Informatics Publishing Limited

Daljit Kaur ¹, Bharat Pareek ¹, N. Sujata ¹

Affiliations
1 Saraswati Nursing Institute, Punjab, IN

Abstract

Mental illness is a global public health concern. The revolving door phenomenon was observed in association with the process of re-institutionalization of psychiatric patients. Several factors are thought to contribute to their frequent admissions. Psychiatric rehospitalization of patients imposes heavy burdens on caregivers/families. A study was conducted to explore the caregivers perceived factors associated with revolving door phenomena among patients having psychiatric illnesses. A total of 160 care givers of patients having psychiatric illnesses were selected by purposive sampling technique. A Semi structured interview schedule was developed to collect data. Findings of the study revealed that the Prevalence of revolving door phenomena was 164/1000 of population. Psychological, personal and cultural factors were explored as high contributing whereas disease related, Physiological and Mental health services related factors as low contributing factors associated with revolving door phenomena as perceived by the caregivers. Item wise analysis revealed major precipitating factors were patient’s suspiciousness , Lack of knowledge, Forget to take medicine by patients, Treatment negligence, Anxiety, Emotional disturbance, Long term treatment, Cost of treatment, Felt social isolation, Non compliance to treatment, Care giver burden, Lack of insight, Use of drug/alcohol and Cultural belief, myths. Significant associations were observed between patient’s socio-demographic characteristics and personal, psychological, sociological, economical and cultural factors. The study concluded that there were many factors found to be contributing to revolving door phenomena among patients with psychiatric illness, and also observed that many of these factors are modifiable.

Keywords

Revolving Door Phenomena, Relapse, Readmission, Psychiatric Illnesses/Mental Illness, Non Compliance, Nonadharnce.

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N. Sujata ¹, Jasbir Kaur ¹

Affiliations
1 Dayanand Medical College & Hospital, College of Nursing, Ludhiana, Punjab, Pin code:141001, IN

Abstract

A descriptive study on 60 nurses working in ICU's, Emergency and Neuro-Surgery ward of selected hospitals, Ludhiana was conducted. Convenience sampling technique was used. The study was aimed to assess the knowledge and practice of physical restraints among nurses working in various units of selected Hospitals, Ludhiana. Data was collected by using following 3 tools a) Socio-demographic profile of nurses b) Structured knowledge Questionnaire on physical restraints and c) Observational checklist to assess the practice of Physical Restraints. Majority (83.33%) of nurses belonged to ≤30 years, 91.66% were female, 83.33% of nurses were GNMs and only 16.67% were B.Sc.'s. Majority (61.66%) of the nurses were working in ICU's whereas only 38.3% were working in Neuro-Surgery and Emergency ward. 63.3% of nurses had work experience of >2 years and 36.7% of nurses had experience of ≤2 years. Mean knowledge score was found to be 14.2 ± 3.9. The result showed that majority (76.66%) of nurses had average knowledge regarding physical restraints. It was found that no physician written order were documented for all the patients, written consent were not taken from 43.33% of patients prior to the procedure. Clove hitch restraint with cotton and bandages were the most common type of physical restraints used.

Keywords

Knowledge, Practice, Physical Restraints, ICUs, Nurses.

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