Background of the Study
Acute psychosis is a severe mental health condition characterized by hallucinations, delusions, disorganized thinking, and impaired reality perception. It can result from schizophrenia, bipolar disorder, substance use, or medical conditions (World Health Organization, 2024). Crisis intervention plays a crucial role in stabilizing patients, preventing self-harm, and ensuring their safety during acute episodes (Aliyu & Usman, 2023).
Psychiatric nurses are at the forefront of crisis intervention, providing immediate assessment, de-escalation strategies, medication administration, and emotional support. They employ therapeutic communication, rapid risk assessment, and collaboration with multidisciplinary teams to ensure patients receive appropriate care (Bello et al., 2023).
In Kogi State, the management of acute psychosis is often hindered by limited mental health infrastructure, inadequate training of healthcare personnel, and stigma associated with psychiatric disorders. Many psychiatric facilities are under-resourced, making it challenging for nurses to deliver effective crisis intervention (Ibrahim & Yusuf, 2024). This study aims to examine the role of psychiatric nurses in crisis intervention for patients with acute psychosis, identifying effective strategies and challenges in care delivery.
Statement of the Problem
Managing acute psychosis requires rapid intervention to prevent harm to the patient and others. However, psychiatric nurses in Kogi State often face challenges such as inadequate psychiatric emergency units, lack of psychotropic medications, and insufficient training in crisis intervention techniques (Ahmed & Yusuf, 2023).
Additionally, cultural and religious beliefs about mental illness may lead to delays in seeking professional care, further complicating crisis management (Bello et al., 2024). Without well-structured crisis intervention protocols and adequate nursing support, patients with acute psychosis may experience prolonged hospitalization, increased aggression, and poor treatment outcomes.
Objectives of the Study
1. To examine the role of psychiatric nurses in crisis intervention for patients with acute psychosis in Kogi State.
2. To assess the effectiveness of different crisis intervention strategies used by psychiatric nurses.
3. To identify challenges psychiatric nurses face in managing acute psychosis.
Research Questions
1. What role do psychiatric nurses play in crisis intervention for patients with acute psychosis?
2. How effective are the crisis intervention strategies used by psychiatric nurses?
3. What challenges do psychiatric nurses face in managing acute psychosis in Kogi State?
Research Hypotheses
1. Psychiatric nurses play a crucial role in stabilizing patients experiencing acute psychosis.
2. Crisis intervention strategies such as de-escalation techniques and rapid medication administration improve patient outcomes.
3. Limited resources and inadequate training negatively impact the effectiveness of psychiatric nurses in crisis intervention.
Scope and Limitations of the Study
The study will be conducted in psychiatric hospitals and general healthcare facilities offering mental health services in Kogi State. Limitations may include differences in crisis intervention protocols and the subjective nature of assessing intervention effectiveness.
Definition of Terms
• Acute Psychosis: A mental health condition characterized by sudden onset of delusions, hallucinations, and disorganized thinking.
• Crisis Intervention: Immediate and short-term psychological care aimed at stabilizing individuals experiencing mental health crises.
• De-escalation Techniques: Communication and behavioral strategies used by healthcare professionals to calm agitated patients and prevent violence.
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