APNA 29th Annual Conference Session 4034: October 31, 2015 Identify - PDF document

APNA 29th Annual Conference Session 4034: October 31, 2015  Identify benefits of using an interdisciplinary approach to RE DUCING ST IGMA AMONG NP ST UDE NT S educating NP students utilizing scenarios in a OF VARYING DISCIPL INE S WIT H T HE USE nonthreatening, safe environment  Discuss ways to reduce stigma and raise awareness OF ST ANDARDIZE D PAT IE NT SIMUL AT ION among NP students treating those with mental illness.  Dr . Ruth Milste in, DNP, PMHNP- BC, L MHC  Evaluate the information presented and formulate their opinion on the use of standardized patient psychiatric  Dr. Cla re Conne r, DNP, PMHNP- BC simulations  Dr. T yke Ha nisc h, DNP, APRN, F NP- C  She rwin Impe rio, RN  With sta tistic a l he lp fr om: Dr . Don Bie sse l OBJE CT I VE S T he spe a ke r s ha ve no c onflic t of inte r e st to disc lose RE COMME NDAT IONS F OR IMPROVE ME NT  Pe ople with me nta l illne ss e xist in a ll a re a s of he a lthc a r e a nd ye t ma ny nursing stude nts a nd  2001: Institute of Me dic ine re port on how he a lth NP stude nts still sta te – “I don’t wa nt to work in syste ms in the 21st Ce ntury ne e d to func tion psyc h”.  Me nta l illne ss, inc luding substa nc e use disorde rs,  In 2006, a se c ond re port by IOM a ddre sse d me nta l is quic kly be c oming the le a ding c a use of he a lth issue s spe c ific a lly disa bility worldwide .  Stude nts still be lie ve tha t those with me nta l illne ss a re only found in psyc h fa c ilitie s a nd not in  Physic a l a nd Me nta l he a lth must se tting s whe re the y work ha ve pa r ity  Coor dina tion / c olla bor a tion with our T HE PROBL E M c olle a g ue s is a n e xpe c ta tion  L a c k of site s for our stude nts  Othe r spe c ia ltie s don’t g e t e xposure We still strug g le to provide sa fe , c ost e ffe c tive  Cla re ’s proje c t ma de us a ll ta ke a look a t wha t c a re a c ross of he a lth c a re de live ry syste ms we c ould do to he lp  Othe r stude nts we re a lso inte re ste d in working on stig ma re duc tion for the ir Clinic a l Sc hola rly We still strug g le to ha ve our pa tie nts unde rstood Proje c ts a nd c a re d for  We we re a lre a dy using a c tors for our simula tions in the psyc h prog ra m  Othe r spe c ia lty instruc tors a ske d us to do We still strug g le to ha ve our pa tie nts fe e l some thing for the ir stude nts c onside re d a nd tre a te d with inc lusion  Othe r instruc tors showe d some stig ma towa rds our stude nts a nd e ve n us  Sta rte d with a pre se nta tion without a c tors on ST IGMA ST IL L E XIST S working with those with me nta l illne ss in othe r se tting s. T HE IMPE T US Milstein 1

APNA 29th Annual Conference Session 4034: October 31, 2015 T he disc ussion of c a r e for the me nta lly ill ha s fina lly You don’t ha ve to be a psyc h move d into the ma instre a m of public a ffa irs a nd nur se to e nc ounte r pa tie nts ne w polic y is c ha lle ng ing soc ie ty to look a t this e xpe r ie nc ing psyc hia tr ic popula tion a s one with e qua l rig hts for c a re e me rg e nc ie s. T ha t’s why a ll (Goldma n, Glie d, & Ale g r ia , 2009) nur se s should ha ve a ba sic T his popula tion ha s long be e n pushe d a side but knowle dg e of psyc hia tric ma ny org a niza tions a re now looking a t how we c a n nur sing , r e g a r dle ss of the se tting he lp by de ve loping public polic y tha t inc lude s the y wor k in. me nta l illne ss whe n le g isla tur e is disc ussing he a lthc a re issue s, pa rity, a nd re form. BE HAVIORAL HE AL T HCARE IS BOT T OM L INE COMING OUT OF T HE CL OSE T ! RE DUCING ST IGMA BY E DUCAT ING NURSE S T O CARE Cla re will ta lk a bit a bout he r proje c t whic h F OR PE RSONS WIT H ME NT AL be c a me the be g inning of our de c ision to introduc e the othe r spe c ia ltie s to stig ma IL L NE SS IN GE NE RAL SE T T INGS re duc tion Cla Clare M. M. Con Conner, DN DNP , APR APRN PMHNP-BC PMH Projec oject C t Chair: K Kathleen M thleen McCoy, D DNSc , , CL ARE ’S PROJE CT APR APRN-B -BC, F FAANP  Ability to provide a ppropria te  Witne ss to wha t wa s pe rc e ive d a s c a re to pe rsons with me nta l ina de qua te or ina ppropria te tre a tme nt illne ss (PWMI) in g e ne ra l  L a c k of unde rsta nding a nd e mpa thy on se tting s wa s a ffe c te d by nurse s’ the pa rt of c a re sta ff in g e ne ra l se tting s se lf- pe rc e ptions of  Inte r e st in:  Knowle dg e de fic its  E nha nc ing nursing knowle dg e  Skill de fic its  Improving pa tie nt c a re  Improving outc ome s  Comfort in working with PWMI IMPE T US F OR PROJE CT L IT E RAT URE RE VIE W RE SUL T S Milstein 2

