Araştırma Makalesi
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Stigmatizing with Discourse: The Effect of Peer Education on Student Nurses' Beliefs About Mental Illness

Yıl 2025, Cilt: 9 Sayı: x, 13 - 27
https://doi.org/10.71230/arsagbil.1569370

Öz

Negative beliefs toward mental illness are prevalent among nursing students, posing various risks for the future care of individuals with mental illness. The objective of this study was to examine the impact of a peer education intervention on the reduction of negative beliefs held by nursing students regarding mental illness. The study was conducted in a quasi-experimental design with a single group pre-test, post-test and follow-up test. It was conducted with 87 nursing students between December 2022 and February 2023. Data were collected using the “Participant Information Form” and the “Beliefs Toward Mental Illness Scale” (BMI) at pre-training, the first week after the training, and the second month after. The participants were first-, second-, and third-year nursing students who had not previously received education about mental illness. 79.3% of the participants were female, 72.4% lived with their families, and 67.8% had an income equal to their expenses. Furthermore, 50.6% said they would seek help from a psychologist if a relative showed mental symptoms. A significant difference was found in the BMI total and subscale scores before training, in the first week, and in the second month after training (p<0.05). Peer education applied to nursing students is effective in reducing negative beliefs toward mental illness, and the intervention’s effect continued to increase up to the second-month post-education.

Etik Beyan

Ethical principles were observed in the conduct of this study and necessary legal permissions were obtained.

Destekleyen Kurum

the Scientific and Technological Research Council of Türkiye (TUBITAK)

