Abstract：
:In acute psychiatric settings, it is common practice to increase the intensity of observations of patients who present with self-injurious thoughts, who are at risk of injuring others, or who exhibit behaviors that adversely impact the overall milieu. These intense observations are intrusive and may result in untoward stimulation of the patient. Nurses at an urban academic medical center addressed the problem of intrusive and overstimulating levels of observation by developing two practice changes using intuitive knowledge combined with input from current nursing literature. The first change was designed to move from observation to engagement. The second change was designed to decrease patient agitation related to intense observation. This article discusses the potential adverse consequences associated with the use of intense levels of observation and describes two protocols that have contributed to a reduction in the use of seclusion and restraints, as well as staff members' reported perceptions of feeling safer and experiencing improved job satisfaction.
journal_name
Arch Psychiatr Nursjournal_title
Archives of psychiatric nursingauthors
Ray R,Perkins E,Meijer Bdoi
10.1016/j.apnu.2010.07.007subject
Has Abstractpub_date
2011-04-01 00:00:00pages
90-100issue
2eissn
0883-9417issn
1532-8228pii
S0883-9417(10)00086-5journal_volume
25pub_type
杂志文章abstract：:This article discusses use of the Developmental-Interactional Model of family therapy by a Psychiatric Clinical Nurse Specialist (CNS) for selected patients receiving psychiatric home care services. This form of family therapy is an integrative approach to working with individuals, couples, and families that combines ...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章,评审
doi：10.1053/py.2000.6381
更新日期：2000-06-01 00:00:00
abstract：OBJECTIVES:This panel study examined the trajectories of depression and social support during the first year postpartum among marriage-based immigrant mothers in Taiwan, and the effect of social support on depression. METHODS:This panel study recruited South-Asia immigrant mothers (mean age: 27years) to complete struc...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2015.12.008
更新日期：2016-06-01 00:00:00
abstract：PURPOSE:This study examined the relationship of parent reaction to sexual orientation with depressive symptoms and safer sex among Hispanic adult men who have sex with men (MSM). We also examined men's acculturation to the U.S. (Americanism) in relation with these variables. METHOD:Cross-sectional data collected from ...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2017.04.004
更新日期：2017-08-01 00:00:00
abstract：:Behavioral and psychological symptoms of dementia (BPSD) are sources of psychological distress for caregivers who take care of people with dementia. The purpose of this study was to examine the association between BPSD and the burden on formal caregivers of nursing homes in South Korea. Results showed that the total s...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2015.06.004
更新日期：2015-10-01 00:00:00
abstract：:This article proposes a deliberative nursing process for ethical decisions about the withdrawal of life-saving treatments from terminally ill patients. It highlights the role of the psychiatric consultation liaison nurse in facilitating this process and the growing need for an expanded nursing role, presents relevant ...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/0883-9417(90)90028-j
更新日期：1990-12-01 00:00:00
abstract：:Depressive symptoms have been linked to faster progression to AIDS in HIV-positive individuals. The purpose of this correlational, cross-sectional study was to examine the prevalence and predictors of depressive symptoms among postpartum women in Thailand who are HIV-positive. Data were collected at postpartum outpati...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章,多中心研究
doi：10.1016/j.apnu.2010.05.003
更新日期：2011-02-01 00:00:00
abstract：OBJECTIVE:To clinically validate risk factors for the nursing diagnosis risk for suicide in older adults. METHODS:Case-control study (105 older adults). The strength of the association between variables was assessed using odds ratio (OR). Risk factors were grouped into hierarchical blocks according to the Integrated M...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2020.01.003
更新日期：2020-04-01 00:00:00
abstract：:When a patient suffering from bipolar II disorder is misdiagnosed as experiencing unipolar depression, the recommended treatment of the latter may precipitate a hypomanic or manic episode. Unchecked hypomanic symptoms may include risky behaviors, through which a patient could sustain irreparable damage to relationship...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2018.06.014
更新日期：2018-12-01 00:00:00
