Resilience as a protective factor on the quality of life (QoL) of Indian nursing students during the COVID-19 pandemic.

BACKGROUND: The COVID-19 pandemic negatively impacted the quality of life of individuals around the world, including health care professionals. There has been little research that examines the role of resilience concerning the impact of COVID-19 on the quality of life of nursing students. This study aimed to determine how resilience influenced the quality of life among nursing students during the COVID-19 pandemic. METHODS: A cross-sectional research design was adopted for this study. A total of two hundred sixty-eight nursing students from three universities, South India responded in the web-based survey. Data was collected using self-reported questionnaires in June 2021. RESULTS: Our findings revealed that the participants' resilience was normal, which had a moderate impact on the quality of life of nursing students during the COVID-19 pandemic. The COVID-19 impact on QoL significantly differed with year of education (F = 3.087; p < 0.02) and university (F = 6.697, p < 0.001). Bivariate analysis revealed significant inverse relationships between the impact of COVID-19 on quality of life with resilience (r = -0.259; p < 0.001) and perceived knowledge on COVID-19(r = -0.168; p < 0.006). CONCLUSION: In our study, we found that resilience had a moderate impact on the quality of life of nursing students during the COVID-19 pandemic. Therefore, it is important to promote students' resilience and improve their quality of life during stressful situations.

Dual Clinical Collaborator: A Pragmatic Role of nurses from developing countries

Collaboration is crucial in Professional nursing practice. Nurses act as a liaison between physicians and patients and their family members. Thus, it is vital to define the collaborative role of nurses in developing countries. The authors discuss pragmatic nurses' role by adopting the Dual Clinical Collaborator model to ensure offering the quality of care to their clients. Nursing is a healthcare profession that focuses on the care of individuals and their families to help them recover from illness and maintain optimal health and quality of life.(1) Health Care Professionals (HCPs) work together to provide quality health care and accomplish common goals. As healthcare delivery is becoming more complex, collaboration among healthcare workers and the patient can be a path to improve the quality of healthcare services. According to Walker and Avant's method, the conceptual definition of collaboration in nursing is an intra professional or interprofessional process by which nurses come together and form a team to solve patient care or healthcare system problem with members of the team respectfully sharing knowledge and resources.(2) Thus, collaboration is crucial in everyday professional nursing practice and should be considered a core value of nursing.(3)

A report on successful introduction of tele mental health training for primary care doctors during the COVID 19 pandemic.

Treatment gaps of 60-70%, reflecting, amongst many other factors, Human Resources shortfalls means that 150 million India never accessed mental healthcare. In Punjab, mental health training is required in primary health centers. A short-term synchronous training was conceptualized by the National Institute of Mental Health and Neurosciences. A total of 114 primary care doctors participated for the training. Substantial positive changes in knowledge, attitudes and practices were noted. Task sharing and capacity building initiatives can be undertaken during the pandemic to meet the demand for mental healthcare service delivery.

'Unheard voices': Perceptions of women with mental illness on nurses screening routinely for domestic violence: A qualitative analysis.

OBJECTIVES: To explore women's experiences of violence and their opinion on routine screening for domestic violence by nursing professionals in mental health care settings. METHODS: This qualitative narrative research design was carried out among 20 asymptomatic women with mental illness at a tertiary care centre in Bangalore, India. RESULTS: Narrative content analysis was performed, and five dominant themes have emerged: 1. Understanding the nature and signs of violence (subtheme: Meaning of violence), 2. Abusive experiences of women with mental illness (subthemes: Physical violence, psychological violence, social violence, sexual violence and financial violence), 3. Experiences on disclosure of violence (subthemes: Identification of violence by nursing professionals, Experiences of disclosure of violence), 4. Barriers for disclosure of abuse(subthemes: Fear of consequences, the hectic schedule of nursing staff, helplessness and hopelessness, perceived poor family support). 5.Routine screening for violence by nursing professionals (subthemes: reasons for routine inquiry of violence, nature of inquiry by the nursing professionals). CONCLUSIONS: Women with mental illness were undergoing more than one form of violence, and most of the participants supported routine screening by nursing professionals. Nurses play an essential role in identifying and supporting abused women in mental health care settings.

