ATTAINING MENTAL HEALTH THROUGH FAMILY BOND NURSING: THE NIGERIAN EXPERIENCE Delivered by Mogbo, J., Akingbade, O. At the 12th Annual Scientific Conference of International Psychiatric Nurses Association of Nigeria. Dubai, 2018.
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ATTAINING MENTAL HEALTH THROUGH
FAMILY BOND NURSING: THE
NIGERIAN EXPERIENCE
Delivered by
Mogbo, J., Akingbade, O.
At the
12th Annual ScientificConference of International
Psychiatric Nurses Associationof Nigeria.
Dubai, 2018.
Instructive…
Introduction and Background
• One in four families has at least one
member with a mental disorder.
• Out of 174 million people in Nigeria, 64
million has been declared having one
form of mental illness or the other
deserving medical attention (WHO,
2006).
Introduction and Background
(contd.)
• Studies in Nigeria have found that
only around 10% of those with
diagnoses of mental disorders
receive any treatment within the
previous 12 months(Federal Ministry of Health, Nigeria, 2013)
• What happens to the remaining
90%
Introduction and Background
(contd.)
• In this era of
deinstitutionalization, there
is a strong focus on
community mental health
nursing and the family has a
huge role to play in this.
A Strategic and Practicable
Pathway
The Family.
‘Every Nurse is a family
nurse’ – Dr Janice M. Bell
Definition
• The World Health Organization
identified mental health as “a state
of well-being in which an individual
realizes his or her own abilities, can
cope with the normal stresses of
life, can work productively, and is
able to make a contribution to his or
her community
Meet the Family Bond Nursing
Systems
FBS Broad Objective
• To Enlighten, Empower and Equip
individuals and families with
knowledge and skills that are critical to
their overall wellbeing which would
strengthen relational connectivity and
enhance commitment to the growth
and development of each family
member thereby cushioning the
effects of life events on them.
The Family Bond Nursing
Systems Programs• Parenting from Conception™
• Well and Safe Child™
• Pregnancy, Emotions, Sex, and
Family Wellbeing™
• Fertility and Family Wellbeing™
Well and Safe Child
Early
Detection
is key
Well and Safe Child
Well and Safe Child Images
Experiences working with
childrenMany children are currently facing all
forms of abuse (emotional, physical,
sexual and neglect). Sadly, yet not
surprising, most of them do not want
their parents to know.
Experiences working with
children• Many children desire to be like
others more than they want to be
like their parents.
The Pediatric Symptom
Checklist • The Pediatric Symptom Checklist is a
psychosocial validated screening tool
designed to facilitate the recognition of
cognitive, emotional, and behavioral
problems so that appropriate
interventions can be initiated as early as
possible.
The Pediatric Symptom
Checklist cont’d
• The PSC has been translated into
19 other languages including
Spanish, Chinese, Dutch, French,
German, and Japanese
6
Some results obtained using the
PSC• 55 children were recently surveyed.
Worries a lot
Frequency
Percent
Valid Percent
Cumulative
PercentValid Never 19 34.5 34.5 34.5
Sometimes
26 47.3 47.3 81.8
Often 10 18.2 18.2 100.0Total
55 100.0 100.0
PSC Results (contd.)
Does not listen to rules
Frequency
Percent
Valid Perce
nt
Cumulative
Percent
Valid Never 21 38.2 38.2 38.2Sometimes
27 49.1 49.1 87.3
Often7 12.7 12.7 100.0
Total55 100.0 100.0
PSC Results (contd.)
Takes things that do not belong to him or her
Frequency Percent
Valid
Percent
Cumulative
Percent
Valid Never 33 60.0 60.0 60.0
Someti
mes22 40.0 40.0 100.0
Total 55 100.0 100.0
PSC (contd.)
Frequency Percent
Valid Perce
nt
Cumulative
PercentValid Les
s than 20
10 18.2 18.2 18.2
21-25
12 21.8 21.8 40.0
26-30
19 34.5 34.5 74.5
31-35
8 14.5 14.5 89.1
36-40
5 9.1 9.1 98.2
Above 40
1 1.8 1.8 100.0
Total 55 100.0 100.0
FBS Training…
FBS Training…
FBS Training…
FBS Training (contd.)
• A training was recently conducted
in Lagos, Nigeria where Family
Bond Ambassadors were trained
and commissioned.
• The participants ranged from
nursing students to registered
nurses working in different
specialty areas.
FBS Training (contd.)
