KNOWLEDGE VS PRACTICE IN COMMUNITY MENTAL HEALTH NURSING: INSIGHTS FROM NURSING OFFICERS & CHOS IN ODISHA

Authors:

Anasuya Pattanayak,Soumya Sonalika,Debajani Sahoo,Alpana Mishra,Sikandar Kumar,Debasis Pradhan,

DOI NO:

https://doi.org/10.26782/jmcms.2024.12.00007

Keywords:

Community Mental Health Nursing,Community Nursing Officers,Knowledge,Practice,

Abstract

Mental health care is a greatly underserved aspect of the general well-being, especially in resource-lacking settings. In India, mental healthcare has faced challenges of vast untreated mental disorders within populations. Community mental health care nursing has proven to be a very promising strategy. The objective of the study is to analyze the community mental health services about the curriculum for community mental health nursing. A quantitative research approach has been adapted to accomplish this by using a community-based survey research design. A total of 200 nursing service workers including Nursing Officers & CHO have been selected by following a multistage sampling strategy from four selected districts of Odisha. Demonstrating gradual improvements with experience, practice scores had a mean ± SD and median (IQR) each with a significant p-value of 0.015. It was found that most of the cases (56%) had a good or very good level of knowledge of mental health nursing, but 45.5% had good or very good practice in mental health nursing. The study revealed that the knowledge and the practice of the service gap of mental health were minimal. The majority of participants displayed good knowledge and sound practice. Recommendations by the nursing personnel included in-service education and training programmes to improve their knowledge along with the provision of adequate numbers of staff to manage the cases efficiently.

Refference:

I. Abbaspour H, Heydari A, Esmaily H. Study of the Relationship between Nurses’ Work Experience and Clinical Competency. Med Edu Bull 2021; 2(1): 155-62. 10.22034/MEB.2021.313001.1036
II. Abu Salah A, Aljerjawy M, Salama A. Gap between Theory and Practice in the Nursing Education: the Role of Clinical Setting JOJ Nurse Health Care. 2018; 7(2): 555707.
III. Alzahrani, M. S. (2023). The role of the mental health nurse in the application of different treatment modalities in mental health nursing: Essa. Evidence-Based Nursing Research, 5(2), 45-47. https://doi.org/10.47104/ebnrojs3.v5i2.287.
IV. ANCC Primary Accreditation Provider Application Manual.2015 California Board of Registered Nursing, Title 16.
V. Atashzadeh-Shoorideh F, Mohtashami J, Pishgooie SAH et al. Effectiveness of implementation of “mental health nursing students’ clinical competency model” on academic performance of nursing students [version 1; peer review: 1 approved, 1 not approved] F1000Research 2018, 7:1212 10.12688/f1000research.14284.1
VI. Bing Xiang Yang, Teresa E. Stone, Scott A. Davis, The effect of a community mental health training program for multidisciplinary staff, Archives of Psychiatric Nursing,Volume 32, Issue 3, 2018, Pages 413-417, ISSN 0883-9417, 10.1016/j.apnu.2017.12.007
