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- A qualitative study exploring adolescents' perspective about Mental Health First Aid Training Programmes promoted by nurses in upper secondary schoolsPublication . Costa, Tiago Filipe Oliveira; Sampaio, Francisco Miguel Correia; Sequeira, Carlos; Lluch Canut, María Teresa; Moreno Poyato, Antonio RafaelMental Health First Aid Training Programmes are educational interventions that aim to disseminate basic first aid skills in the community. Adolescents in the context of their secondary school education are a particularly appropriate population for literacy promotion interventions. This study explores adolescents’ perspectives on Mental Health First Aid Training Programmes promoted by nurses in Portuguese upper secondary schools. A qualitative and exploratory study was conducted. Data were collected through semi-structured interviews with 12 adolescents who participated voluntarily and with the consent of their parents. Data were analysed using content analysis. Fourteen themes were identified around three main areas: (i) Relevance of training programmes, (ii) Content of training programmes and (iii) Intervention methods of training programmes. The results obtained indicate that adolescents consider Mental Health First Aid Training Programmes in school relevant and necessary. Adolescents identified the content they deemed most appropriate and how it could be taught. These results can guide the development of training programmes. Nurses should take the lead in implementing these
- Review of Mental Health First Aid ProgramsPublication . Costa, Tiago Filipe Oliveira; Sampaio, Francisco Miguel Correia; Sequeira, Carlos; Carvalho Ribeiro, Isilda Maria Oliveira; Parola, Vitor Sérgio de OliveiraMental health first aid programs are interventions to empower the community to help people with mental health problems/ crises. A review of these programs was conducted in accordance with the guidelines of the Joanna Briggs Institute. Published and unpublished works from 2009 to 2019 were considered. The review included 252 studies. Several Mental Health First Aid programs were identified, with varying characteristics, participants, and contexts of implementation. These group interventions were carried out among lay people to health professionals, and in adolescents to the elderly. Additionally, they were conducted in-person and/or virtually, using psychoeducational methods and informational materials. The programs ranged from 30 minutes to 24 hours. These interventions can address nursing foci, and the characteristics of the facilitators are similar to those of mental health nurses. Therefore, this review highlighted the opportunity for nurses to explore Mental Health First Aid programs.
- Development and psychometric properties of the Therapeutic Relationship Assessment Scale‐NursePublication . Coelho, Joana Catarina Ferreira; Sampaio, Francisco Miguel Correia; Nogueira, Maria José Carvalho; Sequeira, Carlos; Lleixà Fortuño, Maria del Mar; Roldán Merino, JuanIntroduction: The therapeutic relationship (TR) is essential to providing psychiatric and mental health nursing care. Nevertheless, no assessment tools exclusive for assessing nursing TR were found in the literature. Aim: To describe and evaluate the psychometric properties (reliability and construct validity) of a scale that allows assessing the quality of TR established between the nurse and the patient. Method: A survey method was adopted, using a convenience sample of 356 mental health nurses. Internal consistency was assessed by Cronbach's alpha and Omega index. Results: A total of 221 mental health nurses participated in the study (response rate = 62.08%). The scale's final structure has 25 items. Cronbach's alpha was 0.93, ranging from 0.78 to 0.88 for each of the factors. The cumulative variance explained in a four-factor structure was 71.12%. Discussion: The Therapeutic Relationship Assessment Scale (TRAS)-Nurse presents good psychometric properties. In the light of Benner's theory, it can be an useful tool for novice nurses to better understand what aspects they should pay attention to for establishing a successful TR. Implications for Practice: Mental health nurses can use the TRAS-Nurse, thus having a scale available that allows them to self-assess the quality of TR they establish with their patients.