'Unheard voices': Perceptions of women with mental illness on nurses screening routinely for domestic violence: A qualitative analysis / "Voces no escuchadas": Percepciones de las mujeres con enfermedades mentales sobre el cribado rutinario de la violencia doméstica por parte de las enfermeras. Un análisis cualitativo / "Vozes não ouvidas": percepções de mulheres com transtorno mental sobre o rastreamento cotidiano da violência doméstica por enfermeiras. Uma análise qualitativa

Objective. To explore women's experiences of violence and their opinion on routine screening for domestic violence by nursing professionals in mental health care settings. Methods. This qualitative narrative research design was carried out among 20 asymptomatic women with mental illness at a tertiary care centre in Bangalore, India. Results. Narrative content analysis was performed, and five dominant themes have emerged: 1. Understanding the nature and signs of violence (subtheme: Meaning of violence), 2. Abusive experiences of women with mental illness (subthemes: Physical violence, psychological violence, social violence, sexual violence and financial violence), 3. Experiences on disclosure of violence (subthemes: Identification of violence by nursing professionals, Experiences of disclosure of violence), 4. Barriers for disclosure of abuse(subthemes: Fear of consequences, the hectic schedule of nursing staff, helplessness and hopelessness, perceived poor family support). 5.Routine screening for violence by nursing professionals (subthemes: reasons for routine inquiry of violence, nature of inquiry by the nursing professionals). Conclusion. Women with mental illness were undergoing more than one form of violence, and most of the participants supported routine screening by nursing professionals. Nurses play an essential role in identifying and supporting abused women in mental health care settings.

Objetivo. Explorar las experiencias de violencia que sufren las mujeres y su opinión sobre el cribado rutinario de la violencia doméstica por parte de los profesionales de enfermería en los centros de salud mental. Métodos. Esta investigación narrativa cualitativa se llevó a cabo con 20 mujeres asintomáticas con enfermedades mentales en un centro de atención terciaria en Bangalore, India. Resultados. Se realizó un análisis de contenido narrativo y surgieron cinco temas dominantes: 1. Comprensión de la naturaleza y los signos de la violencia (subtema: Significado de la violencia), 2. Experiencias abusivas de las mujeres con enfermedades mentales (subtemas: Violencia física, violencia psicológica, violencia social, violencia sexual y violencia económica), 3. Experiencias sobre la revelación de la violencia (subtemas: Identificación de la violencia por parte de los profesionales de enfermería, Experiencias de revelación de la violencia), 4. Barreras para la revelación del abuso (subtemas: Miedo a las consecuencias, el agitado horario del personal de enfermería, impotencia y desesperanza, percepción de un escaso apoyo familiar). 5. Indagación rutinaria de la violencia por parte de los profesionales de enfermería (subtemas: razones para la indagación rutinaria de la violencia, naturaleza de la indagación por parte de los profesionales de enfermería). Conclusión. Las mujeres con enfermedades mentales sufrieron más de una forma de violencia y la mayoría de las participantes apoyó el cribado rutinario por parte de los profesionales de enfermería. Las enfermeras desempeñan un papel esencial en la identificación y en el apoyo a las mujeres maltratadas en los entornos de atención en la salud mental.

Objetivo. Explorar as experiências de violência sofrida por mulheres e sua opinião sobre o rastreamento rotineiro de violência doméstica por profissionais de enfermagem em centros de saúde mental. Métodos. Esta pesquisa narrativa qualitativa foi realizada com 20 mulheres assintomáticas com doença mental em um estabelecimento de cuidados terciários em Bangalore, Índia. Resultados. Realizou-se uma análise de conteúdo narrativo e emergiram cinco temas dominantes: 1. Compreendendo a natureza e os sinais da violência (subtópico: Significado da violência), 2. Experiências abusivas de mulheres com transtorno mental (subtópicos: Violência física, violência psicológica, violência social, violência sexual e violência econômica), 3. Experiências sobre a divulgação da violência (subtópicos: Identificação da violência por profissionais de enfermagem, Experiências da divulgação da violência), 4. Barreiras para a divulgação do abuso (subtópicos: medo das consequências, enfermagem ocupada horas de trabalho, desamparo e desesperança, percepção de pouco apoio familiar) 5. Inquérito de rotina sobre violência por profissionais de enfermagem (subtópicos: motivos de inquérito de rotina sobre violência, natureza do inquérito por profissionais de enfermagem). Conclusão. Mulheres com doença mental sofreram mais de uma forma de violência e a maioria das participantes apoiava o rastreamento de rotina pelos profissionais de enfermagem. Os enfermeiros desempenham um papel essencial na identificação e apoio às mulheres agredidas em ambientes de cuidados de saúde mental.

Empowerment of nurses' knowledge and skills on violence against women with mental illness: A randomized controlled trail.

