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Jang and Shin: Care Burden for Mental Illness Patients, Attitude toward Mental Illness and Psychiatric Nursing Competency in Non-psychiatric Nurses
Original Article

J Korean Acad Psychiatr Ment Health Nurs 2017;26(1):55-66.

Published online: 7 March 2017

DOI: https://doi.org/10.12934/jkpmhn.2017.26.1.55

Care Burden for Mental Illness Patients, Attitude toward Mental Illness and Psychiatric Nursing Competency in Non-psychiatric Nurses

Mi Young Jang, Sung Hee Shin

College of Nursing Science, Kyung Hee University, Seoul, Korea

Corresponding author: Shin, Sung Hee College of Nursing Science, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea. Tel: +82-2-961-0917, Fax: +82-2-961-9398, E-mail: sunghshin@khu.ac.kr

Received 28 November 20166 February 2017       Accepted 13 February 2017

Copyright © 2017 The Korean Academy of Psychiatric and Mental Health Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purposes of this study were to identify the level of care burden for patients with mental illness, attitudes toward mental illness and psychiatric nursing competency in non-psychiatric nurses and to identify correlations among these variables.

Methods

Data were collected from 153 non-psychiatric nurses who worked at a hospital located in Seoul, Korea. Care burden for mental illness patients, attitudes toward mental illness, and psychiatric nursing competency were measured using structured questionnaires. The collected data were analyzed using frequency, percentage, independent t-test, one-way ANOVA, Scheffé test and Pearson's correlation coefficients with the SPSS/WIN 21.0 program.

Results

Non-psychiatric nurses’ care burden for mental illness patients showed negative correlations with attitude toward mental illness (r=-.50, p<.001) and intervention competency (r=-.31, p<.001).

Conclusion

The findings of this study suggest that effective nursing care for patients with mental illness in non-psychiatric departments requires enhancing nurses’ competency in psychiatric nursing and developing positive attitudes toward mental illness.

Keywords: Mental disorders, Nurse, Burden, Attitude, Competency

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Table 1.
Exploratory Factor Analysis in Care Burden for Mental Illness Patients Scale
No. Time pressure Lack of understanding Uncertainty of nursing Tension Cronbach's ⍺
14. Caring for mental illness patients demand more time and effort. .80       .80
13. I can't lay my eyes off mental illness patients even for a moment. .76        
20. I sometimes need a break from nursing mental illness patients. .73        
15. Mental illness patients have more requests than ordinary patients. .66        
19. It would be bothersome to find out that a mental illness patient was hospitalized. .58        
9. Mental illness patient's symptoms will recur even after signs of improvement. .41        
5. I am not prepared to care for mental illness patients.   .79     .75
7. Lacking knowledge about mental illness patients makes caring for them harder.   .78      
8. It is difficult to comprehend mental illness patients’ characteristics.   .69      
18. I am not offering the same amount of time and care to mental illness patients as provided to surgical-medical patients.     .71   .68
17. I am failing to properly care for mental illness patients.     .69    
11. The care I provide isn't effective in improving mental illness patients’ symptoms.     .68    
12. The work I am doing isn't helping the mental illness patients get better.     .66    
4. I have to consider the safety of other patients in addition to my own.       .81 .64
3. I should be extra cautious when caring for mental illness patients.       .79  
2. I may be subjected to violence while caring for mental illness patients.       .54  
Eigen value 4.68 1.97 1.52 1.12  
Explained variance (%) 29.8 12.3 9.5 7.0  
Cumulative variance (%) 29.8 42.1 51.6 58.6  

KMO=.82; Bartlett test of sphericity x2=728.39 (p<.001)

