ÖZET KİTABI/ABSTRACT BOOK www.phkongresi.org www.phdernegi.org Supported by European Psychiatric Nurses Association -Horatio and Turkish Nurses Association.
Kuramdan Uygulamaya *Yazılar ile ilgili tüm bilimsel ve etik sorumluluk yazarlara aittir Scientific and ethical responsibilities pertaning to the papers belong to the authors **I. Uluslararası V. Ulusal Psikiyatri Hemşireliği Kongresi Özet Kitabının basımı Marmara Üniversitesi Rektörlüğü tarafından desteklenmiştir Publication of the Abstract Book of the I. International V. National Psychiatric Nursing Congress is supported by the Rectorate of Marmara University
İçindekiler Giriş / Introduction 5 Düzenleme Kurulu / Organizing Committee 6 Bilimsel Danışma Kurulu / Scientific Committee 7 Bilimsel Program / Scientific Program 8 Konuşmacı Metinleri / Speaker Text 16 Çalışma Grupları Özetler / Workshops 76 Sözel Bildiriler / Oral Presentations 100 Posterler / Poster Presentations 131 Yazar İndeksi / Author Index 409
4 I. ULUSLARARASI V. ULUSAL PSİKİYATRİ HEMŞİRELİĞİ KONGRESİ I. INTERNATIONAL V. NATIONAL PSYCHIATRIC NURSING CONGRESS
Giriş Değerli Meslektaşlarımız, Psikiyatri Hemşireleri Derneği ve Marmara Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik Bölümü Psikiyatri Hemşireliği Anabilim Dalı olarak 22-24 Eylül 2011 tarihlerinde gerçekleştireceğimiz 1. Uluslararası 5. Ulusal Psikiyatri Hemşireliği Kongresi nde sizleri aramızda görmekten büyük mutluluk duyacağız. 1. Uluslararası 5. Ulusal Psikiyatri Hemşireliği Kongresi nin 2011 yılı teması Kuramdan Uygulamaya olarak belirlenmiştir. Psikiyatri Hemşireliğinin dünyada ve ülkemizdeki kuramsal ve uygulamaya yönelik gelişmelerini çeşitli konferans ve paneller ile irdeleyeceğimiz kongremizde, her yıl olduğu gibi kurs ve çalışma gruplarımız da yer alacaktır. Kongrenin konferans ve panel oturumlarının, çalışma gruplarının, sözel ve poster bildirilerinin sizlerin katkıları ile zenginleşeceğine inanıyoruz. Eşsiz güzellikleri ile bizi büyüleyecek olan İstanbul da görüşmek dileğiyle... Dear Colleagues, We will be honored to see you among us at the 1st International 5th National Psychiatric Nursing Congress to be held on 22-24 September 2011 by the Turkish Psychiatric Nurses Association and Marmara University, Faculty of Health Sciences, Psychiatric Nursing Department. The theme of the 1st International 5th National Psychiatric Nursing Congress for 2011 is From Theory to Practice. The congress, where the theoretical and practical developments in Psychiatric Nursing worldwide and in our country will be addressed in various conferences and panels, will also include courses and workshops like every year. We strongly believe that conference and panel sessions, workshops, verbal and poster presentations of the congress will be enriched by your contributions. Looking forward to seeing you in Istanbul that will fascinate us with its unique beauties... Yard. Doç. Dr. Gül Ünsal Kongre Eş Başkanı President of the Congress Yard. Doç. Dr. Yasemin Kutlu Kongre Eş Başkanı President of the Congress 5
I. ULUSLARARASI V. ULUSAL PSİKİYATRİ HEMŞİRELİĞİ KONGRESİ I. INTERNATIONAL V. NATIONAL PSYCHIATRIC NURSING CONGRESS DÜZENLEME KURULU / ORGANIZING COMMITTEE ONURSAL BAŞKANLAR / HONORARY PRESIDENTS Prof. Dr. Zafer Gül Marmara Üniversitesi Rektörü / The Rector of Marmara University Prof. Dr. Gülden Polat M.Ü Sağlık Bilimleri Fakültesi Dekanı / The Dean of Marmara University, Health Science Faculty Prof. Dr. Mehmet Zihni Sungur Marmara Üniversitesi Hastanesi Psikiyatri Kliniği AD Başkanı / The President of Marmara University Hospital, Psychiatry Department Prof. Dr. Çaylan Pektekin Psikiyatri Hemşireleri Derneği Kurucu Başkanı / The First President of Turkish Psychiatric Nurses Association Önceki PHD Başkanları / The Previous Presidents of Turkish Psychiatric Nurses Association Prof. Dr. Nesri Aştı Prof. Dr. Sevim Buzlu Dr. Nurhan Eren KONGRE BAŞKANLARI / THE PRESIDENTS OF CONGRESS Yasemin Kutlu Gül Ünsal Barlas KONGRE SEKRETERLERİ / THE GENERAL SECRETARY Semra Karaca Nevin Onan SAYMANLAR / TREASURES Fatma Tokur Kinyas Tekin ÜYELER / MEMBERS Hacer Esref Atik Arzu Aydogdu Serhat Saygılı Ebru İlkme Kemal Kuscu Selma Hasanoglu Ilknur Tuncay Birben Yüksel Can Öz 6
