Peer posts

Peer posts Peer posts

Create a 250-word peer post of the IDP below, with some description and explanation of how you reached these conclusions.

First IDP – Re: Nursing Research: Data Collection

Experience of Interviewing and Being Interviewed

Conducting the interviews was a wonderful opportunity for both me and my partner (Gurjot) to recapitulate the main aspects of our psychiatric nursing education. Peer posts. As the assignment required us to use the unstructured interview model, there was not much preparation involved.

An unstructured interview is a type of qualitative self-report that researchers use when there are no indications of what the collected data might be (Woo, 2019). For that reason, they start by asking a “grand tour question” and move on from there. Peer posts.

The interviews were rather conversational, as each subsequent question had to be based on the previous answer. Peer posts. Furthermore, my partner and I are very good friends, and we regularly see each other outside of school, so the whole experience felt very natural. We had to focus on completing this assignment, as I sometimes went off-topic and simply forgot that we were not casually catching up.

I really enjoyed interviewing my partner, although she reported feeling a little nervous. She reported that her anxiety was part of not knowing what to expect and what the interview might entail. Still, she could look over her experiences and recognize the extent of progress that happened along the way.

I found it easy to come up with questions since I could deeply relate to her answers. As for my role as the interviewee, I had to ponder some engaging questions. Along the way, I got reminded of several significant events that impacted my approach to psychiatric nursing. Both my partner and I felt more uneasy when being interviewed as opposed to being the interviewer.

We discussed quite a few stages of our education during the assignment, from start to present. In the beginning, we both found it a challenge to balance our personal lives and school obligations. As time went on, we finally felt like we had a handle on a healthy school/life balance. Peer posts.

At that point – we had our first clinical, and it got even more difficult to adapt to school, life, and the clinical. Still, we felt motivated and excited to learn more, enhance our skills and perform better in clinical settings.

Qualitative Content Analysis Process

Upon gathering the information that I provided as the interviewee, we proceeded to the next step of organizing and managing narrative data. We carefully reviewed the information in order to develop a coding scheme, which is meant to help us access classified information without having to read the entire interview over and over again (Woo, 2019).

The main challenge was to capture the themes or abstract categories within the content. We started with a thorough analysis of the collected data, which we then classified into small units, coded, named, and grouped based on shared concepts.

The main themes that emerged during the review were captured as “1. Struggling to Balance School and Personal Life”, “2. Starting to Have a Sense of Accomplishment”, and “3. Excitement about becoming a registered psychiatric nurse”.

The first theme was divided into smaller labels, precisely: “A. Feeling overwhelmed by the new obligations”, and “B. Using all free time to study”. At the beginning of my educational program, I had to learn the basics of psychiatric nursing and familiarize myself with a broad spectrum of psychiatric symptoms, conditions, and treatment options.

I was overwhelmed and overly focused on school obligations and studying. When I was supposed to take part in the first clinical, it became even harder to have a good school/life balance.

In regard to the second theme captured, the sense of accomplishment emerged after a few months of constant studying and taking part in clinicals. More specifically, we labelled “A. Being able to answer the professors’ questions”, “B. Being able to assess the client and come up with the right nursing diagnosis”, and “C. Learning how to approach clients and build a therapeutic relationship”. I felt that I could utilize my theoretical knowledge in practical settings and approach patients better.

Finally, the third theme was consistently present throughout the interview and labelled as “A. Wishing to engage in independent work” and “B. Being eager to explore options for future career”. I believe most psychiatric student nurses feel an urge to start working with clients, enrich their skills and find joy in helping people.

Themes of Content (Gillian Interview, Gurjot Interviewer)

1. Struggling to Balance School and Personal life
A. Feeling overwhelmed by the new obligations
B. Using all free time to study
2. Starting to Have a Sense of Accomplishment
A. Being able to answer the professors’ questions
B. Being able to assess the client and come up with the right diagnosis C. Learning how to approach clients and build a therapeutic relationship
3. Excitement about Becoming a Registered Psychiatric Nurse
A. Wanting to engage in independent work
B. Being eager to explore options for future career

Gillian Roosevelt-Montgomery and Gurjot Kang

References

Woo, K. (2019). Polit & Beck Canadian Essentials of Nursing Research (4th ed.). Wolters Kluwer Health

Second IDP – Psych social rehabilitation in Psychiatric nursing

Create a 250-word peer post of the IDP below, with some description and explanation of how you reached these conclusions.

FYI- The article reviewed in this initial discussion post by my class mate is: https://healthydebate.ca/2017/04/topic/developmental-disabilities-mental-health/.

The article I picked this week was Developmental Disabilities, Mental Health Issues Often Overlap by Yona Lunsky and Robert Balogh. This article focuses on the Canadian mental health system and a group of individuals that are rarely recognized but are in need of a great amount of services and support (Lunsky & Balogh, 2017).

These individuals include those that have developmental disabilities such as down syndrome, fetal alcohol syndrome, and autism. The reason this population was not recognized in statistics, policies, education, training, and clinical practice is because they typically receive care through a different system (Lunsky & Balogh, 2017).

Most of these individuals were taken care of through institutional care, however, in Canada over the past couple of decades have closed these institutes to emphasize community inclusion (Lunsky & Balogh, 2017). Due to this transition, the needs of individuals with developmental disabilities have not been adequately addressed and have cost the health care system a lot of money.

This article mentions a report that was done in 2016 that shows adults with developmental disabilities were going to the emergency department frequently and had long hospitalization with half of their hospitalizations occurring due to psychiatric issues.

