Improving Dual Diagnosis Care in Acute Psychiatric Inpatient Settings Through Education

2.50
Hdl Handle:
http://hdl.handle.net/10755/621549
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Improving Dual Diagnosis Care in Acute Psychiatric Inpatient Settings Through Education
Other Titles:
Improving Health in the Psychiatric Patient
Author(s):
Bonnie, Kofi
Lead Author STTI Affiliation:
Non-member
Author Details:
Kofi Bonnie, DNP, MSc, BSc(Hons), RPN, Professional Experience: 2015- Present-- Clinical Nurse Specialist, St. Paul’s Hospital, Providence Health Care, Mental Health Program. Vancouver, BC, Canada. 09/2012- Present-- Faculty, Department of Psychiatric Nursing, Douglas College, David Lam Campus, Coquitlam, BC, Canada. 2009- 2016-- Psychiatric Nurse, Acute Adolescent Psychiatric Unit, Surrey Memorial Hospital, Surrey, BC, Canada. 2008- 2013-- Psychiatric Nurse, Vancouver Detoxification Centre, Vancouver Coastal Health, Vancouver, BC, Canada. 2007- 2008-- Psychiatric Nurse, Delta View Hospital, Geriatric Care, Delta, BC Canada. 2008- 2009-- Forensic Nurse, Surrey Pre- Trial Forensic Center, Surrey, BC, Canada. 2006- 2007-- Registered Nurse- Mental Health, Priory Hospitals, Acute Psychiatric Unit, Woking, Surrey, United Kingdom. 2006- 2007-- Nurse Liaison, Farnham Road Hospital, Guildford, Surrey, United Kingdom. 2004- 2007-- Registered Nurse- Mental Health, Farnham Road Hospital, Guildford, Surrey, United Kingdom. Author Summary: Dr. Kofi Bonnie is a Clinical Nurse Specialist at St. Paul's Hospital and nursing instructor from Vancouver, British Columbia, Canada. He is also a nurse researcher and since the completion of his nursing qualification, he has practiced in forensic, acute adolescent, geriatric, substance use, and acute adult psychiatric settings. He recently completed his doctorate at Yale University and brings a wealth of knowledge and clinical experience across three continents (Africa, Europe, and North America).
Abstract:

Background: Patients with co-existing substance use and mental disorder (dual diagnosis) have complex and challenging care needs. They have an increased risk of homicide, suicide, homelessness, incarceration, multiple admissions and infectious diseases such as hepatitis C and HIV. Acute psychiatric care settings play a vital role in providing services for dual diagnosis patients who often do not voluntarily seek treatment. There is evidence that nurses working in these settings often have unmet learning needs regarding dual diagnosis care, posing a challenge to nursing practice with this clientele. This is significant in that recent data reveals that 57% of the psychiatric inpatients at an inner city hospital in Vancouver, Canada are characterized as dual diagnosis.

Purpose:  To develop and pilot an educational module which will equip nurses with the skills and knowledge required to deliver evidence-based dual diagnosis care in acute psychiatric settings.

Methods: A survey of 74 nurses working in acute psychiatric settings was completed to identify their learning needs and challenges. This was followed by a comprehensive review of evidence from the literature to identify competencies, knowledge, and skills needed to deliver dual diagnosis care. Content for the educational module was then validated by a panel of leading international experts on dual diagnosis. Two focus groups of acute psychiatric nurses were then conducted to discuss content. After this, an 8 hour educational session was developed and piloted using the content that was reviewed and validated. Evaluation from 55 participants' of the educational session was collected and analyzed.

Results:  Thirteen content areas were identified and validated by experts. Evaluations from 55 participants of the educational session suggest improved knowledge, skills and competencies in dual diagnosis care. 

Conclusion: This project translates evidence into practice, contributes to the body of knowledge on dual diagnosis care in acute psychiatric settings and improves nurses’ confidence and competency in delivering evidence-based care which also will improve patient care outcomes and experiences.

