental health education and psychological education on communication skills to family caregivers
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Humanos , Aislamiento Social/psicología , Comunicación , Esquizofrenia/epidemiología , Hospitalización/estadística & datos numéricos , Cuidadores/psicología , Barreras de Comunicación , Factores de Riesgo , Investigación Cualitativa , Estigma Social , Relaciones Familiares/psicología , Atención de Enfermería/métodosRESUMEN
Background: A remuneration system greatly influences the quality of nursing care and services. Objective: The goal of this study was to identify the effects of a remuneration system on nurses' performance. Design: This research used a literature review design and involved the analysis of 25 articles published in the Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, EMBASE, PsycINFO, and Global Health databases. The literature was limited to articles published in English between August 2006 and August 2015. Results: The results of this study indicate that the improvement of remuneration systems has positive consequences in terms of nurses' performance and subsequent quality of healthcare services. A well-managed remuneration system has the potential to increase nurses' motivation, productivity, satisfaction, and even improve retention. In contrast, poorly managed and low remuneration contributes to a shortage of nurses due to high turnover rates. Conclusions: Adequate remuneration has been shown to improve nurses' performance and, consequently, improve the quality of healthcare. This literature review provides scientific evidence for decision-makers to consider the implementation of remuneration systems that include credentialing, re-credentialing, and career ladders. Future studies are suggested to investigate the development of well-managed remuneration systems for nurses
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Humanos , Atención de Enfermería/tendencias , Calidad de la Atención de Salud/tendencias , Remuneración , Investigación en Enfermería Clínica/estadística & datos numéricos , Planes para Motivación del Personal , Programa de Estímulos e IncentivosRESUMEN
Objective: This study aimed to identify the association between stereotyping and professional intercollaborative practice. Method: This study used a cross-sectional analytical study involving physicians, nurses, pharmacists, and dietitians in a hospital in Jakarta, Indonesia, who were selected using the stratified random sampling method. Data was collected using the Student Stereotypes Rating Questionnaire (SSRQ) and the Assessment of Interprofessional Team Collaboration Scale (AITCS). The stereotyping level was analyzed based on a nine-point SSRQ, while interprofessional collaborative practice was scored based on partnership/shared decision-making, cooperation, and coordination. Results: Stereotyping was shown to significantly correlate with interprofessional collaborative practice as measured by the SSRQ and AITCS. Conclusions: Poor interprofessional collaborative practice in subscale partnership/decision-making was dominant. Also, low-rating stereotyping was shown to be dominant with poor interprofessional collaborative practice. Recommendation: The research recommends that health care providers improve partnership/ decision-making skills for better interprofessional collaboration. For further research, it's recommended to explore another barrier of interprofessional collaborative practice
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Humanos , Comunicación Interdisciplinaria , Conducta Cooperativa , Barreras de Comunicación , Conducta Estereotipada , Estereotipo , Relaciones Interprofesionales , Personal de Salud/psicología , Estudios Transversales , IndonesiaRESUMEN
Objective: To review the effectiveness of a clinical care pathway on interprofessional collaboration and quality of health service. Method: A review was performed of literature published from 2000 to 2015, with the following keywords: clinical pathway, care pathway, and interprofessional collaboration. Results: Evidence depicted the positive results of nursing care for clients, health care professionals and facilities. The research results were implemented at different facilities using several research designs, from descriptive to experimental. A clinical pathway was used as a tool in various clinical situations including in emergency, elective surgery, and pre-post-surgery, as well as in common clinical cases. It was administered by the health care professionals in providing care, encompassing the comprehensive process from diagnosis to clinical audit. Health care professionals should engage in active collaboration during the implementation of a clinical care pathway. In implementing the standard of input, process, and outcome of care to clients, health care professionals should emphasize the process and outcome of care and eliminate unnecessary or inefficient treatments. Conclusions: A clinical care pathway could reduce the average length of stay for patients, increase cost effectiveness, and, consequently, improve the quality of service. To optimize the care process, the pathway should be implemented of multidisciplinary health care team
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