Experiences of final-year nursing students during mental health internships. Qualitative analysis
análise qualitativa
DOI:
https://doi.org/10.33159/25959484.repen.2024v35a03Keywords:
Investigación cualitativa, estudiantes de enfermeria, Salud mental, Prácticas clínicas, Pensamiento crítico, Método de enseñanzaAbstract
Objective: To explore the feelings, perceptions, and experiences of nursing students in mental health units during their clinical practices. Method: Qualitative study. Purposive sample of 81 students of the nursing degree enrolled in the subject of clinical practices in Mental Health Care Units. During these, a dynamic debate forum was incorporated. The forums were analyzed through a content analysis. Results: 6 forums were held with a total of 604 participations, with an average of 100. Six categories emerged: understanding mental illness, nursing interventions, stigma, therapeutic relationship, living with mental illness, learning. Conclusion: Negative stereotypes, shame and stigma imposed by society are obstacles that students must overcome. A methodology that accompanies them during the internship leads them to a process of reflection, integrating people's beliefs and values, applying knowledge and clinical judgment.References
1. Reverté-Villarroya S, Gil-Mateu E, Sauras-Colón E, Barceló-Prats J, Albacar-Riobóo N, Ortega L. Stressor factors for Spanish nursing students in a pandemic context: an observational pilot survey. Nurs Rep. 2022;12(4):708–16. https://doi.org/10.3390/nursrep12040070
2. Osorio-Spuler X, Illesca-Pretty M, Gonzalez-Osorio L, Masot O, Fuentes-Pumarola C, Reverté-Villarroya S, et al. Emotional exhaustion in nursing students: a multicenter study. Rev Esc Enferm USP. 2023;57:e20220319. https://doi.org/10.1590/1980-220X-REEUSP-2022-0319en
3. Torales J, Aveiro-Róbalo TR, Ríos-González C, Barrios I, Almirón-Santacruz J, González-Urbieta I, et al. Discrimination, stigma and mental health: ¿what’s next? Int Rev Psychiatr [Internet]. 2023 [cited 2023 Oct 4];353(4):242–50. Available from: https://www.tandfonline.com/action/journalInformation?journalCode=iirp20
4. Thornicroft G, Sunkel C. Announcing the Lancet Commission on stigma and discrimination in mental health. Lancet [Internet]. 2020[cited 2023 Oct 11];39610262):1543–4. Available from: http://www.thelancet.com/article/S0140673620322030/fulltext
5. Demir S, Ercan F. The first clinical practice experiences of psychiatric nursing students: a phenomenological study. Nurse Educ Today. 2018;61:146–52. https://doi.org/10.1016/j.nedt.2017.11.019
6. Günaydin N, Çoban SA. Experiences of nursing students during clinical education in mental health clinics: a phenomenological qualitative study. Nurse Educ Pract. 2021;54. https://doi.org/10.1016/j.nepr.2021.103113
7. Goh YS, Owyong JQY, Seetoh YM, Hu Y, Chng ML, Li Z. Exploring pedagogies used in undergraduate mental health nursing curriculum: an integrative literature review. Int J Ment Health Nurs. 2021;30(1):47-61. https://doi.org/10.1111/inm.12816
8. Chua WW, Kuek JHL, Goh YS. Nursing students’ perceptions toward recovery in mental health: a descriptive qualitative study. J Am Psychiatr Nurses Assoc. 2023;29(3):215–23. https://doi.org/10.1177/10783903211023564
9. Happell B, Platania-Phung C, Scholz B, Bocking J, Horgan A, Manning F, et al. Changing attitudes: the impact of Expert by Experience involvement in Mental Health Nursing Education: an international survey study. Int J Ment Health Nurs. 2019;282):480-91. https://doi.org/10.1111/inm.12551
10. Zuriguel Pérez E, Lluch Canut MT, Falcó Pegueroles A, Puig Llobet M, Moreno Arroyo C, Roldán Merino J. Critical thinking in nursing: scoping review of the literature. Int J Nurs Pract. 2015;21(6):820–30. https://doi.org/10.1111/ijn.12347
11. Schön DA. La formación de profesionales reflexivos: hacia un nuevo diseño de la enseñanza y el aprendizaje en las profesiones. Barcelona: Ediciones Paidós Ibérica; 1992.