The training centered on three
key areas:
1) Family Bond Nursing Systems
2) Career as a Family Nurse
Practitioner
3) Research in Family Health
Nursing
Meet the Family Bond
Ambassadors
Experiences working with FBS
Nurse M. speaks…• “One of the patients on my unit had
repeated stroke. He couldn’t walk,
talk, eat or do anything on his own.
We thought he was going to die
(like many of them do). After some
time, they were discharged but he
was still being aided. Weeks later
he came back to the unit walking
on his own and talking! Family
bonding did the magic!
Nurse M continues…
• Unlike the little family interaction
accessible in the hospital, more is
available with FBS. I have made a
commitment to take family bond
nursing beyond… After discovering
FBS, I knew nursing was where I
was meant to be. Thank you Julie
for making people like us grow…
M. Nigeria.”
Nurse D. speaks
• “A 23year old lady was admitted
on my ward, a known HbSS, with
hepatits and CKD. She could vomit
5-7 times a day. During these
episodes, the sister staying with
her will yell at her saying things
like ole oshi, dake joo. Sometimes,
the lady will beat her with wrapper
and scream at her. The patient
was emotionally down…
Nurse D continues…
• Hmmm and then I remembered I am a
FBS Ambassador. What this patient
needs is more than doctor’s
prescription. She needs family bonding.
I talked to the sister and she was very
remorseful because she never knew the
gravity of what the sister (the patient)
was passing through. On the day of
discharge, we were all moved to tears.
God bless Family Bonders, God bless
Mrs Julie, you Rock!”
Research in Family Health
Nursing
• This is one of the important
areas in Family Bond Nursing.
• Different studies are currently
underway
• Examples: Assessment of
Nigerian Families using the
McMaster Model of Family
Functioning
Other studies
• Building competencies of families in
caring for patients living with stroke.
• Assessment of children using the
Pediatric Symptom Checklist
• …and more to come.
FBS Online Classes
FBS Key Driver (Platform)
You want to be part?
• We can travel to any part of the
world to train Nurses and help
Facilities establish Family Bond
Systems
• You can talk to Julie on:
• +2347037160615
• email: [email protected]
Lastly,
• The World Fellowship for Schizophrenia
and Allied Disorders - an international
organization of national family support
organizations - developed principles for
working with families as the first step in
its 'Families as partners in care' project
• The principles were drawn from
research
• Some of them are:
Principles for working with
families• Coordinate all elements of treatment and
rehabilitation to ensure that everyone is
working towards the same goals in a
collaborative, supportive relationship.
• Pay attention to the social, as well as the
clinical needs of the patient.
• Provide optimum medication
management.
• Listen to families and treat them as equal
partners
Principles (contd.)
• Explore family members
expectations, concerning all aspects of
care.
• Assess the family's strengths and
difficulties
• Help resolve family conflict by providing
sensitive response to emotional stress
• Address feelings of loss
• Encourage the family to expand their
social support networks.
Principles (contd.)
• Provide relevant information for patient
and family at appropriate times.
• Provide an explicit response plan for
crises.
• Encourage clear communication among
family members.
• Provide training for the family in
structured problem-solving techniques
• Be flexible in meeting the needs of the
family.
Conclusion
The families are
waiting for you; what
are you waiting for
Acknowledgements
43
References
• Leggatt M. Carers and carer organizations. In:
Thornicroft G, Szmukler G, editors. Textbook of
community psychiatry. Oxford: Oxford
University Press; 2001. pp. 475–486.
• Leggatt M. Families and mental health workers:
the need for partnership. World Psychiatry.
2002 Feb; 1(1): 52–54. PMCID: PMC1489835.
Accessed 28 April, 2016. Available at:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1
489835/#B11
References
• World Health Organization. 2006. WHO-
AIMS Report on Mental Health System in
Nigeria. Accessed 26 March, 2016.
Available at:
http://www.who.int/mental_health/evidence/n
igeria_who_aims_report.pdf
• World Schizophrenia Fellowship. Families as
partners in care. 1998.
• World Fellowship for Schizophrenia and
Allied Disorders. Principles for working with
families. 2001.
References
International Family Nursing
Association IFNA), (2015). IFNA
Position Statement on Generalist
Competencies for Family Nursing
Practice. Retrieved from
https://internationalfamilynursing.org/w
ordpress/wp-
content/uploads/2015/07/GC-
Complete-PDF-document-in-colour-
with-photos-English-language.pdf
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