Nurses' Attitude Towards Patients with Mental Illness in a General Hospital in Kuwait

Anwar Al-Awadhi 1, Farid Atawneh 2, M Ziad Y Alalyan 1, Altaf Ahmad Shahid 1, Sulaiman Al-Alkhadhari 3, Muhammad Ajmal Zahid 3

Affiliations

01 January 2017

-

doi: 10.4103/1658-631X.194249

Abstract

in English, Arabic

Introduction: Stigma and discrimination have been reported to cause unnecessary delay in mentally-ill patients seeking help, which adversely affects a patient's outcome. The attitude of health care professionals has been described as being, even more, negative than that of the general public, which worsens the prognosis for patients with a mental illness.

Aims: The aim of this study was to describe the attitude of nurses toward mentally-ill patients in a general hospital.

Methods: All the nurses in the hospital were administered a 40-item Community Attitudes Toward the Mentally-Ill (CAMI) questionnaire which determines whether the mentally-ill are viewed as "inferior;" deserve "sympathy;" perceived as a "threat" to society or "acceptable" if residing in community dwellings. The analysis of variance was performed to determine association of the four subscales with the individual characteristics, including age, gender, education, qualification type, position held, contact and contact type.

Results: Out of a total of 990 nurses, 308 (31%) completed the CAMI questionnaire. The mean scores for the authoritarian (2.85), benevolent (3.66), social restrictiveness (2.97) and community mental health ideology (3.48) subscales reflected a negative attitude of nurses toward mentally-ill patients. The direct or indirect utilization of the mental health facilities resulted in significantly higher authoritarian and lower benevolence scores, indicating a positive attitude change in this group of nurses.

Conclusion: Despite the small size and selective nature of the sample, the nurses' negative attitude toward the mentally-ill patients provides useful baseline data for further large-scale studies and underscores the need for psychoeducation of different health care professionals, including nurses.

Keywords: Arab; Kuwait; mental illness; nurses; stigma.

Conflict of interest statement

There are no conflicts of interest.

