NURS1546 Preparation For Mental Health Nursing
Question:
Answer:
The current research focuses upon the aspect of mental health care by trying to draw a comparison between pharmacological and non- pharmacological interventions for the treatment of schizophrenia.
Aim:
The research aims to find out whether medication along with nursing interventions can reduce schizophrenic symptoms in schizophrenia patients.
Research objectives:-
- To critically analyse the impact of mental health nursing interventions in reducing the schizophrenic symptoms in schizophrenia patients
- To critically understand the effect of standalone medications on schizophrenia patients
- To critically understand the importance of implementing antipsychotic medications along with mental health nursing as co-treatment for effectively controlling schizophrenic symptoms in schizophrenia patients
Approach to perform systematic review
For the present research a systematic review will be performed by the researcher where the researcher will be using a number of secondary databases for the gathering of the data. In this respect, secondary databases such as PUBMED, Cochrane, ELSEVIER, MEDLINE, CINAHL, etc. For the collection of data strict filters will be applied by the researcher, which have been grouped under inclusion and exclusion criteria. The data gathered from the secondary sources will be used by the researcher for thematic analysis where the similar will be grouped together. The theme formation will help the researcher in arriving at acceptable results.
Inclusion/exclusion criteria
For searching the required articles strict filters have been applied such as effective keywords will be used to extract relevant articles from the secondary databases. Some of the keywords which will be used over here are –schizophrenia, pharmacological treatment, noon-pharmacological treatment, schizophrenia, psychosis, antipsychotic medications, improvements in schizophrenia symptoms etc. Additionally, Boolean phrases such as AND will be used to extract the articles from the relevant databases. Additionally, the time limiters will be set to the last 18 years such that any articles found as result of the search prior to the year 2000 will be excluded. The full text articles only will be taken into consideration by the researcher. Additionally, peer reviewed internal journals with good impact factors will be taken into consideration. For the review, systematic reviews and randomised control trials will be given first priority by the researcher, the case and cohort studies will be second priority. The publications in local language will be excluded and not included within the study.
Intended outcome of the research
The research aimed to understand the outcome of implementing mental health nursing interventions along with medications in the treatment of schizophrenic symptoms in schizophrenia patients. As mentioned by Taylor et al. (2017), the medications for schizophrenia treatment have often been associated with strong and adverse outcomes. Some of the anti-psychotic medications have been seen to affect the digestive system of the patient on long term use (Mizuno et al., 2014). Therefore, there has been much focus upon using non –pharmacological intervention strategies such as the use of mental health nursing.
Therefore, the research would try to compare the benefits of providing standalone medications in combination with non-pharmacologic interventions. Some of these are based upon use of therapeutic communication approaches training the patients on developing positive mindset along with engaging them in light physical exercises. As suggested by Gates, Killackey, Phillips and Álvarez-Jiménez (2015), communication is one of the most important gateway in mental health nursing care.
References
Taylor, J., Stubbs, B., Hewitt, C., Ajjan, R. A., Alderson, S. L., Gilbody, S., … & Kellar, I. (2017). The effectiveness of pharmacological and non-pharmacological interventions for improving glycaemic control in adults with severe mental illness: a systematic review and meta-analysis. PloS one, 12(1), e0168549.
Mizuno, Y., Suzuki, T., Nakagawa, A., Yoshida, K., Mimura, M., Fleischhacker, W. W., & Uchida, H. (2014). Pharmacological strategies to counteract antipsychotic-induced weight gain and metabolic adverse effects in schizophrenia: a systematic review and meta-analysis. Schizophrenia bulletin, 40(6), 1385-1403.
Gates, J., Killackey, E., Phillips, L., & Álvarez-Jiménez, M. (2015). Mental health starts with physical health: current status and future directions of non-pharmacological interventions to improve physical health in first-episode psychosis. The Lancet Psychiatry, 2(8), 726-742.
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