Senior Nursing Students’ Assessment of the Physical Health Status of Patients Diagnosed with Mental Disorders

Year 2023, Issue: 2, 31 - 40, 20.07.2023

Merve Murat , Seda Er , Tülay Demiray

https://doi.org/10.26650/CURARE.2023.1301405

Abstract

Objective: This research was carried out to examine senior nursing students’ assessment of the physical health status of individuals diagnosed with mental disorders.

Material and Methods: The study was carried out using a descriptive and retrospective design to examine the clinical practice forms of 118 students who performed the clinical practice of Mental Health and Diseases Nursing in the nursing departments of two private universities in the 2021-2022 academic year. The clinical practice forms include patient demographics, patient history, mental state examination, daily living activities, treatment, laboratory findings, and nursing care plan.

Results: According to the clinical practice forms the students completed, the mean age of the cases they followed was 32.90 ± 12.35 years; of the patients, 62.7% were male (n = 74), and 46.6% were diagnosed with bipolar disorder (n = 55). All students were determined to have evaluated patients’ vital signs and height and weight; however, 73.7% did not evaluate pain. The area the students were determined to have evaluated most in terms of daily living activities was sleeping activity and the area they evaluated least to be sexual activity.

Conclusion: The need exists to develop senior nursing students’ practical skills as well as their theoretical knowledge on evaluating the physical health status of patients with mental disorders. By developing students’ knowledge and skills, their self-confidence and motivation regarding physical examination will also increase. This is considered to be able to contribute to the holistic evaluation of patients.