BİLİMSEL DANIŞMA KURULU / SCIENTIFIC COMMITTEE Filiz Adana / Turkey Gülsüm Ançel / Turkey Hülya Arslantaş / Turkey Nesrin Aştı / Turkey Makbule Batmaz / Turkey Ayşegül Bilge / Turkey Hülya Bilgin / Turkey Nihal Bostancı Daştan / Turkey Kadriye Buldukoğlu / Turkey Sevim Buzlu / Turkey Jeanne Clement / USA Sibel Coşkun / Turkey John Cutcliffe / USA,UK Olcay Çam / Turkey Zekiye Ç. Duman / Turkey Fatma Demirkıran / Turkey Aynur Dinç Sever / Turkey Selma Doğan / Turkey Gülgün Durat / Turkey Şeyda Dülgerler / Turkey Fatma Eker / Turkey Mine Ekinci / Turkey Esra Engin / Turkey Nurhan Eren / Turkey Perihan G. Küçükkaya / Turkey Ayça Gürkan / Turkey Özlem Işıl / Turkey Semra Karaca / Turkey Meral Kelleci / Turkey Nazmiye Kocaman Yıldırım / Turkey Nebahat Kum / Turkey Leman Kutlu / Turkey Yasemin Kutlu / Turkey Leyla Küçük / Turkey Fahriye Oflaz / Turkey Ayşe Okanlı / Turkey Nevin Onan / Turkey Ber Oomen / Netherlands Fatma Öz / Turkey Gülten Özaltın / Turkey Ayşe Özcan / Turkey Neslihan Özcan / Turkey Mine Özen Turgay / Turkey Çaylan Pektekin / Turkey Denis Ryan / Ireland Roland van de Sande / Netherlands Michael Schulz / Germany Serap Sezgin / Turkey Havva Tel / Turkey Gülşen Terakye / Turkey Serpil Türkleş / Turkey Gül Ünsal / Turkey Besti Üstün / Turkey Mualla Yılmaz / Turkey Songül Kamışlı / Turkey 7
I. ULUSLARARASI V. ULUSAL PSİKİYATRİ HEMŞİRELİĞİ KONGRESİ I. INTERNATIONAL V. NATIONAL PSYCHIATRIC NURSING CONGRESS BİLİMSEL PROGRAM / SCIENTIFIC PROGRAM 22 Eylül 2011 / September 22, 2011 A Salonu / A Hall 08.00-17.00 Kayıt / Registration 08.45-09.45 Açılış Töreni / Opening Ceremony Yasemin Kutlu Kongre Eş Başkanı / Congress Chair Psikiyatri Hemşireleri Derneği ve İstanbul Üniversitesi Hemşirelik Fakültesi Psychiatric Nursing Association and Istanbul University Nursing Faculty Gül Ünsal Kongre Eş Başkanı / Congress Co-Chair Marmara Üniversitesi Sağlık Bilimleri Fakültesi / Marmara University Health Science Faculty Ber Oomen Avrupa Psikiyatri Hemşireleri Birliği / European Psychiatric Nursing Association-HORATIO Hamza Kandur Marmara Üniversitesi Rektör Yardımcısı / Deputy Rector of Marmara University Zafer Gül Marmara Üniversitesi Rektörü / Rector of Marmara University 09.45-10.00 Kahve Arası / Coffee Break 10.00-12.00 Forum / Forum : Psikiyatri Hemşireliği Sağlık Bakım Sisteminin Neresinde? Öznesi mi? Nesnesi mi? Where is Psychiatric Nursing in Health Care System? Did Subject or Object? Moderatör / Moderator : Sevim Buzlu & Gül Ünsal İstanbul Üniversitesi Hemşirelik Fakültesi / Istanbul University Nursing Faculty & Marmara Üniversitesi Sağlık Bilimleri Fakültesi / Marmara University Health Science Faculty Hülya Arslantaş Adnan Menderes Üniversitesi Sağlık Yüksekokulu / Adnan Menderes University College of Health Ayşegül Bilge Ege Üniversitesi Sağlık Bilimleri Fakültesi / Ege University Health Science Faculty Neslihan Keser Özcan İstanbul Üniversitesi Sağlık Bilimleri Fakültesi / Istanbul University Health Science Faculty Selma Hasanoğlu Sağlık Bakanlığı Marmara Üniversitesi Pendik Eğitim ve Araştırma Hastanesi Psikiyatri Kliniği Ministry of Health University of Marmara Pendik Education and Research Hospital, Psychiatry Department Hacer Eşref Atik Sağlık Bakanlığı Bakırköy Prof. Dr. Mazhar Osman Ruh ve Sinir Hastalıkları Hastanesi Ministry of Health Bakırköy Prof. Dr. Mazhar Osman Mental and Neurology Hospital Nazmiye Öztürk Sağlık Bakanlığı Samsun Ruh ve Sinir Hastalıkları Hastanesi Ministry of Health Samsun Mental and Neurology Hospital 12.00-13.00 Öğle Yemeği / Lunch 13.00-13.30 Poster Tartışması / Poster Discussion 8 Moderatör / Moderator : Makbule Batmaz & Melahat Akbaş Haliç Üniversitesi Sağlık Bilimleri Yüksekokulu / Haliç University Health Science High School & Sağlık Bakanlığı Bakırköy Prof. Dr. Mazhar Osman Ruh ve Sinir Hastalıkları Hastanesi Ministry of Health Bakırköy Prof. Dr. Mazhar Osman Mental and Neurology Hospital
BİLİMSEL PROGRAM / SCIENTIFIC PROGRAM 22 Eylül 2011 / September 22, 2011 A Salonu / A Hall 13.30-14.15 Konferans / Conference: Kuramdan Uygulamaya: Psikiyatri Hemşireliğinde İyileşme Modeli From theory to practice: The Recovery Model as a useful approach for Psychiatric Nursing Moderatör / Moderator: Çaylan Pektekin Bilim Üniversitesi Florence Nightingale Hastanesi Hemşirelik Yüksekokulu Bilim University Florence Nightingale Hospital College of Nursing Michael Schulz Diakonie Üniversitesi Psikiyatri Hemşireliği Bölümü Fachhochschule der Diakonie Psychiatrische Pflege- Psychische Gesundheit Studiengangsleitung des Studiengangs 14.15-15.15 İkili Konferans / Dual Conference: 15.45-16.45 Panel / Panel: Akut Psikiyatrik Durumlar / Acute Psychiatric Cases Moderatör / Moderator : Selma Doğan & Hülya Bilgin Cumhuriyet Üniversitesi Sağlık Bilimleri Fakültesi / Cumhuriyet University Health Science Faculty İstanbul Üniversitesi Hemşirelik Fakültesi / Istanbul University Nursing Faculty Akut Psikiyatri Kliniklerinde Risk Tanılama / Risk Assessment In Acute Psychiatric Wards Roland