abstract：:Traditional models of psychotherapy have failed to meet the demands for accessible, cost-effective, and accountable mental health services. This traditional approach to mental health based on the received view of science is deconstructed in terms of its cure-orientation and contrasted with the care-orientation of nurs...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章,评审
doi：10.1016/0883-9417(94)90026-4
更新日期：1994-10-01 00:00:00
abstract：:This descriptive study examined depressive symptoms impacting the performance of self-care behaviors in patients (N = 62) who have experienced a myocardial infarction (MI). Having had a prior MI is inversely associated with decreased self-care behaviors at 30 days. Depressive symptoms of agitation and loss of energy s...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2011.06.004
更新日期：2012-04-01 00:00:00
abstract：:The importance of detailing therapeutic effort and its outcome cannot be underestimated. The need to document outcomes has been re-emphasized in recent psychiatric mental health literature; however, the methodology for addressing threats to validity is well established. This article identifies the problems and issues ...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/0883-9417(92)90007-6
更新日期：1992-04-01 00:00:00
abstract：:Highly suicidal, borderline patients are difficult to treat within the hospital and the community. The institution of managed care necessitates that care for these and other chronically hospitalized populations take place in the community. Psychotherapy has shown moderate success for some borderlines, however, treatme...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章,评审
doi：10.1016/s0883-9417(97)80058-1
更新日期：1997-04-01 00:00:00
abstract：:Critically ill patients receiving mechanical ventilatory support experience profound anxiety with this common treatment modality. Music intervention is one adjunctive therapy that can be implemented to allay anxiety. This article reviews the evidence support music as an adjunctive intervention with mechanically ventil...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2008.12.005
更新日期：2009-04-01 00:00:00
abstract：:Rural elders are an undeserved and vulnerable population with compromised access to health and human services leading to premature institutionalization. Even though elders living in rural areas have psychiatric illnesses that would prompt them to use mental health services, their use of these services remains low. Thi...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/s0883-9417(99)80015-6
更新日期：1999-02-01 00:00:00
abstract：:This article aims to increase access to care for patients with chronic hepatitis C who have medical and psychiatric comorbidities by reporting on a clinical advanced practice nursing comanagement model for evaluation, treatment, and follow-up care. ...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2006.11.003
更新日期：2007-04-01 00:00:00
abstract：:Diabetes mellitus (DM) is more common among individuals with schizophrenia/schizoaffective disorders than among the general population. Eleven mental health consumers diagnosed with comorbid schizophrenia/schizoaffective disorder and DM participated in a grounded theory study that examined their approaches to diabetic...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2006.10.004
更新日期：2007-02-01 00:00:00
abstract：:The biopsychosocial impact of a burn injury on the individual hospitalized for severe burn wounds begins at the moment of injury and extends throughout that person's life. Medical and emotional problems do not exist in clinical isolation but instead interact to confound and complicate treatment outcomes, accentuating ...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章,评审
doi：10.1053/apnu.2000.8660
更新日期：2000-08-01 00:00:00
abstract：:Efforts to provide humane care for the mentally ill has led to growth of more suitable services in community-based settings, yet resources are insufficient to meet the needs of mentally ill who interface with the criminal justice system. The resulting collateral damage has created a pathway to prison for massive numbe...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2020.07.019
更新日期：2020-10-01 00:00:00
abstract：:The purpose of this study was to examine sociodemographic and health-related risks for loneliness among older adults using Health and Retirement Study Data. Overall prevalence of loneliness was 19.3%. Marital status, self-report of health, number of chronic illnesses, gross motor impairment, fine motor impairment, and...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2008.11.002
更新日期：2009-10-01 00:00:00
abstract：:This article explores the tension between defining psychiatric-mental health nursing as fundamental to the discipline yet also special, an historic dilemma that continues to influence efforts to establish a secure place for the specialty. Analysis focuses on the formative work of three pioneers in this field, using pr...
