Day 2 :
Orebro University, Sweden
Keynote: Patients and staffs experiences of quality of psychiatric care: An international comparison
Time : 09:00-09:45
Agneta Schroder has completed her PhD in 2006 from Linkoping University, Sweden. She is an Associate Professor and Research Leader at the University Health Care Research Center, Orebro, Sweden and Professor at NTNU, Gjovik, Norway. Her research area is quality of care in the psychiatric field, with particular emphasis on the development of measuring instruments. She has been selected by the World Scientists Forum and the International Research Promotion Council (IRPC) as “Eminent Scientist of the year 2009” International Award in the field of Mental Health and Psychiatry based on her contribution in the field.
Background: There is a lack of standardized instruments for measuring the quality of psychiatric care. The International Project on Quality in Psychiatric Care is a large research programme aiming at adapting the patients and staff versions of the instrument Quality in Psychiatric Care (QPC) to different international settings.
Aims: The aims are to test the psychometric properties and equivalence of dimensionality of different language versions of the QPC and to describe and compare the quality of in-patient, out-patient and forensic in-patient psychiatric care across different countries.
Method: The QPC is a family of instruments that cover four areas of psychiatric care: out-patient (QPC-OP), in-patient (QPC-IP), forensic in-patient (QPC-FIP) and addiction out-patient care (QPC-AOP). All versions are also adapted for use by staff and next of kin.
Results: The first part of this program in forensic in-patient care in Denmark is completed. The second part in Indonesia shows that in-patient and staff concur on the meaning of quality held by patients in Sweden, with regard to encounter, participation, and secure environment. There is, however, less agreement on what constitutes quality of discharge and support. Several studies are ongoing in Brazil, Indonesia, Spain, Norway, and Faeroes.
Conclusions: The meaning of quality in psychiatric care is to a large extent similar across a variety of languages and countries. Thus the different versions of the QPC are expected to make a contribution to the development in the psychiatric field and benchmarking across different psychiatric settings and countries in order to improve the quality of care.
University of Pretoria, South Africa
Keynote: Principles and outcome of a group therapeutic intervention utilising wild animals in the african bush
Time : 09:45-10:30
Louise Olivier completed her PhD at the University of Pretoria after qualifying as a Clinical- and Counselling Psychologist at the University of Johannesburg and North-West University. Her expertise lies in forensic psychology, neuropsychology, sex and couple’s therapy, clinical psychology and human-animal interaction. She is trained in Ericksonian- and Ego-State Therapy and Medical Hypnoanalysis. She trained internationally in the USA, United Kingdom, Germany, and Italy. She is presently on the Board of the Psychological Society of South Africa and has been President of the Society twice. She is also a member of the committees of the Health Professions Council of South Africa for Neuropsychology and Forensic Psychology. In 2009 she was awarded the prestigious Alumni award from the University of Pretoria for her contribution nationally and internationally in Forensic Psychology and Neuropsychology. She is the author of several books and many research papers.
Statement of the problem: Research regarding the mutual benefits of human-animal interaction has focussed primarily on domestic pets (dogs, cats, horses etc.). Animal-assisted interventions were found to reduce stress or distress, provide comfort, provided social support, assisted with behavioural change, increased motivation, helped facilitating new skills and inspiring social interaction and could facilitate decrease of symptoms of post-traumatic stress disorder. Human beings are however fascinated with wild animals and it was found that some animals are more tolerant of human interaction than others. The tolerance of wild animals for people is largely driven by the environment the animals live in and the body size of the animal. The group human interaction with wild animals (lions) and other wildlife are combined with the therapeutic techniques of Milton H Erickson such as waking hypnosis, seeding, metaphors, and the utilization approach. A group of people is taken on a five-day safari to the African bush. During this safari, they are given the opportunity to in the morning interact with the animals and in the afternoon have a group therapy session with the psychologist. However, the psychologist in the morning when the group is interacting with the animals also utilize this time to do the therapeutic intervention with the group members, while the group is viewing or interacting with the animals. This is done by means of waking hypnosis utilizing seeding, metaphors and other Ericksonian techniques. A short video will be shown of the group interacting with lions and the intervention will be discussed.
