Implementation, Cultural Acceptability, and Impact of a Mental Health Program for Haitian Healthcare Workers Developed jAfter the 2010 Earthquake

2.50
Hdl Handle:
http://hdl.handle.net/10755/335591
Category:
Abstract
Type:
Presentation
Title:
Implementation, Cultural Acceptability, and Impact of a Mental Health Program for Haitian Healthcare Workers Developed jAfter the 2010 Earthquake
Author(s):
Cianelli, Rosina; Mitchell, Emma; Nicolas, Marie Guerda; Anglade, Debbie; Wilkinson, Carole; Mitrani, Victoria B.; Peragallo, Nilda (Nena)
Lead Author STTI Affiliation:
Beta Tau
Author Details:
Rosina Cianelli, PhD, MPH, RN, FAAN, rcianelli@miami.edu; Emma Mitchell, PhD, RN; Marie Guerda Nicolas, PhD; Debbie Anglade, BSN; Carole Wilkinson, DNP, RN; Victoria B. Mitrani, PhD; Nilda (Nena) Peragallo, DrPH, RN, FAAN
Abstract:
Session presented on Sunday, July 27, 2014: Purpose: The purpose of this presentation is to describe the implementation, the cultural acceptability, and the impact of a Mental Health Training Program conducted in the north of Haiti after the 2010 earthquake. Methods: A qualitative descriptive approach was used to elicit information from 2 focus group (n=15) with Haitian health care workers who had participated in the Mental Health Training Program (MHTP). The researchers obtained information through group discussion using a semi-structured guide. Two focus groups were conducted with eight (8) MHTP trainers in one group and eight (8) MHTP trainees in the other group (in total 113 health care workers participated in the MHTP). Discussions centered on the cultural factors related to the design and implementation of the MHTP training as well as professional impact and acceptability of the training program. This study used qualitative content analysis to identify and define the major themes that emerged from the focus groups. Content analysis is used to recognize code and categorize patterns from text data. More specifically, when analyzing the transcripts directed content analysis was used. This approach is recommended when there is prior literature related to the phenomenon of interest that can benefit from further description. NVIVO (9) was used to conduct the analysis and to facilitate data storage. Two research team members, working independently, read through and coded each transcript. A codebook and coding sheet were developed to facilitate coding. Results: The majority of the 16 participants were women (83.3%), with a mean age of 36 [1] 10.0 years (range = 24–54 years). Eight participants (50%) were single, 5 (31.3%) were married and 3 (18.7%) were in a relationship. Two participants (12.5%) reported working with no salary, 3 (18.7%) worked part-time, 8 (50.0%) worked full-time and 3 (18.7 %) worked in multiple locations or sites. Eight (50%) participants were nurses, 6 (37.5 %) were physicians and 2 (12.5%) were in other professions. Only one of the participants had formal training in mental health. All participants recognized the need for increasing MH services and the barriers that exist to implement mental health programs in Haiti. Especial consideration was given to stigma and culturally influenced perceptions of mental health. Personal impact of the MHTP was described not only in terms of HCWs’ personal lives, but also in terms of their personal development as healthcare providers. The training allow the HCWs to give quality service to the population by providing them with more specialized skills in identifying and addressing mental health issues. Many changes have been made were the MHTP trainers now focus on dialogue, support, and follow ups with the patients. Participants were not only motivated to participate actively in the MHTP but also were readily engaged to apply knowledge in practice. Conclusions: The study findings contribute to the knowledge base on mental health training among HCWs in Haiti. Given the lack of research on mental health in Haiti, it is indispensable to improve our understanding of the personal and professional impact and acceptability of the MHTP. This knowledge will help us implement the MHTP in other parts of Haiti as well as in other countries. The MHTP changed the HCWs perceptions about MH issues and provided them with the knowledge and skills to respond to growing community MH needs. The interdisciplinary nature of the MH calls for collaborative research efforts nationally and internationally. The MHTP can be applicable to other countries in the region and can prepare nurses to recognize and address the immediate and longer term mental health needs arising from catastrophic events. By increasing disaster response awareness, nurses can develop appropriate interventions to combat the negative mental health effect of natural disaster.
