Physical health problems and unhealthy lifestyle behaviours are common in people with severe mental illness (SMI), leading to high levels of mortality.There is some evidence that nurse-led interventions involving comprehensive health checks may be effective in improving physical health in people with SMI. This quasi-experimental before-and-after study investigated the impacts of the Thai Health Improvement Profile (HIP-T) on the physical health and health behaviours of people with schizophrenia over 1-year. All 105 service-users who volunteered to participate completed the study. There were significant reductions in mean BMI (À0.78 kg/m 2 , P < .001) and bodyweight (À1.13 kg, P < .001) at post-test. There was also a significant decrease in the total number of "red-flagged" HIP-T items, suggesting lowered potential health risks (P < .001). Overall, 23 patients (22%) were found to have moved to a healthier BMI classification after 1-year. The findings suggest that the HIP-T intervention has potential for improving the physical health of people with SMI when integrated into routine community mental health care.
Schizophrenia is a severe chronic mental illness affecting twenty million people worldwide. Although the incidence of schizophrenia remains low, its prevalence may remain high due to medication non-adherence. Knowing potential factors relating to non-adherence with medication among patients with schizophrenia by investigating existing literature is needed in order to understand the phenomenology of this situation. Therefore, the study aimed to explore the most common factors that affected medication non-adherence in patients with schizophrenia. A systematic review was conducted through a literature search on Cochrane Database of Systematic Reviews, MEDLINE, PsycINFO, EBSCOhost, CINAHL Complete, ERIC, and Allied Health databases published from 1980 to 2021. Database searches were conducted with the terms “non-adherence to medication” “schizophrenia,” and “factors.” Eighty-six articles were found following the first-round search. Then seventy-eight articles were excluded due to irrelevant and duplicate tiles. Only eight articles were included for the final review. Per the findings, factors associated with medication non-adherence were categorized into four main themes: individual characteristics, cognitive appraisal, social influence, and health-care service. To improve medication adherence rates in patients with schizophrenia, psychiatric nurses must consider these specific factors while establishing nursing interventions.
Knowing a history of nursing science allows nurses to understand the journey of nursing theorists and scientists in developing the nursing science. Since the era of Florence Nightingale in the mid-18th century, the nursing theories and nursing research were published to the public, particularly scientific community. During late 18th and 19th century, there were many interesting questions among these debates that have not been answer yet, such as is it a nursing science or science of nursing? and is it a pure science or applied science? Even though the scientific community acknowledges that nursing is known as a science, many scholars remain to discuss the definition and category of nursing science. Along the history of nursing knowledge development, nursing scholars faced many challenges concerning the difficulty to develop the required content for nursing practices, to be an excellent discipline in the developing science base, to prepare nurse researchers, and to disseminate research results to the community and to the public (Hinshaw, 1989). Nowadays nursing science is entering into the postmodern era and it will be continued development in the next decade. Even if nurses do not recognise that nursing knowledge is currently in crisis, looking for the future of nursing science throughout the principle of Kuhn’s paradigm shift might provide valuable direction for nurse. Therefore, this paper aims to explain Kuhn’s revolutionary theory and its principle. Moreover, the influence of Kuhn’s revolution theory on the revolution of nursing science that will be present in this paper.
Educators may face an ethical dilemma when they conduct research by using their own students as participants. The dual role conflict, coercion, confidentiality, misconstruction, and unawareness of the informed consent documents have been discussed as ethical issues in such faculty research. The educators as the researchers should be aware of these ethical dilemmas and attempt to implement the informed consent effectively. Thus, this article explores the ethical considerations of informed consent for the educational setting that students are recruited in the faculty research. Furthermore, this article represented recommendations for potentially resolving the ethical dilemmas of informed consent surrounding this phenomenon which consisted of eliminating dual role conflict and coercion, guarding confidentiality, and promoting good construction and awareness of the informed consent documents.
What is already known about this topic• Individuals with severe mental illness (SMI) have elevated risks for physical health problems and low screening rates.• No previous studies have compared the physical health promotion needs of people with SMI using the same screening tool across different international settings. What this paper adds to existing knowledge• It appears feasible to use the HIP to profile and compare physical health-related risks in people with SMI across different international settings.• The HIP tool identified significant differences in areas of risk across the four countries. What are the implications for practice?• The HIP could be used to identify unique clusters of health promotion needs in different countries.• Use of HIP health checks may support implementation of individualized interventions.
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