How can we make the psychiatric workforce more family focused?

[Extract] Initially, the chapter outlines what we mean by family approaches and then overviews our conception of a continuum of family-focused care and expectations for psychiatric agencies and workers. A brief theoretical review of family-focused care is then outlined followed by information about barriers and enablers to family-focused practice. The chapter ends with reflections from multiple countries regarding the current state of family-focused practice and potential ways forward in each country

Integrated behavioral health model for COVID-19 patients

No abstract available

Psychological impact of COVID-19 on healthcare workers: cross-sectional analyses from 14 countries

Abstract Background Healthcare workers (HCWs) have been impacted psychologically due to their professional responsibilities over the prolonged era of the coronavirus disease 2019 (COVID-19) pandemic. The study aimed to identify the predictors of psychological distress, fear, and coping during the COVID-19 pandemic among HCWs. Methods A cross-sectional online survey was conducted among self-identified HCWs across 14 countries (12 from Asia and two from Africa). The Kessler Psychological Distress Scale, the Fear of COVID-19 Scale, and the Brief Resilient Coping Scale were used to assess the psychological distress, fear, and coping of HCWs, respectively. Results A total of 2447 HCWs participated; 36% were doctors, and 42% were nurses, with a mean age of 36 (±12) years, and 70% were females. Moderate to very-high psychological distress was prevalent in 67% of the HCWs; the lowest rate was reported in the United Arab Emirates (1%) and the highest in Indonesia (16%). The prevalence of high levels of fear was 20%; the lowest rate was reported in Libya (9%) and the highest in Egypt (32%). The prevalence of medium-to-high resilient coping was 63%; the lowest rate was reported in Libya (28%) and the highest in Syria (76%). Conclusion COVID-19 has augmented the psychological distress among HCWs. Factors identified in this study should be considered in managing the wellbeing of HCWs, who had been serving as the frontline drivers in managing the crisis successfully across all participating countries. Furthermore, interventions to address their psychological distress should be considered

The Experiences of people in Northern Thailand living with Diabetic Foot Ulcers: A descriptive qualitative study

Diabetic foot ulcers are a main cause of morbidity related to type 2 diabetes. Living with a diabetic foot ulcer has a significant impact on health-related quality of life and has a negative impact on daily living among people with the condition. The aim of this study was to explore the experiences of Thai adults living with diabetic foot ulcers using a descriptive qualitative design. Participants were recruited from the outpatient diabetes and foot clinic at a tertiary teaching hospital in Northern Thailand from January to April 2017. In-depth interviews were conducted with 13 participants using a semi-structured interview guide. Thematic analysis was used to identify the participants\u27 experiences and two themes were identified: 1) living with a diabetic foot ulcer and 2) managing a diabetic foot ulcer. The findings enhance the knowledge of healthcare professionals and the public to understand the experience of having diabetic foot ulcers and contribute to understanding how to manage a diabetic foot ulcer based on the participant\u27s experiences in the Thai context. Nurses must provide knowledge and self-care skills as part of routine care to improve health-related quality of life for people with diabetic foot ulcers

A Grounded Theory Study of Thai Family Caregiving Process for Relatives with First Episode Psychosis

This grounded theory study explored the family caregiving process for relatives with first-episode psychosis related to schizophrenia spectrum disorders. The study was conducted during May 2013-March 2014 in lower northeastern region of Thailand using semi-structured interviews and observations, and involved 31 participants from 18 Thai families. The data were analyzed by using Strauss and Corbin\u27s constant comparative method until theoretical saturation was achieved. The core category emerging from the data was Balancing family life, which consisted of three phases: 1) Communicating to gain support and understanding, 2) Capturing solution, and 3) Engaging in the family caregiving role. To keep balance in their family life, family members needed to encourage and support each other and gain understanding toward the illness on Phase I. They also consulted one another; got suggestions from older or senior person; or depended on the primary caregiver\u27s decision for capturing solutions for care for their relatives in Phase 2. Finally, in Phase 3 they developed their sense of caring; shared care responsibility; provided essential care and controlling illness symptoms once they engage in the family caregiving role. These rich findings provide insight into caregiving in the Thai family context, especially in how they interacted and helped each other in order to provide care for relatives with first episode psychosis. Understanding of this process can assist with the development of interventions to enhance family members\u27 abilities to take on the caregiver role and to provide effective care for their relatives with first-episode psychosis

Methodology for JBI umbrella reviews

Every year the Joanna Briggs Institute publishes a Reviewers\u27 Manual, which is designed to support individuals who are undertaking systematic reviews following JBI methodologies and methods. This chapter represents the latest work and methodological development of the Institute that was not ready for inclusion in the 2014 edition of the Reviewers\u27 Manual that was published in January. As with the Reviewers\u27 Manual we recommend that this chapter be utilised in conjunction with the JBI SUMARI User Guide. Please note that this chapter makes reference to forthcoming analytical modules that do not currently exist in the JBI SUMARI software suite, but should be available in 2015. For advice on how to best apply the current software to accommodate this new methodology please contact the Synthesis Science Unit of the Institute at [email protected]

