1.A Systematic Review of Virtual Reality Treatment Program on Patients with Post-Traumatic Stress Disorder
Wongyeong LEE ; Youngshin CHO ; Heejung KIM
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2021;30(2):119-140
Purpose:
The aims of this systematic review were to identify the study protocol of Virtual Reality Therapy (VRT) and review the effect of VRT among patients with Post-Traumatic Stress Disorder (PTSD).
Methods:
This review followed the guideline of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A systematic literature search was conducted using 12 electronic databases including gray literature with no limit of publication year. Search terms included relevant terms regarding “PTSD”, “trauma”, and “VRT”. Among 265 studies extracted through PRISMA, 20 studies were selected and evaluated for quality assessment using the Risk of Bias tool of Cochrane’s collaboration.
Results:
The majority of the literature focused on combat veterans and war situations (95%).Usually, each session usually took 60~120 minutes of VRT in 10~20 sessions for 5~10 weeks. The VRT equipment and contents were individually designed considering patients’ traumatic experiences. Most of the studies reported the positive effects associated to reduced levels of PTSD (80%) and related symptoms, such as, depression (45%) and anxiety (25%).
Conclusion
Based on our findings, further studies are required to evaluate VRT in people with PTSD, after improving study design and standardizing protocols.
2.A Systematic Review of Virtual Reality Treatment Program on Patients with Post-Traumatic Stress Disorder
Wongyeong LEE ; Youngshin CHO ; Heejung KIM
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2021;30(2):119-140
Purpose:
The aims of this systematic review were to identify the study protocol of Virtual Reality Therapy (VRT) and review the effect of VRT among patients with Post-Traumatic Stress Disorder (PTSD).
Methods:
This review followed the guideline of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A systematic literature search was conducted using 12 electronic databases including gray literature with no limit of publication year. Search terms included relevant terms regarding “PTSD”, “trauma”, and “VRT”. Among 265 studies extracted through PRISMA, 20 studies were selected and evaluated for quality assessment using the Risk of Bias tool of Cochrane’s collaboration.
Results:
The majority of the literature focused on combat veterans and war situations (95%).Usually, each session usually took 60~120 minutes of VRT in 10~20 sessions for 5~10 weeks. The VRT equipment and contents were individually designed considering patients’ traumatic experiences. Most of the studies reported the positive effects associated to reduced levels of PTSD (80%) and related symptoms, such as, depression (45%) and anxiety (25%).
Conclusion
Based on our findings, further studies are required to evaluate VRT in people with PTSD, after improving study design and standardizing protocols.
3.A Survey on the Perception of Psychiatric Hospital Nurses on Patient Safety
Sunah KIM ; Wongyeong LEE ; Chaehyeon KANG
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2022;31(4):448-457
Purpose:
The purpose of this study is to investigate the patient safety status and patient safety education contents and methods perceived by nurses working in psychiatric hospitals.
Methods:
Data were collected using a semi-structured questionnaire for psychiatric hospital nurses who had worked for more than one year. A total of 157 questionnaires were filled and were used for analysis using descriptive statistics. Open-ended questions about the contents and methods of patient safety education were classified by each researcher and a reclassification was conducted by consensus through discussions.
Results:
Overall, 142 nurses (90.4%) experienced patient safety accident during the previous 1 month. Among those who experienced a patient safety accident, profanity, violence, and aggression-related accident counted for the highest percentage (82.8%). The demand for education on workplace stress management and education on psychiatric medication were the highest. Required education methods included case-by-case education on patient safety accidents, regular and continuous education, and small-scale face-to-face education.
Conclusion
In the future, it is necessary to actively utilize the results of this study as basic data for in-depth research on the causes of patient safety accidents, accident prevention, and the workload of nursing personnel.
4.Strategies for Research Activation Related to Nursing Staffs in Psychiatric Hospitals: Focus Group Interviews
Sunah KIM ; Chaehyeon KANG ; Wongyeong LEE
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2022;31(3):327-338
Purpose:
This study applied in-depth research methods on the level of securing mental health nurses in mental medical institutions targeting a group of experts in mental health nursing personnel, and sought paths toward revising enforcement regulations of the Mental Health Welfare Act in the future.
Methods:
Focus group interviews were conducted with experts experienced in conducting research on mental nursing staffing or policy development for nursing staffing.
Results:
Many experts in the field of psychiatric nursing must obtain additional accurate and valid support data to focus attention on the level of securing psychiatric nurses and discussing active efforts and short-and long-term strategies.
Conclusion
It is important to prepare evidence for the quality level of psychiatric nursing, as well as to secure adequate manpower for psychiatric nurses. In the future, it is necessary to actively use these data for policies and research relative to psychiatric nurse workforce planning.
5.A Systematic Review of the Effect of Web-based Trauma-Education Programs for Mental-Health Professionals
Wongyeong LEE ; Go-Un KIM ; Hye Jin YOON ; Sunah KIM
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2020;29(4):325-338
Purpose:
This study was conducted to review the web-based trauma-education programs for mental-health professionals reported in English and Korean.
Methods:
A systematic literature search was conducted using the PubMed, CINALH, EMBASE, Cochrane Library, PsycINFO, Web of Science, RISS, KISS, NDSL, US National Library of Medicine, Clinical Research Information Service, and Virginia Henderson International Nursing Library. The database search identified 11,852 articles. The selection of articles involved a three-phase process, in which duplications were identified and, titles and abstracts of retrieved articles were determined according to inclusion criteria, followed by full-text reading of articles identified. Finally, a total of three studies were included in this review, which published in the United States in 2011, 2014, and 2019. One was a pilot randomized controlled trial and two were pre- and post- studies. Only one included nurses as participants. Selected studies were rated for quality assessment using the Risk of Bias tool of Cochrane’s collaboration.
Results:
Although the specific content of the programs was unknown, they improved mental health professionals' knowledge level, performance confidence, satisfaction, and education-completion rate.
Conclusion
More well-designed studies are needed of the optimal content for web-based education programs in mediating trauma for a broad spectrum of mental-health professionals.