Mental health nurses' attitudes towards consumers with co-existing mental health and drug and alcohol problems: A descriptive study

IF 2.6 4区 医学 Q1 NURSING
Roopalal Anandan, Wendy M. Cross, Huy Nguyen, Michael Olasoji
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引用次数: 0

Abstract

What is known on the subject?

  • Dual diagnosis is one of the leading causes of disability globally.
  • There is limited evidence on mental health nurses' attitudes towards consumers with dual diagnosis.

What does the paper add to existing knowledge?

  • Mental health nurses have positive attitudes towards consumers with dual diagnosis.
  • A positive attitude at work is influenced by various factors, including feeling that one's role is appropriate and legitimate. This also includes receiving support in that role, being motivated to work, having confidence in completing tasks and feeling satisfied with one's job.

Background

Dual diagnosis is a global health concern. This descriptive research assessed mental health nurses' attitudes towards consumers with dual diagnosis in Australian mental health settings. The research question was: What is the attitude of mental health nurses towards consumers with co-existing mental health and drug and alcohol problems?

Materials and Methods

This cross-sectional survey included 103 mental health nurses who work with consumers with dual diagnosis. Participants were recruited from various mental health settings through convenience sampling. The Comorbidity Problems Perceptions Questionnaire was used to assess attitudes. Descriptive data and multiple regression analyses were conducted. We utilized the consensus-based checklist for reporting results of this study.

Results

Mental health nurses positively perceived consumers with dual diagnosis. Factors associated with a positive attitude were a higher level of work experience, feeling that one's role is adequate, perceiving one's role as legitimate, receiving increased support in one's position, having high work motivation, possessing high task-specific self-esteem and experiencing higher levels of work satisfaction. Work experience predicted role adequacy. Position predicted role support. The work sector predicted role-related self-esteem.

Conclusions

As mental health nurses gain work experience; they develop positive attitudes that boost their self-esteem and sense of importance towards consumers with dual diagnosis. This constructive mindset also positively affects their work motivation and job satisfaction towards consumers with dual diagnosis. Conducting interventional studies is necessary to examine how clinical experiences, work environments, and job positions can impact attitudes, aiming to improve mental health nursing interventions towards consumers with dual diagnosis.

Implications to Practice

The study found that mental health nurses' positive attitudes towards consumers with dual-diagnosis are influenced by their experience and knowledge. Moreover, mental health nurses who feel supported, motivated and confident in their roles are more likely to provide high-quality care to consumers with dual diagnosis. Mental health nurses could provide better care and support if they took a proactive approach and addressed the challenges associated with this consumer population. To be successful in their roles, mental health nurses require access to resources and support from healthcare organizations. As a result, their job satisfaction and attitudes towards consumers with dual diagnosis will be enhanced. In this way, consumers as well as healthcare organizations will benefit.

Abstract Image

精神健康护士对同时存在精神健康问题和吸毒酗酒问题的消费者的态度:描述性研究。
有关该主题的已知情况:双重诊断是导致全球残疾的主要原因之一。有关心理健康护士对双重诊断患者的态度的证据很有限。本文对现有知识有何补充?心理健康护士对双重诊断患者持积极态度。积极的工作态度受多种因素的影响,包括认为自己的角色是适当的、合法的。这还包括在该角色中获得支持、工作积极性、对完成任务有信心以及对工作感到满意。这项描述性研究评估了澳大利亚心理健康机构中心理健康护士对双重诊断患者的态度。研究问题是心理健康护士对同时存在心理健康问题和吸毒、酗酒问题的患者持什么态度?这项横断面调查包括 103 名从事双重诊断工作的心理健康护士。调查对象通过便利抽样从不同的精神卫生机构招募而来。调查使用 "合并症问题认知问卷 "来评估态度。我们进行了描述性数据和多元回归分析。我们使用基于共识的核对表来报告研究结果:结果:心理健康护士对患有双重诊断的患者持积极态度。与积极态度相关的因素有:较高水平的工作经验、感觉自己的角色是适当的、认为自己的角色是合法的、在自己的岗位上得到更多的支持、有较高的工作积极性、拥有较高的任务自尊和较高的工作满意度。工作经验预示着角色适当性。职位预示着角色支持。工作部门预示着与角色相关的自尊:随着心理健康护士工作经验的积累,他们会形成积极的态度,从而增强他们的自尊和对双重诊断患者的重要感。这种建设性的心态也会积极影响她们对双重诊断患者的工作动力和工作满意度。有必要开展干预性研究,以探讨临床经验、工作环境和工作岗位如何影响态度,从而改善心理健康护理对双重诊断患者的干预:研究发现,心理健康护士对双重诊断患者的积极态度受其经验和知识的影响。此外,对自己的角色感到支持、有动力和有信心的心理健康护士更有可能为双重诊断患者提供高质量的护理。如果心理健康护士能采取积极主动的态度,应对与这一群体相关的挑战,就能提供更好的护理和支持。心理健康护士要想在工作中取得成功,就需要从医疗机构获得资源和支持。因此,他们的工作满意度和对双重诊断患者的态度都会得到提升。这样,消费者和医疗机构都将从中受益。
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来源期刊
CiteScore
4.70
自引率
3.70%
发文量
75
审稿时长
4-8 weeks
期刊介绍: The Journal of Psychiatric and Mental Health Nursing is an international journal which publishes research and scholarly papers that advance the development of policy, practice, research and education in all aspects of mental health nursing. We publish rigorously conducted research, literature reviews, essays and debates, and consumer practitioner narratives; all of which add new knowledge and advance practice globally. All papers must have clear implications for mental health nursing either solely or part of multidisciplinary practice. Papers are welcomed which draw on single or multiple research and academic disciplines. We give space to practitioner and consumer perspectives and ensure research published in the journal can be understood by a wide audience. We encourage critical debate and exchange of ideas and therefore welcome letters to the editor and essays and debates in mental health.
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