12. Cerecero Medina IE. Diez modelos relacionados con la práctica reflexiva. Rev Panam Pedag [Internet]. 2019 [cited 2023 Dec 12];28. Available from: https://revistas.up.edu.mx/RPP/article/view/1671
13. Shaygan M, Jaberi A, Hosseini A, Moghadam MF. How to prepare nursing students for mental health clinical engagement: a qualitative study. BMC Med Educ. 2023;23:672. https://doi.org/10.1186/s12909-023-04657-8
14. Traverse M, Chong J, Sutherland JL. Nursing student experiences with the mental health population: a scoping review of qualitative and quantitative evidence. Issues Ment Health Nurs. 2022;43(6):568–77. https://doi.org/10.1080/01612840.2021.2003491
15. Patterson CF, Moxham L, Brighton RM, Taylor EK, Liersch S. Nursing students’ reflections on the learning experience of a unique mental placement. Nurse Educ Today. 2016;46:94-8 https://doi.org/10.1016/j.nedt.2016.08.029
16. Silva Quiroz J, Maturana Castillo D. Una propuesta de modelo para introducir metodologías activas en educación superior. Innov Educ [Internet]. 2017[cited 2023 Dec 12];177(3):117-31. Available from: https://www.redalyc.org/articulo.oa?id=179450594006
17. Gil-Mateu E, Reverté-Villarroya S, Albacar-Riobóo N, Barceló-Prats J. A hybrid methodology for the evaluation of clinical practice in final-year nursing students. Nurs Rep [Internet]. 2023[cited 2023 Dec 12];13(3):1004–15. Available from: https://www.mdpi.com/2039-4403/13/3/88
18. Bardin L. Análisis de contenido. 2a ed. Akal; 1996.
19. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–57. https://doi.org/10.1093/intqhc/mzm042
20. Ceballos Ospino GA, Jiménez Villamizar MP, De La Torre Hasbun H, Suarez Colorado YP. Estigma-discriminación hacia personas con trastornos mentales en estudiantes de medicina. Perspect Interv. 2020;15(2):238-51. https://doi.org/10.37511/tesis.v15n2a13
21. Ma CF, Chien WT, Bressington DT. Family intervention for caregivers of people with recent-onset psychosis: a systematic review and meta-analysis. Early Interv Psychiatry. 2018;12(4):535–60. https://doi.org/10.1111/eip.12494
22. Hestmark L, Heiervang KS, Pedersen R. Hansson KM, Ruud T, Romøren M. Family involvement practices for persons with psychotic disorders in community mental health centres: a cross-sectional fidelity-based study. BMC Psychiatry. 2021;21:285. https://doi.org/10.1186/s12888-021-03300-4
23. Gainsford K, Fitzgibbon B, Fitzgerald PB, Hoy KE. Transforming treatments for schizophrenia: Virtual reality, brain stimulation and social cognition. Psychiatry Res [Internet]. 2020[cited 2023 Nov 7];288. Available from: https://pubmed.ncbi.nlm.nih.gov/32353694/
24. Cassani R, Novak GS, Falk TH, Oliveira AA. Virtual reality and non-invasive brain stimulation for rehabilitation applications: a systematic review. J Neuroeng Rehabil. 2020;171). https://doi.org/10.1186/s12984-020-00780-5
25. Mendonça SM. Dignidad y autonomía del paciente con trastornos mentales. Rev Bioét. 2019;27(1):46–52. https://doi.org/10.1590/1983-80422019271285
26. Fernández A, Serra L, Grup de Dones de Radio Nikosia. Vida comunitaria para todas: salud mental, participación y autonomía. Informe SESPAS 2020. Gac Sanit. 2020;34(Suppl-1):34-8. https://doi.org/10.1016/j.gaceta.2020.08.001
27. Goffman E. Estigma: la identidad deteriorada. 2a. ed. Buenos Aires: AMORRORTU; 1963.
28. Ramírez-Vielma R, Vaccari P, Cova F, Saldivia S, Vielma-Aguilera A, Grandón P. Interventions to reduce the stigma of mental health at work: a narrative review. Psicol Reflex Crit. 2023;36(1):14. https://doi.org/10.1186/s41155-023-00255-1
29. Pariseau-Legault P, Vallée-Ouimet S, Goulet MH, Jacob JD. Nurses’ perspectives on human rights when coercion is used in psychiatry: a systematic review protocol of qualitative evidence. BMC. 2019;318. https://doi.org/10.1186/s13643-019-1224-0
30. World Health Organization (WHO). Mental disorders: key facts [Internet]. 2023 [cited 2023 Nov 7]. Available from: https://www.who.int/news-room/fact-sheets/detail/mental-disorders
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