According to the article, “A Risk to Himself: Attitudes Toward Psychiatric Patients and Choice of Psychosocial Strategies Among Nurses in Medical-Surgical Units”, Nurses professional attitudes towards stereotyped psychiatric patients have a major effect on the psychosocial interventions chosen for that patient.” In the article, stereotype is defined as a cognitive element of a strongly held attitude toward a particular social group (Nelson, 2006). Nurses working in different units outside of the psych unit in the hospital are expected to know how to care for psychiatric patients ( Zolneirek, 2009). These nurses base there nursing implications on past personal experience with dealing with other psychiatric patients (MacNeela, Scott, Treacy, & Hyde, 2010). The article elaborates on a research study done by 13 nurses that watch a video of a psychiatric patient with anxiety that was admitted to a med-surgical unit. Research in Nursing and Health, discovered that “Nurses professional attitudes play a key factor in the psychosocial strategies chosen for psychiatric patients”. The two attitudes chosen amongst the nurses in the research study for the psychiatric patient were risk, vulnerability, or both. Depending on the attitude towards the patient, the nurses recommended three psychosocial interventions: Reassurance, encouragement, and structured engagement.
According to the article, nine out of twelve nurses watching the video of the psychiatric patient with anxiety chose reassurance as a psychosocial intervention. The nurses with vulnerable attitudes and risk attitudes thought, “This strategy would give the patient a chance to express his feeling and needs”. As a result, this would decrease the patient’s anxiety, provide emoti...
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... The focus of the psychosocial interventions should be aimed at doing what is beneficial for the client’s physical health, mental health, and safety all at once.
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MacNeela, P., Scott, P., Treacy, M., Hyde, A., & O'Mahony, R. (2012). A risk to himself: Attitudes toward psychiatric patients and choice of psychosocial strategies among nurses in medical-surgical units. Research In Nursing & Health, 35(2), 200-213. doi:10.1002/nur.21466
MacNeela, P., Scott, A., Treacy, P., & Hyde, A. (2010). In the know: Cognitive and social factors in mental health nursing assessment. Journal of Clinical Nursing, 19, 1298–1306.
Nelson, T. D. (2006). The psychology of prejudice (2nd ed.). Boston, MA: Pearson
Zolnierek, C.D. (2009). Non- psychiatric hospitalization of people with mental illness: Systematic review. Journal of Advanced nursing, 65, 1570-1583
Psychiatric mental health nursing (5th ed. , pp. 1). 319-362). See also. St. Louis, MO: Elsevier Mosby.
In today’s society the male nursing profession is sometimes portrayed negatively in the media. Male nurses are often viewed as more aggressive, incompetent and working in a predominantly female profession. The media source chosen was a movie called “Meet The Parents” (2000) The film was based on the idea that a male nurse would go and meet his future wife’s family, and upon meeting the family, things took a turn for the worse. reinforced the common male nursing stereotypes portrayed in the media.
The phenomenon of interest has been identified as the expressions of caring by nurses on acute care general surgical wards (Enns, C., Gregory, D., 2007). This problem statement was addressed promptly and clearly in the article. The caring research that has been obtained in other studies has yielded inconsistent results due to the varying definitions of caring. Numerous research has been done on the phenomenon of caring by nurses specializing in several areas but the population of surgical nurses has been “relatively neglected in caring research” (Enns, 2007). Caring is a phenomenon that has been universal throughout nursing, it is a trend that will forever be current due to the ever changing scope of nursing. Increasing demands on nursing staff and the acuity of the patients causes stressors to the “surgical ward environment (and) affect nurses’ ability to provide ideal care” (Enns, 2007). The aim of this report is to answer the question “What are the expressions of caring from a surgical nurses’ perspective?” (Enns, 2007). An appropriate qualitative study has been chosen because “...
Mental illness has been around as long as people have been. However, the movement really started in the 19th century during industrialization. The Western countries saw an immense increase in the number and size of insane asylums, during what was known as “the great confinement” or the “asylum era” (Torrey, Stieber, Ezekiel, Wolfe, Sharfstein, Noble, Flynn Criminalizing the Seriously Mentally Ill). Laws were starting to be made to pressure authorities to face the people who were deemed insane by family members and hospital administrators. Because of the overpopulation in the institutions, treatment became more impersonal and had a complex mix of mental and social-economic problems. During this time the term “psychiatry” was identified as the medical specialty for the people who had the job as asylum superintendents. These superintendents assumed managerial roles in asylums for people who were considered “alienated” from society; people with less serious conditions wer...
