Bachelor of nursing students’ attitude towards people with mental illness and career choices in psychiatric nursing. An Indian perspective
Keywords:Attitude, curriculum, students, nursing, mental health.
Objective. To examine undergraduate nursing students’ attitudes toward people with mental illness and mental health nursing.
Methodology. This was a cross sectional descriptive study carried out among conveniently selected nursing students (N=116). Data was collected through self- reported questionnaires.
Results: Majority of the participants agreed that the theoretical (81.1%) and clinical placement (85.4%) was adequate. Similarly, 62.9% would like to apply for a post-basic program in Psychiatric nursing and 69.8% of the students intend to pursue their career as mental health nurses. However, a majority expressed that people with mental illness are unpredictable (80.2%), cannot handle too much responsibility (71.5%), more likely to commit offences or crimes (84.5%) and more likely to be violent (44%). Negative stereotype domain had significant relationships with future career (r=-0.2, p= 0.003), course effectiveness (r=-0.4, p<0.001), valuable contribution (r=-0.3, p<0.001) and readiness of the students (r=-.3, p<.000) domains.
Conclusion. There is an urgent need to address these negative perceptions among nursing students towards people with mental illness. Innovative teaching strategies and appropriate changes in the nursing curriculum is required to prepare future nurses to deal mental health problems effectively.
How to cite this article: Poreddi V, Thimmaiah R, Chandra R, BadaMath S. Bachelor of nursing students’ attitude towards people with mental illness and career choices in psychiatric nursing. An Indian perspective. Invest Educ Enferm. 2015; 33(1):
(1) World Health Organization. Mental Health Gap Action Programme (mhGAP). [Internet]. Geneva: WHO; 2013 [cited: September 1, 2014]. Available from:http://www.who.int/mental_health/mhgap/en/
(2) Michelle K, Kathryn B, Shoba A, Kaustubh J, Anthony FJ. Community Beliefs About Causes and Risks for Mental Disorders: a Mental Health Literacy Survey in a Rural Area of Maharashtra, India. Int J Soc Psychiat. 2010; 56(6):606-22.
(3) Math SB, Chandrashekar CR, Bhugra D. Psychiatric epidemiology in India. Indian J Med Res. 2007; 126:183-92.
(4) Putnam S. Mental illness: diagnostic title or derogatory term? (Attitudes towards mental illness) Developing a learning resource for use within a clinical call centre. A systematic literature review on attitudes towards mental illness. J Psychiat Ment Health Nurs. 2008;15:684-93.
(5) World Health Organization. Global Atlas of the Health Workforce.[Internet]. Geneva: WHO; 2007 [cited: September 1, 2014]. Available from: www.who.int/globalatlas/default.asp
(6) World Health Organization. Mental Health Atlas 2005. [Internet]. Geneva: WHO; 2007 [cited: September 1, 2014]. Available from: http://www.who.int/mental_health/evidence/mhatlas05/en/
(7) McCann TV, Clark E, Lu S. Bachelor of Nursing students career choices: A three‑year longitudinal study. Nurse Educ Today. 2010; 30:31-6.
(8) Halter MJ. Perceived characteristics of psychiatric nurses: Stigma by association. Arch Psychiatr Nurs. 2008; 22:20-6.
(9) Hung B, Huang X, Lin M. The first experiences of clinical practice of psychiatric nursing students in Taiwan: a phenomenological study. J Clin Nurs. 2009;18(22):3126-35.
(10) Happell B. Changing their minds: using clinical experience to 'convert' undergraduate nursing students to psychiatric nursing. Int J Psychiat Nurs Res. 2008; 14(1):1776-84.
(11) Penn TD. Enhancing student comfort in psychiatric clinical settings. Teach Learn Nurs. 2008; 3(2):53-5.
(12) Happell B. Influencing undergraduate nursing students' attitudes toward mental health nursing: acknowledging the role of theory. Issues Ment Health Nurs. 2009;Jan;30(1):39-46.
(13) Kshirasagar GA. To assess the change in knowledge and attitude of IIIrd year BSC (N) towards mentally ill patients before and after completion of their nursing curricular intervention in selected college of nursing at Hasan, Karnataka. Bangalore: RajivGandhi University of Health sciences; 2005.
(14) Happell B, Robins A, Gough K. Developing more positive attitudes towards mental health nursing in undergraduate students: part 2--The impact of theory and clinical experience. J Psychiat Ment Health Nurs. 2008; 15(7):527-36.
(15) Luke BJ. Comparative study to assess the attitude towards mental illness between second year and fourth year Bsc Nursing students in selected colleges in Mangalore. Bangalore: Rajiv Gandhi University of Health Sciences; 2006.
(16) Goodwin V, Happell B. Psychiatric nurses’ attitudes toward consumer and carer participation in care: Part 2: Barriers to participation. Policy Polit Nurs Pract. 2008; 9:249-56.
(17) Callaghan P, Cooper L, Gray R. Education. Rethinking clinical placements for mental health nursing students. Ment Health Pract. 2007; 10(5):18-20.
(18) Happell B, Gaskin C. The Attitudes of undergraduate nursing students towards mental health nursing: a systematic review. J Clin Nurs. 2012; 22:148-58.
(19) Hoekstra H, van Meijel B, van der Hooft-Leemans T. A nursing career in mental health care: Choices and motives of nursing students. Nurse EducToday. 2009; 30(1):4-8.
(20) Schafer T, wood S, Williams R. A survey into student nurses’ attitudes towrds mental illness: Implicaaitons for nurse training. Nurse Educ Today. 2011;31:328-32.
(21) Papish A, Kassam A, Modgill G, Vaz G, Zanussi L, Patten S. Reducing the stigma of mental illness in undergraduate medical education: a randomized controlled trial. BMC Med Educ. 2013 Oct 24:13:141.
(22) Chadwick L, Porter J. An Evaluation of the Effect of a Mental Health Clinical Placement on the Mental Health Attitudes of Student Nurses. Nurs Health. 2014; 2(3): 57-64.
(23) Stuhlmiller CM. Promoting Student Interest in Mental Health Nursing. J Am Psychiat Nurses Assoc. 2005; 11:355-7.
(24) Curtis J. Working together: a joint initiative between academics and clinicians to prepare undergraduate nursing students to work in mental health settings. Int J Ment Health Nurs. 2007; 16(4):285-93.
(25) James A, Chapman Y. Preceptors and patients -- the power of two: Nursing student experiences on their first acute clinical placement. Contemp Nurse. 2009;34(1):34-47.
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