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BY ANGELLINA JEAN CHILUMPHA BSc MHPN, Dip. Nsg , Un Cert. M

PERSPECTIVES OF HEALTH CARE PROVIDERS’ TOWARDS MULTIDISCIPLINARY TEAM CARE APPROACH AT ZOMBA MENTAL HOSPITAL. BY ANGELLINA JEAN CHILUMPHA BSc MHPN, Dip. Nsg , Un Cert. M. INTRODUCTION. Back ground Purpose of the study Research methodology

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BY ANGELLINA JEAN CHILUMPHA BSc MHPN, Dip. Nsg , Un Cert. M

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  1. PERSPECTIVES OF HEALTH CARE PROVIDERS’ TOWARDS MULTIDISCIPLINARY TEAM CARE APPROACH AT ZOMBA MENTAL HOSPITAL. BY ANGELLINA JEAN CHILUMPHA BSc MHPN, Dip. Nsg, Un Cert. M

  2. INTRODUCTION • Back ground • Purpose of the study • Research methodology • Data analysis and research findings • Discussion • Limitation of the study • Conclusion.

  3. BACK GROUND OF THE STUDY • Incidences of missing management of other health related issues on clients care are common. Leading to inadequate holistic care. • Need to timely manage clients with mental health problems holistically to improve the quality of care. Hence, need for multidisciplinary team care approach (MDTCA) (Townsend 2006:144). • Composition of multidisciplinary team in a mental health care setting include but not limited to: psychiatric nurses, psychiatrists, psychologists, psychiatric social worker, occupational therapists, vocational rehabilitation specialist….

  4. BACK GROUND……..ctn • MDTCA came into being due to the diversity of the mental health problems. • In contrast Hannigan and Coffey (2003:72) reported mixed understanding towards formulation of MDTA. • SADC Ministerial integrated committee meeting (2008) recommended the promotion of intersectoral, coordination and MDTA as strategies to promote mental health. Studies have confirmed MDTCA improves the quality of care. • None of the studies done in Malawi to explore the care providers perspectives towards this care approach. Hence, this study.

  5. PURPOSE OF THE STUDY The purpose of this study was to explore the experiences, perceptions and views of the trained health care providers towards the multidisciplinary team care approach in order to improve quality of care of clients with mental health problems.

  6. RESEARCH METHODOLOGY • Design: Qualitative, phenomenological research design which is exploratory and descriptive in nature. • Setting: Zomba Mental Hospital • Population: nurses, clinicians, occupational therapist. • Sampling technique: small sample of 10 participants worked at this hospital for at least a period of three months. • Data collection and instruments:self developed, in-depth questionnaire and audio tapes. • Data analysis:done by content analysis

  7. RESEARCH FINDINGS The research study came up with five main themes: • Awareness of the MDTCA; Participants were aware of the MDTCA: its definition and composition. • Perceived strengths of the MDTCA • Comprehensive/ holistic care • Enhances client recovery/outcome. • Time saving • Sharing of diverse opinions, theories and believes • There is continuity of clients care.

  8. RESEARCH FINDINGS….ctn • Perceived challenges towards the MDTCA: • Difficulties in reaching consensus. • Domination from other disciplines • Non-availability of guidelines. • Perceived challenges of the facility: • Lack of other professionals. • Clients satisfaction: patients not satisfied with care. • Longer period of hospital stay.

  9. RESEARCH FINDINGS……ctn • Participants suggested views / proposals: • Health human resource: need to lobby for other disciplines. • Providers attitudes: need to change attitudes. • Inclusiveness; need to include mental health attendants and guardians. • Need for guidelines DISCUSSIONS The previous literature review and that of in the discussion agree with the findings of the study mostly in these areas: • Awareness of the multidisciplinary team- its definition and composition. • Perceived strengths of the MDTCA. • Perceived challenges towards the MDTCA • Participants suggested views/proposals

  10. STUDY LIMITATIONS • Study was conducted at a setting where MDTCA was informally done • Few disciplines were included in the study • The sample was dominated by nurses than any other disciplines

  11. CONCLUSION • Clients with mental health problems need to be given comprehensive care. • MDTCA has been confirmed to be the best in the management of mental health problems. • Several studies including this one have shown that MDTCA helps to deliver comprehensive care to clients, facilitates recovery, saves time and help to learn from each others beliefs, theories and opinions. However, challenges are there which need to be addressed for the benefit of the clients.

  12. THE END

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