van de Sande Uygulamalı Bilimler Universitesi Sağlık Bilimleri Fakültesi / University of Applied Science, Faculty of Health İntiharı Önleme, İyileşme ve Klinik Süpervizyon / Suicide Prevention, Recovery and Clinical Supervison John Cutcliffe University of Maine&University of Ulster&University of Malta, Malta and Coimbra Nursing School Ruh Sağlığına Kültürlerarası Yaklaşım / Intercultural Approaches in Mental Health Moderatör / Moderator : Ayşe Özcan Mersin Üniversitesi Sağlık Yüksekokulu Emekli Öğretim Üyesi / Mersin University College of Health Retired Academician Kültürlerarası Terapi Nedir? Niçin Önemlidir? / What is Intercultural Therapy? Why It is important? Dilek Güngör Londra da Kıdemli Psikanalist-Kültürlerarası Psikoterapist / Senior Psychoanalyst-Intercultural Psychotherapist in London Kültürlerarası Terapi Merkezinin İlkeleri, Felsefesi ve Çalışma Yöntemi Intercultural Terapy Centre/ Principles & Philosophy & Work of the Centre Monika Schwartz NAFSIYAT Kültürlerarası Terapi Merkezi / NAFSIYAT Intercultural Therapy Centre Türk Toplumunda Ruh Sağlığına Yönelik Tutumlar / Attitude Towards Mental Health in Turkish Population Nesrin Aştı Muğla Üniversitesi Sağlık Yüksekokulu Emekli Öğretim Üyesi / Muğla University College of Health Retired Academician Türkiye de Sığınmacı ve Göçmenlere Verilen Psikososyal Destek Psychosocial Support Given to Asylum Seekers and Immigrants in Turkey Ali Gitmez Arel Üniversitesi Fen-Edebiyat Fakültesi Psikoloji Bölümü / Arel University Science-Letters Faculty Psychology Department 15.15-15.45 Kahve Arası / Coffee Break 17.00-19.00 Çalışma Grupları / Workshops 19.30 Açılış Kokteyli / Opening Coctail 9
I. ULUSLARARASI V. ULUSAL PSİKİYATRİ HEMŞİRELİĞİ KONGRESİ I. INTERNATIONAL V. NATIONAL PSYCHIATRIC NURSING CONGRESS BİLİMSEL PROGRAM / SCIENTIFIC PROGRAM 22 Eylül 2011 / September 22, 2011 B Salonu / B Hall 14.15-15.15 İkili Konferans / Dual Conference: 15.45-16.45 Panel / Panel: Adli Psikiyatri Hemşireliği / Forensic Psychiatric Nursing Moderatör / Moderator : Havva Tel & Fatma Tokur Cumhuriyet Üniversitesi Sağlık Bilimleri Fakültesi / Cumhuriyet University Health Science Faculty Sağlık Bakanlığı Bakırköy Prof. Dr. Mazhar Osman Ruh ve Sinir Hastalıkları Hastanesi / Ministry of Health Bakırköy Prof. Dr. Mazhar Osman Mental and Neurology Hospital Psikiyatri Hemşireliğinin Susuz Kalmış Çiçeği / Dehydrated Flower of Psychiatric Nursing Olcay Çam Ege Üniversitesi Sağlık Bilimleri Fakültesi / Ege University Health Science Faculty Psikiyatri Hemşireliğinin Kardelenleri / Snowdrops of Psychiatric Nursing Leyla Baysan Arabacı Ege Üniversitesi Sağlık Bilimleri Fakültesi / Ege University Health Science Faculty Bağımlılık Hemşireliği: Mesleki Eğitim ve Klinik Uygulamadaki Önemi Addiction Nursing: Importance in Professional Education and Clinical Practice Moderatör / Moderator : Sevim Buzlu & Nevin Onan İstanbul Üniversitesi Hemşirelik Fakültesi / Istanbul University Nursing Faculty Marmara Üniversitesi Sağlık Bilimleri Fakültesi / Marmara University Health Science Faculty Bağımlılık Hemşireliği Nedir? Bağımlılık Hemşireliği Eğitim ve Standartları Neler Olmalıdır? What is Addiction Nursing? What is Education and Standarts of Addiction Nursing? Sevim Buzlu İstanbul Üniversitesi Hemşirelik Fakültesi / Istanbul University Nursing Faculty Bağımlılık Hemşireliğinde Özel Uygulamalar / Specific Practices in Addiction Nursing Esra Engin Ege Üniversitesi Sağlık Bilimleri Fakültesi / Ege University Health Science Faculty Yatan Hastada Bağımlılık Hemşireliği Uygulamaları / Addiction Nursing Practices for inpatients Seniye Ünlü Sağlık Bakanlığı Bakırköy Prof. Dr. Mazhar Osman Ruh ve Sinir Hastalıkları Hastanesi Ministry of Health Bakırköy Prof. Dr. Mazhar Osman Mental and Neurology Hospital Relapsları Önleme ve Terapi Grupları / Prevention of Relapses and Therapy Groups Kadriye Özaydın Ege Üniversitesi Tıp Fakültesi Hastanesi Ruh Sağlığı ve Hastalıkları Anabilim Dalı Ege University Medical Faculty Hospital, Mental Health Department 10