BACKGROUND: Nurses play a key role in identifying and supporting women with abusive experiences. However, research that evaluated the effectiveness of educational interventions on violence against women is sparse from India. AIM: To evaluate the effectiveness of a training program in improving nurses' knowledge and skills related to the identification and management of abused Women with Mental Illness (WMI). METHODS: A randomized controlled trial design was adopted for the present study. A total of 68 nurses were randomly assigned to either the experimental or control group (34 in each group). The experimental group was provided eight interactive sessions based on a Nursing Module on abuse among women with mental illness. The assessments were done in both groups at baseline, after the intervention, at three months and six months. The data was collected using a self-rated questionnaire and case vignettes. RESULTS: The mean knowledge score increased significantly in the experimental group after the intervention from 12.26 (SD, 2.03) to 23.60 (SD,1.24) and sustained at three months (23.07 ± 0.94) and six months (23.13 ± 1.61). Similarly, there were significant differences in nurses' skills after the training program (t = 13.17, p < 0.001) and at different time points of assessment (p < 0.001). CONCLUSIONS: Results showed that training had a positive impact on nurses' knowledge and skills related to violence against women with mental illness. Therefore, it is necessary to provide continuous training on this issue to help nurses in providing holistic care to this vulnerable population.

Violence Against Women with Mental Illness and Social Norms and Beliefs: Nursing Professional Perspective.

Violence against women is a priority public health issue globally and women with mental illness are at double disadvantage. While social norms and beliefs play a critical role in influencing violence among women, limited or no research is available from India. To explore nurses and nursing students' views on social norms and beliefs that support Violence against women with mental illness. A descriptive cross-sectional survey was carried out among randomly selected registered nurses and nursing students (N = 209) using self-reported questionnaires. Majority of the participants confronted norms (76.7%) and situations that justify (67.7%) abuse among women with mental illness. Nurses reported more negative attitudes than nursing students with regard to norms and beliefs (t = - 2.714, p < 0.007) and justifiability of abuse (t = - 3.089, p < 0.002). The findings suggest suitable academic programs to extinguish the prevailing cultural beliefs that support abuse in women with mental illness.

Violence against women with mental illness and routine screening: Nurses' knowledge, confidence, barriers and learning needs.

Violence against women is a major public health issue and women with mental illness (WMI) are at a double disadvantage. While nurses play a key role in identifying and responding to abused women, research is limited on this issue from India. This qualitative study was aimed to explore nurses' knowledge, confidence, and learning needs in the identification and responding to disclosure of abuse in women with mental illness. The focus group discussions were conducted among nurses (N = 21) working in psychiatry units at a tertiary care center. An interview guide with semi-structured questions was used to collect the data. Five dominant themes and fifteen sub-themes have emerged from qualitative analysis. The dominant themes include; Awareness of abuse among women with mental illness (AWMI), Experiences of recognizing and responding to abuse, Barriers for routine screening for abuse, Educational preparedness, and learning needs, and Prevention of abuse in women with mental illness. The identified barriers include personal related (personal discomfort, lack of knowledge, etc.), job related (Time consuming, not a nurse's job, lack of time, etc.) and organizational (lack of policies and administrative support, etc.). Most of the participants expressed that they lack confidence in the routine screening of women for abuse due to inadequate training. Therefore, it is critical to include a topic on domestic violence in the nursing curriculum and provide ongoing learning opportunities to the nurses through CNE programs, workshops, and conferences.

Effectiveness of nurses training in routine screening of violence against women with mental illness: A randomized controlled trail.

BACKGROUND: Globally, people with mental illness are highly vulnerable to various forms of abuse. Yet, research on routine screening of violence by mental health professionals is limited. AIM: The aim of this study was to evaluate the impact of training on nurses' attitudes towards routine screening and confidence in implementing routine screening of violence among women with mental illness. METHODS: A randomized controlled trial design was adopted for the present study. The participants of this study were 68 nurses randomly assigned to either experimental or control group (34 in each group). The experimental group was provided eight interactive sessions based on a Nursing Module on abuse among women with mental illness. The assessments were done in both groups at baseline, after the intervention, at three months and at six months. All assessments were self-rated questionnaires to assess nurses' attitudes and confidence in implementing routine screening of violence attitudes. RESULTS: The experimental group showed a statistically significant improvement in the attitudes and confidence in implementing routine screening of abuse in women with mental illness (p < 0.05) than the control group. Repeated measures of analysis also revealed statistically significant differences related to attitude and confidence in implementing routine screening of abuse between the groups and within the experimental group at different time points of assessment (p < 0.001). CONCLUSION: This study concluded that training based on a nursing module improved nurses' attitudes and confidence to conduct routine screening of violence among women with mental illness. However, further studies are necessary to clarify whether the training is effective in implementing in nursing practice.

Knowledge and perceptions of Indian primary care nurses towards mental illness.

