Depression and suicide in chronic medical illness: train the nurses for a mental health preparedness
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20251352Keywords:
Depression, Suicide, Training, Nurses, Chronic medical illness, Mental health, Mental illnessAbstract
Background: Depression and suicide occur as a comorbidity in chronic medical illness. The poor knowledge and attitude of staff nurses in general practice greatly impacts the identification and treatment of these patients. Training nurses on this will reduce the mortality related to this. The current study identified the effectiveness of a structured educational program in improving the knowledge and attitude of nursing personnel.
Method: A true experimental study was performed on 120 staff nurses working in different medical units of a hospital in Saudi Arabia. The samples were randomly selected and allotted 60 in experimental and 60 in control group by randomization. Pretest posttest control group design was adopted, and a video assisted structured planned training program was provided for the interventional group and the mean difference was compared.
Results: The knowledge of nurses on caring for patients with depression increased from preprogram to post program. (M =3.90 to 5.17 (t= 6.469, p<.001 and for suicide, from (M =2.13 to 2.53. The attitude towards depression increased from 24.60 to 27.03 and for suicide from (M =20.83, SD = 3.75) to (M =23.37, SD = 3.85); t =5.443, p <0.001. The mean post-test knowledge was higher in experimental group for all measures except for attitude on depression with a slight increase in control group.
Conclusion: Our findings suggest PTP was effective in developing knowledge and attitude for nurses on managing depression and suicide in chronic medical areas.
Metrics
References
Tshomo Y, Chaimongkol N. Prevalence of depression and its associated factors among persons with chronic medical illness in Bhutan. Arch Psychiatr Nurs. 2019;33(4):347–51. DOI: https://doi.org/10.1016/j.apnu.2019.02.002
Behera P, Sharan P, Kumar Mishra A, Nongkynrih B, Kant S, Gupta SK. Prevalence and determinants of depression among elderly persons in a rural community from northern India. 2016;5:89.
Korkmaz H, Korkmaz S, Çakar M. Suicide risk in chronic heart failure patients and its association with depression, hopelessness and self-esteem. J Clin Neurosci. 2019;68:51–4. DOI: https://doi.org/10.1016/j.jocn.2019.07.062
Belsiyal CX, Kalyani CV, Deol R, Sharma SK, Mery A. Depression in hospitalized older adults with chronic illness from a hilly Indian state. Perspect Psychiatr Care. 2022;6:78-9. DOI: https://doi.org/10.1111/ppc.13051
Gold SM, Köhler-Forsberg O, Moss-Morris R, Mehnert A, Miranda JJ, Bullinger M, et al. Comorbid depression in medical diseases. Nature Reviews Disease Primers. Nature Res. 2020;6:78. DOI: https://doi.org/10.1038/s41572-020-0200-2
Park SC, Lee HY, Lee DW, Hahn SW, Park SH, Kim YJ, et al. Knowledge and attitude of 851 nursing personnel toward depression in general hospitals of Korea. J Korean Med Sci. 2015;30(7):953. DOI: https://doi.org/10.3346/jkms.2015.30.7.953
Ni CH, Guo SL, Chao CY, Wang CH, Susanty S, Chuang YH. Nurses’ Late-Life Depression Knowledge and Attitudes Toward Depression: A Cross-Sectional Study. Inquiry (United States). 2020;57:1–6. DOI: https://doi.org/10.1177/0046958020945179
Jackson JL, Kuriyama A, Bernstein J, Demchuk C. Depression in primary care, 2010-2018. American J Med. 2022;3:67-9. DOI: https://doi.org/10.1016/j.amjmed.2022.06.022
Lea P. The effect of educational intervention on nurses’ attitudes and beliefs about depression in heart failure patients. Depress Res Treat. 2014;2:428. DOI: https://doi.org/10.1155/2014/257658
Chauliac N, Brochard N, Payet C, Margue Y, Bordin P, Depraz P, et al. How does gatekeeper training improve suicide prevention for elderly people in nursing homes? A controlled study in 24 centres. European Psych. 2016;37:56–62. DOI: https://doi.org/10.1016/j.eurpsy.2016.05.011
Mulango ID, Atashili J, Gaynes BN, Njim T. Knowledge, attitudes, and practices regarding depression among primary health care providers in Fako division, Cameroon. BMC Psychiatry. 2018;18(1):67. DOI: https://doi.org/10.1186/s12888-018-1653-7
Kumar P. “A study to assess the knowledge and attitude of nurses regarding management of patient with depression in a selected general hospital at Tumkur, Karnataka.” 2015;3(2):63–7. DOI: https://doi.org/10.9790/1959-03246367
Cruz HA, Paulita M, Mariano V. Knowledge, attitude and practices (KAP) of nursing staff regarding depressive disorders in a private hospital in Quezon City, Philippines. UERM Health Sciences J. 2012;8(1):67-9.
