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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

Competence of general practice nurses caring for patients with mental health problems in the somatic departments

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Department of Rehabilitation, Faculty of Health Science, Klaipėda University
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Department of Rehabilitation, Hospital of Klaipėda University
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Department of Nursing, Faculty of Health Science, Klaipėda University, Lithuania
*
Author to whom correspondence should be addressed.
Medicina 2009, 45(10), 822; https://doi.org/10.3390/medicina45100107
Received: 14 August 2008 / Accepted: 5 October 2009 / Published: 10 October 2009
Objective. To investigate competence of general practice nurses caring for patients with mental health problems in the somatic departments.
Material and methods
. A quantitive study on competence of general practice nurses using an anonymous questionnaire was carried out in Klaipėda secondary health care institution in January–February of 2007. The respondents (128 general practice nurses) were selected from seven departments, in which psychiatric consultation was more frequently recommended. In the working places of nurses, 140 questionnaires were distributed; 135 questionnaires were completed (response rate was 96.4%), among them 7 questionnaires were acknowledged as not valid.
Results
. About 45.0% of general practice nurses had knowledge how to care for the patients with mental health problems, from 1.6 to 21.9% did not have knowledge, and the rest reported having only moderate knowledge (28.1–64.1%). These findings provided a statistically significant link between the duration of employment and education (r from 0.292 to 0.76; P from <0.05 to <0.01). However, only 30.5% of respondents were able to manage conflicts. Most common undesirable events (60.3%) were runaway from inpatient clinic care, injury followed by runaway (29.4%), and suicide (10.3%). From 18.8% to 28.9% of respondents believed that undesirable events were influenced by an unsuitable environment of the department, the shortage of time and personnel, difficulty in getting a psychiatrist’s consultation. Only 3.1% of respondents thought that these undesirable events might be affected by the lack of competence of personnel. Most of the nurses (form 75.0% to 84.4%) had a positive attitude toward the patients; however, the nursing principles were recognized only by (6.3% to 24.2%) of respondents.
Conclusions
. Competence of the nurses caring for the patients with mental health problems is not at the level required. This may be associated with insufficient professional skills, conflict situations with the patients, and the lack of acknowledgment of the principles of nursing.
Keywords: competence of a nurse; mental health; general hospital competence of a nurse; mental health; general hospital
MDPI and ACS Style

Švedienė, L.; Jankauskienė, L.; Kušleikaitė, M.; Razbadauskas, A. Competence of general practice nurses caring for patients with mental health problems in the somatic departments. Medicina 2009, 45, 822.

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