VII. Bruckner T, Scheffler R, Shen G, Yoon J, Chisholm D, Morris J. The mental health workforce gap in low- and middle-income countries: a needs-based approach.Bull World Health Organ. 2011;89:94.
VIII. Coker, A., Coker, O. O., Alonge, A., & Kanmodi, K. (2018). Nurses’ knowledge and attitudes towards the mentally-ill in Lagos, South-Western Nigeria. Int J Adv Community Med, 1, 15-21.
IX. Cook JA, Mueser KT. Community health Workers: potential allies for the field of psychiatric Rehabilitation ?. 2015;38:207–209.
X. Duran Gül K, Akpınar H. The relationship between nursing students’ mental health literacy levels and holistic nursing competencies. J Health Sci Med. 2023;6(6):1147-1153.
XI. February 26 ITWD, April 7 2017UPDATED:,Ist 2017 11:24. The biggest cause for disability worldwide will shock you [Internet]. India Today. [cited 2021 Dec 25]. Available from: https://www.indiatoday.in/lifestyle/health/story/world-health- organisation-depression-largest-contributor-disability-mental-health-lifest-962749-2017- 02-26
XII. Fulton B, Scheffler R, Sparkes S, Auh E, Vujicic M, Soucat A. Health workforce skill mix and task shifting in low income countries: a review of recent evidence. Hum Resour Health. 2011;9
XIII. Gandhi, S., Poreddi, V., Govindan, R., G, J., Anjanappa, S., Sahu, M., Narayanasamy, P., N, M., C, N., & Badamath, S. (2019). Knowledge and perceptions of Indian primary care nurses towards mental 37(1), e06. https://doi.org/10.17533/udea.iee.v37n1a06
XIV. Gurung, G. (2014). Knowledge and attitude of nurses regarding mental illness. Journal of Chitwan Medical College, 4(2), 40-43.
http://www.who.int/iris/handle/10665/255047. Accessed September 27, 2018. dle/10665/275501/WHO-HIS-HWF-CHW-2018.1-eng.pdf?ua=1.
http://www.who.int/iris/handle/10665/255047.AccessedSeptember 27, 2018. International, vol. 2018, Article ID 8715272, 6 pages, 2018. 10.1155/201 8/8715272
XV. Jena, S., Sahoo, K.C., Samal, M. et al. Rural community attitude towards mental healthcare: a mixed-method study in Khurda district of Odisha, India. Middle East Curr Psychiatry 27, 48 (2020). 10.1186/s43045-020-00057-6
XVI. Kandeger A, Guler HA, Egilmez U, Guler O (2018) Major depressive disorder comorbid severe hydrocephalus caused by Arnold – Chiari malformation. Does exposure to a seclusion and restraint event during clerkship influence medical students’ attitudes toward psychiatry? Indian J Psychiatry 59(4): 2017–2018. 10.4103/psychiatry.IndianJPsychiatry
XVII. Keating, S. (2011).Curriculum development and evaluation in nursing. New York, NY: Springer Publishing Company
XVIII. Kishore J, Gupta A, Jiloha RC, Bantman P (2011) Myths, beliefs and perceptions about mental disorders and health-seeking behavior in Delhi, India. Indian J Psychiatry 53(4):324–329 10.4103/0019-5545.91906
XIX. L. Liana and H.D. Windarwati. Clinical Epidemiology and Global Health 11 (2021) 100709 10.1016/j.cegh.2021.100709