Proje Numarası

1919B012204859

Kaynakça

  • 1. American Psychiatric Association (APA). (2022). What is Mental Illness? https://www.psychiatry.org/patients-families/what-is-mental-illness Updated November 2022. Accessed January 28, 2024.
  • 2. World Health Organization (WHO). (2022a). World Mental Health Repor t: Transforming Mental Health for All. Geneva: World Health Organization. License: CC BY-NC-SA 3.0 IGO.
  • 3. World Health Organization (WHO). (2022b). Mental disorders. https://www.who.int/news-room/fact-sheets/detail/mental-disorders Updated June 2022. Accessed date:January 2024.
  • 4. Martínez-Martínez, C., Esteve-Claramunt, F., Prieto-Callejero, B. and Ramos-Pichardo, J.D. (2022). Stigma towards mental disorders among nursing students and professionals: a bibliometric analysis. International Journal of Environmental Research and Public Health, 9 (3), 1839. https://doi.org/10.3390/ijerph19031839
  • 5. Canadian Mental Health Association (CMHA). (2024). Stigma and Discrimination. Canadian Mental Health Association site. https://ontario.cmha.ca/documents/stigma-and-discrimination/. Accessed January 28, 2024.
  • 6. Clair, M., Daniel, C., and Lamont, M. (2016). Destigmatization and health: Cultural constructions and the long-term reduction of stigma. Social Science and Medicine (1982), 165, 223–232. https://doi.org/10.1016/j.socscimed.2016.03.021
  • 7. Kolb, K., Liu, J. and Jackman, K. (2023). Stigma towards patients with mental illness: an online survey of United States nurses. International Journal of Mental Health Nursing, 32 (1), 323–336. https://doi.org/10.1111/inm.13084
  • 8. Martin, A., Krause, R., Chilton, J., Jacobs, A. and Amsalem, D. (2020). Attitudes to psychiatry and to mental illness among nursing students: Adaptation and use of two validated instruments in preclinical education. Journal of Psychiatric and Mental Health Nursing, 27 (3), 308-317. https://doi.org/10.1111/jpm.12580
  • 9. de Jacq, K., Norful, A. A., and Larson, E. (2016). The variability of nursing attitudes toward mental illness: An integrative review. Archives of Psychiatric Nursing, 30 (6), 788-796. https://doi.org/10.1016/j.apnu.2016.07.004
  • 10. Tyerman, J., Patovirta, A.L. and Celestini, A. (2021), How stigma and discrimination ınfluences nursing care of persons diagnosed with mental ıllness: a systematic review. Issues in mental health nursing, 42 (2), 153–163. https://doi.org/10.1080/01612840.2020.1789788
  • 11. Ross, C.A. and Goldner, E.M. (2009). Stigma, negative attitudes and discrimination towards mental illness within the nursing profession: a review of the literature. Journal of Psychiatric and Mental Health Nursing, 16 (6), 558–567. https://doi.org/10.1111/j.1365-2850.2009.01399.x
  • 12. Arkan, B., Bademli, K. and Duman, Z.C., (2011). Attitudes of health professionals towards mental disorders: studies in Turkey during the last decade. Current Approaches in Psychiatry, 3 (2), 214-231.
  • 13. Linden, M. and Kavanagh, R. (2012). Attitudes of qualified vs. student mental health nurses towards an individual diagnosed with schizophrenia. Journal of Advanced Nursing, 68 (6), 1359–1368. https://doi.org/10.1111/j.1365-2648.2011.05848.x
  • 14. Heim, E., Henderson, C., Kohrt, B.A., Koschorke, M., Milenova, M. and Thornicroft, G. (2019). Reducing mental health-related stigma among medical and nursing students in low- and middle-income countries: a systematic review. Epidemiology and Psychiatric Sciences, 29, e28. https://doi.org/10.1017/S2045796019000167
  • 15. Masedo, A., Grandón, P., Saldivia, S., Vielma-Aguilera, A., Castro-Alzate, E. S., Bustos, C., Romero-López-Alberca, C., Pena-Andreu, J. M., Xavier, M., and Moreno-Küstner, B. (2021). A multicentric study on stigma towards people with mental illness in health sciences students. BMC Medical Education, 21 (1), 324. https://doi.org/10.1186/s12909-021-02695-8
  • 16. Hirai, M. and Clum, G.A. (2000). Development, reliability, and validity of the beliefs toward mental ıllness scale. Journal of Psychopathology and Behavioral Assessment, 22 (3), 221-236. https://doi.org/10.1023/A:1007548432472
  • 17. Bilge, A. and Cam, O. (2008). Validity and reliability of beliefs towards mental ıllness scale. Anatolian Journal of Psychiatry, 9 (2), 91-94.