BİLİMSEL PROGRAM / SCIENTIFIC PROGRAM 23 Eylül 2011 / September 23, 2011 A Salonu / A Hall 08.00-10.00 Çalışma Grupları / Workshops 08.00-10.00 Sözel Bildiriler / Oral Presentations Moderatör / Moderator : Aynur Dinç Sever & Serhat Saygılı Marmara Üniversitesi Sağlık Bilimleri Fakültesi Emekli Öğretim Üyesi Marmara University Health Science Faculty Retired Academician Sağlık Bakanlığı Bakırköy Prof. Dr. Mazhar Osman Ruh ve Sinir Hastalıkları Hastanesi Ministry of Health Bakırköy Prof. Dr. Mazhar Osman Mental and Neurology Hospital 10.00-10.15 Kahve Arası / Coffee Break 10.15-11.00 Konferans / Conference: Psikiyatride Uzun Süreli Terapilerde Rol Alma: Hemşireler İçin Mücadele Alanı Adherence to Long Term Therapies in Psychiatry a Challenge for Nurses Moderatör / Moderator : Kadriye Buldukoğlu Ankara Üniversitesi Sağlık Bilimleri Fakültesi / Ankara University Health Science Faculty Michael Schulz Diakonie Üniversitesi Psikiyatri Hemşireliği Bölümü / Fachhochschule der Diakonie Psychiatrische Pflege- Psychische Gesundheit Studiengangsleitung des Studiengangs 11.00-12.00 Panel / Panel: Danışmanlık ve Psikoterapi / Counselling and Psychoterapy Moderatör / Moderator : Mehmet Z. Sungur & Gülşen Terakye Marmara Üniversitesi Tıp Fakültesi Psikiyatri Anabilim Dalı / Marmara University Faculty of Medicine, Psychiatry Department Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulku / 9 Eylül University College of Nursing Danışmanlık ve Davranış Terapilerinde Eğitim / Training in Counselling and Behaviour Therapy Denis Ryan İrlanda Psikoterapi Enstitüsü / Foundation Chair of Counselling & Psychotherapy & Dean of Academic Affairs, National Counselling & Psychotherapy Institute of Ireland Psikiyatri Hemşireliği Uygulamalarında Bilişsel Yaklaşım / Cognitive Approach in Psychiatric Nursing Practice Jeanne Clement Ohio State Üniversitesi / Ohio State University Psikiyatri Hemşireliği Uygulamalarında Psikodinamik Yaklaşımlar Psychodinamic Approach in Psychiatric Nursing Practice Nurhan Eren İstanbul Üniversitesi İstanbul Tıp Fakültesi Hastanesi Psikiyatri Anabilim Dalı Istanbul University, Istanbul Medical Faculty Hospital, Psychiatric Department 12.00-13.30 Öğle Yemeği & Uydu Sempozyumu / Lunch & Satellite Symposium 11
I. ULUSLARARASI V. ULUSAL PSİKİYATRİ HEMŞİRELİĞİ KONGRESİ I. INTERNATIONAL V. NATIONAL PSYCHIATRIC NURSING CONGRESS BİLİMSEL PROGRAM / SCIENTIFIC PROGRAM 23 Eylül 2011 / September 23, 2011 A Salonu / A Hall 12.00-13.30 Poster Tartışması / Poster Discussion Moderatör / Moderator : Melek Doğaner & İlknur Tuncay Birben 13.30-14.45 Panel / Panel: İstanbul Üniversitesi İstanbul Tıp Fakültesi Hastanesi Psikiyatri Anabilim Dalı Istanbul University, Istanbul Medical Faculty Hospital, Psychiatric Department Sağlık Bakanlığı Marmara Üniversitesi Pendik Eğitim ve Araştırma Hastanesi Psikiyatri Kliniği Ministiry of Health University of Marmara Pendik Education and Research Hospital, Psychiatry Department Psikiyatri Hemşireliği Eğitimi ve Uygulamaları / The Education and Practices of Psychiatric Nursing Moderatör / Moderator : Fatma Öz Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi / Hacettepe University Health Science Faculty Psikiyatri Hemşireliği Eğitimi / Education of Psychiatric Nursing Kadriye Buldukoğlu Akdeniz Üniversitesi Antalya Sağlık Yüksekokulu / Akdeniz University Antalya College of Health Psikiyatri Hemşireliği Uygulamaları: Avrupa / Practices of Psychiatric Nursing in Europe Ber Oomen Avrupa Psikiyatri Hemşireleri Birliği / European Psychiatric Nursing Association- HORATIO Psikiyatri Hemşireliği Uygulamaları: Türkiye / Practices of Psychiatric Nursing in Turkey Candan Deliduman Hacettepe Universitesi Tıp Fakültesi Hastanesi / Hacettepe University Medical Faculty Hospital 14.45-15.00 Kahve Arası / Coffee Break 15.00-15.45 Konferans / Conference : İlişkide Erkekler ve Kadınlar: Farklar ve Benzerlikler Men and Women in Relation: Differences and Similarities Moderatör / Moderator : Besti Üstün Dokuz Eylül Üniversitesi Hemşirelik Fakültesi / 9 Eylül University Nursing Faculty Mehmet Z. Sungur Marmara Üniversitesi Tıp Fakültesi Psikiyatri Anabilim Dalı Marmara University Faculty of Medicine, Psychiatry Department 16.00-18.00 Çalışma Grupları / Workshops 19.00 Gala Yemeği / Gala Dinner 12
BİLİMSEL PROGRAM / SCIENTIFIC PROGRAM 23 Eylül 2011 / September 23, 2011 B Salonu / B Hall 08.00-10.00 Sözel Bildiriler / Oral Presentations: Moderatör / Moderator : Meral Kelleci & Kinyas Tekin İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Hastanesi Psikiyatri AD Istanbul University Cerrahpaşa Medical Faculty Hospital, Psychiatric Department İstanbul Üniversitesi İstanbul Tıp Fakültesi Hastanesi Psikiyatri Anabilim Dalı Istanbul University, Istanbul Medical Faculty Hospital, Psychiatric Department 10.00-10.15 Kahve Arası / Coffee Break 10.15-11.00 Panel / Panel: 11.00-12.00 Panel / Panel: Psikiyatri Hizmetlerinde Aile İle Çalışmak / Working with Families in Psychiatric Service Moderatör / Moderator : Gülten Özaltın & Semra Karaca Marmara Üniversitesi Sağlık Bilimleri Fakültesi Emekli Öğretim Üyesi Marmara University Health Science Faculty Retired Academician Marmara Üniversitesi