Health workers’ attitude towards children and adolescents with mental illness in a teaching hospital in north-central Nigeria

Tungchama, F P; Egbokhare, Olayinka Abimbola; Omigbodun, Olayinka; Ani, Cornelius

doi:10.2989/17280583.2019.1663742

Cited by 11 publications

(24 citation statements)

References 34 publications

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“…The response rate observed in my study was lower than that of two previous studies conducted among mental health workers in North Central (90%) 10 and South West (71.5%) 11 zones of Nigeria. However, the response rate in my study was close to the study conducted in the southwest zone.…”

Section: Discussioncontrasting

confidence: 92%

Job satisfaction, personality traits, and its impact on motivation among mental health workers

Sowunmi

2022

S. Afr. J. Psych.

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Background: Working in a resource setting that caters to people’s poor mental health is associated with increased vulnerability to physical, psychological, and social stressors that make motivation to work a difficult goal to attain. One way of viewing physical and social stressors in the workplace is to evaluate job satisfaction which has both intrinsic and extrinsic components. The personality of workers is a component of psychological wellbeing and this determines the way events and situations are perceived. Thus, the achievement of the mission and vision of an organisation will be dependent on the level of motivation of the employees which will be influenced by their predominant personality traits and the level of satisfaction at work.Aim: My study aimed to sought to highlight the relationship between motivation, job satisfaction and personality dimensions.Setting: The Neuropsychiatric Hospital, Aro, Abeokuta, Ogun State, Nigeria.Methods: Our study involved a cross-sectional study of staff showing the relationship between motivation, job satisfaction and personality traits among mental health workers. A total of 146 participants using systematic proportional sampling were analysed with a response rate of 67.3%. A Socio-demographic Questionnaire, Minnesota Satisfaction Questionnaire (Short Version), Big Five Inventory and the Multidimensional Work-Motivation Scale were administered to the participants. In the analysis, linear correlation and linear regression were used to determine the relationship between continuous variables (Normality was determined using kurtosis and skewness) while t-test was used to determine the relationship between categorical independent variables and continuous dependent variables.Results: The level of significance was set at 0.05 while higher scores using the Multidimensional Work-Motivation Scale represented motivated participants and vis-a-vis. The socio-demographic variable was explored using descriptive statistics; the relationship between personality, job satisfaction and motivation were explored using t-test. Most of the participants were married (80.8%), female (60.3%), with at least tertiary education (63%) and with an occupational status of class I (76%). The mean age of the participants was 40.29 ± 8.27 with a mean length of service of 13.63 ± 8.49. The most dominant personality traits were agreeableness (97.3%) and conscientiousness (97.3%), and the least was neuroticism (55.5). High agreeableness (0.01), high conscientiousness (0.03), and high openness (0.01) were significant and positively correlated with motivation. The relationship between motivation and gender (t = 4.26; p ≤ 0.001) and occupational status were statistically significant (t = -3.59; p ≤ 0.001).Conclusion: To proffer a solution to poor motivation in the workplace, human resource department should give more focus to individuals with high scores in agreeableness, conscientiousness, and openness. This is because it appears that they are more likely to be motivated at work and likely to move the organisation to a greater height. Besides, those with high neurotic scores who have already been employed will require some form of psychological remodelling (therapy), so they can contribute meaningfully to the institution.

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Section: Discussioncontrasting

confidence: 92%

Job satisfaction, personality traits, and its impact on motivation among mental health workers

Sowunmi

2022

S. Afr. J. Psych.

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“…It would also have been important to understand the root causes of the negative attitudes of mental healthcare workers towards CAMHS, a theme not explored in this study. Literature shows that lack of knowledge, stigma and lack of training in CAMH are some of the contributing factors to negative staff attitudes toward child and adolescent mental health [21], and these contributing factors were also identified in this study. Given the oversampling of nurses (as outlined in the methods section), we acknowledge that some of the themes may have general applicability beyond the care of the children with mental health problems and may have related to challenges in broader community-based nurse practices.…”

Section: Limitations Of the Studymentioning

confidence: 57%

Child and adolescent mental health services in the Western Cape Province of South Africa: the perspectives of service providers