  • 18. Fidell, S., Tabachnick, B., Mestre, V. and Fidell, L. (2013). Aircraft noise-induced awakenings are more reasonably predicted from relative than from absolute sound exposure levels. The Journal of the Acoustical Society of America, 134 (5), 3645–3653. https://doi.org/10.1121/1.4823838
  • 19. Buyukbayram, A., Baysan Arabaci, L., Tas, G. and Kurt, A. (2020). The opinions of nursing students who have taken and not taken the psychiatric nursing courses towards psychiatric stigma. Izmir Katip Celebi University Faculty of Health Science Journal, 5 (3), 263-275.
  • 20. Dal, U., Guleryuz, I.O., Ulker, E. and Demiray, T. (2018). Beliefs of nursing students for mental ıllnesses. Journal of Nursing Science, 1 (2), 14-18.
  • 21. Gunay, S., Bekitkol, T., Beycan Ekitli, G. and Yildirim, S. (2016). Determination of the mental disorder beliefs of students in a nursing faculty. Journal of Psychiatric Nursing, 7 (3), 129-134. https://doi.org/10.5505/phd.2016.43534.
  • 22. Pusey-Murray, A. (2017). Attitudes of nursing students towards individuals with mental illness before doing the mental health nursing course. Open Access Library Journal, 4 (10), 1-13. doi: 10.4236/oalib.1103857
  • 23. Evli, M. (2021). The effect of psychiatric nursing education on the relationship between belief and attitude towards mental diseases. Ordu University Journal of Nursing Studies, 4 (1), 64-74. https://doi.org/10.38108/ouhcd.823895
  • 24. Sahin, G., Amancali, M., Sayin, S.A., Yakar, A. and Buzlu, S. (2019). Undergraduate nursing students’ attitudes towards patients with mental disorders and related factors. Acıbadem University Health Sciences Journal, 10 (2), 218-224.
  • 25. Duman, Z.C., Gunusen, N.P., Inan, F.S., Ince, S.C. and Sari, A. (2017). Effects of two different psychiatric nursing courses on nursing students' attitudes towards mental illness, perceptions of psychiatric nursing, and career choices. Journal of professional nursing: official journal of the American Association of Colleges of Nursing, 33(6), 452-459. https://doi.org/10.1016/j.profnurs.2017.06.005
  • 26. Gu, L., Jiao, W., Xia, H. and Yu, M. (2021). Psychiatric-mental health education with integrated role-play and real-world contact can reduce the stigma of nursing students towards people with mental illness. Nurse Education in Practice, 52, 103009. https://doi.org/10.1016/j.nepr.2021.103009
  • 27. Martínez-Martínez, C., Sánchez-Martínez, V., Sales-Orts, R., Dinca, A., Richart-Martínez, M. and Ramos-Pichardo, J.D. (2019). Effectiveness of direct contact intervention with people with mental illness to reduce stigma in nursing students. International Journal of Mental Health Nursing, 28 (3), 735–743. https://doi.org/10.1111/inm.12578
  • 28. Inan, F.S., Gunusen, N., Duman, Z.C. and Ertem, M.Y. (2019). The ımpact of mental health nursing module, clinical practice and an anti-stigma program on nursing students' attitudes toward mental ıllness: a quasi-experimental study. Journal of professional nursing: official journal of the American Association of Colleges of Nursing, 35 (3), 201–208. https://doi.org/10.1016/j.profnurs.2018.10.001
  • 29. Inan, F.S., Gunusen, N., Ince, S.C. and Duman, Z.C. (2020). The effects of peer education program ımplemented by nursing students on the beliefs of university students towards the mental illness. E-Journal of Dokuz Eylul University Nursing Faculty, 13 (3), 142-147. https://doi.org/10.46483/deuhfed.660210
  • 30. Fokuo, J.K., Maroney, M.M. and Corrigan, P. (2020). Pilot of a consumer based anti-stigma mentorship program for nursing students. Journal of Public Mental Health, 19 (1), 51–61. https://doi.org/10.1108/JPMH-02-2019-0020
  • 31. Itzhaki, M., Meridan, O., Sagiv-Schifter, T. and Barnoy, S. (2017). Nursing students' attitudes and intention to work with mentally ill patients before and after a planned intervention. Academic Psychiatry: the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 41 (3), 337–344. https://doi.org/10.1007/s40596-016-0521-3
  • 32. Senyuva, E. and Akince, E.K. (2020). Is peer education an effective method of strengthening nursing education? Journal of Human Sciences, 17 (1), 92-103. https://doi.org/10.14687/jhs.v17i1.5779

