Remote psychiatric consultations – top tips for clinical practitioners

Ramkisson, Roshelle; Dave, Subodh; Abraham, Seri; Pillai, Anil K.; Moir, Rachel; Matheiken, Shevonne; Bamrah, JS

doi:10.1002/pnp.674

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…The COVID-19 pandemic process has additionally brought a socio-economic burden to mental health services worldwide [29]. Health authorities also provide support to both patients and healthcare providers at the national and regional level in dealing with psychological health problems.…”

Section: Resultsmentioning

confidence: 99%

Assessment of the experience and mood of COVID-19 pandemic care nurses

Aksoy¹,

Demirtaş²,

Bayraktar³

2020

nat

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Epidemics and pandemics have affected many societies at various times throughout human history. In the 21st century, the world is still struggling with epidemics and pandemics. Nurses play important roles in healthcare practices during infectious disease pandemics and other epidemic diseases. Therefore, they are at risk of direct patient care and exposure to contagious diseases. In this study, during the COVID-19 outbreak, pandemic care nurses; It is aimed to examine their experiences and moods with a questionnaire. This work; was conducted with the participation of 50 (13 Male + 37 Female) volunteer nurses who directly care for COVID-19 patients or suspects. Online survey questions were asked to determine the experiences and moods of the nurses during the interventions. The data obtained were analyzed with IBM SPSS 20® program. All of the participants were trained in care nursing. Participants were forced, 60% (30) of them in the habit of using personal protective, disinfectant and clothing. 78% (39) experienced insomnia, stress and anxiety, but only 2% (1) reported using sleeping pills, 36% (17) practiced meditation, muscle relaxation and breathing exercises. During this difficult period, 62% (31) of the nurses were found to be exposed to verbal/physical aggression by their patients/relatives. A significant relationship has been found between exposure to verbal or physical violence by patients / patient relatives and the Marital status-professional working year (P <0.05). As a result, the COVID-19 Pandemic process imposes both an intense work pace and a heavy responsibility for nurses. Changes in work habits brought along both psychological and physical stress and looking at the data, the fact that the COVID-19 Pandemic process took longer than expected created psychological burnout in nurses. Despite all this, nurses overcome these difficulties with their experiences.

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Section: Resultsmentioning

confidence: 99%

Assessment of the experience and mood of COVID-19 pandemic care nurses

Aksoy¹,

Demirtaş²,

Bayraktar³

2020

nat

View full text Add to dashboard Cite

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“…25 Early training can foster specific skills, such as conducting mental state examinations by telephone. 26 These should supplement, but not supplant, the acquisition of skills for face-to-face interactions.…”

Section: Developing Clinical Skills In Psychiatrymentioning

confidence: 99%

Teaching psychiatry to medical students in the time of COVID-19: experiences from UK medical schools

et al. 2021

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Aims and method Education leads for undergraduate psychiatry in UK medical schools completed questionnaires on adaptations made to undergraduate psychiatry education, their impact and what lessons could be learnt for the future. Results Respondents from 24 medical schools across the UK reported a major shift to online teaching delivery, with reduced workplace learning and increased use of teleconferencing, online tasks and self-directed learning. Changes were implemented with some faculty training provided, but little additional funding or resources from medical schools or National Health Service trusts. A variety of challenges and opportunities were reported. Clinical implications Despite the extraordinary efforts of education leads to maintain undergraduate psychiatry education, the pandemic may affect the development of students’ professional competencies and recruitment into psychiatry. Individual clinicians, trusts and medical and foundation schools have much to offer, and need to work with students to replace what has been lost during the pandemic.

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“…Factors outside the clinician's and patient's control can impede the uptake of care, not least in terms of accessing a sufficiently private space for assessments and interventions (Feijt et al 2020, Zhai 2020. Establishing a therapeutic frame when working online requires important skills distinct from those developed working face-toface; likewise, the assessment of patient affect via video and discussions about safeguarding and welfare concerns (Cowan et al 2019, Kashyap et al 2020, Racine et al 2020Ramkisson et al, 2020. Certain standardised assessment measures involving direct observation, particularly for neurodevelopmental disorders, are also not validated for remote delivery, contributing to delays in assessment completion and waiting lists increasing.…”

Section: Introductionmentioning

confidence: 99%

Young people’s views on specialist mental healthcare and remote delivery during the COVID-19 pandemic

Archard

Kulik

Fitzpatrick

et al. 2022

Mental Health Practice

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This article reports findings from a service evaluation involving interviews with 16 young people under the care of a single specialist child and adolescent mental health services team in the NHS in England. The team serves various 'vulnerable' population groups, including children and young people living in residential and foster care, who are adopted, and who are involved with youth justice services. The evaluation was concerned with how the shift from face-to-face to remote forms of care and new ways of working during the COVID-19 pandemic has been experienced. The young people's accounts highlight how differences in provision were mostly anticipated. This interlinked with a high level of satisfaction with the service overall. The therapeutic relationship with the case-holding clinician appeared to hold a renewed significance when care was delivered remotely or through a combination of remote and face-to-face delivery. The article concludes by considering the implications of the findings for practice and care pathway planning and with some brief comments on the value of service evaluations for illuminating issues that transcend local care.

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Remote psychiatric consultations – top tips for clinical practitioners

Cited by 5 publications

References 9 publications

Assessment of the experience and mood of COVID-19 pandemic care nurses

Assessment of the experience and mood of COVID-19 pandemic care nurses

Teaching psychiatry to medical students in the time of COVID-19: experiences from UK medical schools

Young people’s views on specialist mental healthcare and remote delivery during the COVID-19 pandemic

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