OBJECTIVES: To assess nurses' knowledge and perceptions towards mental illness. METHODS: This was a cross-sectional descriptive study conducted among 126 randomly selected nurses those are working under District Mental Health program in Karnataka (India). The data was collected through self-reported questionnaires Using the modified version of Public perception of mental illness questionnaire and Attitude Scale for Mental Illness. RESULTS: The findings revealed that majority of the subjects were women (74.4%), Hindus (92.1%) and were from rural background (69.8%). The mean Knowledge score 10.8±1.6 adequate knowledge (maximum possible =12) among 91% of the subjects, and 52% of them hold negative attitudes towards people with mental illness (88.9±13.6). While majority of the subjects hold negative attitudes in 'Separatism' (53.5%), 'Stereotyping' (73%), 'Benevolence' (54%), 'Pessimistic prediction' (53%) domains, they hold positive attitudes in 'Restrictiveness' (88%) and 'Stigmatization' (72%) domains. Women than men endorsed positive attitudes towards persons with mental illness in Stereotyping' (p<0.001), 'Restrictiveness' (p<0.01), 'Benevolence' (p<0.001) and 'Pessimistic prediction' (t= 2.22, p<0.05) domains. Similarly, Auxiliary Nursing Midwifery found to be less restrictive (p<0.05), more benevolent (p<0.001) and less pessimistic (p<0.05) compared to nurses with higher education (General Nursing and Midwifery and Bachelor of Science in Nursing). CONCLUSIONS: The present study showed adequate knowledge on mental illness among nurses. Yet they hold stigmatizing and negative attitudes towards mental illness. Hence, it is an urgent priority to develop and implement educational programs to inculcate positive attitudes towards people with mental illness to provide optimal care to this vulnerable population.

Knowledge and perceptions of Indian primary care nurses towards mental illness

Objective. To assess nurses' knowledge and perceptions towards mental illness. Methods. This was a crosssectional descriptive study conducted among 126 randomly selected nurses those are working under District Mental Health program in Karnataka (India). The data was collected through self-reported questionnaires Using the modified version of Public perception of mental illness questionnaire and Attitude Scale for Mental Illness. Results. The findings revealed that majority of the subjects were women (74.4%), Hindus (92.1%) and were from rural background (69.8%). The mean Knowledge score 10.8±1.6 adequate knowledge (maximum possible =12) among 91% of the subjects, and 52% of them hold negative attitudes towards people with mental illness (88.9±13.6). While majority of the subjects hold negative attitudes in 'Separatism' (53.5%), 'Stereotyping' (73%), 'Benevolence' (54%), 'Pessimistic prediction' (53%) domains, they hold positive attitudes in 'Restrictiveness'(88%) and 'Stigmatization' (72%) domains. Women than men endorsed positive attitudes towards persons with mental illness in Stereotyping' (p<0.001), 'Restrictiveness' (p<0.01), 'Benevolence' (p<0.001) and 'Pessimistic prediction' (t= 2.22, p<0.05) domains. Similarly, Auxiliary Nursing Midwifery found to be less restrictive (p<0.05), more benevolent (p<0.001) and less pessimistic (p<0.05) compared to nurses with higher education (General Nursing and Midwifery and Bachelor of Science in Nursing). Conclusion. The present study showed adequate knowledge on mental illness among nurses. Yet they hold stigmatizing and negative attitudes towards mental illness. Hence, it is an urgent priority to develop andimplement educational programs to inculcate positive attitudes towards people with mental illness to provide optimal care to this vulnerable population.

Objetivo. Evaluar los conocimientos y percepciones de las enfermeras de atención primaria hacia la enfermedad mental. Métodos. Se realizó un estudio descriptivo transversal con 126 enfermeras que trabajan en el programa de Salud Mental del Distrito en Karnataka (India). Los datos se recolectaron a partir de cuestionarios contestados por autorreporte, empleando la versión modificada del cuestionario Percepción pública de la enfermedad mental y la Escala de Actitudes hacia la enfemedad mental. Resultados. Los hallazgos revelaron que la mayoría de los participantes eran mujeres (74.4%), hindúes (92.1%) y de origen rural (69.8%). El puntaje promedio de conocimiento fue de 10.8±1.6, que indica un conocimiento adecuado (máximo posible = 12). El 52% de los participantes tienen actitudes negativas hacia las personas con enfermedades mentales, siendo mayor este porcentaje en los dominios 'Estereotipos' (73%), 'Benevolencia' (54%), 'Separatismo' (53.5%), 'Predicción pesimista' (53%); mientras que tienen actitudes positivas en 'Restricción' (88%) y 'Estigmatización '(72%). Las mujeres, en mayor porcentaje que los hombres, tuvieron actitudes positivas hacia las personas con enfermedades mentales en los dominios 'Estereotipos' (p<0.001), 'Restricción' (p<0.01), 'Benevolencia' (p<0.001) y 'Predicción pesimista' (p<0.05). Del mismo modo, las enfermeras parteras auxiliares fueron menos restrictivas (p<0.05), más benévolas (p<0.001) y menos pesimista (p<0.05) en comparación con las enfermeras con mayor educación (enfermeras parteras generales y licenciadas en ciencias de la enfermería). Conclusión. El presente estudio mostró un conocimiento adecuado sobre las enfermedades mentales entre las enfermeras. Sin embargo, tienen actitudes estigmatizantes y negativas hacia la enfermedad mental. Por lo tanto, es una prioridad implementar programas educativos para la adquisición de actitudes positivas hacia las personas con enfermedades mentales con el fin de brindar una atención integral a esta población vulnerable.

