The Effects of Documentary and Psychiatric Interviewing Methods on Empathy, Attitude and Implicit Association in Psychiatric Nursing Education: A Randomized Controlled Study
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 44
- 试验地点
- 2
- 主要终点
- The Implicit Association Test (IAT)
研究概览
简要总结
Negative attitudes towards mental illnesses are an important problem that negatively affects both the social lives of individuals and the effectiveness of health services. Addressing these prejudices, developing empathy and promoting a patient-centred care approach are key goals that can be achieved through clinical experiences and structured educational programmes for nursing students. This single-centre, single-blind, randomised controlled trial aims to examine the effects of documentaries and psychiatric interviews on nursing students' implicit associations, discriminatory attitudes and empathy skills towards mental illnesses. Within the scope of the study, nursing students working in a psychiatric ward will be divided into two groups: one group will work with documentaries including psychiatric interviews and patient narratives, while the other group will only conduct psychiatric interviews. The Implicit Association Test (IAT) and the Attitudes Towards Mental Patients Scale will be used to assess students' implicit associations and attitudes towards psychiatric patients, and the Jefferson Empathy Scale will assess their level of empathy. Data analysis will be performed using SPSS 25.0 software. Given the widespread stigmatisation of psychiatric patients, this study is expected to make a significant contribution to improving the quality of care provided by nursing students in psychiatric settings.
详细描述
Discrimination and stigmatization towards psychiatric patients remain significant challenges, negatively impacting both individuals' quality of life and their access to healthcare services. These attitudes are not limited to the general public but are also observed among healthcare professionals, including nursing students. Such biases can affect the quality of care provided to psychiatric patients, as nursing students often perceive these individuals as aggressive or dangerous, leading to fear and hesitation in interacting with them. However, studies have shown that clinical placements and mental health education programs can reduce these negative attitudes by fostering empathy and understanding, supporting the development of a patient-centered care approach.
Psychiatric interviews and patient-centered documentaries are effective educational tools to address stigmatization and enhance empathy. Psychiatric interviews provide nursing students with structured opportunities to understand patients' biopsychosocial history, mental health needs, and coping strategies, fostering therapeutic communication skills. Similarly, documentaries featuring personal narratives of psychiatric patients help challenge stereotypes, promote empathy, and deepen students' understanding of mental illnesses. Research shows that combining such methods with academic content, concept mapping, and short films can significantly reduce stigmatization, improve social attitudes, and encourage inclusive practices in healthcare.
This study investigates how psychiatric nursing students' prejudices, discriminatory attitudes, and empathy skills towards mental illnesses can be improved through the use of psychiatric interviews and documentaries. By integrating these innovative approaches into nursing education, the study aims to reduce stigmatization, enhance empathy, and equip future healthcare professionals with the skills necessary to provide inclusive, high-quality care to psychiatric patients. This initiative ultimately seeks to contribute to the long-term improvement of mental health services and patient outcomes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •(1) being a third-year undergraduate student; (2) doing clinical practice in an adult inpatient psychiatric ward; (3) showing normal cognitive functions; (4) having the ability to make sense of visual materials
排除标准
- •(1) being in clinical practice in community mental health centers and addiction treatment centers; (2) being in clinical practice in special education institutions; (3) having 80% or more absenteeism from clinical practice in adult inpatient psychiatric ward; (4) having 75% or more absenteeism from mental health and psychiatric nursing course; (5) having a psychiatric diagnosis and receiving active treatment
结局指标
主要结局
The Implicit Association Test (IAT)
时间窗: Within 24 hours after 3 psychiatric interviews and documentary for the experimental group and after 3 psychiatric interviews for the control group
The Implicit Association Test (IAT), part of Harvard University's Project Implicit, is designed to measure whether psychiatric patients are perceived as dangerous. This test aims to reveal associations that individuals have at an automatic and unconscious level that they do not consciously express. This test, which is especially used for stigmatization studies related to mental health, implicitly measures how dangerous or harmless the participants find psychiatric patients. It examines how quickly participants mentally associate psychiatric patients with positive or negative concepts such as danger or trust. The concepts that are matched faster reflect the implicit attitudes of the person, revealing their unconscious perceptions towards individuals with mental illness.
The Attitudes Towards Mental Patients Scale
时间窗: Within 24 hours after 3 psychiatric interviews and documentary for the experimental group and after 3 psychiatric interviews for the control group
The Attitude Towards Mental Patients Scale, developed by Sedat Işıklı in 1998, was prepared to measure a specific psychological construct. The scale consists of 22 items and includes two factors: 'short-term relationships' and 'long-term relationships'. The short-term relationship factors include items 2, 6, 7, 8, 9, 15, 17, 18, 20, 21, and 22. These items reflect attitudes towards shorter-term social relationships in general and towards situations that do not threaten the respondent's personal space. The Long-Term Relationships Factor includes items 1, 3, 4, 5, 10, 11, 12, 13, 14, 16, and 19 and assesses attitudes towards longer-term and closer relationships. The scale is scored on a 5-point Likert scale: 5=Strongly agree, 4=Agree, 3=No opinion, 2=Disagree, and 1=Strongly disagree. High scores indicate a positive attitude.
次要结局
- Jefferson Empathy Scale(Within 24 hours after 3 psychiatric interviews and documentary for the experimental group and after 3 psychiatric interviews for the control group)