Experiences of Professional Nurses in Caring for Psychiatric Patients With Dual Diagnosis

2.50
Hdl Handle:
http://hdl.handle.net/10755/616045
Category:
Full-text
Type:
Presentation
Title:
Experiences of Professional Nurses in Caring for Psychiatric Patients With Dual Diagnosis
Other Titles:
Practice Outcomes for Mental Health Issues
Author(s):
Manyedi, Mofatiki Eva; Dikobe, Joan Mologadi
Lead Author STTI Affiliation:
Tau Lambda-at-Large
Author Details:
Mofatiki Eva Manyedi, RN, RM, RPN, RCHN, RNE, RNA, RAdvPN, eva.manyedi@nwu.ac.za; Joan Mologadi Dikobe, RN, RM, RCHN, RPN
Abstract:
Session presented on Monday, July 25, 2016: Purpose: Dual diagnosis is a serious concern in the whole world and very little is known about the care of psychiatric patients with dual diagnosis (Phillips, McKeown & Sandford, 2010). Dual diagnosis implies that psychiatric disorders occur at the same time, or one follows the other and eventually, it is difficult to tell which occurred first (Fortinash & Worret, 2012). The purpose of this study was to explore and describe the experiences of professional nurses in caring for psychiatric patients with dual diagnosis in order to make recommendations that could assist them in improving care for psychiatric patients with dual diagnosis in a psychiatric hospital in the North West Province of South Africa. Methods: The target population of this study consisted of professional nurses caring for psychiatric patients with dual diagnosis in a psychiatric hospital in the North West Province of South Africa. A non-probability sampling approach was used and participants were selected purposively based on the selection criteria. The sample size was determined by data saturation. A qualitative, exploratory, descriptive and contextual design was used in this study. Unstructured interviews were conducted with professional nurses caring for psychiatric patients with dual diagnosis. A tape recorder was used to record the interviews and these were transcribed verbatim. Data were analysed qualitatively using Tesch?s (in Creswell, 2009) method of content analysis. Trustworthiness was ensured through credibility, dependability, transferability and conformability. Results: Emerging themes were examined in line with the objectives of the study and confirmed through literature control. After the data were analysed, three major categories were identified from the twelve unstructured individual interviews with professional nurses. The findings of this study revealed that professional nurses had negative experiences namely, feeling unsafe, difficulty in caring for these patients, lacking information and fear associated with caring. Positive experiences included that caring for patients with dual diagnosis in not complicated, that substances are not accessible in the hospital situation, that they can be controlled in hospital, that there are programmes designed to care for them and that there is treatment for psychiatric patients with dual diagnosis; they also had suggestions to make regarding caring for patients with dual diagnosis including that in-services training and workshops should be conducted, that there should be halfway houses for them, that management should support them, that there must be collaboration within the Multidisciplinary team members, provision of safe environment as well as provision of more professional nurses.' The recommendations were made for nursing practice, nursing education and nursing research. Conclusion: It was concluded that professional nurses caring for psychiatric patients with dual diagnosis experience both negative and positive experiences. However, they also suggested strategies that could be implemented to improve the care of these patients in order to mitigate their negative experiences in caring for Psychiatric patients with dual diagnosis.
Keywords:
Dual diagnosis; Substance abuse; Caring
Repository Posting Date:
13-Jul-2016
Date of Publication:
13-Jul-2016 ; 13-Jul-2016
Other Identifiers:
INRC16P03; INRC16P03
Conference Date:
2016
Conference Name:
27th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Cape Town, South Africa
Description:
Theme: Leading Global Research: Advancing Practice, Advocacy, and Policy

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleExperiences of Professional Nurses in Caring for Psychiatric Patients With Dual Diagnosisen
dc.title.alternativePractice Outcomes for Mental Health Issuesen
dc.contributor.authorManyedi, Mofatiki Evaen
dc.contributor.authorDikobe, Joan Mologadien
dc.contributor.departmentTau Lambda-at-Largeen
dc.author.detailsMofatiki Eva Manyedi, RN, RM, RPN, RCHN, RNE, RNA, RAdvPN, eva.manyedi@nwu.ac.za; Joan Mologadi Dikobe, RN, RM, RCHN, RPNen
dc.identifier.urihttp://hdl.handle.net/10755/616045-
dc.description.abstractSession presented on Monday, July 25, 2016: Purpose: Dual diagnosis is a serious concern in the whole world and very little is known about the care of psychiatric patients with dual diagnosis (Phillips, McKeown & Sandford, 2010). Dual diagnosis implies that psychiatric disorders occur at the same time, or one follows the other and eventually, it is difficult to tell which occurred first (Fortinash & Worret, 2012). The purpose of this study was to explore and describe the experiences of professional nurses in caring for psychiatric patients with dual diagnosis in order to make recommendations that could assist them in improving care for psychiatric patients with dual diagnosis in a psychiatric hospital in the North West Province of South Africa. Methods: The target population of this study consisted of professional nurses caring for psychiatric patients with dual diagnosis in a psychiatric hospital in the North West Province of South Africa. A non-probability sampling approach was used and participants were selected purposively based on the selection criteria. The sample size was determined by data saturation. A qualitative, exploratory, descriptive and contextual design was used in this study. Unstructured interviews were conducted with professional nurses caring for psychiatric patients with dual diagnosis. A tape recorder was used to record the interviews and these were transcribed verbatim. Data were analysed qualitatively using Tesch?s (in Creswell, 2009) method of content analysis. Trustworthiness was ensured through credibility, dependability, transferability and conformability. Results: Emerging themes were examined in line with the objectives of the study and confirmed through literature control. After the data were analysed, three major categories were identified from the twelve unstructured individual interviews with professional nurses. The findings of this study revealed that professional nurses had negative experiences namely, feeling unsafe, difficulty in caring for these patients, lacking information and fear associated with caring. Positive experiences included that caring for patients with dual diagnosis in not complicated, that substances are not accessible in the hospital situation, that they can be controlled in hospital, that there are programmes designed to care for them and that there is treatment for psychiatric patients with dual diagnosis; they also had suggestions to make regarding caring for patients with dual diagnosis including that in-services training and workshops should be conducted, that there should be halfway houses for them, that management should support them, that there must be collaboration within the Multidisciplinary team members, provision of safe environment as well as provision of more professional nurses.' The recommendations were made for nursing practice, nursing education and nursing research. Conclusion: It was concluded that professional nurses caring for psychiatric patients with dual diagnosis experience both negative and positive experiences. However, they also suggested strategies that could be implemented to improve the care of these patients in order to mitigate their negative experiences in caring for Psychiatric patients with dual diagnosis.en
dc.subjectDual diagnosisen
dc.subjectSubstance abuseen
dc.subjectCaringen
dc.date.available2016-07-13T11:02:59Z-
dc.date.issued2016-07-13-
dc.date.issued2016-07-13en
dc.date.accessioned2016-07-13T11:02:59Z-
dc.conference.date2016en
dc.conference.name27th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationCape Town, South Africaen
dc.descriptionTheme: Leading Global Research: Advancing Practice, Advocacy, and Policyen
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.