ABSTRACT
The aim of this study was to evaluate the effect of the team-based learning (TBL) instructional approach on learning outcomes in an undergraduate psychiatric mental health (PMH) nursing course. An uncontrolled, before and after design was employed. Data were collected over eight consecutive semesters (N=347) before and after implementation of TBL. Two variables were selected for comparison before and after implementation: scores on PMH portion of the Evolve® practice exit examination and time (in hours) students reported preparing for class. After implementation, students scored higher on the PMH practice exit examination and reported increased study time. Qualitatively, students reported enjoying working in teams despite the increased study time required with the TBL method.
Subject(s)
Educational Measurement/methods , Learning , Psychiatric Nursing , Students, Nursing/psychology , Curriculum , Humans , TeachingABSTRACT
To achieve transformational change, a transformational approach is needed. The Appreciative Inquiry (AI) summit is a method that has been used to achieve transformational change in business for at least 20 years, but this innovative alternative approach is unknown to nursing. At the University of Virginia School of Nursing, an AI Summit was designed to bring all staff, faculty, student representatives, and members of the community together to rewrite the school's strategic plan. New connections within the school, the university, and the community were made when 135 participants engaged in the appreciative, 4-step AI process of discovering, dreaming, designing, and creating the school's future. During the summit, 7 strategic teams formed to move the school toward the best possible future while building on the existing positive core. This article describes 10 steps needed to design an AI summit and implications for using this method at other schools of nursing.
Subject(s)
Organizational Innovation , Planning Techniques , Schools, Nursing/organization & administration , Decision Making, Organizational , VirginiaABSTRACT
This research describes nurses' experiences in administering "the water cure," hot or cold wet sheet packs, and continuous tub baths in state mental hospitals during the early twentieth century. Student and graduate nurses were required to demonstrate competence in hydrotherapy treatments used to calm agitated or manic patients in the era before neuroleptics. The nurses interviewed for this study indicated that, although labor intensive, hydrotherapy worked, at least temporarily. Although no longer used in state hospitals, hydrotherapy is regaining popularity with the general public and may serve as an adjunct to pharmacological treatments to calm hospitalized patients in the future.
Subject(s)
Hospitals, Psychiatric , Hospitals, State , Hydrotherapy/history , Nursing Staff, Hospital/history , Psychiatric Nursing/history , Bedding and Linens/history , Bipolar Disorder/history , History, 18th Century , History, 19th Century , History, 20th Century , History, Ancient , History, Medieval , Hospitals, Psychiatric/history , Hospitals, State/history , Humans , Nurse's Role/history , Psychomotor Agitation/history , Restraint, PhysicalABSTRACT
According to the World Health Organization's Health Policy Resource Book, mental disorders account for a high proportion of disability worldwide and are predicted to grow significantly in the coming years. This is especially true in developing countries such as the People's Republic of China (PRC) where, for historical social, political, and economic reasons, psychiatric mental health (PMH) nursing has not been an integral part of nursing curricula. As the number of persons in the PRC increases, so is the demand for mental health nurses, yet the PRC lacks experienced PMH nursing instructors. This article describes the challenges and opportunities that await Western PMH nursing specialists and faculty in the PRC.
Subject(s)
Education, Nursing, Baccalaureate/organization & administration , Education, Nursing, Diploma Programs/organization & administration , Psychiatric Nursing/education , Attitude to Health , China/epidemiology , Curriculum , Developing Countries , Education, Nursing, Graduate/organization & administration , Faculty, Nursing/organization & administration , Health Services Needs and Demand , Humans , International Educational Exchange , Medicine, Chinese Traditional , Mental Disorders/epidemiology , Mental Disorders/therapy , Models, Educational , Prejudice , Professional Competence , Psychiatric Nursing/organization & administration , Social Perception , Stereotyping , Western WorldABSTRACT
Oral history methods were used to describe the experiences of American nurses who practiced in a state mental hospital before and during the introduction of antipsychotic medications. The nurses described their responsibilities for supervising staff, administering patient care, and assisting with special psychiatric treatments. They expressed resignation and frustration with trying to provide care despite obstacles such as unqualified physicians, crowded wards, and inadequate personnel and supplies. The nurses adopted a Cartesian approach in which they focused on the patient's body, instead of the patient's mind, and developed camaraderie among nurses through which they found acceptance and were able to continue to do a thankless job.
