Atitudes dos Estudantes de Enfermagem Perante a Pessoa com Doença Mental

Ponte, D. ., Tavares, C., Alves, P. ., Quesado, A., Ferreira , A., & Quesado, A. (2023). Nursing student attitudes towards people with mental illness. Journal of Health Research & Innovation, 6(1), 35–48. https://doi.org/10.37914/riis.v6i1.227

Abstract

Background: The stigmatizing attitudes of nursing students towards people with mental illness can influence their learning and the development of skills, compromising the provision of care as future nurses. Objectives: To know the attitudes of nursing students towards the person with mental illness and to verify the existing correlation between the attendance to the curricular units of Mental Health and Psychiatry and their attitudes towards the person with mental illness. Methodology: Quantitative, descriptive-correlational study. Convenience sample with 47 undergraduate nursing students, from a Higher Education Institution in the northern region of Portugal. Data collected through an online questionnaire, consisting of the Attribution Questionaire (AQ-27) (Sousa et al., 2008). Descriptive and inferential statistical analysis was used, using the Statistical Package for the Social Sciences (version 26). Results: The presence of moderate stigma was verified. There were statistically significant differences between the semester of the course on the categories Irritation [X2 (3) =14,416; P=0.002], Hazard [X2 (3) =11.650; P=0.009] and Fear [X2 (3) =12.523; P=0.006] and Pena [F (3.43) = 5.471; P=0.003]. Conclusion: Theoretical and practical teaching revealed a decrease in stigmatizing attitudes, as well as previous experience in Mental Health. Familiarity only influenced the Irritation category.

https://doi.org/10.37914/riis.v6i1.227

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References

Bingham, H. & O’Brien, A. (2017). Educational intervention to decrease stigmatizing attitudes of undergraduate nurses towards people with mental illness. International Journal of Mental Health Nursing. doi: 10.1111/inm.12322.

Corrigan, P., Markowitz, F., Watson, A., Rowan, D. & Kubiak, M. (2003). An attribution model of public discrimination towards people with mental illness. Journal of Health and Social Behaviour, 44(2), 162–179.

Corrigan, P., Roe, D. & Tsnag, W. (2011). Challenging the Stigma of Mental Illness: Lessons or Therapists and Advocates. Oxford, England: Wiley-Blackwell.

Ferreira, M. (2018). Influência do ensino de saúde mental na modificação de atitudes estigmatizantes de alunos técnicos de enfermagem. [Unpublished Masters dissertation]. Fundação Oswaldo Cruz.

Granados-Gámez, G., Rodríguez, M., Granados, A. & Márquez-Hernández, V. (2017). Attitudes and Beliefs of Nursing Students Toward Mental Disorder: The Significance of Direct Experience With Patients. Perspect Psychiatr Care, 53(2),135-143. Doi: 10.1111/ppc.12147

Gronholm, P., Henderson, C., Deb, T. & Thornicroft, G. (2017). Interventions to reduce discrimination and stigma: The state of the art. Soc Psychiatry Psychiatr Epidemiol, 52, 249– 258. https://doi.org/10.1007/s00127-017-1341-9

Happell, B., Platania-Phung, C., Scholz, B., Bocking, J., Horgan, A., Manning, F., Doody, R., Hals, E. Granerud, A., Lahti, M., Pullo, J., Vatula, A., Ellilä, H., Vaart, K., Allon, J., Griffin, M., Russell, S., MacGabhann, L., Bjornsson, E. & Biering, P. (2019) Nursing student attitudes to people labelled with ‘mental illness’ and consumer participation: A survey-based analysis of findings and psychometric properties. Nurse Education Today, 76, 89–95. Doi: https://doi.org/10.1016/j.nedt.2019.02.003

Heim, E., Henderson, C., Kohrt, B., Koschorke, M., Milenova, M. & Thornicroft, G. (2019). Reducing mental health-related stigma among medical and nursing students in low-and middle-income countries: A systematic review. Epidemiology and Psychiatric Sciences. https://doi.org/10.1017/S2045 79601 9000167

Link B., Stuart H. (2017) The Stigma of Mental Illness - End of the Story?). Springer, Cham. Doi: https://doi.org/10.1007/978-3-319-27839-1_1

Loureiro, L., & Freitas, P. (2020). Literacia em saúde mental dos jovens estudantes de enfermagem na integração ao ensino superior. Revista Portuguesa de Enfermagem de Saúde Mental (24), 34-42.

Markstrom, U., Gyllensten, L., Bejerholm, U. & Bjorkman, T. (2009). Attitudes towards mental illness among health care students at Swedish universities – A follow-up study after completed clinical placement. Nurse Educ Today. 29(6):660-5. doi:10.1016/j.nedt.2009.02.006.

Martinez-Martinez, C., Sanchez-Martinez, V., Sales-Orts, R., Dinca, A., Richart-Martinez, M. & Ramos-Pichardo, J. (2019). Effectiveness of direct contact intervention with people with mental illness to reduce stigma in nursing students. International Journal of Mental Health Nursing 28 (3), 735-743. Doi: 10.1111/inm.12578

Martinho, J., Pires, R., Carvalho, J., & Pimenta, G. (2014). Formação e Desenvolvimento de Competências de Estudantes de Enfermagem em contexto de ensino clínico em saúde mental e psiquiatria. Revista Portuguesa de Enfermagem de Saúde Mental, (Ed. Esp. 1) 97-102. Disponível em: https://comum.rcaap.pt/bitstream/10400.26/36352/1/Júlia%20M.-09.pdf

Mendes, A., Marques, M., Monteiro, A., Barroso, T. & Quaresma, M. (2018). Educação em enfermagem de saúde mental e psiquiatria no curso de licenciatura em enfermagem. Rev. Eletronica saúde mental álcool drog, 14 (2), 73-82. DOI: 10.11606/issn.1806- 6976.smad.2018.000366

Programa Nacional de Saúde Mental (2017) Lisboa: Direção-Geral da Saúde. https://nocs.pt/wp-content/uploads/2017/11/DGS_PNSM_2017.10.09_v2.pdf

Querido, A., Tomás, C, Carvalho, D., Gomes, J. & Cordeiro, M. (2020). Impacto de uma intervenção no estigma em saúde mental e ansiedade intergrupal. Acta Paul Enferm. 33, 1-9. http://dx.doi.org/10.37689/actaape/2020AO0226

Querido, A., Tomás, C. & Carvalho, D. (2016). O Estigma face à doença mental nos estudantes de saúde. Revista Portuguesa de Enfermagem de Saúde Menta, Especial 3, 67-72. http://dx.doi.org/10.19131/rpesm.0120

Rodríguez-Almagro, J., Hernández-Martínez, A., Rodríguez-Almagro, D., Quiros-García, J., Solano-Ruiz, M & Gómez-Salgado, J.(2019). Level of Stigma among Spanish Nursing Students toward Mental Illness and Associated Factors: A Mixed-Methods Study. Int. J. Environ. Res. Public Health 16, 4870. doi:10.3390/ijerph16234870

Sousa, S., Queirós, C., Marques, A., Rocha, N., & Fernandes, A. (2008). Versão preliminar portuguesa do Attribution Questionnaire (AQ-27). Porto, Portugal: Faculdade de Psicologia e Ciências de Educação da Universidade do Porto/ESTSP-IPP.

Thongpriwan, V., Leuck, S., Powell, R., Young, S., Schuler, S. & Hughes, R. (2015) Undergraduate Nursing Students: Attitudes Toward Mental Health Nursing. Nurse Education Today, 35 (8), 948-953.