Sağlık Bilimleri Fakültesi / Marmara University Health Science Faculty Psikiyatri Sağaltım Süreçlerinde Aile / Family in the Context of Psychiatric Treatment Kemal Kuşcu Marmara Üniversitesi Tıp Fakültesi Psikiyatri Anabilim Dalı Marmara University Faculty of Medicine, Psychiatry Department Şizofreni Hastalarının Aileleri İçin Bir Hizmet Modeli: Aileden Aileye Destek Programı A Services Model for Families of People with Schizophrenia: Family to Family Support Program Zekiye Çetinkaya Duman Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu / September 9 University College of Nursing Şizofreni Tedavisinde Aile Deneyimleri / Family experiences in Schizophrenia Treatment Şadıman Karahasanoğlu İstanbul Şizofreni Dostları Derneği / Istanbul Schizophrenia Friendships Association Konsültasyon-Liyezon Psikiyatri Hemşireliği (KLP): Mesleki Eğitim ve Klinik Uygulamadaki Önemi Consultation-Liasion Psychiatric Nursing (CLP): Importance in Professional Education and Clinical Practice Moderatör / Moderator : Perihan Güner Küçükkaya Koç Üniversitesi Hemşirelik Yüksekokulu / Koç University College of Nursing KLP Hemşireliği, Rol ve İşlevleri / CLP Nursing, Role and Functions Nazmiye Kocaman Yıldırım İstanbul Üniversitesi İstanbul Tıp Fakültesi Hastanesi Psikiyatri Anabilim Dalı Istanbul University, Istanbul Medical Faculty Hospital, Psychiatric Department Fiziksel Hastalıklarda Psikososyal Tepkiler ve Sorunlar / Psychosocial Reactions And Problems in Physical Illnesses Leyla Küçük İstanbul Üniversitesi Hemşirelik Fakültesi / Istanbul University Nursing Faculty KLP de Psikososyal Tanılama ve Bakım / Psychosocial Assessment and Care in CLP Ayşe Okanlı Atatürk Üniversitesi Sağlık Bilimleri Fakültesi / Atatürk University Health Science Faculty 13
I. ULUSLARARASI V. ULUSAL PSİKİYATRİ HEMŞİRELİĞİ KONGRESİ I. INTERNATIONAL V. NATIONAL PSYCHIATRIC NURSING CONGRESS BİLİMSEL PROGRAM / SCIENTIFIC PROGRAM 23 Eylül 2011 / September 23, 2011 B Salonu / B Hall 12.00-13.30 Öğle Yemeği & Uydu Sempozyumu / Lunch & Satellite Symposium 13.30-14.45 İkili Konferans / Dual Conference: Akut Psikiyatri Kliniklerinde Profesyonel Kontrol Yöntemleri / Professional Control Methods in Acute Psychiatric Wards Moderatör / Moderator : Özlem Işıl & Yüksel Can Öz Haliç Üniversitesi Sağlık Bilimleri Yüksekokulu / Haliç University Health Science High School Marmara Üniversitesi Sağlık Bilimleri Fakültesi / Marmara University Health Science Faculty Geçmişten Bugüne Profesyonel Kontrol Yöntemleri ve Uygulamaya Yansımalar Professional Control Methods From Past to Present and Reflections to Practice Hülya Bilgin İstanbul Üniversitesi Hemşirelik Fakültesi / Istanbul University Nursing Faculty Farklı Perspektiflerden Profesyonel Kontrol Yöntemleri / Professional Control Methods From Different Perspectives Neslihan Özcan İstanbul Üniversitesi Sağlık Bilimleri Fakültesi / Istanbul University Health Science Faculty 14.45-15.00 Kahve Arası / Coffee Break 15.00-15.45 İkili Konferans / Dual Conference : Çocuk ve Ergen Psikiyatri Hemşireliği: Mesleki Eğitim ve Klinik Uygulamadaki Önemi Child and Adolescent Psychiatric Nursing: Importance in Professional Education and Clinical Practice Moderatör / Moderator : Münevver Akın & Arzu Aydoğdu Sağlık Bakanlığı Bakırköy Prof. Dr. Mazhar Osman Ruh ve Sinir Hastalıkları Hastanesi / Ministry of Health Bakırköy Prof. Dr. Mazhar Osman Mental and Neurology Hospital İstanbul Üniversitesi İstanbul Tıp Fakültesi Hastanesi Psikiyatri Anabilim Dalı Istanbul University, Istanbul Medical Faculty Hospital, Psychiatric Department Türkiye de Çocuk ve Ergen Psikiyatri Hemşireliği Uygulamaları ve Sorunları Child and Adolescent Psychiatric Nursing Clinical Practices and Problems in Turkey Leman Kutlu İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi / Istanbul University Cerrahpaşa Medical Faculty Bir Üniversite Hastanesinde Çocuk ve Ergen Psikiyatri Hemşireliği Uygulamaları Child and Adolescent Psychiatric Nursing Clinical Practices in A University Hospital Canan Kabasakal İstanbul Üniversitesi İstanbul Tıp Fakültesi Çocuk Psikiyatrisi Anabilim Dalı Istanbul University Medical Faculty Child Psychiatry Department 14