Varcarolis, E. M., Carson, V. B., & Shoemaker, N. C. (2006). In Foundations of Psychiatric Mental Health Nursing (p. 283). St. Louis: Elsevier Inc.
Shultz, J.M. & Videbeck, S.L. (2009) Lippincott Manual of Psychiatric Nursing Care Plans. 8th ed. Philadelphia: Wolters Kluwer/ Lippincott Williams & Wilkins.
Rather than preparing graduates in education or consulting as previous graduate nursing programs had done, this program educated psychiatric-mental health nurses as therapists with the ability to assess and diagnose mental health issues as well as psychiatric disorders and treat them via individual, group, and family therapy (ANA, 2014). Thus, the Psychiatric Mental Health Clinical Nurse Specialist (PMH-CNS), one of the initial advanced practice nursing roles (Schmidt, 2013), was born. After Community Mental Health Centers Act of 1963 led to deinstitutionalization of individuals with mental illness, PMH-CNSs played a crucial role in reintegrating formerly institutionalized individuals back into community life (ANA, 2014). PMH-CNSs have been providing care in a wide range of setting and obtaining third-party reimbursement since the late 1960’s. In 1974 a national certification for PMH-CNSs was created (APNA, 2010). Subsequently, PMH-CNSs began to be granted prescriptive privileges in the Pacific Northwest in the late 1970s, that practice has now spread to 37 states and the District of Columbia (APNA,
This stereotype contributes to the stigma individuals’ face and encourages social exclusion and intolerance, especially in schizophrenia (Ray & Brooks Dollar, 2014). Ken sought out help and went to the emergency room because he recognized he was severely depressed. There, the doctor promised he would not be put in restraints, yet when he was taken to the hospital, he was placed in restraints because it was company policy (Steele & Berman, 2001). Due the stigma that individuals with mental illness are violent, Ken was not treated fairly (Stuart & Arboleda-Florez, 2012). Stuart and Arboleda-Florez (2012) are very credible authors to be writing on the effects of stigma in mental health. Both authors have experience in psychiatry, combatting stigma and mental health issues.
We all have our own perception of psychiatric hospitals. Some people may see them as a terrifying experience, and others may see them as a way to help people who cannot keep their disorders under control. David Rosenhan's perception led him to a variety of questions. How could psychiatric hospitals know if a patient was insane or not? What is like to be a patient there? According to Rosenhans study, psychiatric hospitals have no way of truly knowing what patients are insane or not; they quickly jump to labeling and depersonalizing their patients instead of spending time with them to observe their personality.
What is a nurse? According to the dictionary, a nurse is someone who is trained to care for sick or injured people. Nurses are well respected because they are in a skilled profession and work to remain accident free. Even though nurses are well respected there are stereotyped every day and many people have biased opinions about them. Some of which include being stereotyped as all being women, a profession many call men gay for being involved in, always working in a hospital, will always marry someone that is the medical field, all nurses wear white hospital gowns and a cap, that nursing is easy, are reject doctors, they are all the same, and they do not make a lot of money.
The research question I derived from this work was, “What problems does the desensitization of medical staff to their patients present to patient treatment, and what
Newell, R. Gournay, K (2000) Mental Health Nursing - An evidence based approach. London: Churchill Livingstone.
This article was written by several well educated professionals in the nursing field. The article appears in a peer reviewed nursing journal that covers topics in psychiatric and mental health nursing that has a 37-year history. The sources history, along with the use of various references from other professional sources establish the journal entries
In today’s society, the stigma around mental health has caused many people to fear seeking medical treatment for problems they are dealing with. With an abundance of hateful outlooks and stereotypical labels such as: crazy, psycho, and dangerous, it is clear that people with a mental illness have a genuine reason to avoid pursuing medical treatments. Along with mental health stigma, psychiatric facilities that patients with a mental health issue attend in order to receive treatment obtain an excessive amount of unfavorable stereotypes.
Stuart, G. W. (2009). Principles and Practice of Psychiatric Nursing (9th ed. pp 561). St. Louis, MO: Elsevier Mosby.