Bolster C, Holliday C, Oneal G, Shaw M. Suicide assessment and nurses: what does the evidence show. J Issues Nurs. 2015;20(1):20. DOI: https://doi.org/10.3912/OJIN.Vol20No01Man02
Saini VK, Gehlawat P, Gupta T. Evaluation of knowledge and competency among nurses after a brief suicide prevention educational program: A pilot study. J Family Med Prim Care. 2020;9(12):6018. DOI: https://doi.org/10.4103/jfmpc.jfmpc_984_20
Aljedaani S, Basfr W, ALFaqieh E, Edriss A. Nursing knowledge, Attitudes, and practices toward suicidal risk behavior in Jeddah city. International J of Adv Res in Nurs. 2021;4(1):320–7. DOI: https://doi.org/10.33545/nursing.2021.v4.i1.E.167
Granek L, Nakash O, Ben-David M, Shapira S, Ariad S. Oncologists’, nurses’, and social workers’ strategies and barriers to identifying suicide risk in cancer patients. Psychooncology. 2018;27(1):148–54. DOI: https://doi.org/10.1002/pon.4481
Lee CC, Tseng HC, Wu LP, Chuang YH. Multiple brief training sessions to improve nurses’ knowledge, attitudes, and confidence regarding nursing care of older adults with depression in long-term care facilities. Res Nurs Health. 2020;43(1):114–21. DOI: https://doi.org/10.1002/nur.21997
Ferguson M, Reis J, Rabbetts L, McCracken T, Loughhead M, Rhodes K, et al. The impact of suicide prevention education programmes for nursing students: A systematic review. Int J Mental Health Nurs. 2020;29:756–71. DOI: https://doi.org/10.1111/inm.12753
Weare R, Green C, Olasoji M, Plummer V. ICU nurses feel unprepared to care for patients with mental illness: A survey of nurses’ attitudes, knowledge, and skills. Intensive Crit Care Nurs. 2019;53:37–42. DOI: https://doi.org/10.1016/j.iccn.2019.03.001
Robles R, Lopez-Garcia P, Miret M, Cabello M, Cisneros E, Rizo A, et al. WHO-mhGAP training in mexico: increasing knowledge and readiness for the identification and management of depression and suicide risk in primary care. Arch Med Res. 2019;50(8):558–66. DOI: https://doi.org/10.1016/j.arcmed.2019.12.008
Terpstra S, Beekman A, Abbing J, Jaken S, Steendam M, Gilissen R. Suicide prevention gatekeeper training in the Netherlands improves gatekeepers’ knowledge of suicide prevention and their confidence to discuss suicidality, an observational study. BMC Public Health. 2018;18(1):667. DOI: https://doi.org/10.1186/s12889-018-5512-8
Fallucco EM, James L, Smotherman C, Greco P. Impact of experiential training with standardized patients on screening and diagnosis of adolescent depression in primary care. J Adol Health. 2019;65(1):57–62. DOI: https://doi.org/10.1016/j.jadohealth.2018.12.022
Beurs DP, Groot MH, Keijser J, Mokkenstorm J, Duijn E, Winter RFP, et al. The effect of an e-learning supported Train-the-Trainer programme on implementation of suicide guidelines in mental health care. J Affect Disord. 2015;175:446–53. DOI: https://doi.org/10.1016/j.jad.2015.01.046
Shanta Bridges L, Sharma M, Hye Sung Lee J, Bennett R, Buxbaum SG, Reese-Smith J, et al. Using the PRECEDE-PROCEED model for an online peer-to-peer suicide prevention and awareness for depression (SPAD) intervention among African American college students: experimental study. Health Promot Perspect. 2018;8(1):15–24. DOI: https://doi.org/10.15171/hpp.2018.02
Malakouti SK, Nojomi M, Poshtmashadi M, Shooshtari MH, Moghadam FM, Rahimi-Movaghar A, et al. Integrating a Suicide Prevention Program into the Primary Health Care Network: A Field Trial Study in Iran. 2015;19:372-9. DOI: https://doi.org/10.1155/2015/193729
Coppens E, van Audenhove C, Gusmão R, Purebl G, Székely A, Maxwell M, et al. Effectiveness of General Practitioner training to improve suicide awareness and knowledge and skills towards depression. J Affect Disord. 2018;227:17–23. DOI: https://doi.org/10.1016/j.jad.2017.09.039
Ramberg IL, di Lucca MA, Hadlaczky G. The impact of knowledge of suicide prevention and work experience among clinical staff on attitudes towards working with suicidal patients and suicide prevention. International J Env Res Public Health. 2016;13(2):195. DOI: https://doi.org/10.3390/ijerph13020195
Downloads
Published
How to Cite
Issue
Section