Söylemle Damgalama: Öğrenci Hemşirelere Uygulanan Akran Eğitiminin Ruhsal Hastalığa Yönelik İnançlar Üzerine Etkisi

Yıl 2025, Cilt: 9 Sayı: x, 13 - 27
https://doi.org/10.71230/arsagbil.1569370

Öz

Ruhsal hastalıklara yönelik olumsuz inançlar hemşirelik öğrencileri arasında yaygındır ve ruhsal hastalığı olan bireylerin gelecekteki bakımı için çeşitli riskler oluşturmaktadır. Bu çalışmada, hemşirelik öğrencilerinin ruhsal hastalıklara yönelik olumsuz inançlarını azaltmada akran eğitimi müdahalesinin etkisini araştırmak amaçlanmıştır. Araştırma, tek grup ön test, son test ve izleme testi ile yarı deneysel bir tasarımda gerçekleştirilmiştir ve Aralık 2022 - Şubat 2023 tarihleri arasında 87 hemşirelik öğrencisi ile yürütülmüştür. Veriler “Katılımcı Bilgi Formu” ve “Ruhsal Hastalığa Yönelik İnanç Ölçeği” (RHİÖ) kullanılarak eğitim öncesi, eğitim sonrası birinci hafta ve eğitim sonrasıikinci ay zaman noktalarında toplanmıştır. Katılımcılar, daha önce ruhsal hastalıklarla ilgili eğitim almamış birinci, ikinci ve üçüncü sınıf hemşirelik öğrencileriydi. Katılımcıların %79,3'ü kadındı, %72,4'ü ailesiyle birlikte yaşıyordu ve %67,8'inin geliri giderine denkti. Ayrıca, %50,6'sı bir yakını ruhsal belirtiler gösterdiğinde bir psikologdan yardım isteyeceğini söylemiştir. RHİÖ toplam ve alt ölçek puanlarında eğitim öncesi, ilk hafta ve eğitim sonrası ikinci ayda anlamlı fark bulunmuştur (p<0,05). Hemşirelik öğrencilerine uygulanan akran eğitimi, ruhsal hastalıklara yönelik olumsuz inançları azaltmada etkilidir ve müdahalenin etkisi eğitim sonrası ikinci aya kadar artarak devam etmiştir.

Etik Beyan

Bu çalışmanın yürütülmesinde etik ilkeler gözetilmiş ve gerekli yasal izinler alınmıştır.