Mokitimi

Jonas

Schneider

et al. 2022

Child Adolesc Psychiatry Ment Health

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Background Current work in the field point to the need to strengthen child and adolescent mental health services (CAMHS) globally, and especially in low- and middle-income countries (LMICs). Policy development, planning and service provision must be relevant to the needs of stakeholders at grassroots level, and should include their perspectives. This study set out to explore the perspectives and lived experiences of service providers, including their recommendations to strengthen CAMHS in South Africa. Methods Using focus group discussions (FGDs) and semi-structured individual interviews (SSIIs), qualitative data were collected from 46 purposefully selected multidisciplinary health service providers across the Western Cape, one of the nine provinces of South Africa. Audio-recorded data were entered into NVivo 11 (QSR), and thematic analysis was performed by two independent raters. Results Results highlighted a significant lack of CAMH resources, poor intersectoral collaboration, limited access to training, absence of consistency and uniformity in service delivery, weak support for staff, and high rates of negative attitudes of staff. External factors contributing to poor CAMHS identified by service providers included poor socioeconomic circumstances, high rates of HIV/AIDS, substance use and stigma. The eight recommendations to strengthen CAMHS included a need to (1) increase CAMH staffing, (2) provide dedicated CAMHS at secondary care and child-friendly infrastructure at primary care, (3) review current service focus on number of patients seen versus quality of care provided to children, (4) formalise intersectoral collaborations, (5) increase learning opportunities for trainees, (6) employ a lead professional for CAMHS in the province, (7) increase support for staff, and (8) acknowledge staff initiatives. Conclusions Findings underlined the need for quality improvement, standardisation and scale-up of mental health services for children and adolescents in South Africa. Whilst we used the Western Cape as a ‘case study’, we propose that our findings may also be relevant to other LMICs. We recommend that the perspectives of service users, including children and adolescents, be sought to inform service transformation.

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“…Indeed knowing somebody with a mental illness has been associated with more tolerance towards the mentally ill [31] [41]. The findings of this study are not surprising as even among health workers it has been shown that a negative attitude towards child and adolescent mental illness is predicted by poor knowledge and being from a non-medically professional group [25].…”

Section: Discussionmentioning

confidence: 71%

“…A study in north central Nigeria [25], on health workers attitude towards children and adolescents with mental illness in a teaching hospital found Some of the responses suggest significant negative attitudes towards children and adolescents with mental illness as 42% of the participants did not think that children and adolescent affected by mental illness should be allowed to play with other children, 30% did not believe affected children and adolescents can be friendly, or eventually get married. Thirty-eight per cent would feel ashamed if people knew a child in their family had mental illness, 41% would be concerned if their child invited a child or adolescent with mental illness to their birthday party, and Open Journal of Psychiatry a similar proportion would be concerned if their child sat next to a child with mental illness in the class, or did homework together with an affected child or adolescent.…”

Section: Introductionmentioning

confidence: 99%

Attitude of Parents to Childhood Psychiatric Disorders in Nigeria

Habib¹

2020

OJPsych

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Background: Many community and hospital based studies have found high prevalence of childhood psychiatric morbidity in the community and hospital. However, it has been noticed that few children are presented to hospital by parents with complaints related to psychological or emotional disturbances. This may be due to stigma and discrimination attached to mental illness including those of children. Aim: This part of the study set out to assess the attitudes of parents to childhood psychiatric disorders. It also set out to reveal what factors were associated with attitude and predictors of positive or negative attitude. Methodology: A cross-sectional study was carried out where parents were interviewed and the sociodemographic features of the child, parents and family were elicited. The study was carried out at Murtala Muhammad Specialist, hospital, Kano, Nigeria within a three months period. The child was assessed for psychological disorder with the Reporting Questionnaire for children. Parent's attitude was assessed with a modified community attitude towards the mentally ill scale, (CAMI). Result: A total of two hundred and three subjects (203) were involved in the study. Most (78.3%) parents had negative attitude to childhood psychiatric disorders while only (13.8%) had positive attitude. Parents who classified a child as having a psychological component to their illness were more likely to exhibit positive than negative attitude (83.3% vs. 16.7%, X 2 = 22.75, d.f = 1, p = 0.0002). Those with positive attitude were more likely to be mothers than fathers (71.4% vs. 28.6%; X 2 = 4.78, d.f = 1, p = 0.04). Those with a family history of psychiatric illness were more likely to exhibit positive than negative attitude. (58.3% vs 41.7%; X 2 = 18.94, d.f = 1, p = 0.0003). A child's father being of lower social class predicted positive attitude. No variable predicted negative attitude. Conclusion: Most parents had negative attitude to psychiatric disorders in children. The study advocated health education and enlightenment programmes to enhance mental health literacy for parents so that they could de-How to cite this paper: Habib, Z.G.

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Health workers’ attitude towards children and adolescents with mental illness in a teaching hospital in north-central Nigeria

Cited by 11 publications

References 34 publications

Job satisfaction, personality traits, and its impact on motivation among mental health workers

Job satisfaction, personality traits, and its impact on motivation among mental health workers

Child and adolescent mental health services in the Western Cape Province of South Africa: the perspectives of service providers

Attitude of Parents to Childhood Psychiatric Disorders in Nigeria

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