- Nurses’ perspective about the Mental Health First Aid Training Programmes for adolescents in upper secondary schools: A focus group studyPublication . Costa, Tiago Filipe Oliveira; Sampaio, Francisco Miguel Correia; Sequeira, Carlos; Lluch Canut, María Teresa; Moreno Poyato, Antonio RafaelIntroduction: Mental Health First Aid Training Programmes performed by nurses can empower adolescents to aid people with mental health problems. There do not appear to be any studies that describe these healthier interventions aimed at adolescents in upper secondary schools. The development of these educational interventions benefits from the input of their participants and facilitators. Aim: To explore the perspective of nurses about Mental Health First Aid Training Programmes for adolescents in upper secondary schools. Method: A qualitative, descriptive and exploratory study was conducted. Data were collected from seven mental health nurses during two focus group sessions. Data were analysed using content analysis. Results: Twelve themes were identified around nine main areas: facilitators, intervention foci, outcomes assessment methods, process assessment methods, participants, implementation context, duration and frequency, intervention methods and strategies, and contents. Discussion: Mental health nurses can regularly perform these classroom interventions to improve the mental health competencies of adolescents. Various educational methods can facilitate learning related to mental health literacy components, mental health nursing problems and the first aid plan. Valid and appropriate assessment methods enhance a good representation of these interventions. Implications for Practice: This evidence can guide the creation and modelling of these first aid training programmes
- Mental Health Literacy and Positive Mental Health in Adolescents: A Correlational StudyPublication . Nobre, Joana; Calha, António; Luis, Henrique; Oliveira, Ana Paula; Monteiro, Francisco; Ferré-Grau, Carme; Sequeira, CarlosThis study aimed to assess adolescents0 Mental Health Literacy (MHL) level, Positive Mental Health (PMH) level, the association between sociodemographic variables and the MHL and PMH levels, and the relationship between adolescent0 s MHL and PMH levels. A quantitative, crosssectional, correlational study was conducted with a convenience sample of 260 adolescents studying in the 5th to 12th years of school. The Mental Health Knowledge Questionnaire, the Mental HealthPromoting Knowledge, and the Positive Mental Health Questionnaire were used for data collection. Most of the adolescents were female (55.8%) with a mean age of 14.07 years. The participants showed good levels of MHL (MHKQ). The participants showed good levels of MHL (MHKQ x = 60.03; MHPK-10 x = 4.49) and high levels of PMH (x = 128.25). The adolescents with higher levels of MHL were the oldest, in a higher year of school, female, those whose mothers are employed, those who have healthy eating habits, and those who have a better body image self-perception. Adolescents in a lower year of school, with adequate sleep habits, who spend fewer hours a day in front of a screen or online, and who have a better self-perception of mental and physical health and body image were the ones with higher PMH levels. These findings suggest the need to implement experimental or quasi-experimental studies to ascertain the effectiveness of interventions that promote adolescents0 positive mental health literacy
- Workaholism and family interaction among nursesPublication . Borges, Elisabete; Sequeira, Carlos; Queirós, Cristina Maria Leite; Mosteiro-Díaz, Maria PilarThis study aims to identify the prevalence of workaholism and work-family interaction, their relationship and their variation according sociodemographic and occupational characteristics among nurses. A quantitative, descriptive, correlational and transversal study was conducted with a sample of 839 Portuguese nurses. Regarding workaholism, 27% of workaholic nurses were identified, scoring a higher mean value for excessive work. For work-family interaction, the dimensions showing the highest mean values were the negative work-family interaction and the positive family-work interaction. The variables identified as significant predictors of workaholism were the work-family interaction (39%), occupational variables (10.6%) and sociodemographic variables (1.2%). Among the occupational and professional variables, the women, age equal or less than 37 years and perception of stressful work, were highlighted. The confirmation of workaholism in nurses, as well as its predictive variables are significantly important for professionals and organizations to better understand the impact of this phenomenon, particularly in mental health and to encourage the development of programmes aiming to promote health at the workplace.