A study done in Toronto found that 45% of adults with developmental disabilities also had at least one psychiatric disorder (Lunsky & Balogh, 2017). This population was also found to be commonly homeless, incarcerated, causing family burnout, or were abused and neglected (Lunsky & Balogh, 2017).

Unfortunately, those with developmental disabilities are treated by mental health and general health workers who are typically unfamiliar with their disabilities and don’t feel comfortable working with them, as training around these disabilities is quite limited (Lunsky & Balogh, 2017).

To combat these issues, this article suggests screening for developmental issues early in life as this will help obtain an accurate diagnosis for the individual so they can receive proper treatment and support early on.

This would decrease the number of emergency visits and hospitalizations as mental health care providers can deliver care in an outpatient-based service (Lunsky & Balogh, 2017).
After doing a bit of reflection, this article will influence my current and future practice because it made me realize that we have not learned much about developmental disabilities up until this point.

Knowing that these individuals have a hard time navigating the healthcare system to get proper help through current mental health services encourages me to become more informed about these disabilities. Becoming more familiar with developmental disabilities is essential to ensure these individuals are able to access all the resources they may need.

For example, individuals with fetal alcohol syndrome in BC are able to get a referral to the Compex Developmental Behavioural Conditions Network, which offers services for those who have difficulties in their development and learning, mental health, and social skills (Government of British Columbia, 2022).

Since the best approach for these individuals is strength-based it is essential to involve their families so they can help tailor the support and resources being used. Overall, this article will definitely influence my future practice as I was unaware of the inadequate care those with developmental disabilities receive.

References
Government of British Columbia. (2022). Fetal alcohol spectrum disorder (FASD).https://www2.gov.bc.ca/gov/content/health/managing-your-health/child-behaviour-development/support-needs/fetal-alcohol-spectrum-disorder-fasd
Lunsky, Y., & Balogh, R. (2017). Developmental disabilities, mental health issues often overlap. Healthy Debate.
https://healthydebate.ca/2017/04/topic/developmental-disabilities-mental-health/

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Solution

Peer Posts

Nursing Research: Data Collection

Using an interview in data collection is important to collect relevant data and gain insight into what interviewers think and feel.  Peer posts.An unstructured interview sets the tone of the conversation. It ensures clients relax during the whole process, as they are a form of social interaction (“Interview method of data collection in research,” 2018).

Using unstructured interviews to collect data gives insight into what others feel, especially when the interviewer’s area of expertise is known (Mcleod, 2014). Sometimes, individuals can lose track of the purpose of the interview and collect extensive data that lacks merit; hence it is important to pay close attention to the conversation’s direction. The whole process was also very flexible and adapted to the change in the respondent’s answers.

The interview allowed the interviewer to probe further into the challenges and wins associated with the coursework. The observation is true because an unstructured interview method is an added advantage of validating answers through constant probing and steering the conversation in the desired direction.

The interviews are relevant to obtaining a clear understanding of the issues and determining the desired action plan. In this case, the discussion revealed the challenges associated with the coursework and desired to have clarity on how to handle future tasks.

However, the interview process is time-consuming and requires time to sort through the information and organize it for easy understanding at a glance. The authors agreed with the observation, as they had to categorize the data into smaller labels that were relatable. Peer posts.

The interview process was also a simulation for future roles as a psychiatrist. It enabled the students to familiarize themselves with the broad spectrum of psychiatric symptoms and learn how to appreciate clients better to build strong therapeutic relationships. Peer posts.

Psych Social Rehabilitation in Psychiatric Nursing

Individuals with developmental disorders are usually the most vulnerable members of any community, especially with policy changes that do not support previously established channels of obtaining help. I agree with the observation that most patients who frequent the emergency department are those with neurodevelopmental disorders, which results in additional costs to the healthcare system (Vecchio et al., 2018).

Several studies highlight the effects of frequent emergency room visits and associate it with overcrowding, poor patient satisfaction, prolonged hospital stays, and an increase in the overall cost of healthcare services. Peer posts.

Vecchio and his colleagues also found that most emergency visits and hospitalizations occurred for individuals with developmental disorders who lacked stable homes. Unfortunately, the healthcare workers who received the patients were ill-equipped to work with them because they were unfamiliar with their disabilities or suffered burnout.

Psychiatric nursing is mandated to provide information on individuals with developmental disorders (Sivakumar, 2016). It also focuses on the services offered and provides a platform from where they get help through proper mental health services. Peer posts.

I also agree that the best time for individuals to get screened for developmental disorders would be at a younger age. It ensures the diseases are identified early on and addressed there and then that psychiatrists use proper treatment plans. Peer posts. It also means that there would be a decrease in the number of emergency room visits, as the patients would receive treatment in outpatient setups.

References

Interview method of data collection in research. (2018, December 13). MBA Knowledge Base. https://www.mbaknol.com/research-methodology/interview-method-of-data-collection-in-research/

Mcleod, S. (2014). The interview research method. Study Guides for Psychology Students – Simply Psychology. https://www.simplypsychology.org/interviews.html

Sivakumar, V. (2016, March 1). Nurses role in psychiatric rehabilitation services: E-manual. ResearchGate. https://www.researchgate.net/publication/349028781_NURSES_ROLE_IN_PSYCHIATRIC_REHABILITATION_SERVICES_E-Manual

Vecchio, N., Davies, D., & Rohde, N. (2018). The effect of inadequate access to healthcare services on emergency room visits. A comparison between physical and mental health conditions. PLOS ONE13(8), e0202559. https://doi.org/10.1371/journal.pone.0202559

 

 

 

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