A model to facilitate the mental health of student nurses working with mentally challenged individuals
- Authors: Janse van Rensburg, Elsie Sophia
- Date: 2014-03-18
- Subjects: Nursing students - Mental health , Psychiatric nurses - Mental health , Psychiatric nursing - Psychological aspects , Psychiatric nurses - In-service training
- Type: Thesis
- Identifier: uj:4438 , http://hdl.handle.net/10210/9781
- Description: D.Cur. (Psychiatric Nursing Science) , The researcher was involved in the clinical accompaniment of student nurses working with mentally challenged individuals during their psychiatric nursing practical training. In her role as advanced psychiatric nurse educator, she noticed that student nurses experienced working with mentally challenged individuals as a challenging working context. It created intense emotional discomfort for the student nurses, especially during their initial exposure to the relevant individuals. During the student nurses' last day of working with these individuals, they reflected with the advanced psychiatric nurse educator on their emotional growth and enrichment and how this experience had changed their views of life. Ineffective management of emotional discomfort may lead to emotional exhaustion or burnout and reflect negatively on a person's mental health. The main purpose of this research was to explore and describe the experiences of student nurses working with mentally challenged individuals. Subsequently, to develop, describe and write guidelines to operationalise and evaluate a model for the advanced psychiatric nurse educator to facilitate the mental health of student nurses working with mentally challenged individuals. A qualitative, explorative, descriptive, contextual and theory-generating research design was utilised to achieve the abovementioned purpose. The development of the model comprised four steps. Step one consisted of a concept analysis including identification and definition of central concepts in the model. A concept analysis was done by exploring and describing the experiences of student nurses working with mentally challenged individuals. Two focus groups, naive sketches, reflective journals, a reflective letter and field notes were used to explore their experiences. Focus groups were audiotaped as well as videotaped. Verbal consent was given by the student nurses to be videotaped and a letter of consent was signed to give permission for audiotaping of the focus groups. The audio tapes were transcribed verbatim. The video tapes were only used by the transcriber when she could not hear the sound on the audio tapes clearly. An independent coder utilised Tesch's method of open-coding to code and analyse the data. A consensus was reached between the researcher and the independent coder with regard to the themes and catogories represented by the data. During the concept analysis, engagement on a deeper emotional level was identified as the central concept. Step two consisted of the relationship statements of the model. During step three, a model for the facilitation of a process of engagement on a deeper emotional level for student nurses working with mentally challenged individuals was described. The structure of the model clarified the purpose, assumptions and context. The central concepts were defined and the relationship statements between the central and essential concepts were explained. The structure of the model focused on the relationship-, workingand termination phases within the process of engagement on a deeper emotional level. In step four guidelines were described to operationalise the model in practice. The model, as framework of reference for the advanced psychiatric nurse educator, focused on the facilitation of a process of engagement on a deeper emotional level for student nurses working with mentally challenged individuals. The process description of the model differentiated between three phases: the relationship phase, the working phase and the termination phase. Guidelines for the operasionalisation of the model focused on the objective of each phase as well as the strategy of actions for each different phase.
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Die ervaring van vroue na 'n spontane abortus
- Authors: Janse van Rensburg, Elsie Sophia
- Date: 2008-11-18T08:27:05Z
- Subjects: Abortion , Abortion counseling , Nursing psychology , Family psychotherapy
- Type: Thesis
- Identifier: uj:14712 , http://hdl.handle.net/10210/1716
- Description: M.Cur. , The story of loss, after the experience of spontaneous abortion affects the women’s being as a whole. It impacts her emotional, physical, intellectual, social and spiritual dimensions. The woman finds herself robbed of her voice by her social network. She stands isolated in her new reality of loss and bereavement. This research tells the story of the women’s loss after the experience of spontaneous abortion. The objectives of the research are to • explore and describe the women’s experience after a spontaneous abortion, and • describe guidelines for the advanced psychiatric nurse practitioner according to which he/she can provide support to women after the experience of spontaneous abortion and facilitate mental health through the mobilisation of resources. The paradigmatic perspective of this study is guided by the Theory for Health Promotion in Nursing (Rand Afrikaans University, Department of Nursing Science, 2002: 2-8). A functional approach was followed, based on Botes’s model for nursing research (Botes in Rand Afrikaans University: Department of Nursing, 2002: 9-15). A qualitative, descriptive, exploratory and contextual design was used. In-depth, semi-structured, phenomenological interviews were held with seven women who fitted the sample criteria. Consent for the research was obtained from the Rand Afrikaans University as well as informed consent from the women volunteering to participate in the research. Trustworthiness was maintained by using strategies of credibility, applicability, dependability and confirmability, as described by Lincoln and Guba (1985: 289-331). Recorded interviews were transcribed and analysed using Tesch’s data analysis techniques (in Creswell, 1994: 155-136). An independent coder was utilised in coding the data, and a consensus discussion was held between the researcher and the independent coder. A central storyline was identified and themes highlighted. A literature control was undertaken to highlight similarities and differences between this and other research. The results were described in a narrative manner, which included the content as well as the processes of the women’s emotional experiences after the experience of spontaneous abortion. The impact of the loss affected her social dimension in terms of emotional processes as well as emotional expression. Participants experienced a strong need for acknowledgment of their loss and understanding of their reality of loss and bereavement. The spontaneous abortion has an impact on the women’s physical dimension. She experiences physical discomfort. The impact also effects her spiritual dimension by influencing her relationship with herself and God. The impact also touches her social dimension by robbing her of her voice through her social network’s response to the spontaneous abortion. There is also an impact on her relationship with her partner, as men and women experience and express loss differently. In the reality of loss and bereavement, the participants identified hope givers and hope stealers. Hope givers include • a strong connection with women who experienced spontaneous abortion themselves, • strengthening their relationship with God, • time as a healing faktor, • the value of sharing their stories, • the ability to find meaning after spontaneous abortion, and • the need for emotional growth. Hope stealers include • the response from people in her social network with regard to the spontaneous abortion, • experience of loss of control, • insufficient support in their interpersonal relationships and social network, • confronting the finality of the loss, and • being confronted with pregnant women en babies. Guidelines for the advanced psychiatric nurse practitioner to provide support to women after the experience of spontaneous abortion will be described to assist them in mobilising their resources to facilitate the promotion of their mental health.
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