The inspiration of hope in bereavement counselling

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The Commonality and Synchronicity of Mental Health Nurses and Palliative Care Nurses: Closer than you Think? Part Two

This is the second of a two-part paper which explores the areas of commonality and synchronicity between palliative care (PC) nurses and mental health nurses. The authors argue that this commonality is best articulated under the headings: defining the needs of the client group, the role of the nurse in non-physical care, the nurse–client relationship, and the locus of control. They also argue that the differences between these groups of nurses are best articulated under the headings: facilitation/confrontation and the focus on physical care. Part one focused on the first three areas of commonality, whereas this paper focuses on the fourth commonality, the locus of control. It also focuses on key differences and the implications of such similarity. The paper highlights the practice, education and research implications of this alleged commonality. It suggests, given the evidence that clients perceive the therapeutic relationship as the vital and unique aspect of PC nursing, that those working within palliative care need to question whether or not RGN registration is an essential requirement, or whether those with other skills, such as psychiatric/mental health (P/MH) nurses, should be considered for such roles. It highlights the need for the provision of post-basic counselling courses and the potential value for PC nurses of receiving clinical supervision from P/MH nurses or mental health liaison nurses. Lastly, it posits that the research issues arising out of this alleged commonality centre on the potential impact such transitions in care delivery may have on the care delivered, on the nurses themselves and on the clients

Psychometric properties of the Italian version of the Nurses' Global Assessment of Suicide Risk (NGASR) scale

Scopo. Le persone affette da disturbi mentali presentano un rischio di suicidio superiore rispetto alla popolazione generale. La valutazione dei fattori di rischio pu\uf2 aiutare i professionisti a ridurre la probabilit\ue0 che l\u2019evento si verifichi. La scala Nurses\u2019 Global Assessment of Suicide Risk (NGASR) si \ue8 dimostrata valida e affidabile, in diversi contesti, nel supportare la valutazione infermieristica del rischio di suicidio. L\u2019obiettivo di questo studio \ue8 stato quello di testare le propriet\ue0 psicometriche della versione italiana della NGASR. Metodi. \uc8 stata prodotta la versione italiana della scala, successivamente somministrata a un campione di 121 pazienti ricoverati all\u2019interno di due Servizi Psichiatrici di Diagnosi e Cura. Risultati. Il Content Validity Index-Scale (CVI-S) \ue8 risultato pari a 96,7%, la correlazione con i punteggi della Scale for Suicide Ideation (SSI) \ue8 forte (r=,98, p<0,001). L\u2019affidabilit\ue0 intervalutatore (rho=,97, p<,001) e la stabilit\ue0 del test (p=0,96) sono state soddisfacenti. L\u2019analisi fattoriale esplorativa ha evidenziato la presenza di 5 fattori e i 15 item dell\u2019NGASR-ita hanno spiegato il 61,29% della varianza totale. Dei 121 soggetti valutati al momento dell\u2019ammissione in reparto, il 25,62% presentava un rischio suicidario medio o superiore. Discussione e conclusioni. L\u2019utilizzo di uno strumento di screening a sostegno della valutazione del rischio \ue8 altamente raccomandato. La NGASR-ita si \ue8 dimostrata valida e affidabile e dunque adatta alla valutazione infermieristica del rischio suicidario nel contesto psichiatrico italiano.Aim. People with mental disorders have higher risk of suicide compared to the general population. Assessment of risk factors can help nurses reducing suicidal risk. The Nurses' Global Assessment of Suicide Risk scale (NGASR) has proven valid and reliable in supporting the nursing evaluation of suicidal risk in different studies. The aim of the study was to examine the psychometric properties of the NGASR in the Italian population. Methods. We translated the scale and administered it to a sample of 121 patients admitted to acute psychiatric wards. Results. The Content Validity Index-Scale (CVI-S) was 96.7%, the correlation with the Scale for Suicide Ideation (SSI) score was high (r=.98, p<.001). Inter-rater reliability (rho=.97, p<.001), and test-retest stability (p=.96) were satisfactory. Factor analysis pointed out 5 factors and the 15 items of the NGASR-ita explained 61.29% of total variance. Of the 121 subjects assessed upon admission, 25.62% had average or higher suicidal risk. Discussion and conclusions. The use of valid screening tools in support of Suicide risk assessment is recommended. The NGASR-ita is a valid and reliable tool. suitable for nursing assessment of suicidal risk in the acute psychiatric setting