Objetivo. Avaliar os conhecimentos e percepções à doença mental das enfermeiras de atenção primária. Métodos. Se realizou um estudo descritivo transversal com 126 enfermeiras que trabalham no programa de Saúde Mental do Distrito em Karnataka (Índia). Os dados foram recolhidos a través de questionários respondidos por autorreporte, empregando a versão modificada do questionário Percepção pública da doença mental e a Escala de Atitudes à doença mental. Resultados. As descobertas revelaram que a maioria dos participantes eram mulheres (74.4%), hindus (92.1%) e de origem rural (69.8%). A pontuação média de conhecimento foi de 10.8±1.6 indicando conhecimento adequado (máximo possível = 12). 52% dos participantes têm atitudes negativas às pessoas com doenças mentais, sendo maior esta porcentagem nos domínios 'Estereótipos' (73%), 'Benevolência' (54%), 'Separatismo' (53.5%), 'Predição pessimista' (53%); enquanto que têm atitudes positivas em 'Restrição' (88%) e 'Estigmas'(72%). As mulheres, em maior porcentagem que os homens, tiveram atitudes positivas às pessoas com doenças mentais nos domínios 'Estereótipos' (p<0.001), 'Restrição' (p<0.01), 'Benevolência' (p<0.001) e 'Predição pessimista' (p<0.05). Do mesmo modo, as enfermeiras parteiras auxiliares formam menos restritivas (p<0.05), mais benévolas (p<0.001) e menos pessimista (p<0.05) em comparação com as enfermeiras com maior educação (enfermeiras parteiras gerais e licenciadas em ciências da enfermagem). Conclusão. O presente estudo mostrou um conhecimento adequado sobre as doenças mentais entre as enfermeiras. Porém, tem atitudes de estigmas e negativas à doença mental. Por tanto, é uma prioridade implementar programas educativos para o melhoramento das atitudes positivas às pessoas com doenças mentais com o fim de brindar uma atenção integral a esta população vulnerável.

Eating Attitudes, Weight Control Behaviors, Body Image Satisfaction and Depression Level Among Indian Medical and Nursing Undergraduate Students.

This was a cross sectional descriptive study carried out among Medical and Nursing students to assess the presence of eating disorders. Data was collected using self administered 'Sick, Control, One, Fat, Food' (SCOFF) and 'Eating Attitudes Test (EAT-26)' questionnaires. It was found that 34.1% and 10.4% of the participants were at high risk to suffer from eating disorders on SCOFF and EAT-26 scales. Further, age, gender and education found to have significant association on SCOFF and EAT-26 scores (p < 0.05). Thus, the findings suggest the need for effective interventions to prevent depression and eating disorders among the future health professionals.

Indian nurses' Knowledge, Attitude and Practice towards use of physical restraints in psychiatric patients.

OBJECTIVES: To assess nurses' knowledge, attitude and practice towards using physical restraints among psychiatric patients. METHODS: A descriptive cross sectional survey was carried out among conveniently selected sample of nurses working in psychiatry departments at a tertiary care center. The data was collected using self reported questionnaires of Suen. RESULTS: The findings revealed that nurses had good knowledge (7.2±1.7, maximum posible=11), favorable attitudes 30.8± 3.3 (maximum posible=48) and good practice 31.2±6.2 (maximun posible=42) about use of physical restraints in psychiatric patients. Females had better knowledge (p<0.001), attitudes (p<0.05) than males towards use of physical restraints. Nurses those had more than ten years of experience found to have more favorable attitudes towards using physical restraints than nurses with less experience (p<0.05) and nurses with higher education differed significantly on practice score than nurses with basic education in nursing (p<0.05). CONCLUSIONS: This study revealed good knowledge, positive attitudes and good practices among nurses about using physical restraints in mental health services. However there is need to improve even more nurses practice through continuing education programs on this topic.