Destekleyen Kurum

Türkiye Bilimsel ve Teknolojik Araştırma Kurumu, TUBITAK

Proje Numarası

1919B012204859

Kaynakça

  • 1. American Psychiatric Association (APA). (2022). What is Mental Illness? https://www.psychiatry.org/patients-families/what-is-mental-illness Updated November 2022. Accessed January 28, 2024.
  • 2. World Health Organization (WHO). (2022a). World Mental Health Repor t: Transforming Mental Health for All. Geneva: World Health Organization. License: CC BY-NC-SA 3.0 IGO.
  • 3. World Health Organization (WHO). (2022b). Mental disorders. https://www.who.int/news-room/fact-sheets/detail/mental-disorders Updated June 2022. Accessed date:January 2024.
  • 4. Martínez-Martínez, C., Esteve-Claramunt, F., Prieto-Callejero, B. and Ramos-Pichardo, J.D. (2022). Stigma towards mental disorders among nursing students and professionals: a bibliometric analysis. International Journal of Environmental Research and Public Health, 9 (3), 1839. https://doi.org/10.3390/ijerph19031839
  • 5. Canadian Mental Health Association (CMHA). (2024). Stigma and Discrimination. Canadian Mental Health Association site. https://ontario.cmha.ca/documents/stigma-and-discrimination/. Accessed January 28, 2024.
  • 6. Clair, M., Daniel, C., and Lamont, M. (2016). Destigmatization and health: Cultural constructions and the long-term reduction of stigma. Social Science and Medicine (1982), 165, 223–232. https://doi.org/10.1016/j.socscimed.2016.03.021
  • 7. Kolb, K., Liu, J. and Jackman, K. (2023). Stigma towards patients with mental illness: an online survey of United States nurses. International Journal of Mental Health Nursing, 32 (1), 323–336. https://doi.org/10.1111/inm.13084
  • 8. Martin, A., Krause, R., Chilton, J., Jacobs, A. and Amsalem, D. (2020). Attitudes to psychiatry and to mental illness among nursing students: Adaptation and use of two validated instruments in preclinical education. Journal of Psychiatric and Mental Health Nursing, 27 (3), 308-317. https://doi.org/10.1111/jpm.12580
  • 9. de Jacq, K., Norful, A. A., and Larson, E. (2016). The variability of nursing attitudes toward mental illness: An integrative review. Archives of Psychiatric Nursing, 30 (6), 788-796. https://doi.org/10.1016/j.apnu.2016.07.004
  • 10. Tyerman, J., Patovirta, A.L. and Celestini, A. (2021), How stigma and discrimination ınfluences nursing care of persons diagnosed with mental ıllness: a systematic review. Issues in mental health nursing, 42 (2), 153–163. https://doi.org/10.1080/01612840.2020.1789788
  • 11. Ross, C.A. and Goldner, E.M. (2009). Stigma, negative attitudes and discrimination towards mental illness within the nursing profession: a review of the literature. Journal of Psychiatric and Mental Health Nursing, 16 (6), 558–567. https://doi.org/10.1111/j.1365-2850.2009.01399.x
  • 12. Arkan, B., Bademli, K. and Duman, Z.C., (2011). Attitudes of health professionals towards mental disorders: studies in Turkey during the last decade. Current Approaches in Psychiatry, 3 (2), 214-231.
  • 13. Linden, M. and Kavanagh, R. (2012). Attitudes of qualified vs. student mental health nurses towards an individual diagnosed with schizophrenia. Journal of Advanced Nursing, 68 (6), 1359–1368. https://doi.org/10.1111/j.1365-2648.2011.05848.x
  • 14. Heim, E., Henderson, C., Kohrt, B.A., Koschorke, M., Milenova, M. and Thornicroft, G. (2019). Reducing mental health-related stigma among medical and nursing students in low- and middle-income countries: a systematic review. Epidemiology and Psychiatric Sciences, 29, e28. https://doi.org/10.1017/S2045796019000167
  • 15. Masedo, A., Grandón, P., Saldivia, S., Vielma-Aguilera, A., Castro-Alzate, E. S., Bustos, C., Romero-López-Alberca, C., Pena-Andreu, J. M., Xavier, M., and Moreno-Küstner, B. (2021). A multicentric study on stigma towards people with mental illness in health sciences students. BMC Medical Education, 21 (1), 324. https://doi.org/10.1186/s12909-021-02695-8
  • 16. Hirai, M. and Clum, G.A. (2000). Development, reliability, and validity of the beliefs toward mental ıllness scale. Journal of Psychopathology and Behavioral Assessment, 22 (3), 221-236. https://doi.org/10.1023/A:1007548432472
  • 17. Bilge, A. and Cam, O. (2008). Validity and reliability of beliefs towards mental ıllness scale. Anatolian Journal of Psychiatry, 9 (2), 91-94.
  • 18. Fidell, S., Tabachnick, B., Mestre, V. and Fidell, L. (2013). Aircraft noise-induced awakenings are more reasonably predicted from relative than from absolute sound exposure levels. The Journal of the Acoustical Society of America, 134 (5), 3645–3653. https://doi.org/10.1121/1.4823838
