Adaptation, Competence, Mixed Method Implementation Study, Psychiatric Nursing, Psychoeducation
Conditions
Keywords
psychiatric nursing, psychoeducation, role performance, Roy Adaptation Model, coronavirus pandemic
Brief summary
The Role Performance Strenghthening Program (RPSP) based on the Roy Adaptation Model was structured to increase the competence and adaptive performance levels of nurses working in pandemic units and to strenghthen role performance of nurses. In the measurements made after the completion of the program, it was determined that the competence and adaptive performance level of the nurses increased. It was found that the Roy Adaptation Model was suitable for use in research to be conducted on a nurse sample regarding coping with the challenges caused by coronavirus pandemic. It is recommended that the RPSP be included in institutional training programs.
Detailed description
It has been understood that supporting the mental health and resilience of nurses who are vulnerable to the difficulties experienced during the pandemic process is of great importance. In this context, it has been revealed that there is a need for supportive psychiatric nursing practices; that psychiatric nurses need to help their colleagues cope with difficulties during difficult processes such as the pandemic. Based on this need, a psychoeducation program was written in this doctoral thesis to support and strengthen nurses during the pandemic process. This program, called Role Performance Strengthening Program, is shaped within the framework of cognitive behavioral approach elements and is based on the Roy Adaptation Model. It is thought that the competence and adaptive performance level of nurses will increase through this structured psychoeducation program; therefore, the competence and adaptive performance level of nurses will be maintained and even increased during difficult processes such as the pandemic.
Interventions
OTHERRole Performance Strenghthening Program
This intervention was developed by the researcher within the scope of her doctoral dissertation. The intervention is an individual psychoeducation program; it was written and structured within the framework of cognitive behavioral therapy, based on the Roy Adaptation Model. The intervention was structured on the idea of empowering nurses working in pandemic units.
Sponsors
Akdeniz University Hospital
Akdeniz University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Intervention model description
The research process has four stages: Pre-action, action, post-action and follow-up. In the Pre-Action Stage, quantitative data were collected from 54 nurses volunteered to participate in the research. According to the obtained score averages determined a risk group. This risk group consisted of 42 nurse. 35 of these nurses accepted to have a semi-structured interview before the action. With the information obtained from the analysis of the collected quantitative and qualitative data, the Role Performance Strengthening Program was structured based on the Roy Adaptation Model. In the Action Stage, 35 nurses were invited to participate in the RPSP, and 10 nurses accepted to participate. A psychoeducation program was implemented to 10 nurses. In the Post-Action Stage, quantitative and qualitative measurements were repeated one week after the last session with each nurse. In the Follow-up Stage, quantitative and qualitative measurements were repeated four weeks after the last sessions.
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Working as a nurse in pandemic clinics, pandemic intensive care units or the orange area of the emergency room, * Having a competency score average below 26 as a result of measurements made with the Nursing Competency Scale, * Accepting to participate in the research in writing and verbally, * Accepting to participate in all sessions of the Role Performance Strenghthening Program. -
Exclusion criteria
• It has been determined that the person is continuing a therapy program to cope with the problems he/she experiences due to working during the pandemic. -
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Scoring below 26 on the Nurse Competence Scale | All quantitative and qualitative data of the first phase of the research were collected in approximately 8 weeks. | Quantitative data collection forms were first given to 54 nurses by the researcher and collected. After the scores obtained from these forms were collected and averaged, 42 nurses who received less than 26 points from the Nurse Competence Scale were selected. Getting less than 25 points from the Nurse Competence Scale is an indicator of low level of competence. Nurses' competence levels were measured with a visual analog scale (VAS) ranging from 0 to 100 points. Scores below 25 indicate low competence; scores between 25 and 49 indicate slightly good competence; scores between 50 and 75 indicate good competence; and scores above 75 indicate very good competence. |
Countries
Turkey (Türkiye)
Outcome results
None listed