Abstract
This research is based on the Attitude of nurses towards relapse prevention among psychiatric patients, the research scope was in Ahmadu Bello University ABUTH Shika, on making the research, 74 nurses of various age were selected and given a questionnaire to understand their attitude and view on the topic, the research contain five chapters, chapter one deals with introduction, chapter two is the literature review, chapter three research methodology, chapter four formulation of data gotten from the nurse and chapter five is the conclusion
TABLE OF CONTENT
CHAPTER ONE
INTRODUCTION
1.0 Background of the study 3
1.1 Statement of the Problem 4
1.2 Aims 5
1.3 Objectives of the study 5
1.3 Research Question 6
1.4 Scope of the study 6
1.5 Significance of the study 7
1.6 Definition of Terms 8
CHAPTER TWO
LITERATURE REVIEW
2.0 Introduction 9
2.1 Overview on Relapse Psychiatric Patient 10
2.2 Importance of relapse prevention for psychiatric patients: 11
2.3 Challenges to implementing relapse prevention: 11
2.3.2 Strategies for overcoming barriers to implementation 13
2.4 The role of attitudes in behavior 14
2.4.1Overview of attitude formation and change 14
2.4.2 The role of attitudes in behavior 14
2.5 Differences in attitudes among nurses in different settings (e.g., inpatient vs. outpatient) 16
2.6. Strategies for overcoming barriers to implementation 18
CHAPTER THREE
RESEARCH METHODOLOGY
3.0 Introduction 20
3.1 Research Design 20
3.2 Study Population 21
3.3 Method of Data Collection 22
3.4 Sample Size 23
3.4 Sample Technique 24
3.5 Instrument(s) of Data Collection 25
CHAPTER FOUR
DATA PRESENTATION AND ANALYSIS
4.0 Introduction 27
SECTION A: Presentation of Demographic Data 27
Analysis of Research Questions 29
SECTION B: DISCUSSION OF FINDINGS 34
CHAPTER FIVE
SUMMARY, CONCLUSIONS AND RECOMMENDATIONS
5.0 Introduction 35
5.1 Summary of the Study 35
5.2 Conclusion 36
5.3 Recommendation 36
REFERENCES 38
CHAPTER ONE
INTRODUCTION
1.0 Background of the study
Psychiatric disorders are a leading cause of disability worldwide, affecting approximately 450 million people (WHO, 2021). The prevalence of psychiatric disorders is particularly high among vulnerable groups such as prisoners, refugees, and people experiencing homelessness (Fazel et al., 2018; Nosè et al., 2019; Fazel et al., 2018). These individuals require specialized care to prevent relapse and ensure their recovery. Relapse prevention is an essential component of the care provided to psychiatric patients. It involves identifying the triggers that may lead to relapse, teaching patients coping skills, and providing support to prevent relapse (Gumley et al., 2017). Nurses play a crucial role in relapse prevention as they are responsible for monitoring patients' progress, identifying potential triggers, and providing support and guidance to patients and their families.
Attitude is a critical factor that influences the quality of care provided by healthcare professionals, including nurses. Attitude refers to the beliefs, values, and emotions that influence how individuals perceive and respond to a particular situation or object (Fishbein &Ajzen, 2010). Nurses' attitude towards relapse prevention among psychiatric patients may influence their ability to provide high-quality care and improve patient outcomes.
Several factors may influence nurses' attitude towards relapse prevention among psychiatric patients. These include their level of education and training, their experience in caring for psychiatric patients, their perception of the effectiveness of relapse prevention strategies, and the organizational support they receive (Reininghaus et al., 2016; Cattan et al., 2019; Jacobs et al., 2020). Improving nurses' attitude towards relapse prevention among psychiatric patients is essential for improving the quality of care provided to these patients. Several strategies may be employed to achieve this, including providing specialized training and education, ensuring that nurses have access to adequate resources and support, and promoting a positive work environment that fosters teamwork and collaboration (Sirey et al., 2018; Jacob et al., 2019; Salzer et al., 2021).
1.1 Statement of the Problem
Psychiatric patients are a vulnerable group that requires specialized care to ensure their recovery and prevent relapse, and the attitude of nurses towards relapse prevention may influence the quality of care provided; therefore, the problem to be addressed in this study is to explore the attitude of nurses towards relapse prevention among psychiatric patients, identify factors that may influence their attitude, and suggest ways to improve the quality of care provided to psychiatric patients.
According to Reininghaus et al. (2016), the attitude of healthcare professionals, including nurses, towards psychiatric patients is a critical factor that influences the quality of care provided to these patients. Nurses are responsible for monitoring patients' progress, identifying potential triggers, and providing support and guidance to patients and their families. However, several studies have shown that the attitude of nurses towards psychiatric patients can be negative, which may result in poor patient outcomes (Cattan et al., 2019; Jacobs et al., 2020). Relapse prevention is a crucial aspect of care provided to psychiatric patients, and nurses play a vital role in ensuring that patients do not relapse. The attitude of nurses towards relapse prevention may influence their ability to provide high-quality care and improve patient outcomes. For instance, if nurses have a negative attitude towards relapse prevention, they may not be motivated to provide adequate support and guidance to patients, leading to relapse and poor patient outcomes.