journal_title：Archives of psychiatric nursing
pub_type： 历史文章,杂志文章
doi：10.1016/s0883-9417(96)80079-3
更新日期：1996-02-01 00:00:00
abstract：:Rates of seclusion and restraint in an urban psychiatric hospital were compared during the 12-month periods before and after implementing the recommendations of a multidisciplinary quality improvement work-group convened to reduce the hospital's use of physical containment. Interventions included a mandatory staff tra...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/s0883-9417(99)80037-5
更新日期：1999-10-01 00:00:00
abstract：:This study describes efforts to reduce turnover of child care workers, one of the many activities undertaken within the Milieu Enhancement Project. This 3-year endeavor, funded by the Division of Nursing of the Department of Health and Human Services, allowed nurses to provide care for orphaned and disadvantaged child...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/0883-9417(91)90053-8
更新日期：1991-08-01 00:00:00
abstract：:Agitation is a significant behavior problem for many elderly nursing-home residents with dementia. Lack of conceptual clarity constrains effective management of agitated behaviors. This conceptual analysis examines the meaning of agitation and attempts to disentangle its antecedents, critical attributes, and consequen...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：
更新日期：1989-04-01 00:00:00
abstract：:In Korea, as in other countries, the number of older adults is growing substantially, and the proportion of older adults is projected to be 14.3% by 2022 [Ministry of Health and Social Affairs, Republic of Korea. (2003). Yearbook of health and social affairs statistics for 2003, vol. 49. Seoul, Korea: Government Print...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2005.12.008
更新日期：2006-08-01 00:00:00
abstract：:This study examined the trajectory of probable PTSD prevalence and severity, and analyzed the predictors for PTSD severity in bereaved survivors at 6 months and 18 months after the 2008 Sichuan earthquake. This was a longitudinal study with 226 bereaved survivors sampled at 6 months and 18 months post-earthquake. The ...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2015.08.011
更新日期：2016-04-01 00:00:00
abstract：:Psychiatric comorbidities in the general hospital population have been found to increase the cost of health care. This descriptive study provides an in-depth analysis (including nursing hours), of general hospital patients receiving low, medium, and high intensity consultation/liaison (C/L) services from C/L psychiatr...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/0883-9417(93)90054-z
更新日期：1993-12-01 00:00:00
abstract：:Identifying client outcomes related to nursing care is critical to establish empirical evidence that supports the effectiveness of psychiatric nursing. The purpose of this article is to conduct a methodological review of the literature that examines client outcomes after treatment in acute care inpatient psychiatric h...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章,评审
doi：10.1016/j.apnu.2004.09.003
更新日期：2004-12-01 00:00:00
abstract：:An attribution model was used to examine how staff perceptions of behavior of a resident with Alzheimer's disease influenced the way the behavior was managed. A sample of 54 female nursing staff members responded to a vignette describing a caregiving situation of a demented resident who was not feeding himself or hers...
journal_title：Archives of psychiatric nursing
pub_type： 临床试验,杂志文章,多中心研究
doi：10.1016/s0883-9417(97)80028-3
更新日期：1997-08-01 00:00:00
abstract：:Schizophrenia can lead to inappropriate emotional behavior and issues with interpersonal relationship functioning as it becomes chronic. This study aimed to determine the effects of a Korean folk music therapy program on the emotional behavior and interpersonal relationship functioning of patients with schizophrenia. ...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2020.02.002
更新日期：2020-06-01 00:00:00
abstract：BACKGROUND:Considering the high incidence of cancer in Brazil and worldwide, the high prevalence and relevance of Common Mental Disorders (CMD) in the treatment of cancer patients, and the use of psychiatric drugs without reliably proven effectiveness, studies that contemplate this topic are needed to understand and pr...
journal_title：Archives of psychiatric nursing
pub_type： 杂志文章
doi：10.1016/j.apnu.2019.06.001
更新日期：2019-10-01 00:00:00
