NURSES' PERCEPTION OF THEIR COMPETENCIES IN THE PROVISION OF PSYCHIATRIC CARE: A CASE OF LOITOKITOK SUB-COUNTY HOSPITAL
DOI:
https://doi.org/10.47604/jhmn.1276Keywords:
Mental health, Psychiatric care competencies, clinical competence evaluationAbstract
Purpose: The main purpose of this study was to assess nurses' self-evaluation of their competencies in the care of psychiatric patients at Loitoktok Sub-County Referral Hospital.
Methodology: A cross-sectional study, employing census survey of all the 41 eligible nurses working in the hospital was done. A structured questionnaire was used to collect data. Informed voluntary consent and all other ethical clearances were obtained. The data obtained was analyzed using SPPS version 20.
Findings: Majority of nurses were from maternity department. On gender aspect, female nurses were more than male nurses. Most nurses had strong perceived competency in provision of psychiatric care especially in the area of therapeutic communication. The perceived competency did not significantly differ across the nurses' qualification, neither did it significantly vary from one department to another. However, the study revealed significant variation in perceived competency across the various years of experience. Moreover, the perceived competency in conducting psychiatric assessment had a significant influence on the ability to provide psychiatric care. Likewise, the perceived intervention competency had an influence on the ability to provide care. However, there was no relationship between perceived communication competency and ability to provide psychiatric care.
Unique contribution to theory, practice and policy: There is need for regular assessment of nurses' competencies to form need based capacity building, especially for nurses with more than four years' experience; and exploring opportunities of encouraging nurses to seek assistance with competencies they have deficiencies in.
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Agar, M., Draper, B., Phillips, P. A., Phillips, J., Collier, A., Harlum, J., & Currow, D. (2012). Making decisions about delirium: A qualitative comparison of decision making between nurses working in palliative care, aged care, aged care psychiatry, and oncology. Palliative Medicine, 26(7), 887-896. sagepub.co.uk/journalsPermissions.nav http://doi: 10.1177/0269216311419884 pmj.sagepub.com
Appelbaum, P. S. (2007). Assessment of Patients' Competence to Consent to Treatment. N Engl J Med, 357, 1834-1840. American journal of Bioethics .http://www.columbiapsychiatry.org
Arnold, M., & Mitchell, T. (2008). Nurses' Perceptions of Care Received by Older People with Mental Health Issues in an Acute Hospital Environment. Nursing Older People, 20(10), 28-34http://www. journals.rcni.com.
Arvidsson, B., Löfgren, H., & Fridlund, B. (2001). Psychiatric nurses' conceptions of how a group supervision programme in nursing care influences their professional competence: A 4-year follow-up study. Journal of Nursing Management, 9(3), 161-171. http://doi.org.1046/j.1365-2834.2001.00220.x
Bartlett, G., Blais, R., Tamblyn, R., Clermont, R. J., & MacGibbon, B. (2008). Impact of patient communication problems on the risk of preventable adverse events in acute care settings. 3:178(12):1555-62.http://doi 10.1503/Cmaj.070690.PMID: 18519903;PMCID; PMC2396356.
Binder, J. L., & Wechsler, F. S. (2010). The intervention competency. In Competency-based education for professional psychology. In M.B.Kenkei & R.L Peterson (Eds) (pp. 105-123). American Psychological Association. https://doi.org/10.1037/12068-006
Casey, K., Fink, R. R., Krugman, A. M., & Propst, F. J. (2004). The Graduate Nurse Experience. JONA: The Journal of Nursing Administration, 34(6), 303-311. http://doi:10. 10997/00005110-200406000.00010
Cherry, B., & Jacob, S. R. (2016). Contemporary Nursing: Issues, Trends, & Management. Elsevier Health Sciences.
