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Presented by: Genesis Chorwe-Sungani , MN-MHL , RN Nondumiso Shangase , MSc N, RNM

Nurses’ Self perceptions about support they receive from mental health specialists when providing mental health care to PLWHA in Blantyre District, Malawi. Presented by: Genesis Chorwe-Sungani , MN-MHL , RN Nondumiso Shangase , MSc N, RNM . Aim of the study.

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Presented by: Genesis Chorwe-Sungani , MN-MHL , RN Nondumiso Shangase , MSc N, RNM

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  1. Nurses’ Self perceptions about support they receive from mental health specialists when providingmental health care to PLWHA in Blantyre District, Malawi Presented by: Genesis Chorwe-Sungani, MN-MHL, RN NondumisoShangase, MSc N, RNM

  2. Aim of the study The aim of this study was to identify nurses’ self perceptions about the support they receive from mental health specialists when providing mental health care to PLWHA.

  3. Introduction and background • mental health specialists are scarce in Malawi • Non-specialised health care workers provide mental health services in general settings. • Self perceptions of nurses are linked to the effectiveness of their interventions

  4. Introduction and background cont/d • nurses’ willingness to deal with MHP relies upon how they perceive their levels of role support in their task of providing mental health care. • Role support is nurses’ self perceptions about the support they receive from mental health specialists when providing mental health

  5. Methods Study design A quantitative descriptive survey design was used for this study Setting The settings were Queen Elizabeth Central and the following health centres: Bangwe, Chilomoni, Limbe, South Lunzu and Ndirande.

  6. Methods cont/d Sample • a convenient sample comprising of 151 participants drawn from the population of 311 nurses. Materials • Mental Health Problems Perception Questionnaire (MHPPQ) was used.

  7. Methods cont/d Procedure • Permission to use MHPPQ was granted by Prof. Lauder • Approval to conduct the study was granted by relevant authorities. • 151 completed questionnaires were returned (91.5% response rate)

  8. Methods cont/d • Data was collected from March to April 2010. Data analysis • Data were analysed using Statistical Package for Social Sciences(SPSS) version 15.0. • Cronbach’s alpha for the adapted role support scale of MHPPQ was (α=0.75)

  9. Study findings and Discussion • 49.7% ( n=75) reported that they do not always receive adequate support when working with PLWHA who have MHPs • 48.3% (n=72) of nurses perceived that they did receive adequate support from colleagues when working with PLWHA who have MHPs.

  10. Study findings and Discussion • Nurses in general settings are often unable to provide appropriate support because they have not been adequately trained themselves to deal with MHP • nurses in general settings require support from mental health specialists when dealing with MHPs • Support makes nurses more confident and interested in dealing with MHPs

  11. Conclusion and recommendations • Some nurses in general settings perceive that they lack support from mental health specialists. • This negatively influence their willingness to care for PLWHA who have MHPs. • Therefore, Support networks for the nurses in general settings must be developed

  12. References • Albery, I. P., Heuston, J., Ward, J., Groves, P., Durand, M. A., Gossop, M. & Strang, J. (2003). Measuring therapeutic attitude among drug workers. Addictive Behaviours, 28, 995-1005. • Arnold, M. & Mitchell, T. (2008). Nurses’ perceptions of care received by older people with mental health issues in an acute hospital environment. Clinical Research, 20(10), 28-34. • Collins, P. Y., Holmand, A. R., Freemane, M. C. & Patel, V. (2006). What is the relevance of mental health to HIV/AIDS care and treatment programs in developing countries? A systematic review. AIDS, 20, 1571-1582. • Kauye, F. (2008). Management of mental health services in Malawi. African Journal of Psychiatry, 5(2), 29-30.

  13. References • Lauder, W., Reynolds, W., Reilys, V. & Angus, N. (2000). The development and testing of the Mental Health Problems Perception Questionnaire. Journal of Psychiatric and Mental Health Nursing, 7, 221-226. • Lauder, W., Reynolds, W., Reilys, V. & Angus, N. (2001). The role of district nurses in caring for people with mental health problems who live in rural areas. Journal of Clinical Nursing, 10, 337-344. • Mavundla, T. R. (2000). Professional nurses' perception of nursing mentally ill people in a general hospital setting. Journal of Advanced Nursing, 32(6), 1569-1578. • MOHP. (2001). National mental health policy for Malawi. Lilongwe: Ministry of Health and Population. • Skuse, D. (2008). Mental health services in sub-Saharan Africa. African Journal of Psychiatry, 5(2), 28-29.

  14. ZIKOMO NGIYABONGA THANK YOU!!!!

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