Keywords:
Mental health; Haiti; Natural disaster: earthquake
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong
Note:
This is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleImplementation, Cultural Acceptability, and Impact of a Mental Health Program for Haitian Healthcare Workers Developed jAfter the 2010 Earthquakeen_GB
dc.contributor.authorCianelli, Rosinaen_GB
dc.contributor.authorMitchell, Emmaen_GB
dc.contributor.authorNicolas, Marie Guerdaen_GB
dc.contributor.authorAnglade, Debbieen_GB
dc.contributor.authorWilkinson, Caroleen_GB
dc.contributor.authorMitrani, Victoria B.en_GB
dc.contributor.authorPeragallo, Nilda (Nena)en_GB
dc.contributor.departmentBeta Tauen_GB
dc.author.detailsRosina Cianelli, PhD, MPH, RN, FAAN, rcianelli@miami.edu; Emma Mitchell, PhD, RN; Marie Guerda Nicolas, PhD; Debbie Anglade, BSN; Carole Wilkinson, DNP, RN; Victoria B. Mitrani, PhD; Nilda (Nena) Peragallo, DrPH, RN, FAANen_GB
dc.identifier.urihttp://hdl.handle.net/10755/335591-
dc.description.abstractSession presented on Sunday, July 27, 2014: Purpose: The purpose of this presentation is to describe the implementation, the cultural acceptability, and the impact of a Mental Health Training Program conducted in the north of Haiti after the 2010 earthquake. Methods: A qualitative descriptive approach was used to elicit information from 2 focus group (n=15) with Haitian health care workers who had participated in the Mental Health Training Program (MHTP). The researchers obtained information through group discussion using a semi-structured guide. Two focus groups were conducted with eight (8) MHTP trainers in one group and eight (8) MHTP trainees in the other group (in total 113 health care workers participated in the MHTP). Discussions centered on the cultural factors related to the design and implementation of the MHTP training as well as professional impact and acceptability of the training program. This study used qualitative content analysis to identify and define the major themes that emerged from the focus groups. Content analysis is used to recognize code and categorize patterns from text data. More specifically, when analyzing the transcripts directed content analysis was used. This approach is recommended when there is prior literature related to the phenomenon of interest that can benefit from further description. NVIVO (9) was used to conduct the analysis and to facilitate data storage. Two research team members, working independently, read through and coded each transcript. A codebook and coding sheet were developed to facilitate coding. Results: The majority of the 16 participants were women (83.3%), with a mean age of 36 [1] 10.0 years (range = 24–54 years). Eight participants (50%) were single, 5 (31.3%) were married and 3 (18.7%) were in a relationship. Two participants (12.5%) reported working with no salary, 3 (18.7%) worked part-time, 8 (50.0%) worked full-time and 3 (18.7 %) worked in multiple locations or sites. Eight (50%) participants were nurses, 6 (37.5 %) were physicians and 2 (12.5%) were in other professions. Only one of the participants had formal training in mental health. All participants recognized the need for increasing MH services and the barriers that exist to implement mental health programs in Haiti. Especial consideration was given to stigma and culturally influenced perceptions of mental health. Personal impact of the MHTP was described not only in terms of HCWs’ personal lives, but also in terms of their personal development as healthcare providers. The training allow the HCWs to give quality service to the population by providing them with more specialized skills in identifying and addressing mental health issues. Many changes have been made were the MHTP trainers now focus on dialogue, support, and follow ups with the patients. Participants were not only motivated to participate actively in the MHTP but also were readily engaged to apply knowledge in practice. Conclusions: The study findings contribute to the knowledge base on mental health training among HCWs in Haiti. Given the lack of research on mental health in Haiti, it is indispensable to improve our understanding of the personal and professional impact and acceptability of the MHTP. This knowledge will help us implement the MHTP in other parts of Haiti as well as in other countries. The MHTP changed the HCWs perceptions about MH issues and provided them with the knowledge and skills to respond to growing community MH needs. The interdisciplinary nature of the MH calls for collaborative research efforts nationally and internationally. The MHTP can be applicable to other countries in the region and can prepare nurses to recognize and address the immediate and longer term mental health needs arising from catastrophic events. By increasing disaster response awareness, nurses can develop appropriate interventions to combat the negative mental health effect of natural disaster.en_GB
dc.subjectMental healthen_GB
dc.subjectHaitien_GB
dc.subjectNatural disaster: earthquakeen_GB
dc.date.available2014-11-17T13:55:29Z-
dc.date.issued2014-11-17-
dc.date.accessioned2014-11-17T13:55:29Z-
dc.conference.date2014en_GB
dc.conference.name25th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationHong Kongen_GB
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is availabe in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.