Clark, C., Parker, E., & Gould, T. (2005). Rural generalist nurses' perceptions of the effectiveness of their therapeutic interventions for patients with mental illness. Australian Journal of Rural Health, 13(4), 205-213.http://www. onlinelibrary.wiley.com
Clarke, D. E., Hughes, L., Brown, A.-M., & Motluk, L. (2005). Psychiatric Emergency Nurses in the Emergency Department: The Success of the Winnipeg, Canada Experience. Journal of Emergency Nursing, 31(4), 351-356. https://doi.org/10.1016/j.jen.2005.03.008
Eales, S., Wilson, N., & Waghorn, J. (2014). A competence framework for liaison mental health nursing.(Unpublished)http://www.eprints.bournemouth.ac.uk
Fisher, J. E. (2013). The use of psychological therapies by mental health nurses in Australia. Journals of Psychiatric and mental Health Nursing/volume21,issue 3 /p.264/270.https:/doi.org/10.1111/jpm.12079.
Garside, J. R., & Nhemachena, J. Z. (2013). A concept analysis of competence and its transition in nursing. Nurse Education Today, 33(5), 541-545. http://DOI: 10.1016/j.nedt.2011.12.007
Gebbie, K. M., & Qureshi, K. (2002). Emergency and Disaster Preparedness: Core Competencies for Nurses: What every nurse should but may not know. American Journal of Nursing, 102(1), 46-51. https://doi.org/10.1097/00000446-200201000-00023
Gilje, F. L., Klose, P. M. E., & Birger, J. (2007). Critical Clinical Competencies in Undergraduate Psychiatric-Mental Health Nursing. Journal of Nursing Education, 46(11), 522-526. https://doi.org/10.3928/01484834-20071101-08
Halcomb, E. J., McInnes, S., Moxham, L., & Patterson, C. (2018). Mental Health Practice Standards for Nurses in Australian General Practice. http://www.ro.uow.edu.au >uowbooks.
Hanrahan, N. P. (2009). Analysis of the Psychiatric-Mental Health Nurse Workforce in the United States. Journal of Psychosocial Nursing and Mental Health Services, 47(5), 34-42. https://doi.org/10.3928/02793695-20090331-01
Hengstberger-Sims, C., Cowin, L. S., Eagar, S. C., Gregory, L., Andrew, S., & Rolley, J. (2008). Relating new graduate nurse competence to frequency of use. Collegian (Royal College of Nursing, Australia), 15(2), 69-76. https://doi.org/10.1016/j.colegn.2008.02.003
Heydari, A., Kareshki, H., & Armat, M. R. (2016). Is Nurses' Professional Competence Related to Their Personality and Emotional Intelligence? A Cross-Sectional Study. Journal of Caring Sciences, 5(2), 121-132. https://doi.org/10.15171/jcs.2016.013
Honeycutt, J. M., Sawyer, C. R., & Keaton, S. (Eds.). (2014). The Influence of Communication on Physiology and Health. Peter Lang US. https://doi.org/10.3726/978-1-4539-1316-1
Jeffreys, M. R. (2010). Teaching cultural competence in nursing and health care: Inquiry, action, and innovation. Springer Pub. Co. http://site.ebrary.com/id/10555895
Jenkins, R., Kiima, D., Njenga, F., Okonji, M., Kingora, J., Kathuku, D., & Lock, S. (2010). Integration of mental health into primary care in Kenya. World Psychiatry, 9(2), 118-120. http://doi:10.1002/j.2051-5545.2010.tb00289.x. PMID:20671901;PMCID:PMC2911092