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References

  1.  
    1. World Health Organization. Mental Health Declaration for Europe: Facing the Challenges, Building Solutions: Report from the WHO European Ministerial Conference. Copenhagen: WHO Regional Office for Europe; 2005.
  2.  
    1. Byrne P. Stigma of mental illness and ways of diminishing it. Adv Psychiatr Treat. 2000;6:65–72.
  3.  
    1. Thornicroft G, Brohan E, Kassam A, Lewis-Holmes E. Reducing stigma and discrimination: Candidate interventions. Int J Ment Health Syst. 2008;2:3. - PMC - PubMed
  4.  
    1. Wang PS, Berglund P, Olfson M, Pincus HA, Wells KB, Kessler RC. Failure and delay in initial treatment contact after first onset of mental disorders in the national comorbidity survey replication. Arch Gen Psychiatry. 2005;62:603–13. - PubMed
  5.  
    1. Morgan C, Fearon P. Social experience and psychosis insights from studies of migrant and ethnic minority groups. Epidemiol Psichiatr Soc. 2007;16:118–23. - PubMed
  6.  
    1. Wang PS, Berglund PA, Kessler RC. Patterns and correlates of contacting clergy for mental disorders in the United States. Health Serv Res. 2003;38:647–73. - PMC - PubMed
  7.  
    1. Sartorius N. Iatrogenic stigma of mental illness. Begins with behavior and attitudes of medical professionals, especially psychiatrists. Br Med J. 2002;324:1470–1. - PMC - PubMed
  8.  
    1. Brinn F. Patients with mental illness: General nurses' attitudes and expectations. Nurs Stand. 2000;14:32–6. - PubMed
  9.  
    1. Schulze B, Angermeyer MC. Subjective experiences of stigma. A focus group study of schizophrenic patients, their relatives and mental health professionals. Soc Sci Med. 2003;56:299–312. - PubMed
  10.  
    1. Nordt C, Anthony M, Ajdacic-Gross V, Rössler W. What about psychiatrists' attitudes to mentally ill people. Eur Psychiatry. 2004;19:423–7. - PubMed
  11.  
    1. Rao H, Mahadevappa H, Pillay P, Sessay M, Abraham A, Luty J. A study of stigmatized attitudes towards people with mental health problems among health professionals. J Psychiatr Ment Health Nurs. 2009;16:279–84. - PubMed
  12.  
    1. Jorm AF, Korten AE, Jacomb PA, Christensen H, Henderson S. Attitudes towards people with a mental disorder: A survey of the Australian public and health professionals. Aust N Z J Psychiatry. 1999;33:77–83. - PubMed
  13.  
    1. Caldwell TM, Jorm AF. Mental health nurses' beliefs about interventions for schizophrenia and depression: A comparison with psychiatrists and the public. Aust N Z J Psychiatry. 2000;34:602–11. - PubMed
  14.  
    1. Chambers M, Guise V, Välimäki M, Botelho MA, Scott A, Staniuliené V, et al. Nurses' attitudes to mental illness: A comparison of a sample of nurses from five European countries. Int J Nurs Stud. 2010;47:350–62. - PubMed
  15.  
    1. Repper J, Perkins R. Social Inclusion and Recovery: A Model for Mental Health Practice. Edinburgh: Baillier Tindall; 2006.
  16.  
    1. World Health Organization. Atlas: Nurses in Mental Health. Geneva: World Health Organization; 2007.
  17.  
    1. Ludvigsen C. Enhancing nurse mobility in Europe: A case for language skills. Nurse Educ Today. 1997;17:87–90. - PubMed
  18.  
    1. Scott DJ, Philip AE. Attitudes of psychiatric nurses to treatment and patients. Br J Med Psychol. 1985;58(Pt 2):169–73. - PubMed
  19.  
    1. Mavundla TR, Uys LR. The attitudes of nurses' mobility in Europe – A case for language skills. Nurse Educ Today. 1997;17:87–90. - PubMed
  20.  
    1. Bairan A, Farnsworth B. Attitudes toward mental illness: Does a psychiatric nursing course make a difference? Arch Psychiatr Nurs. 1989;3:351–7. - PubMed
  21.  
    1. McLaughlin C. The effect of classroom theory and contact with patients on the attitudes of student nurses towards mentally ill people. J Adv Nurs. 1997;26:1221–8. - PubMed
  22.  
    1. Read J, Law A. The relationship of causal beliefs and contact with users of mental health services to attitudes to the ‘mentally ill’. Int J Soc Psychiatry. 1999;45:216–29. - PubMed
  23.  
    1. Couture SM, Penn DL. Interpersonal contact and the stigma of mental illness: A review of the literature. J Ment Health. 2003;12:291–305.
  24.  
    1. Kahn AM. Relationship between nurses' opinions about mental illness and experience. Nurs Res. 1976;25:136–40. - PubMed
  25.  
    1. Weller L, Grunes S. Does contact with the mentally ill affect nurses' attitudes to mental illness? Br J Med Psychol. 1988;61:277–84. - PubMed
  26.  
    1. Callaghan P, Shan CS, Yu LS, Ching LW, Kwan TL. Attitudes towards mental illness: Testing the contact hypothesis among Chinese student nurses in Hong Kong. J Adv Nurs. 1997;26:33–40. - PubMed
  27.  
    1. Addison SJ, Thorpe SJ. Factors involved in the formation of attitudes towards those who are mentally ill. Soc Psychiatr Epidemiol. 2004;39:228–34. - PubMed
  28.  
    1. Health Kuwait (Ed XL111). Health and Vital Statistics Division, Department of Statistics and Medical Records 2006, Ministry of Health, Kuwait. 2006
  29.  
    1. Taylor SM, Dear MJ. Scaling community attitudes toward the mentally ill. Schizophr Bull. 1981;7:225–40. - PubMed
  30.  
    1. Kingdon D, Sharma T, Hart D. The Schizophrenia subgroup of the royal college of psychiatrists' changing minds campaign. What attitudes do psychiatrists hold towards people with mental illness? Psychiatr Bull. 2004;28:401–6.
  31.  
    1. Sévigny R, Yang W, Zhang P, Marleau JD, Yang Z, Su L, et al. Attitudes toward the mentally ill in a sample of professionals working in a psychiatric hospital in Beijing (China) Int J Soc Psychiatry. 1999;45:41–55. - PubMed
  32.  
    1. Tay SE, Pariyasami S, Ravindran K, Ali MI, Rowsudeen MT. Nurses' attitudes toward people with mental illnesses in a psychiatric hospital in Singapore. J Psychosoc Nurs Ment Health Serv. 2004;42:40–7. - PubMed
  33.  
    1. IBM Corp. Released 2013. IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY: IBM Corp;
  34.  
    1. Sartorius N. Stigma and mental health. Lancet. 2007;370:810–1. - PubMed
  35.  
    1. Wang PS, Berglund P, Olfson M, Pincus HA, Wells KB, Kessler RC. Failure and delay in initial treatment contact after first onset of mental disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005 Jun;62:603–13. - PubMed
  36.  
    1. Fakhr El-Islam M. Arab culture and mental health care. Transcult Psychiatry. 2008;45:671–82. - PubMed
  37.  
    1. Kadri N, Manoudi F, Berrada S, Moussaoui D. Stigma impact on Moroccan families of patients with schizophrenia. Can J Psychiatry. 2004;49:625–9. - PubMed
  38.  
    1. Okasha A. Mental health services in the Arab World. Arab Stud Q. 2003;25:39–52.
  39.  
    1. Corrigan PW, Watson AC. Understanding the impact of stigma on people with mental illness. World Psychiatry. 2002;1:16–20. - PMC - PubMed
  40.  
    1. Schomerus G, Schwahn C, Holzinger A, Corrigan PW, Grabe HJ, Carta MG, et al. Evolution of public attitudes about mental illness: A systematic review and meta-analysis. Acta Psychiatr Scand. 2012;125:440–52. - PubMed
  41.  
    1. Björkman T, Angelman T, Jönsson M. Attitudes towards people with mental illness: A cross-sectional study among nursing staff in psychiatric and somatic care. Scand J Caring Sci. 2008;22:170–7. - PubMed
  42.  
    1. Angermeyer MC, Dietrich S. Public beliefs about and attitudes towards people with mental illness: A review of population studies. Acta Psychiatr Scand. 2006;113:163–79. - PubMed
  43.  
    1. Watson AC, Corrigan P, Larson JE, Sells M. Self-stigma in people with mental illness. Schizophr Bull. 2007;33:1312–8. - PMC - PubMed
  44.  
    1. Nairn S, Hardy C, Parumal L, Williams GA. Multicultural or anti-racist teaching in nurse education: A critical appraisal. Nurse Educ Today. 2004;24:188–95. - PubMed
  45.  
    1. Time to Change. Changing attitudes, challenging discrimination, improving wellbeing. London: Time to Change; 2010.

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