Conocimientos, actitudes y prácticas de las enfermeras hindúes sobre el uso de restricciones físicas en pacientes psiquiátricos / Conhecimentos, atitudes e práticas das enfermeiras hindus sobre o uso de restrições físicas em pacientes psiquiátricos / Indian nurses' Knowledge, Attitude and Practice towards use of physical restraints in psychiatric patients

Objective. To assess nurses' knowledge, attitude and practice towards using physical restraints among psychiatric patients. Methods. A descriptive cross sectional survey was carried out among conveniently selected sample of nurses working in psychiatry departments at a tertiary care center. The data was collected using self reported questionnaires of Suen. Results. The findings revealed that nurses had good knowledge (7.2±1.7, maximum posible=11), favorable attitudes 30.8± 3.3 (maximum posible=48) and good practice 31.2±6.2 (maximun posible=42) about use of physical restraints in psychiatric patients. Females had better knowledge (p<0.001), attitudes (p<0.05) than males towards use of physical restraints. Nurses those had more than ten years of experience found to have more favorable attitudes towards using physical restraints than nurses with less experience (p<0.05) and nurses with higher education differed significantly on practice score than nurses with basic education in nursing (p<0.05). Conclusion. This study revealed good knowledge, positive attitudes and good practices among nurses about using physical restraints in mental health services. However there is need to improve even more nurses practice through continuing education programs on this topic.(AU)

Objetivo. Evaluar los conocimientos, las actitudes y las prácticas de las enfermeras hacia el uso de restricciones físicas en los pacientes psiquiátricos. Métodos. Se realizó un estudio descriptivo de corte transversal en una muestra por conveniencia de enfermeras que laboraban en departamentos de psiquiatría de un hospital de atención terciaria al sur de la India. Los datos se recolectaron utilizando el cuestionario de Suen, el cual fue contestado por autorreporte. Resultados. Los hallazgos revelaron que en cuanto al uso de restricciones físicas en pacientes psiquiátricos las enfermeras tenían buen conocimiento (media =7.2±1.7, máximo posible=11), actitudes favorables (media=30.8±3.3, máximo posible=48) y buenas prácticas (media=31.2 ± 6.2, máximo posible=42). Las mujeres tenían mejores conocimientos (p<0.001) y actitudes (p<0.05) que los varones hacia el uso de restricciones físicas. Las enfermeras con más de diez años de experiencia tuvieron actitudes más favorables hacia el uso de estas restricciones que las de menor experiencia (p<0.05) y las enfermeras con educación superior difirieron significativamente en el puntaje de la práctica comparadas con aquellas con educación básica en enfermería (p<0.05). Conclusión. Este estudio reveló buenos conocimientos, actitudes positivas y buenas prácticas de las enfermeras sobre el uso de restricciones físicas en los servicios de salud mental. Sin embargo, es necesario mejorar aún más las prácticas de las enfermeras a partir de programas de educación continua sobre este tema (AU)

Objetivo. Avaliar os conhecimentos, as atitudes e as práticas das enfermeiras para o uso de restrições físicas nos pacientes psiquiátricos. Métodos. Se realizou um estudo descritivo de corte transversal numa amostra por conveniência de enfermeiras que trabalhavam em departamentos de psiquiatria de um hospital de atenção terciaria no sul da Índia. Os dados foram recolhidos utilizando o questionário de Suen, o qual foi contestado por auto-reporte. Resultados. As descobertas revelaram que em quanto ao uso de restrições físicas em pacientes psiquiátricos as enfermeiras tinham bom conhecimento (media =7.2±1.7, máximo possível=11), atitudes favoráveis (media=30.8±3.3, máximo possível=48) e boas práticas (média=31.2 ± 6.2, máximo possíveis=42). As mulheres tinham melhores conhecimentos (p<0.001) e atitudes (p<0.05) que os homens para o uso de restrições físicas. As enfermeiras com mais de dez anos de experiência tiveram atitudes mais favoráveis para o uso destas restrições que as de menor experiência (p<0.05) e as enfermeiras com educação superior deferiram significativamente na pontuação da prática comparadas com aquelas com educação básica na enfermagem (p<0.05). Conclusão. Este estudo revelou bons conhecimentos, atitudes positivas e boas práticas das enfermeiras sobre o uso de restrições físicas nos serviços de saúde mental. Embora, seja necessário melhorar ainda mais as práticas das enfermeiras através de programas de educação continua sobre este assunto. (AU)

Diferencias por sexo en el índice de masa corporal, percepción del peso corporal, satisfacción con el peso, desórdenes de la alimentación y estrategias para el control de peso en estudiantes de medicina y enfermería de la India / Diferenças por sexo no índice de massa corporal, percepção do peso corporal, satisfação com o peso, desordens da alimentação e estratégias para o controle de peso em estudantes de medicina e enfermagem da Índia / Gender Differences in Body Mass Index, Body Weight Perception, weight satisfaction, disordered eating and Weight control strategies among Indian Medical and Nursing Undergraduates

