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Evidence Based Nursing Research: Mental Health Hospital

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Evidence Based Nursing Research: Mental Health Hospital

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Evidence Based Nursing Research: Mental Health Hospital

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Question:
Discuss about the Evidence Based Nursing Research for Mental Health Hospital.
 
Answer:
Introduction:

‘A tale of two cultures: examining patient-centered care in a forensic mental health hospital’
Aim of the Research
The article is a quantitative research that was conducted by James D. Livingston, Johann Brink, and Alicia Nijdam-Jones and published by the Journal of Forensic Psychiatry & Psychology in March 2012. The major aim of the research was to study the effectiveness of the principle of patient-centered care in a forensic mental hospital. Since the study was to find out the use of the approach in a hospital setting, it has to be done from the perspective of forensic mental health care providers and patients. As clearly outlined by these scholars, patient-centered approach can be quite beneficial is applied in treating mentally-ill patients. Since it is based on the principle of information, the health care provider can apply it in the provision of education to the patient. Mental illness is a very serious condition that requires an active involvement of the health care provider, the patient, family members and carers (Lamb, 2015).
 
Population Sample
Since the major aim of this research was to study the applications of patient-centered approach in a forensic mental hospital, a target population was exclusively narrowed to forensic mental illness patients and forensic mental health care providers. In total, the research incorporated a sample of 30 patients. Before participation into the study, one had to consent because it was voluntary (DiCenso; Cullum & Ciliska, 2011). The selection criteria or the participants were clearly outlined. For one to participate, one had to meet the following eligibility criteria: be 19 years of age and above, able to comprehend and speak English language, had been receiving treatment at the hospital within the previous 1 month or more, and had been approved by their respective psychiatrists to participate in the research. As a result of this, out of the 30 participants, there were 24 (80%) men, 6 (20%) women, 26 (87%) whites, and 4 (13%) non-whites. In terms of demographics, the average age was set at 40 years. And 57% of the sample had acquired at least high school education. The sample was distributed amongst patients suffering from different mental conditions with schizophrenia accounting for 60%, schizoaffective disorder accounting for 17%, bipolar disorder accounting for 10%, other psychotic disorders accounting for 7%, and unknown disorders accounting for 7%).
On the other hand, a proportionate sample was selected to represent the health care providers. For eligibility, a health care provider had to have been working in a therapeutic or clinical role at the facility for at least six months (Melnyk, Gallagher‐Ford, Long & Fineout‐Overholt, 2014). As a result, 28 participants were included to participate in the study. This was made up of 14 (50%) men, 14 (50%) women, 24 (89%) whites and 4 (11%) non-whites. The average age for the providers was set at 43 years. And in terms of professional distribution, the participants composed of 13 (46%) health care workers, 9 (32%) psychosocial rehabilitators, 3 (11%) psychiatrists, and 3 (11%) social workers. in terms of experience, 27 (SD = 7.7) of the participants reported to have been working at the facility for 10 years. This is a clear indication that the research had involved the use of cluster sampling strategy in which the participants were divided into categories with each member of each getting an equal opportunity of participating in the research. It was indeed proportionate, unbiased and representational.
Research Methodology
As already hinted, this was a quantitative research that involved the collection of data using appropriate tools. To ensure that everything was done as per the required standards, the researchers sought for the informed consent of the participants. Besides, the study protocol had to be dully approved by the relevant authorities (Fairman, Rowe, Hassmiller & Shalala, 2011). The data was collected by using interviews. Here, semi-structured interviews were conducted on the patients. This was done in a private place that would not be attended by any other person rather than a graduate research assistant who had been given authority to do so (Flick, 2015). Each interview lasted for approximately one hour with each participant asked a wide range of questions on patient-centered care in a forensic hospital setting.
Unlike the patients, data from the providers was gathered using survey (Holloway & Wheeler, 2013). The providers who participated in the study were given online questionnaires in which a series of questions pertaining to patient-centered care in a forensic mental hospital were asked. These questions were different from those of the patients because it was mainly focusing on areas of internal consistency, weaknesses and the possible improvement measures for patient-centered care (Barlow, 2012). All these data were later analyzed SPSS version 14.0.
 
References
Barlow, D. (2012). The Oxford Handbook of Clinical Psychology. New York: Oxford University Press.
DiCenso, A.; Cullum, N. & Ciliska, D. (2011). Implementing evidence-based nursing: some misconceptions. Evidence Based Nursing 1 (2): 38–40. doi:10.1136/ebn.1.2.38.
Fairman, J. A., Rowe, J. W., Hassmiller, S., & Shalala, D. E. (2011). Broadening the scope of nursing practice. New England Journal of Medicine, 364(3), 193-196. DOI:
10.3912/OJIN.Vol19No02Man02 Flick, U. (2015). Introducing research methodology: A beginner’s guide to doing a research project. Thousand Oaks: Sage. Holloway, I., & Wheeler, S. (2013). Qualitative research in nursing and healthcare. New York: John Wiley & Sons. 
Melnyk, B. M., Gallagher‐Ford, L., Long, L. E., & Fineout‐Overholt, E. (2014). The establishment of evidence‐based practice competencies for practicing registered nurses and advanced practice nurses in real‐world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on   Evidence‐Based Nursing, 11(1), 5-15. doi: 10.1111/wvn.12021. Epub 2014 Jan 21.

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