Therefore, it is essential to explore the attitude of nurses towards relapse prevention among psychiatric patients to identify factors that may influence their attitude and suggest ways to improve the quality of care provided to these patients. This study will contribute to the body of knowledge on the factors that influence the attitude of nurses towards relapse prevention among psychiatric patients, and the findings will be useful for healthcare organizations and policymakers in developing strategies to improve the quality of care provided to psychiatric patients and prevent relapse.
In summary, this study aims to address the problem of the attitude of nurses towards relapse prevention among psychiatric patients by exploring their attitude, identifying factors that may influence their attitude, and suggesting ways to improve the quality of care provided to these patients. By doing so, the study will provide valuable insights into the factors that influence nurses' attitude towards relapse prevention among psychiatric patients and suggest ways to improve the quality of care provided to these patients.
1.2 Aims
1. To aims the relationship between nurses' attitude towards relapse prevention and patient outcomes.
2. To aim and also suggest strategies for improving nurses' attitude towards relapse prevention among psychiatric patients.
1.3 Objectives of the study
The aims and objectives of the study are:
1. To assess the attitude of nurses towards relapse prevention among psychiatric patients.
2.To identify factors that influence the attitude of nurses towards relapse prevention among psychiatric patients.
3. To contribute to the existing body of knowledge on relapse prevention in psychiatric care.
These aims and objectives will guide the study and help the researchers to achieve a comprehensive understanding of the attitude of nurses towards relapse prevention among psychiatric patients, and to propose practical strategies for improving the quality of care provided to these patients.
1.3 Research Question
1. What is the attitude of nurses towards relapse prevention among psychiatric patients?
2. What factors influence the attitude of nurses towards relapse prevention among psychiatric patients?
3. Is there a relationship between nurses' attitude towards relapse prevention and patient outcomes?
4. What strategies can be suggested to improve nurses' attitude towards relapse prevention among psychiatric patients?
1. How does this study contribute to the existing body of knowledge on relapse prevention in psychiatric care?
1.4 Scope of the study
The scope of the study refers to the boundaries and limitations of the research. In the case of this study on the attitude of nurses towards relapse prevention among psychiatric patients, the scope includes:
1. Geographical scope: The study will focus on nurses working in psychiatric units or departments in hospitals or clinics in Ahmadu Bello University Teaching Hospital Shika.
2. Time frame: The study will be conducted within a specified time period.
3. Participants: The study will involve a specific group of participants, which will be nurses working in psychiatric units or departments in hospitals or clinics. The study may also involve psychiatric patients, but they will not be the primary focus.
4. Variables: The study will focus on exploring the attitude of nurses towards relapse prevention and factors that influence it. Other variables such as patient demographics, medical history, or comorbidities may be considered, but they will not be the primary focus.
5. Methodology: The study will use quantitative methods to collect and analyze data. The data collection methods may include surveys, and questionnaire.
1.5 Significance of the study
The significance of the study on the attitude of nurses towards relapse prevention among psychiatric patients is as follows:
1. Improving patient outcomes: The study's findings will help to identify factors that influence the attitude of nurses towards relapse prevention and the relationship between their attitude and patient outcomes. The study's recommendations will help to improve the quality of care provided to psychiatric patients, leading to better outcomes and reduced hospital readmission rates.
2. Enhancing nursing practice: The study will provide insights into the attitudes of nurses towards relapse prevention, which can be used to develop educational programs and training sessions to improve the knowledge and skills of nurses in this area. This, in turn, can enhance nursing practice and improve patient care.
3. Bridging the research gap: While there is some literature on relapse prevention in psychiatric care, there is limited research on the attitude of nurses towards this area of care. This study will contribute to the existing body of knowledge on relapse prevention and fill the gap in research on nurses' attitude towards this critical aspect of care.
Informing policy and practice: The study's findings and recommendations will inform policy development and nursing practice in psychiatric care. The study's results may be used to inform the development of guidelines and protocols for relapse prevention in psychiatric care, leading to improved patient care and outcomes.
4 Advancing the field of psychiatric nursing: The study will contribute to the advancement of the field of psychiatric nursing by providing valuable insights into the attitude of nurses towards relapse prevention. The study's recommendations may be used to inform future research and practice in this area, leading to further improvements in patient care and outcomes.
Overall, the significance of the study lies in its potential to improve patient care and outcomes, enhance nursing practice, fill a gap in research, inform policy development and practice, and advance the field of psychiatric nursing.
1.6 Definition of Terms
Attitude: A settled way of thinking or feeling about something, which can influence behavior and decision-making.
Relapse: The recurrence of symptoms of a psychiatric illness after a period of improvement or remission.
Prevention: Actions taken to avoid the occurrence or recurrence of a specific problem or condition.
Psychiatric patients: Individuals with mental illness who require treatment and care from healthcare professionals.
Nurses: Healthcare professionals who provide direct patient care, including assessment, diagnosis, treatment, and monitoring.
Patient outcomes: The measurable effects of healthcare interventions on patients, including changes in health status, functional ability, and quality of life.
Factors: Variables that influence or contribute to a specific outcome or phenomenon.
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