Objective. To assess gender disparity in body weight perception, Body Mass Index (BMI), weight satisfaction and role of depression among undergraduate Medical and Nursing students. Methods. A descriptive cross sectional descriptive study was conducted in conveniently selected medical (n=241) and nursing (n=213) students of Bangalore, South India. Data was collected using self-administered SCOFF questionnaires. Results. Our findings revealed that men had a significantly higher BMI than women (t=5.403, p<0.001). More number of women compared to men, perceived themselves as over weight (74.8%) and not satisfied with their weight status (81.6%). More men than women scored positively for disordered eating behaviors on SCOFF (45.4% vs. 31.1%) and EAT scale (16.5% vs. 8.7%). While, 48.2% of the women practice binge eating, 41.2% of the men practice it (p<0.004); more men (47.4%) than women (25.4%) exercised for more than sixty minutes (p<0.001) to control their weight. Conclusion. Findings indicate small differences between the genders that have to be taken in consideration in planning interventional programs to prevent eating disorders in this population. (AU)

Objetivo. Evaluar la disparidad por sexo en el índice de masa corporal, la percepción del peso corporal, la satisfacción con el peso, los desórdenes de la alimentación y estrategias para el control de peso en estudiantes de medicina y enfermería de la India. Métodos. Se realizó un estudio descriptivo de corte transversal con una muestra tomada a conveniencia de estudiantes de Medicina (n=241) y de Enfermería (n=213) de Bangalore, en el sur de India. Los datos se recolectaron usando los instrumentos auto-administrados SCOFF y EAT-26. Resultados. Los hombres tenían un IMC significativamente mayor que las mujeres (t=5.403, p<0.001); un mayor porcentaje de mujeres, en comparación con los hombres, percibía que pesaba más (74.8%), sin embargo, no estaban satisfechas con su peso (81.6%). Los hombres y las mujeres tuvieron puntajes que mostraban riesgo de tener trastornos de conductas alimentarias en el SCOFF (45.4% vs. 31.1%) y en el EAT (16.5% vs. 8.7%). Mientras que el 48.2% de las mujeres practicaba el atracón, el 41.2% de los hombres lo tenía (p <0.004); más hombres (47.4%) que mujeres (25.4%) se ejercitaban por más de sesenta minutos (p<0.001) para controlar su peso. Conclusión. Los hallazgos indican pequeñas diferencias por sexo que deben ser tenidas en cuenta en la planeación de programas de intervención para prevenir los trastornos en la alimentación en esta población. (AU)

Objetivo. Avaliar a disparidade por sexo no índice de massa corporal, percepção do peso corporal, satisfação com o peso, desordens da alimentação e estratégias para o controle de peso em estudantes de medicina e enfermagem da Índia. Métodos. Se realizou um estudo descritivo de corte transversal com uma amostra tomada a conveniência de estudantes de Medicina (n=241) e de Enfermagem (n=213) de Bangalore, no sul da Índia. Os dados foram coletados usando os instrumentos auto-administrados SCOFF e EAT-26. Resultados. Os homens tinham um IMC significativamente maior que as mulheres (t=5.403, p<0.001), mas um maior número de mulheres em comparação com os homens, percebiam que pesavam mais (74.8%) e não estavam satisfeitas com seu peso (81.6%). Os homens e as mulheres tiveram pontuações que mostravam risco de ter transtornos de condutas alimentar no SCOFF (45.4% vs. 31.1%) e no EAT (16.5% vs. 8.7%). Enquanto que 48.2% das mulheres praticavam o excesso, já os homens 41.2% (p <0.004); mais homens (47.4%) do que mulheres (25.4%) se exercitavam por mais de sessenta minutos (p<0.001) para controlar seu peso. Conclusão. As descobertas indicam pequenas diferenças por sexo que devem ser tidas em conta no planejamento de programas de intervenção para prevenir os transtornos na alimentação nesta população. (AU)

Actitudes de los estudiantes de medicina y enfermería hacia la enfermedad mental: Una perspectiva hindú / Atitudes entre os estudantes de medicina e enfermagem à doença mental: Uma perspectiva hindu / Medical and nursing students' attitudes toward mental illness: An Indian perspective

Objective. Compare the attitudes toward mental illness between medical and nursing undergraduate students from a university in India. Methods. A cross sectional descriptive study was carried out among medical (n=154) and nursing undergraduate students (n=168) using Attitude Scale for Mental Illness (ASMI) questionnaire with six sub scales namely; Separatism, Stereotyping, Restrictiveness, Benevolence, Pessimistic prediction and Stigmatization. This was a 5-point Likert scale with 34 items to rate participants responses from totally disagree (1) to totally agree (5). The lower scores indicate positive attitudes toward persons with mental illness. Results. Our findings revealed that 54.5% of medical students versus 64.8% of nursing students have positive attitudes toward mental illness. While medical students have better attitudes against separatism and stigmatization, nursing students have more positive attitudes in benevolence and against pessimism. Conclusion. An important proportion of medical and nursing students have negative attitudes toward mental illness. It is necessary to review and adapt the current curriculum to favor the positive attitude of future professionals toward people with these types of diseases.

