Impacts of extrinsic and intrinsic factors on psychiatric nurses' spiritual care attitudes

Potential profiles of caregivers' benefit finding in ischaemic stroke: The role of personality traits and coping styles

OBJECTIVE

To investigate the different categories of benefit finding among caregivers of patients with ischemic stroke and the mechanisms of personality and coping styles using an individual-centered approach.

METHODS

A cross-sectional survey was conducted among 235 caregivers of patients with ischemic stroke in the neurology departments of three tertiary hospitals in Bengbu using the revised Inventory of Illness Benefit, the Short Form of the Chinese Big Five Personality Inventory, and the Simplified Coping Style Questionnaire.

RESULTS

The benefit finding of caregivers of patients with ischemic stroke could be categorized into three latent classes: "Low sense of benefit-low personal growth group " (n = 58, 24.68 %), "Moderate sense of benefit-healthy behaviors group " (n = 117, 49.78 %), and "High Sense of Benefit-Family Cohesion Group " (n = 60, 25.53 %). Neuroticism positively predicted the low benefit group, while conscientiousness, agreeableness, openness, and extraversion positively predicted the moderate and high benefit groups, all acting as mediators across different benefit categories.

CONCLUSION

Caregivers of patients with ischemic stroke exhibit significant classification characteristics in benefit finding. Healthcare providers can develop targeted intervention measures based on the specific characteristics of the caregivers.

The attitudes of nonpsychiatric nurses towards mental disorders in China

Background

Few studies have explored the associated factors of attitudes of nonpsychiatric nurses towards mental disorders. Therefore, this study is aimed to evaluate the attitudes of nonpsychiatric nurses towards mental disorders and especially explore the association between psychiatric clinical practice and these attitudes.

Methods

A total of 1324 nonpsychiatric nurses and students majoring in nursing were recruited through an online questionnaire from December 2021 to March 2022 in Sichuan Province, China. Demographic information, personal care experience, psychiatric nursing education and the Community Attitudes towards the Mentally Ill (CAMI) were collected. A higher score indicates a stigmatizing attitude in the authoritarianism and social restrictiveness (SR) subscales and a positive attitude in the benevolence and community mental health ideology (CMHI) subscales. Multivariate linear regression was employed to analyze associated factors of attitudes towards mental disorders, and hierarchical linear regression was used to analyze the association between psychiatric clinical practice and the attitudes towards mental disorders.

Results

Under the control of confounders, high education level, long residence in urban and personal care experience were positively correlated with score of authoritarianism and SR (p < 0.05), and negatively correlated with score of benevolence (p < 0.05). Long residence in urban and personal care experience were negatively correlated with score of CMHI (p < 0.05). Hierarchical linear regression analysis showed that after adjusting for demographic information, psychiatric clinical practice was associated with lower score of benevolence (B = -0.09, 95%CI = -0.17 ~ -0.003, p = 0.043) and CMHI (B = -0.09, 95%CI = -0.17 ~ -0.01, p = 0.027), but the initial associations between psychiatric clinical practice and authoritarianism, SR disappeared.

Conclusions

High education level, long residence in urban, personal care experience and the psychiatric clinical practice were associated with the discrimination of nonpsychiatric nurses towards mental disorders. Further exploring practical strategies to optimize the psychiatric clinical practice experience of nonpsychiatric nurses could help improve their attitudes towards mental disorders.

A Mixed-Method Study on the Assessment of Factors Influencing Nurses' Provision of Spiritual Care

The purpose of this study was to explore factors that influence nurses' beliefs about offering spiritual care.

STUDY DESIGN

A mixed-method study design, incorporating both quantitative (questionnaire) and qualitative research, was used for this study (focus group discussion).

METHODS

The questionnaires were completed by a convenience sample of nurses and their assistants working in two public hospitals. These questionnaires included the Greek versions of the FACIT-Sp-12, SCIPS, NEO-FFI, and the Spiritual Climate Scale, as well as a specially designed questionnaire to gather demographic, socioeconomic, and professional information about the study population (SCS). Three nurses and two nursing assistants who worked in public hospitals and were chosen through purposive sampling made up the sample for the qualitative study. In utilizing inductive content analysis methodology, a qualitative analysis was carried out.

RESULTS

Greek nurses frequently offer spiritual care to their patients, primarily existential spiritual care. It was discovered that the spiritual climate, the nurses' positive coherence, and their educational level all exert a favorable effect on total spiritual care. Three categories and seven subcategories were used to describe the participants' prior experiences with spiritual care.

CONCLUSIONS

Greek nurses frequently offer spiritual care to their patients, and both internal and external factors influence their attitudes in this regard.