The Development and Evaluation of an Enhancing Empowerment Curriculum on Self-Care Behavior among Patients with Substance-Related Psychosis for Psychiatric Nurses
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Abstract
Objectives: To develop and evaluate an enhanced empowerment curriculum on self-care among patients with substance-induced psychosis for psychiatric nurses. Methods: The research and development consisted of 2 phases: 1) Curriculum development: including 1.1) The situation analysis was applied by a group focusing on 10 psychiatric nurses, Tyler’s curriculum development concept, Kolb experiential learning theory, and Bloom’s Taxonomy principle, along with the literature review. And 1.2) The prototype curriculum was developed, and 2) Curriculum evaluation: including 2.1) The competency assessment (knowledge, attitude, and skills) was validated by five experts, with the IOC value of .83, and CVI values of .96, 1.0, and .98, respectively, and 2.2) The curriculum was evaluated using quasi-experimental research with 10 psychiatric nursing participants and 40 patients with substance-induced psychosis. Data were analyzed using descriptive statistics, the Wilcoxon Signed Rank test, and the Friedman test. Results: 1) The curriculum consisted of 5 modules with theoretical and practical components within three weeks, including 1) Attitude 2) Knowledge 3) Practice Skills 4) Practical components and 5) Reflection summary and a training manual 2) The median competencies of psychiatric nurses (knowledge, attitude, and skills) after completing the curriculum training were significantly higher than before participation, with a significance level of .05 (χ2=10.16, 6.97, 14.36), and 3) The median self-care of patients with substance-induced psychosis who participated in the enhancing empowerment were significantly higher than before participating in the enhancing empowerment, with a significance level of .001 (Z = -5.51). Conclusion: The enhancing empowerment curriculum on self-care among patients with substance-induced psychosis for psychiatric nurses could improve their competencies and enhance the empowerment and self-care of patients with substance--induced psychosis.
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