Objetivo. Comparar las actitudes hacia la enfermedad mental entre los estudiantes de medicina y enfermería de una universidad en India. Métodos. Se realizó un estudio descriptivo de tipo transversal con estudiantes de Medicina (n=154) y de Enfermería (n=168). Se utilizó la Attitude Scale for Mental Illness (ASMI) la cual tiene 34 ítems divididos en seis dominios: Separatismo, Estereotipos, Restricción, Benevolencia, Predicción pesimista y Estigmatización. Las opciones de respuesta son tipo Likert y van desde totalmente en desacuerdo (1) a totalmente de acuerdo (5). A menor puntaje es mejor la actitud positiva hacia las personas con enfermedad mental. Resultados. Nuestros hallazgos revelaron que el 54.5% de los estudiantes de Medicina versus el 64.8% de los de Enfermería tienen actitudes positivas hacia la enfermedad mental. Mientras que los estudiantes de Medicina tienen mejores actitudes contra el separatismo y la estigmatización, los estudiantes de enfermería poseen actitudes más positivas en la benevolencia y en contra del pesimismo. Conclusión. Una proporción importante de alumnos de Medicina y Enfermería tienen actitudes negativas hacia la enfermedad mental. Es necesario revisar y adaptar el currículo actual para favorecer la actitud positiva de los futuros profesionales hacia las personas con este tipo de enfermedades.

Objetivo. Comparar as atitudes à doença mental entre os estudantes de medicina e enfermagem de uma universidade na Índia. Métodos. Se realizou um estudo descritivo de tipo transversal com estudantes de Medicina (n=154) e de Enfermagem (n=168). Se utilizou a Attitude Scale for Mental Illness (ASMI) a qual tem 34 itens divididos em seis domínios: Separatismo, Estereótipos, Restrição, Benevolência, Predição pessimista e Estigmatização. As opções de resposta são tipo Likert e vão desde totalmente em desacordo (1) a totalmente de acordo (5). A menor pontuação é melhor a atitude positiva para as pessoas com doenças mentais. Resultados. Nossos resultados revelaram que 54.5% dos estudantes de Medicina versus 64.8% dos de Enfermagem tem atitudes positivas para a doença mental. Enquanto que os estudantes de Medicina têm melhores atitudes contra o separatismo e a estigmatização, os estudantes de enfermagem possuem atitudes mais positivas na benevolência e em contra do pessimismo. Conclusão. Uma proporção importante de alunos de Medicina e Enfermagem tem atitudes negativas à doença mental. É necessário revisar e adaptar o currículo atual para favorecer a atitude positiva dos futuros profissionais às pessoas com este tipo de doenças.

Gender Differences in Body Mass Index, Body Weight Perception, weight satisfaction, disordered eating and Weight control strategies among Indian Medical and Nursing Undergraduates.

OBJECTIVES: To assess gender disparity in body weight perception, Body Mass Index (BMI), weight satisfaction and role of depression among undergraduate Medical and Nursing students. METHODS: A descriptive cross sectional descriptive study was conducted in conveniently selected medical (n=241) and nursing (n=213) students of Bangalore, South India. Data was collected using self-administered SCOFF questionnaires. RESULTS: Our findings revealed that men had a significantly higher BMI than women (t=5.403, p<0.001). More number of women compared to men, perceived themselves as over weight (74.8%) and not satisfied with their weight status (81.6%). More men than women scored positively for disordered eating behaviors on SCOFF (45.4% vs. 31.1%) and EAT scale (16.5% vs. 8.7%). While, 48.2% of the women practice binge eating, 41.2% of the men practice it (p<0.004); more men (47.4%) than women (25.4%) exercised for more than sixty minutes (p<0.001) to control their weight. CONCLUSIONS: Findings indicate small differences between the genders that have to be taken in consideration in planning interventional programs to prevent eating disorders in this population.

Medical and nursing students' attitudes toward mental illness: An Indian perspective.

OBJECTIVES: Compare the attitudes toward mental illness between medical and nursing undergraduate students from a university in India. METHODS: A cross sectional descriptive study was carried out among medical (n=154) and nursing undergraduate students (n=168) using Attitude Scale for Mental Illness (ASMI) questionnaire with six sub scales namely; Separatism, Stereotyping, Restrictiveness, Benevolence, Pessimistic prediction and Stigmatization. This was a 5-point Likert scale with 34 items to rate participants responses from totally disagree (1) to totally agree (5). The lower scores indicate positive attitudes toward persons with mental illness. RESULTS: Our findings revealed that 54.5% of medical students versus 64.8% of nursing students have positive attitudes toward mental illness. While medical students have better attitudes against separatism and stigmatization, nursing students have more positive attitudes in benevolence and against pessimism. CONCLUSIONS: An important proportion of medical and nursing students have negative attitudes toward mental illness. It is necessary to review and adapt the current curriculum to favor the positive attitude of future professionals toward people with these types of diseases.