Electroconvulsive therapy: a comparison of knowledge and attitudes of student nurses and staff mental health nurses at a psychiatric hospital in Nigeria

James, Bawo Onesirosan; Lawani, Ambrose O; Omoaregba, Joyce Ohiole; Isa, E. W.

doi:10.1111/j.1365-2850.2009.01487.x

Cited by 7 publications

(8 citation statements)

References 12 publications

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“…Many of the students suggested that the procedure should however be guided by legislation in Nigeria. This has also been documented in a similar study conducted recently among staff mental health nurses and student nurses [12].…”

Section: Discussionsupporting

confidence: 79%

“…It had been observed that knowledge and attitude scores were higher among staff mental health nurses compared to student mental health nurses. More years of experience significantly correlated with higher level of knowledge and positive attitudes among staff mental health nurses [12]. Majority of the respondents believed that ECT was beneficial to the patients but was overused and suggested that there should be guidelines for its use in Nigeria.…”

Section: Introductionmentioning

confidence: 94%

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Electroconvulsive Therapy in the Eyes of Undergraduate Nursing Students

Igwe¹,

Ndukuba²,

Attama³

et al. 2014

OJN

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Despite the fact that electroconvulsive therapy (ECT) is an established safe and effective procedure, its use has continued to attract controversy with considerable stigma associated with it. This often overshadows the established effectiveness. Poor knowledge, negative attitude and bias towards ECT by the nurses may translate to poor education and support to patients from whom they are expected to obtain informed consent before an ECT procedure. This study assessed the perception of undergraduate nursing students of a Nigerian university about ECT. A total of 81 students who had completed all relevant lectures and practical/clinical exposures in psychiatry as prescribed in their academic curricular participated in the study. All the consenting students were administered the socio-demographic questionnaire and modified questionnaire on attitude and knowledge of electroconvulsive therapy (QuAKE). Majority of the students responded appropriately to the principal uses of ECT. Few believed that ECT was an outmoded form of treatment, that the procedure was cruel and barbaric, that psychiatrists who still administered ECT were wicked and not responsible physicians, and that it caused permanent brain damage. The total mean score of the students was 7.53 ± 2.65. Fifty eight (71.6%) students observed an ECT procedure and followed up the patients during the posting. They scored 7.17 ± 2.55 while 23 (28.4%) students who had not observed the procedure scored 6.98 ± 1.92 on the QuAKE (t = −0.36, p = 0.72). Thirty one (38.3%) students who would accept the procedure if indicated scored 7.14 ± 2.21 while 50 (61.7%) of them who would not allow ECT carried out on them scored 6.88 ± 1.96 (t = 0.56, p = 0.58). The * Corresponding author. M. N. Igwe et al. 819 mean score of 29 (35.8%) students who might pursue psychiatry as a career was 8.10 ± 1.90 while 52 (64.2%) of them who would not specialise in psychiatry scored 6.05 ± 1.79 (t = 5.00, p < 0.001). The total mean score on the QuAKE was low among the student nurses. Therefore, there is a need to improve undergraduate nursing education on ECT.

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Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 94%

Electroconvulsive Therapy in the Eyes of Undergraduate Nursing Students

Igwe¹,

Ndukuba²,

Attama³

et al. 2014

OJN

View full text Add to dashboard Cite

show abstract

“…[ 9 ] Another study from the same country evaluated the knowledge of and attitude toward ECT of medical students at the time of completion of an 8-week clinical rotation in psychiatry and reported that most of the students had positive attitude toward ECT. [ 10 ] Although there are many studies from India, evaluating the knowledge and attitude of patients and their relatives toward ECT,[ 3 4 ] there is a lack of data on medical professionals.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and Attitude of Nursing Students toward Electroconvulsive Therapy

Sharma

Ghai

Grover

2017

Journal of Neurosciences in Rural Practice

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Background:Electroconvulsive therapy (ECT) is one of the commonly used treatment modalities for patients with severe mental disorders. However, acceptance of ECT by the patient and relatives often depends on how the health-care professionals themselves present the treatment modality to the patients and their relatives. There is a lack of information about the knowledge and attitude toward ECT among health professionals.Aim:This study aimed to evaluate the knowledge about and attitude toward ECT among nursing students.Methodology:Knowledge of and attitudes toward ECT among nursing students were assessed using ECT knowledge and attitude questionnaires.Results:The study included 183 nursing students. Majority (n = 62; 60.8%) of the participants obtained information about ECT from media (movies, television, print media, etc.). None of the students had full knowledge about ECT. Although a significant proportion of students had knowledge about the ECT procedure and consent procedure, majority of them had poor knowledge about the effectiveness, mechanism of action, indications, and side effects of ECT. Negative attitudes were also highly prevalent, with more than two-thirds of the participants having negative attitudes toward ECT on more than half of the attitude items of the scale. Total knowledge score positively correlated with total attitude score, suggesting that higher knowledge was associated with more positive attitude.Conclusions:Although nursing students have knowledge about basic ECT procedure and consent, they lack knowledge about the effectiveness, mechanism of action, indications, and side effects of ECT. Negative attitude toward ECT is also highly prevalent among nursing students. Accordingly, there is a need to improve the knowledge and address the negative attitude of nursing students, which may ultimately lead to better acceptance of the treatment.

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“…Nevertheless, all still held negative attitudes [9]. Furthermore, in Nigeria, almost three-quarters of psychiatric nurses believed that ECT was helpful for most psychiatric patients [15]. A recent study found that neurologists and family practitioners needed to have more knowledge of ECT [7].…”

Section: Introductionmentioning

confidence: 99%

Knowledge of and attitudes towards electroconvulsive therapy (ECT) among psychiatrists and family physicians in Saudi Arabia

et al. 2017

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ObjectivesTo assess the knowledge of and attitudes towards ECT among psychiatrists and family physicians in Saudi Arabia.MethodsThe study is quantitative observational cross-sectional with a convenient sample that included psychiatrists and family physicians (including residents) in Saudi Arabia.ResultsOf the 434 questionnaires emailed, a total of 126 returned completed questionnaires (29% response rate). The mean age of respondents was 35 years old. Psychiatrists accounted for 68.3%. The majority were Saudis (95.2%) and male (70.6%). Around half were consultants and about two-thirds (62.7%) had worked in a facility that used ECT. Psychiatrists showed better knowledge than family physicians in their answers, with a mean total knowledge scoring of 8.12 (±1.25) out of 10 and 6.15 (±1.25), respectively (P < 0.0001). Among psychiatrists, 87% thought that ECT required general anesthesia, while 35% of family physicians believed so (P < 0.0001). Other items of ECT knowledge are discussed. Psychiatrists displayed a better attitude towards ECT than family physicians in all answers, with a mean score of 9.54 (±1.16) and 7.85 (±2.39), respectively (P < 0.0001).ConclusionsPsychiatrists scored better than family physicians in both knowledge and attitude regarding ECT.

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Electroconvulsive therapy: a comparison of knowledge and attitudes of student nurses and staff mental health nurses at a psychiatric hospital in Nigeria

Cited by 7 publications

References 12 publications

Electroconvulsive Therapy in the Eyes of Undergraduate Nursing Students

Electroconvulsive Therapy in the Eyes of Undergraduate Nursing Students

Knowledge and Attitude of Nursing Students toward Electroconvulsive Therapy

Knowledge of and attitudes towards electroconvulsive therapy (ECT) among psychiatrists and family physicians in Saudi Arabia

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