BİLİMSEL PROGRAM / SCIENTIFIC PROGRAM 24 Eylül 2011 / September 24, 2011 A Salonu / A Hall 08.00-10.00 Çalışma Grupları / Workshops 10.00-10.15 Kahve Arası / Coffee Break 10.15-11.15 Film Gösterimi / Film: 11.15-12.30 Panel / Panel: Pippa ya Mektubum / My Letter to Pippa Yönetmen / Director : Bingöl Elmas Kadın: Olmak ya da Olmamak / Woman: To be or Not to be Moderatör / Moderator : Olcay Çam & Hacer Aydöner Ege Üniversitesi Sağlık Bilimleri Fakültesi / Ege University Health Science Faculty Sağlık Bakanlığı Erenköy Ruh ve Sinir Hastalıkları Hastanesi / Ministry of Health Erenköy Mental and Neurology Hospital Toplumsal Cinsiyet Rolleri, Şiddet ve Ayrımcılık / Gender Roles, Violence and Discrimination Nebahat Akkoç KADER Vakfı Başkanı / President of KADER Foundation Ya Mağdur ya Saldırgan: Kadın ve Şiddet / Either the victim or the attacker: Women and Violence Ayten Zara Bilgi Üniversitesi Fen Edebiyat Fakültesi Psikoloji Bölümü Bilgi University Faculty of Arts and Science Psychology Department Kadına Yönelik Şiddete Karşı Mücadele ve Sağlık Çalışanlarından Beklentiler Fight Violence Against Woman and Expectations of Health Professionals Gülsun Kanat Mor Çatı Kadın Sığınağı Vakfı / Mor Çatı Women s Shelter Foundation 12.30-13.30 Öğle Yemeği / Lunch 13.30-13.45 PHD Ödül Töreni / Award Ceremony of PHD Moderatör / Moderator : Yasemin Kutlu Psikiyatri Hemşireleri Derneği ve İstanbul Üniversitesi Hemşirelik Fakültesi Psychiatric Nursing Association and Istanbul University Nursing Faculty 13.45-14.00 Kapanış / Closing 14.00 Sosyal Program / Social Programme 15
Konuşma Metinleri / Speaker Texts
FROM THEORY TO PRACTICE: THE RECOVERY MODEL AS A USEFUL APPROACH FOR PSYCHIATRIC NURSING Michael Schulz Diakonie Üniversitesi Psikiyatri Hemşireliği Bölümü Fachhochschule der Diakonie Psychiatrische Pflege- Psychische Gesundheit Studiengangsleitung des Studiengangs Recovery is the model of care presently advocated for mental health services internationally. The Recovery Model as it applies to mental health is an approach to mental disorder or substance dependence (and/or from being labeled in those terms) that emphasizes and supports each individual s potential for recovery. Recovery is seen within the model as a personal journey, that may involve developing hope, a secure base and sense of self, supportive relationships, empowerment, social inclusion, coping skills, and meaning. For psychiatric nurses the concept of recovery can be used as a theoretical framework for mental health nursing in the 21st century. The presentation will cover core concepts of the recovery model and discuss the impact for psychiatric settings and strategies of implementation into practice. It will also focus on some concerns and the major role therapeutic risk taking and hope as essential aspects in the creation of a care environment that promotes recovery. - Repper, Julie; Perkins, Rachel (2003): Social inclusion and recovery. A model for mental health practice. Edinburgh;, New York: Baillière Tindall. 17
I. ULUSLARARASI V. ULUSAL PSİKİYATRİ HEMŞİRELİĞİ KONGRESİ I. INTERNATIONAL V. NATIONAL PSYCHIATRIC NURSING CONGRESS RISK ASSESSMENT IN ACUTE PSYCHIATRIC WARDS, REFLECTIONS ON A FOUR YEAR RESEARCH AND PRACTICE DEVELOPMENT PROJECT IN EUROPE Roland Van de Sande 1,2,Hellendoorn,E. 1,Roosenschoon,B.J. 1, Noorthoorn EO 4, Nijman, H. 3, van der Staak,C 3, Mulder,CL 1,2 1 Bavo-Europoort Mental Health Trust, Rotterdam 2 Erasmus University, Department of Psychiatry, Rotterdam 3 Hogeschool Utrecht, University of Applied Science,Centre of Nursing Studies 4 Radboud University Nijmegen, Centre of Behavioral Science 5 GGnet Mental Health Trust Background; Short term risk assessment by psychiatric trained staff in daily practice appears to be strongly driven by tacit knowledge. In the Netherlands approximately 30 % all aggressive incidents in acute wards results directly into a seclusion intervention (1). Although rarely used relevant clinical decision making support tools are available for daily practice in acute psychiatric settings (2). Psychiatric nurses may in their frontline position establish a key role in the process of risk communication in the multidisciplinary team. Several studies indicates that systematic risk assessment and risk evaluation can enhance the quality of clinical decision-making to enable safe practice (13). Support of an evidence informed risk model can reduce the false negatives and false positive risk appraisals in working with patients in a crisis episode (4). Nevertheless it should be emphasized that observation instruments could never totally replace the value of clinical judgment (3). Intervention; A set of complementary validated observational instruments is integrated in a crisis monitoring model in acute daily practice. For this purpose the Broset Violent Checklist (5), Kennedy-Axis V (6), Brief Psychiatric Rating Scale (11), Scale of Dangerousness (7), and the Social Dysfunctioning and Aggression Scale (10) were used. The hypothesis was that this Crisis