Institute of Mental Health, Sri Lanka
Time : 10:45-11:30
Romesh Jayasinghe DhC (USA), FRSPH (UK), FTBCCT (UK), M. Inst. Psy. is the Founder and Psychotherapist at the Institute of Mental Health (IMH) in Colombo-04, Sri Lanka. He is a professional counseling psychologist and a Certified Clinical Hypnotherapist and a Certified Master Life Coach who provided psychological interventions, hypnotherapy and cognitive and eclectic therapies for a variety of client groups with various emotional and psychological disorders including mood disorders, anxiety disorders, PTSD, eating disorders, sleep disorders, sexual dysfunctions, and personality disorders. He also lectures at the Institute in the fields of general psychology, counseling psychology and psychotherapy, child and developmental psychology, educational psychology and abnormal psychology.
Statement of the Problem: Spirituality is one of four essential aspects of being human: biological, psychological, social, and spiritual. Our wellness depends on the integrity of each of these aspects and their balanced interrelationship. Spirituality, therefore, is not a healing modality per sec. Rather, it is an aspect of life that, like the others, may be "diseased" and may therefore require healing. The modalities for spiritual healing are the spiritual disciplines: prayer/meditation, forgiveness, service, and religious practice (including such religious healing practices as the "laying on" of hands), among others. Because the four aspects of being are interdependent, weakness or illness in one inevitably strains the others. If the ill organism is to regain its balance and optimal functioning, the vitality of all four aspects must be addressed.
Methodology, Theoretical Orientation and Findings: Scientific surveys indicate that spirituality plays an important role in the majority of patients' lives. Ninety-four percent of patients believe doctors should ask the seriously ill about their religious beliefs. Sixty-four percent feel that physicians should pray with patients who request it, and forty-five percent state that religion would influence their medical decisions if they were seriously ill. Twenty-five percent of patients report that they use prayer as a healing therapy for themselves.
Conclusion & Significance: Spiritual disciplines potentially improve coping skills and social support; foster feelings of optimism and hope; promote healthy behavior, such as avoidance of tobacco and alcohol; and reduce feelings of depression and anxiety. Spiritual practices can induce the relaxation response and allow people to participate in uplifting rituals. Thus, such practices ameliorate stress responses involving neurological, endocrine, immune, and cardiovascular function. The effects of spirituality seem to be explained best by Mind-Body Medicine, now frequently referred to as psychoneuroimmunology, which represents bi-directional communication between the central nervous, neuroendocrine, and immune systems.
California Baptist University, USA
Time : 11:30-12:15
Debra Coleman 22 years in healthcare, she has practiced in a variety of settings ranging from medical-surgical to critical care. With a passion to learn, she has moved through the continuum of education and obtained her PhD in nursing in December 2016 from Azusa Pacific University. Her focus of research is on the transition process of nurses who sustained a personal loss and returned to bedside care. While most of the literature examines grief from the perspective of tending to the needs of their patients, her research begins to fill the gap of knowledge that exists to support nurses tasked with vigilantly monitoring patients within the framework of compassion while in personal grief. She has spoken at both local and international conferences to highlight the needs of nurses in grief. She currently holds a full-time faculty position at California Baptist University and is currently working on a book that captures her own grief experience.
Background: Nurses are tasked with vigilantly monitoring patients in dynamic and fluid situations within a framework of compassionate care. Yet, few studies have focused on nurses caring for patients using the skills, judgment, and emotional stability inherent to the profession when one has sustained a personal loss.
Purpose: The aim of this study was (a) to illuminate how nurses negotiate their roles as a person who is grieving and one who is a compassionate caregiver, and (b) to explore strategies that facilitated or hindered optimal functioning during their time of transition back into the workforce.
Methods: A phenomenological qualitative design using thematic analysis was used to analyze and interpret the participants’ experiences.
Results: Eight themes were extracted which provided a rich diffusion of data exampled by patterns of role confusion, lack of preparation despite experience, stratified grief, coping mechanisms, spiritual connectedness, making meaning, creating a new normal and compassion in nursing.
Implications: This study emphasizes the needs to foster nurses’ psychological health through education and strategic policies during times of transition. Using this theoretical framework may extend to examining other transitions within the nursing practice to create insight as nurses adapt to new situations.