Evidence-Based Education for Perianesthesia RNs to Increase Knowledge and Change Attitudes of Electroconvulsive Therapy

Hayworth, Lois M.; Hyrkäs, Kristiina

doi:10.1016/j.jopan.2019.09.004

Cited by 4 publications

(4 citation statements)

References 12 publications

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“…Counseling that focuses on stigma management and ECT seems to help inpatients 70 . Education of other healthcare specialist was associated with positive change of attitude 71 . A study looked into public attitudes toward ECT revealed that some of negative attitudes are rooted in fear and shame.…”

Section: Discussionmentioning

confidence: 99%

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The Nomenclature of Electroconvulsive Therapy

Sidhom

Omar

2020

J ECT

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Electroconvulsive therapy (ECT) is an established but stigmatized psychiatric treatment. The term ECT reflects the treatment's modality and action. Several authors proposed different names for ECT to deal with stigma; however, available literature that promoted different names did not address the risk/benefit ratio or offer evidence-based approach to the efficacy of this approach. We aim to examine proposed names for their specificity, accuracy, understandability, and popularity. In addition, we aim to find evidence-based methods to combat the ECT-related stigma. We reviewed the literature relating to the proposed names using snowballing technique for literature search. Known ECT alternative names were used for search, and whenever another name appears, it was added to our search list. We conducted Medline, PsycINFO, Google Scholar, and PubMed search to check for popularity and cross examine whether proposed terms refer back to ECT. We searched for ECT and stigma, to find evidence for methods to tackle ECT-related stigma. Once, the search stopped yielding newer ideas, we stopped the search at a point of saturation, where no more ideas where generated. Our name search yielded 14 terms. Nine names avoided "electricity" and "convulsion," because of perceived associated stigma. Presence of different terminology can affect the clarity of patient-doctor communication, with no evidence of added benefit. Alternative names may affect doctor-doctor communication about this treatment. We concluded that it is safer to retain the term ECT for the sake of consistency and clarity of communication. Education and experience are evidence-based effective methods of tackling ECT-related stigma.

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Section: Discussionmentioning

confidence: 99%

“…70 Education of other healthcare specialist was associated with positive change of attitude. 71 A study looked into public attitudes toward ECT revealed that some of negative attitudes are rooted in fear and shame. Tackling these emotions may require more than psychoeducation.…”

Section: Effective Ways Of Managing Stigmamentioning

confidence: 99%

The Nomenclature of Electroconvulsive Therapy

Sidhom

Omar

2020

J ECT

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“…Limited utilization of ECT is likely attributable to not only widespread stigma due to early, historical misuse, but also due to provider bias and lack of education. 43,44 Despite its safety and limited risk of adverse events, both patients and providers may perceive ECT as dangerous and high-risk. 45 However, most adverse effects are mild, self-limiting, and can be managed symptomatically.…”

Section: Neuromodulationmentioning

confidence: 99%

Treatment‐resistant depression: An overview for psychiatric advanced practice nurses

Kameg

2020

Perspect Psychiatr Care

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Purpose: Treatment-resistant depression (TRD) can require complex management.The purpose of this paper is to provide an update on the hypothesized neurobiology of depression, and to describe treatment options for patients impacted by TRD.Conclusions: Recent neurobiological findings support the use of augmenting pharmacological agents, neuromodulation techniques, and esketamine as effective in achieving remission for those with TRD.Practice Implications: First-line interventions for depression can be safely managed by primary care providers. Psychiatric advanced practice nurses must be well versed and capable of treating more complicated cases, including TRD, that may require second-or third-line approaches.

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“…indications, frequency, duration, anaesthesia, effectiveness, mechanism of action and side effects) (Sharma et al, 2017). To improve attitudes towards ECT, increased knowledge about ECT is required (Hayworth & Hyrkas, 2020).…”

Section: Introductionmentioning

confidence: 99%

Challenging stigma and attitudes towards ECT via an educational video

Sarma

Hussain

Gigante

et al. 2023

Int J Mental Health Nurs

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While electroconvulsive therapy (ECT) is an effective therapeutic modality for the treatment of mental illness, negative attitudes and stigma exist about ECT in the general community and even within health services. Investigating interventions that improve the attitudes of health professionals towards ECT is beneficial as this reduces stigma and increases the acceptability of ECT for consumers. The primary aim of this study was to evaluate the change in attitude of nursing graduates and medical students towards ECT by watching an educational video. The secondary aim was to compare health professional attitudes to those of the general community. An educational video was co-designed with consumers and members of the mental health Lived Experience (Peer) Workforce Team about ECT outlining the procedure, side effects, treatment considerations and lived experiences. Nursing graduates and medical students completed the ECT Attitude Questionnaire (EAQ) prior to and after watching the video. Descriptive statistics, paired samples t-tests and one sample t-tests were completed. One hundred and twenty-four participants completed pre-and post-questionnaires. Attitudes towards ECT significantly improved after watching the video. Positive responses towards ECT increased from 67.09% to 75.72%. Participants in this study reported higher positive attitudes towards ECT than members of the general public before and after watching the intervention. Results indicated that the video educational intervention was effective in improving attitudes towards ECT for nursing graduates and medical students. While the video is promising as an educational tool, further research is required to explore the use of the video in reducing stigma for consumers and carers. K E Y W O R D S attitudes, ECT, education, stigma, videoNote: Positive response percentage is calculated by dividing the mean with the maximum score for the component or the total score (Alexander et al., 2020). Total EAQ maximum score = 44; Component-1 maximum score = 36; Component-2 maximum score = 8. EAQ = ECT Attitudes Questionnaire.

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Evidence-Based Education for Perianesthesia RNs to Increase Knowledge and Change Attitudes of Electroconvulsive Therapy

Cited by 4 publications

References 12 publications

The Nomenclature of Electroconvulsive Therapy

The Nomenclature of Electroconvulsive Therapy

Treatment‐resistant depression: An overview for psychiatric advanced practice nurses

Challenging stigma and attitudes towards ECT via an educational video

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