XX. Lahariya C, Singhal S, Gupta S, Mishra A (2010) Pathway of care among psychiatric patients attending a mental health institution in central India. Indian J Psychiatry 52(4):333 10.4103/0019-5545.74308
XXI. Li S, Cao M, Zhu X. Evidence-based practice. Medicine 2019; 98:39 (e17209).
XXII. Liu A, Sullivan S, Khan M, Sachs S, Singh P. Community health workers in global health: scale and scalability. Mt Sinai J Med. 2011;78:419–435.
XXIII. Marastuti A, Sofia MAS, Carla R, Courtney RM, Byron MY, Good MJD.Development and evaluation of a mental health training program for community health workers in Indonesia. Community Ment Health J; 2020.
XXIV. Mariam MG, Bedaso A, Ayano G, Ebrahim J (2016) Knowledge, Attitude and Factors Associated with Mental Illness among Nurses Working in Public Hospitals, Addis Ababa, Ethiopia. J Ment Disord Treat 2: 108. doi:10.4172/2471- 271X.1000108
XXV. McCollum R, Gomez W, Theobald S, Taegtmeyer M. How equitable are community health worker programmes and which programme features influence equity of community health worker services? A systematic review16.BMC Public Health; 2016.
XXVI. Mitchell C, https://www.facebook.com/pahowho. PAHO/WHO | Mental health problems are the leading cause of disability worldwide, say experts at PAHO Directing Council side event [Internet]. Pan American Health Organization / World Health Organization.2019 [cited2021Dec25].Availablefrom:https://www3.paho.org/hq/index.php?option=com_con
XXVII. Nayak N, ‘Mental Health Services Spreads Wings In Odisha’, Odisha Post., January 7th 2020, 09.00 IST https://www.orissapost.com/mental-health-services-spread-wings-in- odisha/
XXVIII. Nevin Günaydin, Sibel Arguvanli Çoban, Experiences of nursing students during clinical education in mental health clinics: A phenomenological qualitative study, Nurse Education in Practice, Volume 54, 2021,103113, ISSN 1471-5953, 10.1016/j.nepr.2021.103113.
XXIX. Olaniran A, Smith H, Unkels R, Bar-Zeev S, van den Broek N. Who is a community health worker? – a systematic review of definitions10. Global Health Action; 2017.
XXX. Organization WH. Enhancing the Role of Community Health Nursing for Universal Health Coverage; 2017 [cited 2018 27 September]. Available at: Organization WH. Enhancing the Role of Community Health Nursingfor Universal Health Coverage; 2017 [cited 2018 27 September].
XXXI. Phetsile G. Zwane, et al. Challenges faced by mental health nurses working with people living with mental illness in Eswatini: A qualitative study [Internet]. Elsevier; 2022 [cited 2024Sept2]. Available from: https://www.sciencedirect.com/science/article/pii/S2214139122000828
XXXII. Rehm J, Shield KD (2019) Global burden of disease and the impact of mental and addictive disorders. Current Psychiatry Reports 21(2) 10.1007/s11920- 019-0997-0
XXXIII. Rentala, Sreevani1; Thimmajja, Sunanda Govinder2,; Vasudevareddy, Savitha S.3; Srinivasan, P.4; Desai, Mahesh5. Impact of Mental Health First Aid Training for Primary Health Care Nurses on Knowledge, Attitude and Referral of Mentally Ill Patients. Indian Journal of Continuing Nursing Education 23(2):p 184-189, Jul–Dec 2022. | DOI: 10.4103/ijcn.ijcn_62_22
XXXIV. Risjord MW (2010) Nursing knowledge: Science, practice and philosophy. Oxford, Wiley Blackwell, United Kingdom 33(2): 129-131.
XXXV. Sagar R, Dandona R, Gururaj G, Dhaliwal RS, Singh A, Ferrari A et al (2020) The burden of mental disorders across the states of India: the Global Burden of Disease Study 1990– 2017. Lancet Psychiatry 7(2):148–161. 10.1016/S2215-0366(19)30475-4
XXXVI. Saraceno B, van Ommeren M, Batniji R, Cohen A, Gureje O, Mahoney J. Barriers to improvement of mental health services in low-income and middle-income countries. Lancet. 2007;370:74.
XXXVII. Sibeko G, Milligan PD, Roelofse M, et al. Piloting a Mental Health Training Programme for Community Health Workers in South Africa : An Exploration of Changes in Knowledge. 2018:1–10. confidence and attitudes.
XXXVIII. Siv Camilla Marriott, Ellen Karine Grov, Marianne Thorsen Gonzalez, Learning and achieving basic mental health competence in placement studies with the support of a tool: A qualitative study of student nurses’ experiences, International Journal of Nursing Studies Advances, Volume 7,2024,100219, ISSN 2666-142X, 10.1016/j.ijnsa.2024.100219.
XXXIX. Spencer MS, Rosland AM, Kieffer EC, et al. Effectiveness of a community health worker intervention among African American and Latino adults with type 2 diabetes: a randomized controlled trial. Am J Publ Health. 2011;101:2253–2260.tent&view=article&id=15481:mental-health-problems-are-the-leading-cause-of disability-worldwide-say-experts-at-paho-directing-council-side- event&Itemid=72565&lang=en
XL. World Health Organization (WHO).WHO Guideline on Health Policy and System Support to Optimize Community Health Worker Selected Highlights [Internet]. WHO Guideline on Health Policy and System Support to Optimize Community Health Worker Selected Highlights. 2012. Available from:, https://apps.who.int/iris/bitstream/han dle/10665/275501/WHO-HIS-HWF-CHW-2018.1-eng.pdf?ua=1.
XLI. X. Q., & Ruan, J. (2022). Experiences and challenges faced by community mental health workers when providing care to people with mental illness: a qualitative study. BMC psychiatry, 22(1), 623. 10.1186/s12888-022-04252-z

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