Kabir, Z. N., & Herlitz, A. (2000). The Bangla Adaptation of Mini-mental State Examination (BAMSE): An instrument to assess cognitive function in illiterate and literate individuals. International Journal of Geriatric Psychiatry, 15(5), 441-450. https://doi.org/10.1002/(SICI)1099-1166(200005)15:5<441::AID-GPS142>3.0.CO;2-O
Kelley, A. S., Siegler, E. L., & Reid, M. C. (2008). Pitfalls and Recommendations Regarding the Management of Acute Pain Among Hospitalized Patients with Dementia: Table 1. Pain Medicine, 9(5), 581-586. https://doi.org/10.1111/j.1526-4637.2008.00472.x
Kelly, C. (2007). Student's perceptions of effective clinical teaching revisited. Nurse Education Today, 27(8), 885-892. https://doi.org/10.1016/j.nedt.2006.12.005
Kluit, M. J. van der, Goossens, P. J. J., & Leeuw, J. R. J. de. (2013). Attitude Disentangled: A Cross-Sectional Study into the Factors Underlying Attitudes of Nurses in Dutch Rehabilitation Centers toward Patients with Comorbid Mental Illness. Issues in Mental Health Nursing, 34(2), 124-132. https://doi.org/10.3109/01612840.2012.733906
Knox, D., & Holloman, G. (2012). Use and Avoidance of Seclusion and Restraint: Consensus Statement of the American Association for Emergency Psychiatry Project BETA Seclusion and Restraint Workgroup. Western Journal of Emergency Medicine, 13(1), 35-40. https://doi.org/10.5811/westjem.2011.9.6867
Levett-Jones, T., Gersbach, J., Arthur, C., & Roche, J. (2011). Implementing a clinical competency assessment model that promotes critical reflection and ensures nursing graduates' readiness for professional practice. Nurse Education in Practice, 11(1), 64-69. https://doi.org/10.1016/j.nepr.2010.07.004
Lim, M. A., Huang, I., Yonas, E., Vania, R., & Pranata, R. (2020). A wave of non-communicable diseases following the COVID-19 pandemic. Diabetes & Metabolic Syndrome, 14(5), 979-980. https://doi.org/10.1016/j.dsx.2020.06.050
Miles, L. W., Mabey, L., Leggett, S., & Stansfield, K. (2014). Teaching communication and therapeutic relationship skills to baccalaureate nursing students: A peer mentorship simulation approach. Journal of Psychosocial Nursing and Mental Health Services, 52(10), 34-41. http://doi: 10.3928/02793695/20140829/01. PMID25207556.
Morolong, B. G., & Chabeli, M. M. (2005). Competence of newly qualified registered nurses from a nursing college. Curationis, 28(2), 38-50. https://doi.org/10.4102/curationis.v28i2.944
Nadler-Moodie, m. (2012). Psychiatric emergencies in med-surg patients: Are you prepared? American Nurse. https://www.myamericannurse.com/psychiatric-emergencies-in-med-surg-patients-are-you-prepared-3/
Nordstrom, K., Zun, L., Wilson, M., Stiebel, V., Ng, A., Bregman, B., & Anderson, E. (2012). Medical Evaluation and Triage of the Agitated Patient: Consensus Statement of the American Association for Emergency Psychiatry Project BETA Medical Evaluation Workgroup. Western Journal of Emergency Medicine, 13(1), 3-10. https://doi.org/10.5811/westjem.2011.9.6863
Nursing Council of Kenya [NCK]. (2012). Scope of Nursing Practice for Nurses in Kenya. Author.
