Biomedical subjects

T Pukuri

Publications and source records attributed to T Pukuri.

4 recordsLinked to original sources

PubMed2004

Developing nurses' capabilities to deputize for ward sisters.

In recent years there has been heated debate on how the training of ward sisters should be conducted in Finland. This is important as in the coming years a large proportion of nurses will be approaching retirement while dramatic changes in mental health organizations during the last two decades have also challenged the role of the ward sister. This paper describes an ongoing project to develop the managerial skills of those nurses working as deputy ward sisters. The project began with a survey of managerial skills, an evaluation of training needs and the necessity for administrative counselling of a group of deputy ward sisters. On the basis of the analysis, a training programme was planned integrating managerial training and administrative counselling in a systematically advancing process.

Education, Nursing↗

PubMed2002

Problems of young people in community psychiatric care.

The purpose of this study was to describe the problems of young people who need professional help and who have been referred to community psychiatric care. The aim was to develop both the type of care and the system of referral. The research data comprised all referrals (n = 184) to the outpatients' youth psychiatric clinic of one university hospital in 1997, and documentation related to the adolescents' interviews on admission. The data were analysed by both deductive and inductive content analysis. Young people's problems could be identified in all central spheres of life as difficulties in relation to the self, school, parents, peers, dating and the future. The difficulties were interrelated and varied in their degree of seriousness. When assessing young people's difficulties and need for care, focus should be made on the inner world of the young person, as well as on their behaviour within the different spheres of life. Only in this way is it possible to get a full picture of the adolescent's individual situation and need for help.

Adolescent↗

PubMed2002

Integration of theory and practice in learning mental health nursing.

This article describes an action research project that aimed at a better integration of theory and practice in the education of mental health nursing students. Two partners, an institute of nursing and health care and a university hospital, collaborated to develop a new educational programme for mental health nursing. The blocks of theoretical studies were implemented simultaneously with practical training, and the theory content was taught by nursing teachers as well as by nurse practitioners who worked on the teaching wards. In addition, the students had their own personal nurse-preceptors on the wards. The nurse managers were responsible for the educational level of the teaching wards and the director of nursing planned the teaching arrangements together with the nursing teachers. In all, the project involved over 50 different actors and several researchers. The results are encouraging: all the participants - students, preceptors, nurse managers and nursing teachers - found the project rewarding and they want to continue to develop and improve the level of teaching and learning in mental health nursing education. All the participants grew and developed professionally during the project.

Adult↗

PubMed2001

The comparison of burden between caregiving spouses of depressive and demented patients.

BACKGROUND: The opportunities for a depressive or demented elderly patient to live at home are dependent on the availability of support. If the spouse is alive, her or his resources to care for the patient are an essential option. In this study we compared the burden of the spouses of depressive and demented elderly patients admitted to the University Psychogeriatric Clinic. METHODS: The Zarit Burden Interview was used when comparing the burden between the groups. Psychological distress was screened by the 12-item General Health Questionnaire. The care and support given by the spouse was assessed by Involvement Evaluation Questionnaire. The spouse's stress related to the health state of the patient was evaluated by the Pearlin Caregiving Stress Inventory. Twenty-two spouses living with a depressive patient and 43 with a demented patient were included in the study. RESULTS: The spouses of demented patients as a group were psychologically more stressed than the spouses of depressive patients. However, when demented patients were divided into two groups, in those admitted mainly for noncognitive symptoms related to dementia and in those admitted for memory assessment and diagnostic purposes, the burden of the spouses in the former group was higher than that of the group of depressive patients' spouses. No difference was found between the latter group of demented patient spouses and depressive patients' spouses. Both the patients and the spouses in the demented group were older than those in the depressive group. However, no correlation was found between stress of the spouse and her or his own age or the age of the patient either within the depressive or within the demented group. As expected, the function level of demented patients was lower than that of depressive patients. A correlation was found within both groups between low functional capacity of the patient and the stress of the spouse. In both groups the spouses who felt their own mental health to be poor were more likely to have high levels of burden. CONCLUSIONS: Among the general psychogeriatric patient groups, the caregiving spouses of demented patients with noncognitive psychiatric symptoms are the most burdened group. However, spouses of depressive patients are as much burdened as those of demented patients with mild to moderate memory impairment. More support is needed for every spouse group caring for psychogeriatric patients.

Aged↗