Keywords

Nursing students, physical health assessment, nursing care plan

References

• World Health Organization. Mental health atlas 2020. Geneva: World Health Organization; 2021. Licence: CC BY-NC-SA 3.0 IGO google scholar
• Martin CT. The value of physical examination in mental health nursing. Nurse Educ Pract. 2016;17:91-6. google scholar
• Murat, Merve. Turkish adaptation of health improvement profile to determine the status of physical well-being in individuals with severe mental illness [dissertation]. Istanbul: Istanbul University-Cerrahpaşa, Institute of Graduate Studies; 2020. google scholar
• Blythe J, White J. Role of the mental health nurse towards physical health care in serious mental illness: an integrative review of 10 years of UK literature. Int J Ment Health Nurs. 2012;21(3):193-201. google scholar
• Lundström S, Jormfeldt H, Hedman Ahlström B, Skarsater I. Mental health nurses’ experience of physical health care and health promotion initiatives for people with severe mental illness. Int J Ment Health Nurs. 2020;29(2):244-53. google scholar
• Heald A, Pendlebury J, Anderson S, Narayan V, Guy M, Gibson M, Haddad P, Livingston M. Lifestyle factors and the metabolic syndrome in Schizophrenia: a cross-sectional study. Ann Gen Psychiatry. 2017;16:12. google scholar
• Teasdale SB, Ward PB, Samaras K, Firth J, Stubbs B, Tripodi E, Burrows TL. Dietary intake of people with severe mental illness: systematic review and meta-analysis. Br J Psychiatry. 2019;214(5):251-59. google scholar
• Wei DN, Wang YZ, Deng SY, Cohen A, Luo W, Liu B, Ran MS. Physical illness comorbidity and its influencing factors among persons with severe mental illness in Rural China. Asian J Psychiatr. 2022;71:103075. google scholar
• Knight M, Bolton P, Kopeski L. Providing physical care to persons with serious mental illness: attitudes, confidence, barriers, and psychological empowerment. Arch Psychiatr Nurs. 2017;31(5):447-53. google scholar
• Bradshaw T, Pedley R. Evolving role of mental health nurses in the physical health care of people with serious mental health illness. Int J Ment Health Nurs. 2012;21(3):266-73. google scholar
• Yalçın SU, Bilgin H, Özaslan Z. Physical healthcare of people with serious mental illness: A cross-sectional study of nurses’ involvement, views, and current practices. Issues in Mental Health Nursing. 2019;40(10):908-16. google scholar
• Happell B, Platania-Phung C, Watkins A, Scholz B, Curtis J, Goss J, Niyonsenga T, Stanton R. Developing an evidence-based specialist nursing role to improve the physical health care of people with mental illness. Issues Ment Health Nurs. 2019;40(10):832-38. google scholar
• Dickens GL, Ion R, Waters C, Atlantis E, Everett B. Mental health nurses’ attitudes, experience, and knowledge regarding routine physical healthcare: systematic, integrative review of studies involving 7,549 nurses working in mental health settings. BMC Nurs. 2019;18:16. google scholar
• Bressington D, Badnapurkar A, Inoue S, Ma HY, Chien WT, Nelson D, et al. Physical health care for people with severe mental illness: the attitudes, practices, and training needs of nurses in three Asian countries. Int J Environ Res Public Health. 2018;15(2):343. google scholar
• İnce SÇ, Günüşen NP, Serçe Ö. The opinions of Turkish mental health nurses on physical health care for individuals with mental illness: A qualitative study. Journal of Psychiatric and Mental Health Nursing. 2018;25(4):245-57. google scholar
• Regulation on making changes in the nursing regulation [Internet]. Ministry of Health; 2022. [April 19, 2011]. Retrieved from https://www.saglik.gov.tr/TR,10526/hemsirelik-yonetmeliginde-degisik-yapilmasina-dair-yonetmelik.html. google scholar
• Oflaz F, Boyacıoğlu NE, Yılmaz S, Sukut Ö, Doğan N, Enginkaya S. A profile of nurses in psychiatric units: Istanbul sample. Journal of Psychiatric Nursing. 2021;12(3):188-97. google scholar
• Workshop on Role, Competence and Competence Determination in Nursing [Internet]. Ege University Faculty of Nursing: 2022. Retrieved from chrome-extension:// efaidnbmnnnibpcajpcglclefindmkaj/https://egeduyuru.ege.edu. tr/dosyalar/20220225-hems-program.pdf google scholar
• Kaçkin Ö, Küçük L. Measurement and evaluation methods in psychiatric nursing undergraduate education. In: Kelleci, M. Psychiatric Nursing Education. (1st Edition). Ankara: Turkey Clinics; 2021. 25-31. google scholar
• Cone C, Godwin D, Salazar K, Bond R, Thompson M, Myers O. Incorporation of an explicit critical-thinking curriculum to improve pharmacy students’ critical-thinking skills. Am J Pharm Educ. 2016;80(3):41. google scholar
• Li S, Ye X, Chen W. Practice, and effectiveness of “nursing case-based learning” course on nursing student’s critical thinking ability: A comparative study. Nurse Educ Pract. 2019;36:91-6. google scholar
• Altınbaş Y, İster, ED. (2020). Nursing students’ views on the case-based teaching technique: a qualitative study. Journal of Health Sciences of Adıyaman University. 2020;6(3):295-303. google scholar
• Carpenito LJ. Hemşirelik tanıları el kitabı. In: Erdemir F, İkinci Baskı, Nobel Kitabevi; 2005. google scholar
• NANDA International, T. Heather Herdman. NANDA International Nursing Diagnoses: Definitions and Classification 2012-14. Wiley-Blackwell, 2012. google scholar
• Placentino A, Rillosi L, Papa E, Foresti G, Materzanini A, Rossi G, Battista Tura G, Perez J. Clinical characteristics in long-term care psychiatric patients: a descriptive study. World J Biol Psychiatry. 2009;10(1):58-64. google scholar