APNA 29th Annual Conference Session 4034: October 31, 2015  Bra ndma n Unive rsity ha s inc orpora te d a spe c ts of this  Goa l: improving knowle dg e , skill a nd c omfort proje c t into the ir e duc a tion for all nurse pra c titione r will le a d to improve d c a re a nd be tte r stude nts outc ome s  Pre te st/ postte st de sig n with inte rve ntion  You, too, c a n be one who stig matize s!  Inte rve ntion wa s a 55 minute vide o  Re sults indic ate d de c re ase d stigma  Re mind yourse lve s a nd your c olle a g ue s tha t our  92% found informa tion he lpful pa tie nts c a n do be tte r a nd have be tte r outc ome s whe n we a re a wa re of our own fe e ling s a nd a ttitude s  78% thoug ht it would improve the ir pra c tic e towa rd our pa tie nts PROJE CT IMPL E ME NT AT ION E ND OF T HE ST ORY HT T P:/ / DNPWE L L NE SSADVOCAT E .WE E BL Y.COM/  T ook Cla re ’s proje c t a nd our powe r point pre se nta tion a nd built on the m be c a use we wa nte d to bring this to our stude nts  How c ould we do this?  Use of sta nda rdize d pa tie nts se e me d like the way to go  Worke d with She rwin Impe rio, RN – a c urre nt stude nt who is working on a simila r proje c t for his Clinic a l Sc hola rly Proje c t to write up simulations SO T HE N WE DID… ..  T ha t pa tie nts with me nta l illne ss a nd substa nc e use disorde rs a re pe ople too!  Ava ila ble to us  T he se pa tie nts a re not only in psyc h units  T  Sta nd up c ome dia ns tha t a re tra ine d in o dispe l the myths a bout me nta l illne ss improv who ha ve prove d suc c e ssful for  De monstra tion of be tte r me thods of c ommunic a tion our PMHNP stude nts  How the pa tie nt fe e ls – the ir point of vie w  How to not inc orre c tly c a use a n involunta ry  L it Re vie w showe d promising re sults with c ommitme nt the use of SP’s.  Diffe re nc e be twe e n a c tive a nd pa ssive  Ability of “the pa tie nt” to the n te ll how  T he y wa nt to be he a rd the y fe lt  T he y ne e d to be he a rd  T he importa nc e of… … WHY ST ANDARDIZE D PAT IE NT S? WHAT DID WE WANT T O T E ACH? Milstein 3

APNA 29th Annual Conference Session 4034: October 31, 2015  No one in the ir life ha s provide d this  One pe rsona in diffe re nt se tting s  Pa tie nt wa s in ICU  T re at the m as you would want your mom, your c hild, your  Pa tie nt wa s the mom of a c hild in the hospita l family me mbe r tre ate d  Pa tie nt wa s a t the Prima ry Ca re offic e post  Don’t misinte rpre t the ir words, a c tions, re a c tions hospita liza tion  Wa tc h your fa c ia l re a c tions  Pa tie nt wa s in Psyc h Provide rs offic e  E mploy T he ra pe utic Use of Se lf  Don’t ta lk in the hallway, nurse s station, Ac tre ss only ha d to le a rn one c ha ra c te r e le va tor  DON’T JUDGE ! HOW WE DID IT UNCONDIT IONAL POSIT IVE RE GARD DE PRE SSION:ANXIE T Y:MANIA  Stude nts a ll sig ne d c onse nts (not a ll wa nte d to pa r tic ipa te ) We c hose a simple diagnosis whic h we the n  T ook pre -surve y – Use d Ope ning Minds Sc ale c omplic a te d a bit with a little substa nc e use disorde r  Atte nde d simula tion with the ir spe c ia lty Our ac tre ss e xpre sse d:  We re g ive n the link to Cla re ’s vide o a nd we re re que ste d to wa tc h it tha t e ve ning  Sha me  Post surve y give n the ne xt morning  Guilt  Done a t two diffe re nt imme rsions, done two  F e a r ways  Importa nc e of fe e ling a c c e pte d  Onc e with me doing the sims  Wa nting re spe c t of he r fe e ling s  Ne xt imme rsion we ha d a stude nt inte ra c t with the SP ME T HOD During the July Imme rsion –  Afte r e a c h sim the g roup disc usse d wha t we nt rig ht,  T he re we re no sig nific a nt diffe re nc e in pre a nd wha t we nt wrong , how c ould it ha ve be e n ha ndle d post surve y re sults e xc e pt for #13 whic h is: diffe re ntly He althc ar e pr ovide r s do not ne e d to be advoc ate s for pe ople with me ntal illne ss.  SP spoke to stude nts a bout he r pe rc e ption a s the pa tie nt  T he se re sults did not matc h Clare ’s re sults whic h we re a bit disa ppointing .  Ope n disc ussion a bout how to make the pa tie nt c omforta ble a nd how to he lp the mse lve s be c omforta ble RE SUL T S DISCUSSION Milstein 4