Community Mental Health Nursing
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Browsing Community Mental Health Nursing by Author "Dr. Aidah Alkaissi"
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- ItemPalestinian Women Attempted Suicide, Risks beyond the Experience A Descriptive Phenomenological Study(2014) Einas Abu Safa; Dr. Aidah Alkaissi; Dr. Sabrina RussoIntroduction: suicide is a major public health problem all over the world. It described as “intentional, self-destructive, and self-inflicted acts. Aim: The aim of this study is to explore the risks beyond the experience of attempting suicide among a group of Palestinian women. Design: The study used a qualitative descriptive phenomenological method to explore the experiences of Palestinian women attempted suicide, to capture as much as possible the way in which the phenomenon is experienced, and the risks lays beyond the experience. Data collection: Face to face, in-depth, semi-structured interviews were conducted with participants – the women who previously attempted suicide. Sample: Purposive sampling was used; 20 women attempted suicide at least once. Setting: Interviews were conducted in a private place agreed for with the women. Data Analysis: The data was analyzed by using Giorgi’s phenomenological psychology method (1985). Results: From the interviews, Five themes and eighteen sub-themes emerged: violence (Sexual violence, domestic violence, collective violence, witnessing abuse, and child maltreatment); Losses (loss of parents, loss of cultural identity, loss of relation, and loss of security) ; psychological risk factors (Low self efficacy, Low Self esteem, Negative Self image, and Maladaptive coping mechanism); and Socio cultural factors (poverty, stigma, and dysfunctional family); Lack of support system (Non professional, and professional). Conclusion and Recommendation: The findings of the study demonstrate the importance of understanding the experience of the women attempted suicide, the risk beyond their experience, and the phenomena of suicide within the Palestinian community. It reflect the need for national prevention programs which include the implementation of national programs for mental health, recognizing the rights of females, tackling illiteracy among both males and females, prohibiting forced child marriage, providing economic and social support especially for young females, and promoting Islamic values rather than traditional customs. Key words: Attempted suicide, experience, risk, descriptive phenomenology. Definitions of Concepts: - Violence: is the intentional use of physical force or power, threatened or actual, against a person, or against a group or community that either results in or has a high likelihood of resulting in injury, death, psychological harm, maldevelopment or deprivation. This definition associate intentionality with the committing of the act itself, irrespective of the outcome it produces (WHO, 2005). - Sexual violence: any sexual act, attempt to obtain a sexual act, unwanted sexual comments or advances, or acts to traffic, or otherwise directed, against a person’s sexuality using coercion, by any person regardless of their relationship to the victim, in any setting, including but not limited to home and work(WHO, 2005). - Rape: Physically forced or otherwise coerced penetration even if slight – of the vulva or anus, using a penis, other body parts or an object(WHO, 2005). - Domestic violence: refers to a behavior by an intimate partner or ex-partner that causes physical, sexual or psychological harm, including physical aggression, sexual coercion, and psychological abuse and controlling behaviors (WHO, 2005). - Physical abuse: is an act of another party involving contact intended to cause feelings of physical pain, injury, or other physical suffering or bodily harm (WHO, 2005).
- ItemPrevalence and Severity of Depression among Mothers of Disabled Children in Palestine(2015) Nemer Ahamd Nemer Hamamreh; ; Dr. Aidah Alkaissi; Dr. Sabrina RussoIntroduction: Mothers of children with disabilities often experience greater stress and emotional demands than other mothers do. Mothers of children with disabilities showed also more psychological distress than other member in their families, as they are the primary caregivers for their children. Childhood disability often imposes a social and emotional burden for children and their families. Aim: The aim of the study is to assess the prevalence and severity of depression among mothers of disabled children in the north of the West Bank in order to establish baseline data and suggest recommendations to policy makers and professional workers. Subject and Methods: A descriptive, analytical kind (cross sectional) study. About 200 mothers were included in the study divided in two groups, including 100 mothers of children with disabilities (age range, 2-16years) as a study group, and 100 mothers of normally developing children (age range, 2-16 years) as a control group. There were 47% girls and 53% boys in the children of the control group and there were 38% girls and 62% boys in the children of the study group . These children have different diagnoses with a 10% down syndrome, 18% hearing disabilities, 7 % physical disability, 11% speech disorders, 18% autism, 14% mental retardation, 12% cerebral palsy and 10 % other disorder The mothers’ average ages in the study group and control group were 32.6 (SD±6.3) and 31(SD± 5.7) years, respectively. A demographic information form and Beck Depression Inventory were administered to mothers of these children who met the inclusion criteria. The assessments were performed during children´s treatment in rehabilitation centers. Result: The prevalence of depression was higher among mothers caring for disabled children than mothers of non-disabled children in the control group. Fifty four percent of mothers of disabled children had a mild to severe level of depression and 18% of the them suffered from moderate to severe depression as derived from Beck Inventory score. When we compare between the study and control groups, the study reveals that there are many factors that increase the prevalence of depression among mothers in the study group compared to control group which include: child’s age <10 years, mother’s age <40 years, middle and low income, and un-employment.