• Demir S, Bulut M, İbiloğlu AO, Güneş M, Şimşek Ş, Sır A. Comorbid somatic illnesses in psychiatric inpatients. Medical Journal of Mustafa Kemal University. 2016;7(26):1-10. google scholar
• Erginer DK, Günüşen NP. Physical health of chronic psychiatric patients: a neglected area. E-Journal of Dokuz Eylul University Nursing Faculty. 2013;6(3):159-64. google scholar
• Correll CU, Ng-Mak DS, Stafkey-Mailey D, Farrelly E, Rajagopalan K, Loebel A. Cardiometabolic comorbidities, readmission, and costs in schizophrenia and bipolar disorder: a real-world analysis. Ann Gen Psychiatry. 2017;16:9. google scholar
• Kopf D, Hewer W. Somatische Risiken bei alt gewordenen Menschen mit schweren psychiatrischen Erkrankungen [Somatic risks in elderly people with severe psychiatric illnesses]. Z Gerontol Geriatr. 2018;51(7):779-84. German. google scholar
• Rocco A, Compare D, Angrisani D, Sanduzzi Zamparelli M, Nardone G. Alcoholic disease: liver and beyond. World J Gastroenterol. 2014;20(40):14652-9. google scholar
• Hussain T, Margoob MA, Shoib S, Shafat M, Chandel RK. Prevalence of metabolic syndrome among psychiatric ınpatients: A hospital-based study from Kashmir. J Clin Diagn Res. 2017;11(6):VC05-VC08. google scholar
• Taşdemir G, Kızılkaya M. Evaluation of NANDA nursing diagnoses of healthcare college final year students during the clinical application of the mental health and disease nursing course. Journal of Human Sciences. 2013;10(1):246-57. google scholar
• Ata EE, Çobanoglu A. (2022). Evaluation of care plans prepared by first year nursing students according to the Activities of Daily Living Model and NANDA Diagnoses. International Journal of Caring Sciences. 2022;15 (1):201. google scholar
• Körpe G, Inangil D, Vural PI. Evaluation of NANDA-I diagnoses identified by students in the clinical practice of mental health and diseases nursing cours. Haliç University Journal of Health Sciences. 2019;2(2):51-66. google scholar
• Güven ŞD, Çelikkaya GK. Evaluation of nursing students’ attitudes and beliefs regarding sexual care. Andrology Bulletin. 2021;23(1):7-12. google scholar
• Şimşek Ç, Barlas GÜ, Ardıç E. Evaluation of sexuality in healthcare workers. Journal of Academics Research in Nursing. 2018;4(3):148-55. google scholar
• Montejo AL. Sexuality and mental health: The Need for Mutual Development and Research. J Clin Med. 2019 Oct 26;8(11):1794. google scholar
• Dikeç G, Gümüş F, Atlı A. Physical health status of individuals with mental disorders: A cross sectional study. JAREN. 2022;8(2):53-62. google scholar
• Chou FH, Tsai KY, Su CY, Lee CC. The incidence and relative risk factors for developing cancer among patients with schizophrenia: a nine-year follow-up study. Schizophr Res. 2011;129(2-3):97-103. google scholar
• Wang MYH, Tang CH, Tsai SJ, Liu CJ, Wu CS. Hepatitis B and C in Taiwanese patients with schizophrenia: A Nationwide, population-based study on prevalence, and healthcare utilization. J Psychol. 2017;1(1):1-6. google scholar
• Ashour AA, Fahmi MK, Mohamed RN, Basha S, Binmadi N, Enan ET, et al. (2022). Association between gastric reflux, obesity, and erosive tooth wear among psychiatric patients. Medicine. 2022;101(7):e28923. google scholar
• Chou PH, Chu CS, Chen YH, Hsu MY, Huang MW, Lan TH, Lin CH. Antidepressants, and risk of cataract development: A population-based, nested case-control study. J Affect Disord. 2017;215:237-44. google scholar
• Fu Y, Dai Q, Zhu L, Wu S. Antidepressants use and risk of cataract development: a systematic review and meta-analysis. BMC Ophthalmol. 2018;18(1):31. google scholar
• Jani C, Desai T, Parikh S, Shah A. Correlation of types of diabetic retinopathy and its psychosocial impact. International Journal of Research in Medical Sciences. 2018;6 (10):3220-25. google scholar
• Bölükbaş N, Irmak B, Bulut G, Aydın Özdemir D, Bayrak HY. Evaluation of nursing diagnoses and interventions determined by students in their surgical diseases nursing summer internship files. Ordu University Journal of Nursing Studies. 2020;3(1):1-9. google scholar
• Aydın N, Yılmaz ÜD. Investigation of nursing diagnoses determined by students in clinical practice in orthopedic patients. Gumushane University Journal of Health Sciences. 2022;11(1):257-63. google scholar
• Aykin C, Alptekin HM, Akyüz N. Prioritized evaluation of the nursing diagnoses determined by the students performing the clinical practice of the surgical nursing lecture. University of Health Sciences Journal of Nursing. 2022;4 (1):1-6. doi: 10.48071/sbuhemsirelik.1009334 google scholar
• Uysal N, Arslan GG, Yılmaz I, Alp FY. Nursing diagnoses and data analysis in nursing care plans of second year nursing students. Journal of Celal Bayar University Institute of Health Sciences. 2016;3(1):139-43. google scholar
• Gandhi S, Sahu M, Sivakumar T. Perception of facilitators and barriers to recovery of persons with mental illness among nursing students. Journal of Psychosocial Rehabilitation and Mental Health. 2020;7(3):273-84. google scholar
• Kaya Y, Kılıç ST, Öz F. Holistic nursing clinical practice experiences of nursing students in medical-surgical clinics: A qualitative study. Perspect. Psychiatr. Care. 2022;58(3):1121-9. google scholar
• Dyrstad DN, Bodsberg KG, S0iland M, Bergesen ÂU, Urstad KH. Value of simulating holistic nursing care: A quantitative study. Clinical Simulation in Nursing. 2021;54:113-20. google scholar