- Assessing the efficacy and feasibility of providing metacognitive training for patients with schizophrenia by mental health nurses: A randomized controlled trialPublication . Pinho, Lara Manuela Guedes; Sequeira, Carlos; Sampaio, Francisco Miguel Correia; Rocha, Nuno Barbosa; Ozaslan, Zeynep; Ferre-Grau, Carmen
- Preditores de bem-estar psicológico em estudantes do ensino superiorPublication . Nogueira, Maria José; Sequeira, CarlosThe psychological well-being of higher education students is an important positive correlate of personal development and academic success. Enter in a higher education configures a period of multiple transitions that create stress and a demanding adjustment. In Portugal little is known about predictive relationships between biopsychosocial variables and psychological well-being in higher education students. Identifying predictors of psychological well-being is relevant to identify variables with positive influence in the academic context. Objective. To identify predictors of psychological well-being in Higher Education Students. Methodology. Using an exploratory, transversal and correlational study in a nonprobabilistic 560-sample Students (446 women; an average of 19.6 years) from the 1st and 2nd year, of the Lisbon District. Participants’ informed consent was obtained, and data analysis was quantitative, using descriptive and inferential statistical analysis techniques. An online self-report questionnaire covering variables and measures: demographic and relational; academic; health behaviors; Mental Health Inventory; Satisfaction with Social Support Scale; and Satisfaction with Academic Life Scale were used. Results indicate that the male students, dating, good academic performance, exercise/sport, sleep seven hours, satisfaction with social support and satisfaction with academic life are significant predictors (p< .05) of psychological well-being, the last two with strong preponderance. Conclusions point at the relevance of the predictors of psychological well-being identified, that appear to be robust protective factors for higher education student’s mental health. Clinical Relevance: Protective factors should be considered to complement prior information to assist mental health nurses and educators to design specific welfare promotion programs, to increase the potential of mental health and academic success.
- Positive Mental Health in University Students and Its Relations with Psychological Vulnerability, Mental Health Literacy, and Sociodemographic Characteristics: A Descriptive Correlational StudyPublication . Teixeira, Sónia; Ferré-Grau, Carme; Canut, Teresa Lluch; Pires, Regina; Carvalho, José Carlos; Carvalho Ribeiro, Isilda Maria Oliveira; Sequeira, Carolina; Ferreira, Teresa de Jesus Rodrigues; Sampaio, Francisco; Costa, Tiago; Sequeira, CarlosAbstract: This study aimed to evaluate positive mental health (PMH) and its relation with sociodemographic characteristics, mental health literacy, and the psychological vulnerability scale (PVS) in Portuguese university students aged 17 to 62. A descriptive correlational study was carried out. An online survey was conducted to evaluate demographic variables, and several questionnaires were applied to evaluate positive mental health, psychological vulnerability, and mental health literacy. The data was collected from 1 November 2019 to 1 September 2020. Overall, 3405 students participated in the study. The results show that 67.8% of students revealed a high level of PMH, 31.6% presented a medium level of PMH, and 0.6% had a low level of PMH. Male students reported higher personal satisfaction (t (3170) = 2.39, p = 0.017) and autonomy (t (3170) = 3.33, p = 0.001) in PMH compared to female students. Students without a scholarship scored higher (t (3127) = 2.04, p = 0.42) in PMH than students who held a scholarship. Students who were not displaced from their home reported higher (t (3170) = 1.99, p = 0.047) self-control in PMH than those displaced from their home. University students with higher PMH results had lower PVS results and higher literacy results. The findings of this study will contribute to identifying students’ PMH intervention needs.
- Evaluation of positive mental heath and sense of coeherence in mental health professionalsPublication . Mantas, Susana; Juvinyà, Dolor; Bertran, Carme; Roldán, Juan; Sequeira, Carlos; Lluch, TeresaBACKGROUND: !e Sense of Coherence (SOC) of Antonowsky (1996) which is based on salutogenic theory and the multifactor Positive Mental Health (PMH) model of Lluch (1999) provide two constructs for comprehending, evaluating, and intervening in the promotion and maintenance of a good state of mental health. AIM: Were assessed self-rated mental health of health professionals working in mental health services and relations between both constructs and sociodemographic, work, and health variables. METHODS: !e sample was made up of n=102 attending professionals at the mental health units of the Parc Hospitalari Martí i Julià, in Salt, Girona. !e variables studied were sociodemographic work-related, health-related, and self-perception of mental health, evaluated by means of the Sense of Coherence questionnaire and the Positive Mental Health questionnaire. !e questionnaires were self-administered. RESULTS: Overall, the sample studied scored high in the Sense of Coherence and the Positive Mental Health questionnaires. In terms of the relation between the overall scores of the SOC questionnaire and the PMH, analysis revealed a positive relation between the two. CONCLUSIONS: !is positive relation between the two questionnaires may be of particular interest in future studies of the multifactor model of Positive Mental Health and the salutogenic model that underlies the Sense of Coherence, by generating a global conceptual framework for the study of mental health from a positive perspective.