Monitor model may improve the quality in decision-making during the entire admission episode in acute psychiatric wards. The model can support clinical pattern analysis on escalation and recovery patterns to enable tailor made individualized treatment planning. Research method; In a cluster randomized clinical trail the following hypothesis was reviewed; structural and frequent applications of risk sensitive observation instruments enables the staff to improve their risk management arsenal in order to reduce severe aggressive incidents and coercive interventions. This research proposal was approved by a regional medical ethical committee and the research protocol and the preliminary Findings were frequently discussed with a committee of service-user representatives. All consecutively admitted patients were included in the study (n=596). The study was performed during 40 weeks. The first 10 weeks were used to as a baseline. After this baseline period, the experimental and control clusters were randomly allocated. In the experimental wards observational instruments were integrated in standard care planning. The control wards went on with care as usual Results; During the research period (40 weeks) all admitted patients were included in the study (n=617), within this sample 18,6 % was secluded at least for a few hours. The experimental units and control-units had similar seclusion rates before randomization. In addition to this the reported aggression incidents in both research clusters were comparable. At the experimental wards aggression incidents were reduced to 78%, whereas in the control wards a increase of 12% was identified. [Chi-square = 21,3; (1) p<0,001]). The number of seclusion hours decreased at the experimental wards towards 68% and in the control wards towards 27% [chi-sq.=122:(1) p<0,000). At the experimental wards the mean duration of seclusion per patient was 17 hours (sd 17,6), at the control wards 27 hours (sd 27,5). (t=1,98; p=0,05). The Total number of patients exposed to seclusion and the amount of involuntary medication did not show significant differences. The number of enforced injections was too limited to allow statistical analysis on this issue. From this perspective longitudinal monitoring is required. Data-control regarding inequalities in patient characteristics did not influence the results substantially. Implementation approach in clinical practice; 18 Testing the application of the CrisisMonitor in clinical practice seemed to be a double loop innovation. In the experimental wards several challenges had to be faced. From this perspective six major components (14) were relevant; a.) consistent leadership in research and ethics, b.) utilization of research based instruments, c.) reflective practice d.) structured risk reasoning, e.) learning from post incident evaluations. f.) dialogue with service users. Seclusion and restraint reduction programs in the USA indicate long term and time consuming processes (14). We also used this model in the process of training more teams in several acute psychiatric facilities in the Netherlands. Conclusion
A cluster randomized clinical in a high risk environment appeared to be feasible in this study. Data control and clinical supervision by scientist practitioners in this process is highly recommended (14,15). Structured short term risk assessment can support seclusion and violence reduction programs in acute psychiatric wards significantly. Nurses can play a key role in data-collecting and practice development in risk management in acute psychiatric facilities. However consistent application of multi-level innovation strategies in a longitudinal framework is recommended (16). REFERENCES 1. Nijman, H, Palmstierna, T, Almvik,R, Stolker, J (2005) Fifteen years of research with the Staff Observation Aggression Scale, a review, Acta Psychiatrica Scandinavica, 2005, III (1):12-21 2. Rush, J, A, Pinus, H, A, First, M, D, Blacker, D, Endicott, J, Phillips, K, Ryan, N, Smith, R, Tsuang, M,T, Widiger, T, A, Zarin, D (2005) Handbook of Psychiatric Measures, American Psychiatric Association, Washington, DC 3. Achilles, R, Beerthuis, Ewijck van, W (1999) Spoedeisende psychiatrie, de praktijk, Syn-Thesis uitgevers, Amsterdam 4. Sande, van de, R.R.W (2007) Het beoordelen en bewaken van acute gezondheidsrisico s, In; Jansen, M, de Kuiper, M, Ettema, R, Sande van de, R.; De expertverpleegkundige, basis principes voor advanced nursing practice, p.128-160, Bohn Stafleu van Loghum, Houten 5. Almvik, R, Woods, P, Rasmussen, K (2000) The Broset Violence