Palmu, R., Suominen, K., Vuola, J., & Isometsä, E. (2010). Mental disorders among acute burn patients. Burns, 36(7), 1072-1079. https://doi.org/10.1016/j.burns.2010.04.004
Patzel, B., Ellinger, P., & Hamera, E. (2007). Tomorrow's Psychiatric Nurses: Where Are We Today in Providing Students' Clinical Experiences? Journal of the American Psychiatric Nurses Association, 13(1), 53-60. https://doi.org/10.1177/1078390307301737
Peplau, H. E. (1988). Interpersonal Relations in Nursing. Macmillan Education UK. https://doi.org/10.1007/978-1-349-10109-2
Pfaff, K. A., Baxter, P. E., Jack, S. M., & Ploeg, J. (2014). Exploring new graduate nurse confidence in interprofessional collaboration: A mixed methods study. International Journal of Nursing Studies, 51(8), 1142-1152. https://doi.org/10.1016/j.ijnurstu.2014.01.001
Reed, & Fitzgerald, L. (2005). The mixed attitudes of nurse's to caring for people with mental illness in a rural general hospital. International Journal of Mental Health Nursing, 14(4), 249-257.doi 10.1111/j.1440-0979.2005.00389.x.PMID:16296992
Rutledge, D. N., Wickman, M., Drake, D., Winokur, E., & Loucks, J. (2012). Instrument validation: Hospital nurse perceptions of their Behavioral Health Care Competency: Hospital nurse Behavioral Health Care Competency. Journal of Advanced Nursing, 68(12), 2756-2765. https://doi.org/10.1111/j.1365-2648.2012.06025.x
Rutledge, D. N., Wickman, M. E., Cacciata, M., Winokur, E. J., Loucks, J., & Drake, D. (2013). Hospital staff nurse perceptions of competency to care for patients with psychiatric or behavioral health concerns. Journal for Nurses in Professional Development, 29(5), 255-262.doi 10.1097/01.NND.0000433150.18384.1c. PMID: 24060662
Sadock, B. J., Sadock, V. A., & Ruiz, P. (Eds.). (2017). Kaplan & Sadock's comprehensive textbook of psychiatry (10th edition). Wolters Kluwer.
Schleifer, J. J. (2011). Management of acute agitation in psychosis: An evidence-based approach in the USA. Advances in Psychiatric Treatment, 17(2), 91-100. https://doi.org/10.1192/apt.bp.109.007310
Senn, J. F. (2013). Peplau's Theory of Interpersonal Relations: Application in Emergency and Rural Nursing. Nursing Science Quarterly, 26(1), 31-35. https://doi.org/10.1177/0894318412466744
Sharrock, J., & Happell, B. (2006). Competence in providing mental health care: A grounded theory analysis of nurses' experiences. The Australian Journal of Advanced Nursing: a quarterly publication of the Royal Australian Nursing Federation 24(2), 9.https://www.researhgate.net/publisher
Snowden, A. W. A. (2012). The construction of competence in mental health nurse prescribing [PhD Thesis]. University of the West of Scotland. UK. https//ethos.bl.uk/OrderDetails.do?uin =uk.bl.ethos.544373.
Spence, J. M., Bergmans, Y., Strike, C., Links, P. S., Ball, J. S., Rhodes, A. E., Watson, W. J., Eynan, R., & Rufo, C. (2008). Experiences of substance-using suicidal males who present frequently to the emergency department. Canadian Journal of Emergency Medicine, 10(4), 339-346. onlinelibrary.wiley.com>pmh.2
Spitzberg, B. H., & Cupach, W. R. (2012). Handbook of interpersonal competence research. Springer Science & Business Media.
Strout, T. D. (2010). Perspectives on the experience of being physically restrained: An integrative review of the qualitative literature. International Journal of Mental Health Nursing, 19(6), 416-427. https://doi.org/10.1111/j.1447-0349.2010.00694.x
Sullivan, E. J. (2012). Effective leadership and management in nursing (8th ed). Pearson.
The Australian College of Mental Health Nurses [ACMHN]. (2020). Standards of Practice. http://members.acmhn.org/publications/standards-of-practice
Townsend, M. C. (2015). Psychiatric mental health nursing: Concepts of care in evidence-based practice (8th edition). F.A. Davis Company.
Zieschang, P.-H. (2005). Theory of Association Schemes. Springer-Verlag Berlin Heidelberg. http://dx.doi.org/10.1007/3-540-30593-9
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Copyright (c) 2021 Muchene Keddy Wanjiru, Dr. Kailemia Peter Ntoiti, Prof Gatere Ruth Gathigia
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