Table 2.
General Characteristics and Psychiatric Nursing relate Characteristics, and Differences of Care Burden for Mental Illness Patients, Attitudes toward Mental Illness and Psychiatric Nursing Competency according to these Characteristics (N=153)
Characteristics Categories n (%) Care burden for mental illness patients Attitudes toward mental illness Psychiatric nursing competency
M±SD t or F (p) Scheffé M±SD t or F (p) Scheffé M±SD t or F (p) Scheffé
Gender∗ Male 2 (1.3) 3.75±0.44 1.18 2.68±0.37 −0.29 3.19±0.35 0.50
Female 151 (98.7) 3.38±0.40 (.446) 2.73±0.27 (.773) 3.06±0.38 (.621)
Age (year) 33.5±9.0 23~<30a 30~<40b 40~<50c 69 (45.1) 46 (30.1) 26 (17.0) 3.26±0.39 3.52±0.42 3.46±0.33 4.45 (.005) 2.83±0.27 2.63±0.26 2.63±0.25 7.17 (<.001) 3.06±0.34 2.95±0.36 3.17±0.46 3.21 (.025)
≥50d 12 (7.8) 3.40±0.45   2.74±0.23   3.26±0.44 b<d
Religion Yes 78 (51.0) 3.38±0.42 −0.15 2.73±0.29 0.34 3.13±0.38 2.51
No 75 (49.0) 3.39±0.39 (.877) 2.72±0.26 (.735) 2.98±0.38 (.013)
Marital status Unmarried 93 (60.8) 3.33±0.40 −2.27 2.77±0.26 2.64 3.06±0.40 0.18
Married 60 (39.2) 3.48±0.39 (.025) 2.66±0.29 (.009) 3.05±0.37 (.855)
Education College 28 (18.3) 3.52±0.44 2.05 2.69±0.23 1.39 3.05±0.38 0.12
University 91 (59.5) 3.34±0.39 (.132) 2.76±0.28 (.254) 3.05±0.36 (.888)
≥Graduate school 34 (22.2) 3.37±0.40   2.69±0.27   3.09±0.46  
Careers (year) 10.7±8.9 <5 60 (39.2) 3.25±0.38 2.83 2.85±0.27 5.14 3.07±0.35 1.17
5~<10 31 (20.3) 3.48±0.45 (.027) 2.62±0.26 (.001) 2.98±0.31 (.327)
10~<15 22 (14,4) 3.50±0.35   2.67±0.26   3.00±0.38  
15~<20 10 (6.5) 3.48±0.41   2.66±0.28   3.00±0.56  
≥20 30 (19.6) 3.43±0.39   2.68±0.25   3.18±0.45  
Clinical department Medical ward 51 (33.3) 3.36±0.28 0.87 2.76±0.27 1.13 3.36±0.28 0.88
Surgical ward 54 (35.3) 3.36±0.42 (.460) 2.75±0.24 (.338) 3.36±0.42 (.460)
ICU 26 (17.0) 3.50±0.52   2.70±0.27   3.50±0.52  
ER 22 (14.4) 3.39±0.47   2.64±0.34   3.39±0.47  
Psychiatric ward worked experiences∗ Yes 4 (2.6) 3.17±0.63 1.07 2.79±0.20 0.46 3.67±0.19 3.29
No 149 (97.4) 3.39±0.40 (.287) 2.73±0.28 (.650) 3.04±0.38 (.001)
Psychiatric nursing care experiences∗ Yes 149 (97.4) 3.38±0.40 1.28 2.74±0.27 1.51 3.06±0.38 0.83
No 4 (2.6) 3.64±0.43 (.204) 2.53±0.21 (.134) 2.90±0.57 (.411)
Psychiatric education experiences Yes 12 (7.8) 3.35±0.41 0.28 2.71±0.18 −0.28 3.18±0.48 1.09
No 141 (92.2) 3.39±0.41 (.781) 2.73±0.28 (.777) 3.05±0.38 (.279)
Psychiatric ward work hope Yes 26 (17.0) 3.29±0.40 1.35 2.78±0.29 1.03 3.19±0.45 1.87
No 127 (83.0) 3.41±0.41 (.181) 2.72±0.27 (.306) 3.03±0.37 (.063)
Psychiatric nursing education need Yes 140 (91.5) 3.38±0.41 0.35 2.75±0.27 2.46 3.06±0.38 0.46
No 13 (8.5) 3.42±0.42 (.729) 2.56±0.32 (.015) 3.01±0.47 (.647)

∗ Fisher's exact test.

Table 3.
Level of Care Burden for Mental Illness Patients, Attitudes toward Mental Illness and Psychiatric Nursing Competency in Non-psychiatric Nurses (N=153)
Variable M±SD Min Max Range
Care burden for mental illness patients 3.39±0.41 2.25 4.63 1~5
Attitudes toward mental illness 2.73±0.27 2.00 3.59 1~4
Psychiatric nursing competency 3.06±0.39 2.06 4.06 1~5
 Assessment competency 3.14±0.52 2.00 4.57 1~5
 Intervention competency 2.72±0.48 1.43 4.00 1~5
 Resource adequacy competency 3.51±0.59 2.00 5.00 1~5
Table 4.
Correlations among Care Burden for Mental Illness Patients, Attitude toward Mental Illness and Psychiatric Nursing Competency in Non-psychiatric Nurses (N=153)
Variables 1 2 3 4 5
r (p) r (p) r (p) r (p) r (p)
1. Care burden for mental illness patients 1        
2. Attitude toward mental illness −.50 (<.001) 1      
3. Assessment competency .04 (.590) .06 (.493) 1    
4. Intervention competency −.31 (<.001) .22 (.006) .53 (<.001) 1  
5. Resource adequacy competency −.05 (.518) .16 (.051) .14 (.083) .19 (.018) 1
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