Checklist, Sensitivity, Specifity and Interrater Reliability, Journal of Interpersonal Violence, Vol.15, December 2000, p. 1284-1296 6. Kennedy, J (2003) Mastering the Kennedy-Axis V. A new psychiatric assessment of patient functioning. Fundamentals of psychiatric treatment planning, second edition, American Psychiatric Publishing, Washington 7. Mulder, N & van Baars, A (2004) Schaal voor Gevaar, Erasmus Universitair Medisch Centrum, Rotterdam 8. Nijman, H, Muris, P, Merckelbach, H (1999) The Staff Observation Aggression Scale Revised (SOAS-R), Aggressive Behavior, 1999, p.197-204 9. Nijman, H, Palmstierna, T, Stolker, J (2004) The Self Harm Scale, Unpublished manual 10. Wisted et al (1990) Social Dysfunctioning and Aggression Scale, Pharmacopsychiatry 23, 249-252 11. Overal,J & Gornham, D (1988) The Brief Psychiatric Rating Scale (BPRS),Recent developments in Ascertainment and Scaling, Pharmacopsychiatry,24,(1):97-99,1988 12. Nijman,H, Muris,P, Merckelbach, H, Palmstierna,T, Wistedt,B, Vos,B, van Rixtel, A, Alletz,W (1999) The Staff Observation Aggression Scale Revised (SOAS-R), Aggressive Behavior, Voume,25,Issue, 3, P. 197-209 13. Abderhalden,C, Needham, I, Dassen,T, Halfens,R, Haug, H,J, Fisher, J.F (2008) Systematic prediction of the short-time risk for violence in acute psychiatric wards: a cluster randomized controlled trial evaluating the effect on aggressive incidents and coercive measures, British Journal of Psychiatry 14. Sande van de, R, Hellendoorn, E, Roosenschoon, B, Noorthoorn, E, Nijman, H, Staak van der, C, Mulder,CL (2009) The CrisisMonitor model, early recogntion of aggression and prevention of seclusion interventions, Original title; De CrisisMonitor, het signaleren van agressie en het voorkomen van separatie, Maandblad Geestelijke Volksgezondheid,06-2009 (peer reviewed multidisciplinair mental health journal) 15. Sande van de, R, Hellendoorn, E, Noorthoorn, E, Nijman, H, Staak van der, C, Mulder,CL (2009) Structured short term risk assessment can reduce time in seclusion and the number of aggressive incidents, Original title; Gestructureerde korte termijn risicotaxatie kan separatietijd bekorten en agressie-incidenten verminderen, Tijdschrift voor Psychiatrie, suppl.1, April,2009 (peer reviewed psychiatric journal). 16. Huckshorn,K (2004) Reducing seclusion and restraint use in mental health settings: core strategies for prevention, Journal of Psychosocial and Mental Health Nursing, 42(9):22-41 Intended learning outcomes of the lecture; 1. Reflection on critical decision-making supported by evidence informed observation tools for systematic evaluation in day to day practice. 2. Reviewing the practical feasibility of working with systematic short-term risk assessment in the domain of psychiatric nursing. 3. Evaluation of collaborative work of scientist practitioners, psychiatric nurses, psychiatrist and managers in an acute setting. Acknowledgements; Mental Health Trust, Section Acute Psychiatry, Bavo-Europoort, Rotterdam Radboud University Nijmegen, Centre of Behavioral Science Erasmus University Rotterdam, Department of Psychiatry Utrecht University of Applied Science, Department of Nursing European Violence in Psychiatry Research Group 19
I. ULUSLARARASI V. ULUSAL PSİKİYATRİ HEMŞİRELİĞİ KONGRESİ I. INTERNATIONAL V. NATIONAL PSYCHIATRIC NURSING CONGRESS SUICIDE PREVENTION, RECOVERY AND CLINICAL SUPERVISION John Cutcliffe RMN, RGN, RPN, RN, B.Sc(Hon) Nrsg, Ph.D. Acadia Professor of Psychiatric and Mental Health Nursing Adjunct Professor: University of Ulster, UK; University of Malta, Malta; School of Nursing, University of Coimbra, Portugal. Abstract Psychiatric/Mental Health nurses have a long history of being front-line carers of suicidal people, and yet the international epidemiological literature, methodological problems notwithstanding, suggests that contemporary care practices for suicidal people have much room for improvement. As a result, this presebtation focuses on several areas/issues of care of the suicidal person, and in so doing, critiques the extant literature, such as it is. This critique illustrates that there is a disconcerting lack of empirically induced theory to guide practice and even less empirical evidence to support-specific interventions. The paper concludes, accepting the axiomatic complexity and multi-dimensionality of suicide, and the undeniable fact that suicide is a human drama, played out in the everyday lives of people, that for Psychiatric/Mental Health nurses, caring for suicidal people must be an interpersonal endeavor; and one personified by talking and listening. 20