Keywords:
Acute Settings; Mental and Substance Use Disorder; Dual Diagnosis; Educational Module
Repository Posting Date:
20-Jun-2017
Date of Publication:
20-Jun-2017
Other Identifiers:
INRC17M09
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleImproving Dual Diagnosis Care in Acute Psychiatric Inpatient Settings Through Educationen_US
dc.title.alternativeImproving Health in the Psychiatric Patienten
dc.contributor.authorBonnie, Kofien
dc.contributor.departmentNon-memberen
dc.author.detailsKofi Bonnie, DNP, MSc, BSc(Hons), RPN, Professional Experience: 2015- Present-- Clinical Nurse Specialist, St. Paul’s Hospital, Providence Health Care, Mental Health Program. Vancouver, BC, Canada. 09/2012- Present-- Faculty, Department of Psychiatric Nursing, Douglas College, David Lam Campus, Coquitlam, BC, Canada. 2009- 2016-- Psychiatric Nurse, Acute Adolescent Psychiatric Unit, Surrey Memorial Hospital, Surrey, BC, Canada. 2008- 2013-- Psychiatric Nurse, Vancouver Detoxification Centre, Vancouver Coastal Health, Vancouver, BC, Canada. 2007- 2008-- Psychiatric Nurse, Delta View Hospital, Geriatric Care, Delta, BC Canada. 2008- 2009-- Forensic Nurse, Surrey Pre- Trial Forensic Center, Surrey, BC, Canada. 2006- 2007-- Registered Nurse- Mental Health, Priory Hospitals, Acute Psychiatric Unit, Woking, Surrey, United Kingdom. 2006- 2007-- Nurse Liaison, Farnham Road Hospital, Guildford, Surrey, United Kingdom. 2004- 2007-- Registered Nurse- Mental Health, Farnham Road Hospital, Guildford, Surrey, United Kingdom. Author Summary: Dr. Kofi Bonnie is a Clinical Nurse Specialist at St. Paul's Hospital and nursing instructor from Vancouver, British Columbia, Canada. He is also a nurse researcher and since the completion of his nursing qualification, he has practiced in forensic, acute adolescent, geriatric, substance use, and acute adult psychiatric settings. He recently completed his doctorate at Yale University and brings a wealth of knowledge and clinical experience across three continents (Africa, Europe, and North America).en
dc.identifier.urihttp://hdl.handle.net/10755/621549-
dc.description.abstract<p><span>Background: Patients with co-existing substance use and mental disorder (dual diagnosis) have complex and challenging care needs. They have an increased risk of homicide, suicide, homelessness, incarceration, multiple admissions and infectious diseases such as hepatitis C and HIV. Acute psychiatric care settings play a vital role in providing services for dual diagnosis patients who often do not voluntarily seek treatment. There is evidence that nurses working in these settings often have unmet learning needs regarding dual diagnosis care, posing a challenge to nursing practice with this clientele. This is significant in that recent data reveals that 57% of the psychiatric inpatients at an inner city hospital in Vancouver, Canada are characterized as dual diagnosis.</span></p> <p><strong>Purpose: </strong> To develop and pilot an educational module which will equip nurses with the skills and knowledge required to deliver evidence-based dual diagnosis care in acute psychiatric settings.</p> <p><strong>Methods: </strong>A survey of 74 nurses working in acute psychiatric settings was completed to identify their learning needs and challenges. This was followed by a comprehensive review of evidence from the literature to identify competencies, knowledge, and skills needed to deliver dual diagnosis care. Content for the educational module was then validated by a panel of leading international experts on dual diagnosis. Two focus groups of acute psychiatric nurses were then conducted to discuss content. After this, an 8 hour educational session was developed and piloted using the content that was reviewed and validated. Evaluation from 55 participants' of the educational session was collected and analyzed.</p> <div><strong>Results: </strong> Thirteen content areas were identified and validated by experts. Evaluations from 55 participants of the educational session suggest improved knowledge, skills and competencies in dual diagnosis care. </div> <p><strong>Conclusion: </strong>This project translates evidence into practice, contributes to the body of knowledge on dual diagnosis care in acute psychiatric settings and improves nurses’ confidence and competency in delivering evidence-based care which also will improve patient care outcomes and experiences.</p>en
dc.subjectAcute Settingsen
dc.subjectMental and Substance Use Disorderen
dc.subjectDual Diagnosisen
dc.subjectEducational Moduleen
dc.date.available2017-06-20T19:13:46Z-
dc.date.issued2017-06-20-
dc.date.accessioned2017-06-20T19:13:46Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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