  • 19. Buyukbayram, A., Baysan Arabaci, L., Tas, G. and Kurt, A. (2020). The opinions of nursing students who have taken and not taken the psychiatric nursing courses towards psychiatric stigma. Izmir Katip Celebi University Faculty of Health Science Journal, 5 (3), 263-275.
  • 20. Dal, U., Guleryuz, I.O., Ulker, E. and Demiray, T. (2018). Beliefs of nursing students for mental ıllnesses. Journal of Nursing Science, 1 (2), 14-18.
  • 21. Gunay, S., Bekitkol, T., Beycan Ekitli, G. and Yildirim, S. (2016). Determination of the mental disorder beliefs of students in a nursing faculty. Journal of Psychiatric Nursing, 7 (3), 129-134. https://doi.org/10.5505/phd.2016.43534.
  • 22. Pusey-Murray, A. (2017). Attitudes of nursing students towards individuals with mental illness before doing the mental health nursing course. Open Access Library Journal, 4 (10), 1-13. doi: 10.4236/oalib.1103857
  • 23. Evli, M. (2021). The effect of psychiatric nursing education on the relationship between belief and attitude towards mental diseases. Ordu University Journal of Nursing Studies, 4 (1), 64-74. https://doi.org/10.38108/ouhcd.823895
  • 24. Sahin, G., Amancali, M., Sayin, S.A., Yakar, A. and Buzlu, S. (2019). Undergraduate nursing students’ attitudes towards patients with mental disorders and related factors. Acıbadem University Health Sciences Journal, 10 (2), 218-224.
  • 25. Duman, Z.C., Gunusen, N.P., Inan, F.S., Ince, S.C. and Sari, A. (2017). Effects of two different psychiatric nursing courses on nursing students' attitudes towards mental illness, perceptions of psychiatric nursing, and career choices. Journal of professional nursing: official journal of the American Association of Colleges of Nursing, 33(6), 452-459. https://doi.org/10.1016/j.profnurs.2017.06.005
  • 26. Gu, L., Jiao, W., Xia, H. and Yu, M. (2021). Psychiatric-mental health education with integrated role-play and real-world contact can reduce the stigma of nursing students towards people with mental illness. Nurse Education in Practice, 52, 103009. https://doi.org/10.1016/j.nepr.2021.103009
  • 27. Martínez-Martínez, C., Sánchez-Martínez, V., Sales-Orts, R., Dinca, A., Richart-Martínez, M. and Ramos-Pichardo, J.D. (2019). Effectiveness of direct contact intervention with people with mental illness to reduce stigma in nursing students. International Journal of Mental Health Nursing, 28 (3), 735–743. https://doi.org/10.1111/inm.12578
  • 28. Inan, F.S., Gunusen, N., Duman, Z.C. and Ertem, M.Y. (2019). The ımpact of mental health nursing module, clinical practice and an anti-stigma program on nursing students' attitudes toward mental ıllness: a quasi-experimental study. Journal of professional nursing: official journal of the American Association of Colleges of Nursing, 35 (3), 201–208. https://doi.org/10.1016/j.profnurs.2018.10.001
  • 29. Inan, F.S., Gunusen, N., Ince, S.C. and Duman, Z.C. (2020). The effects of peer education program ımplemented by nursing students on the beliefs of university students towards the mental illness. E-Journal of Dokuz Eylul University Nursing Faculty, 13 (3), 142-147. https://doi.org/10.46483/deuhfed.660210
  • 30. Fokuo, J.K., Maroney, M.M. and Corrigan, P. (2020). Pilot of a consumer based anti-stigma mentorship program for nursing students. Journal of Public Mental Health, 19 (1), 51–61. https://doi.org/10.1108/JPMH-02-2019-0020
  • 31. Itzhaki, M., Meridan, O., Sagiv-Schifter, T. and Barnoy, S. (2017). Nursing students' attitudes and intention to work with mentally ill patients before and after a planned intervention. Academic Psychiatry: the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry, 41 (3), 337–344. https://doi.org/10.1007/s40596-016-0521-3
  • 32. Senyuva, E. and Akince, E.K. (2020). Is peer education an effective method of strengthening nursing education? Journal of Human Sciences, 17 (1), 92-103. https://doi.org/10.14687/jhs.v17i1.5779
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Ruh Sağlığı Hemşireliği
Bölüm Araştırma Makalesi
Yazarlar

Cennet Kara Özçalık 0000-0003-2394-2634

Esra Çakal 0009-0008-6712-6835

Proje Numarası 1919B012204859
Erken Görünüm Tarihi 15 Mart 2025
Yayımlanma Tarihi
Gönderilme Tarihi 17 Ekim 2024
Kabul Tarihi 20 Ocak 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 9 Sayı: x

Kaynak Göster

APA Kara Özçalık, C., & Çakal, E. (2025). Stigmatizing with Discourse: The Effect of Peer Education on Student Nurses’ Beliefs About Mental Illness. Arel Üniversitesi Sağlık Bilimleri Dergisi, 9(x), 13-27. https://doi.org/10.71230/arsagbil.1569370

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Creative Commons

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