Assessment of Correlates of Stigma in Mental Health Nursing Practice Among Nursing Students in Two Universities in Nairobi-Kenya

Authors

  • Willis Odhiambo Ombete Department of Nursing, University of Eastern Africa-Baraton, Kenya

DOI:

https://doi.org/10.12970/2310-8231.2017.05.03

Keywords:

 Stigma, Nursing students, Correlates, Mental health Nursing, Clinical Experience, Mental Health, and Psychiatric Nursing.

Abstract

Mental health and psychiatric nurses are considered important and integral members of the multidisciplinary mental health care team offering 90% of mental health services in Kenya. Stigma towards mental health nursing practice has led to acute shortage in mental health nursing workforce and consequently poor quality of mental health care.

Aim: to assess the correlates of stigma towards mental health nursing practice among Bachelor of Science Nursing students.

Research Method: Cross-sectional study was conducted among 90 Undergraduate nursing students at the Universities of Nairobi and Eastern Africa-Baraton. Only students who had completed and passed both theory and clinical experience in mental health nursing course were selected for the study. A structured questionnaire and focus group discussion were used. Ethical approval was sought form the UON/KNH ERC.

Data Analysis: The SPSS version 22 was used to analyze the quantitative data whereas the qualitative data from the focus group discussion were analyzed using deductive approach. The correlates were tested using chi-square test and at a P-Value of ≤ 0.05. The final data presented using frequency distribution tables, pie charts, graphs.

Findings: Stigma in mental health nursing practice stands at 85.6% (N=87). Marital status significantly correlated with stigma towards mental health nursing practice p=0.04 (χ2 = 7.731). Belief that mental illness is due to demonic possession, shorter clinical placement, a motivation by the course lecturers and poor environment of practice correlated significantly with stigma towards mental health nursing practice.

Recommendations: Improve minimum clinical placement hours, over emphasize on psychopathology of mental disorders, encourage thorough orientation of students in clinical area upon arrival.

Dissemination: Results will be delivered in scientific conferences, the schools of nursing and to policy makers in mental health care to guide policy development.

References

Jansen BJ, Molina PR. The effectiveness of Web search engines for retrieving relevant ecommerce links. Inf Process Manag 2006; 42(4): 1075-98. https://doi.org/10.1016/j.ipm.2005.09.003

Jansen R, Venter I. Psychiatric nursing: An unpopular choice. J Psychiatr Ment Health Nurs 2015; 22(2): 142-8. https://doi.org/10.1111/jpm.12138

Browne G, Cashin A, Graham I, Shaw W. Addressing the mental health nurse shortage: Undergraduate nursing students working as assistants in nursing in inpatient mental health settings. Int J Nurs Pract 2013; 19(5): 539-45. https://doi.org/10.1111/ijn.12090

WHO. Mental health included in the UN Sustainable Development Goals. WHO 2013.

Arboleda-Flórez J. Considerations on the Stigma of Mental Illness. Can J Psychiatry 2003; 48(10): 645-50. https://doi.org/10.1177/070674370304801001

Corrigan PW, O’Shaughnessy JR. Changing mental illness stigma as it exists in the real world. Aust Psychol 2007; 42(2): 90-7. https://doi.org/10.1080/00050060701280573

Corrigan P. How Stigma Interferes With Mental Health Care. Am Psychol 2004; 59(7): 614-25. https://doi.org/10.1037/0003-066X.59.7.614

Moxham L, Taylor E, Patterson C, Perlman D, Brighton R, Sumskis S, et al. Can a clinical placement influence stigma? An analysis of measures of social distance. Nurse Educ Today 2016; 44: 170-4. https://doi.org/10.1016/j.nedt.2016.06.003

Lyons A, Hosking W, Rozbroj T. Rural-Urban Differences in Mental Health, Resilience, Stigma, and Social Support Among Young Australian Gay Men. J Rural Heal 2015; 31(1): 89-97. https://doi.org/10.1111/jrh.12089

Whitehead E, Mason T. Assessment of risk and special observations in mental health practice: A comparison of forensic and non-forensic settings. Int J Ment Health Nurs 2006; 15(4): 235-41. https://doi.org/10.1111/j.1447-0349.2006.00429.x

Braunholtz S, Davidson S, Myant K, Mori I, O`Connor R, GA, et al. The crisis in mental health: The chariot needs one horseman. Better coordination costs no more and improves the lot of patients. Psychiatr Serv [Internet] 2006; 7(7): 372-3.

Gouthro TJ. Recognizing and Addressing the Stigma Associated with Mental Health Nursing: A Critical Perspective. Issues Ment Health Nurs 2009; 30(11): 669-76. https://doi.org/10.1080/01612840903040274

Kassam A, Glozier N, Leese M, Loughran J, Thornicroft G. A controlled trial of mental illness related stigma training for medical students. BMC Med Educ 2011; 11: 51. https://doi.org/10.1186/1472-6920-11-51

Chadwick L, Porter J. An Evaluation of the Effect of a Mental Health Clinical Placement on the Mental Health Attitudes of Student Nurses. Nurs Heal 2014; 2(3): 57-64.

Shrivastava A, Johnston M, Bureau Y. Stigma of Mental Illness-1: Clinical reflections. Mens Sana Monogr 2012; 10(1): 70-84. https://doi.org/10.4103/0973-1229.90181

Ross CA, Goldner EM. Stigma, negative attitudes and discrimination towards mental illness within the nursing profession: A review of the literature. J Psychiatr Ment Health Nurs 2009; 16(6): 558-67. https://doi.org/10.1111/j.1365-2850.2009.01399.x

Cullen-Drill M, Prendergast KM. Psychiatric Nursing: Back to Basics. J Psychosoc Nurs Ment Health Serv 2011; 49(12): 4-6. https://doi.org/10.3928/02793695-20111108-01

Hunter L, Weber T, Shattell M, Harris BA. Nursing Students’ Attitudes about Psychiatric Mental Health Nursing. Issues Ment Health Nurs 2015; 36(1): 29-34. https://doi.org/10.3109/01612840.2014.935901

Hansson L, Jormfeldt H, Svedberg P, Svensson B. Mental health professionals’ attitudes towards people with mental illness: Do they differ from attitudes held by people with mental illness? Int J Soc Psychiatry 2013; 59(1): 48-54. https://doi.org/10.1177/0020764011423176

Simpson A. Community psychiatric nurses and the care co-ordinator role: Squeezed to provide “limited nursing.” J Adv Nurs 2005; 52(6): 689-99. https://doi.org/10.1111/j.1365-2648.2005.03636.x

Tofthagen R, Talseth A-G, Fagerstr ML. Mental Health Nurses 2019; Experiences of Caring for Patients Suffering from Self-Harm. Nurs Res Pract 2014; 2014: e905741.

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Published

2017-01-09

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