Mental health professionals' family-focused practice with families with dependent children:A survey study

Background:Many people with a mental illness are parents caring for dependent children. These children are atgreater risk of developing their own mental health concerns compared to other children. Mental health services areopportune places for healthcare professionals to identify clients’parenting status and address the needs of theirchildren. There is a knowledge gap regarding Thai mental health professionals’family-focused knowledge andpractices when working with parents with mental illness and their children and families.Methods:This cross–sectional survey study examined the attitudes, knowledge and practices of a sample (n= 349)of the Thai mental health professional workforce (nurses, social workers, psychologists, psychiatrists) using atranslated version of the Family-Focused Mental Health Practice Questionnaire (FFMHPQ).Results:The majority of clinicians reported no training in family (76.8%) or child-focused practice (79.7%). Compared toother professional groups, psychiatric nurses reported lower scores on almost all aspects of family-focused practiceexcept supporting clients in their parenting role within the context of their mental illness. Social workers scoredhighest overall including having more workplace support for family-focused practice as well as a higher awareness offamily-focused policy and procedures than psychiatrists; social workers also scored higher than psychologists onproviding support to families and parents. All mental health care professional groups reported a need for training andinter-professional practice when working with families.Conclusions:The findings indicate an important opportunity for the prevention of intergenerational mental illness inwhose parents have mental illness by strengthening the professional development of nurses and other healthprofessionals in child and family-focused knowledge and practice

Summarizing systematic reviews: methodological development, conduct and reporting of an umbrella review approach

Aims: With the increase in the number of systematic reviews available, a logical next step to provide decision makers in healthcare with the evidence they require has been the conduct of reviews of existing systematic reviews. Syntheses of existing systematic reviews are referred to by many different names, one of which is an umbrella review. An umbrella review allows the findings of reviews relevant to a review question to be compared and contrasted. An umbrella review\u27s most characteristic feature is that this type of evidence synthesis only considers for inclusion the highest level of evidence, namely other systematic reviews and meta-analyses. A methodology working group was formed by the Joanna Briggs Institute to develop methodological guidance for the conduct of an umbrella review, including diverse types of evidence, both quantitative and qualitative. The aim of this study is to describe the development and guidance for the conduct of an umbrella review. Methods: Discussion and testing of the elements of methods for the conduct of an umbrella review were held over a 6-month period by members of a methodology working group. The working group comprised six participants who corresponded via teleconference, e-mail and face-to-face meeting during this development period. In October 2013, the methodology was presented in a workshop at the Joanna Briggs Institute Convention. Workshop participants, review authors and methodologists provided further testing, critique and feedback on the proposed methodology. Results: This study describes the methodology and methods developed for the conduct of an umbrella review that includes published systematic reviews and meta-analyses as the analytical unit of the review. Details are provided regarding the essential elements of an umbrella review, including presentation of the review question in a Population, Intervention, Comparator, Outcome format, nuances of the inclusion criteria and search strategy. A critical appraisal tool with 10 questions to help assess risk of bias in systematic reviews and meta-analyses was also developed and tested. Relevant details to extract from included reviews and how to best present the findings of both quantitative and qualitative systematic reviews in a reader friendly format are provided. Conclusions: Umbrella reviews provide a ready means for decision makers in healthcare to gain a clear understanding of a broad topic area. The umbrella review methodology described here is the first to consider reviews that report other than quantitative evidence derived from randomized controlled trials. The methodology includes an easy to use and informative summary of evidence table to readily provide decision makers with the available, highest level of evidence relevant to the question posed

Nursing students' and faculty members' experiences of online education during COVID-19 across Southeast Asia: a photovoice study

Background: The COVID-19 pandemic has caused extraordinary disruptions to education systems globally, forcing a rapid switch from conventional to online education. Although some qualitative studies have been carried out exploring the online education experiences of nursing students and faculty members during the COVID-19 pandemic, to our knowledge, no study has used the Photovoice approach. Objectives: To explore the experiences of nursing students and faculty members as related to online education during the COVID-19 pandemic. Design: A descriptive qualitative design using Photovoice was adopted. Setting: The study took place across five countries and one city in Southeast Asia (Indonesia, Malaysia, the Philippines, Thailand, Vietnam, and Hong Kong). Participants: Fifty-two nursing students and twenty-eight nursing faculty members who participated in online education during the COVID-19 pandemic. Methods: Each participant submitted one photo substantiated with written reflections. Data were analysed using thematic analysis. Ethical approval was obtained from institution-specific ethics boards. Results: Three themes and eleven sub-themes emerged from the data. The three main themes were: 1) Psychological roadblocks to online education; 2) Developing resilience despite adversities; and 3) Online education: What worked and what did not