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Why "Perspective of Mental Health in Asian Household"

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Why "Perspective of Mental Health in Asian Household"

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Culture is an integral aspect of nursing. With diverse perspectives on mental health across generations, the influence of cultural background and ethnicity has fueled my interest. Understanding the cultural nuances, particularly how mental health has not been the major focus among the Vietnamese-Americans and many immigrants, helps healthcare providers identify and upgrade their approach to mental health and wellbeing. By tailoring care to specific populations, we can ensure more comprehensive and accessible care for various populations.

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As a GenZ individual born in 2002, I have a personal connection to this subject.

I am always fascinated about by the changes that occur within my generation, particularly the rapid development and integration of technology. However, there is a concerning global trend that highlights GenZ as having the poorest mental health among other generations (Zay, 2021).

This inspired me to delve deeper into understanding mental health challenges faced by our generations. My clinical placement in Child and Adolescents Psychiatric Unit (CAPU) at PRHC, where I encountered many Gen Z patients, has further fueled my interest in this topic.

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Acculturation experienced by Vietnamese-Americans or Vietnamese-immigrants can lead to challenges such as loss of identity and a struggle to fit in. While parents aim to provide the best for their children and deeply value the sacrifices they have made for their future, this can create invisible pressure on subsequent generations, resulting in intergenerational conflict. However, encouraging the discuss among these conflicts and expectation can offer opportunities for growth, understanding, and stronger family bons as families navigates these complex dynamics together.

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This artifact is an illustration from a Buzzfeed article about "What It's Like Explaining to Your Asian Parents About Depression". This highlights the significant role of family and support systems in understanding and addressing mental health issue. Even when these issues are not visibly apparent like physical health, it is deeply impactful. This illustration emphasizes the necessity of family to be present and supportive, which aligns with the principles of family-centered care. In combination with person-centered care, this maximizes patient outcomes in mental health practice by involving both parties in the care process.

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1. Do et al., 2020: Major themes related to stigma against mental health and illness among Vietnamese-Americans household.

2. Maeshima & Parent, 2022: Acknowledge barriers and encourage Vietnamese immigrants and Vietnamese-American seeking help for mental health and wellbeing.

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Podcast: "Perspective of Mental Health in Asian Household"

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Podcast: "Perspective of Mental Health in Asian Household"

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Being born in a digital world, GenZ enjoys the great advantage of overcoming geographical distances through technology However, digital connection has seemed to diminish the nature of emotional and mental connections...

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Beyond the Asian context, how do traditional/cultural beliefs and practices in your household influence your perception of mental health?

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1. Gomez, C. (2015). What It's Like Explaining Depression To Your Asian Parents [illustration]. Buzzfeed. https://www.buzzfeed.com/susancheng/depression-and-asian-parents

2. Do, M., McCleary, J., Nguyen, D., & Winfrey, K. (2020). Mental illness public stigma and generational differences among Vietnamese Americans. Community Mental Health Journal, 56(5), 839-853. https://doi.org/10.1007/s10597-019-00545-y

3. Maeshima, L. S., & Parent, M. C. (2022). Mental health stigma and professional help-seeking behaviors among Asian American and Asian international students. Journal of American College Health, 70(6), 1761–1767. https://doi.org/10.1080/07448481.2020.1819820

4. Mindful Meggie. (2021). How Intergenerational Trauma from the Vietnam War Fed My Social Anxiety [online image]. https://mindfulmeggie.com/intergenerational-trauma-and-social-anxiety/

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Different Point of View on Mental Health Comparing Between Gen Z and Other Generations

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Different Point of View on Mental Health Comparing Between Gen Z and Other Generations

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Different generations perceive mental health and wellbeing through unique lenses. For many Gen Y (Millennials) and earlier generations, mental health was not a central focus. However, an often overlooked aspect of Gen Z's approach to mental health highlighted by Zay (2021):

We are the generation of financially motivated, which we measure success by salary and economic stability

We are the youngest generation with the highest rate of attending university

Despite our pursuit of higher education, we strive to avoid accumulating debt. This juggling adds to our stress and anxiety.

Recently, Covid 19 Pandemic has profoundly reshaped our educational experience and "normal" socialization!

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1. Park et al., 2024: How can we promote digital competence for GenZ to promote mental health and wellbeing.

2. Brisbois et al., 2024: How hermeneutical phenomenology is applying in clinical setting to promote mental wellbeing and self resilience for nursing students

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From your perspective, how has the conversation about mental health has changed for genZ compared to other generations?

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1. Brisbois, M. D., Boyden, G. L., Kellogg, M. B., & Foli, K. J. (2024). Understanding resilience among generation Z baccalaureate nursing students: a hermeneutical phenomenology study. Journal of Nursing Education, 63(7), 460-469. https://doi.org/10.3928/0148434-20240505-02

2. FreeVector. (n.d.). Psychologist and Patients on Online Counselling [online image]. https://www.vecteezy.com/vector-art/13961744-psychologist-and-patients-on-online-counseling

3. Freepik. (n.d.). Communication Between People [icon illustration]. https://www.freepik.com/premium-vector/communication-people-icon-illustration-dialog-two-person-symbol-conversation-vector_38023769.htm

4. Park, S. Y., Do, B., Yourell, J., Hermer, J., & Huberty, J. (2024). Digital Methods for the Spiritual and Mental Health of Generation Z: Scoping Review. Interactive Journal of Medical Research, 13, e48929. https://doi.org/10.2196/48929

5. Zay, L. (2021). The GenZ Nurse: Meet the Youngest Generation of Nurses. The Elm Stories. https://elm.umaryland.edu/elm-stories/Elm-Stories-Content/12221-Gen-Z-Nurse-.php

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Nursing is a dynamic profession that demands continuous learning and adaptation. During my clinical placement in mental health and maternal-child settings, I frequently reflect on the principles of "ways of knowing" and relational inquiry. Integrating these concepts into clinical environment enables me to adopt a comprehensive and proactive approach to patient care. Additionally, it facilitates ongoing self-evaluation, which is crucial for my personal and professional development as a future nurse.

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"The character of the nurse is as important as the knowledge she possesses" - Carolyn Jarvis (Aspen University, n.d.)

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"The character of the nurse is as important as the knowledge she possesses" - Carolyn Jarvis (Aspen University, n.d.)

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I chose this quote to be an artifact as a reminder for myself to be devoted, accountable, and compassionate in my care. As a future nurse, it is essential to possess empirical knowledge to support my patients effectively. However, it is the ethical knowing, guided by the Code of Ethics, that ensures I provide safe and empathetic care. This approach promotes patient wellbeing through a person-centered approach rather than biomedical approach that focuses solely on the medical condition.

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This art piece represents the uniqueness of each person's circumstance, akin to the distinct contents of their Pandora Box. By unboxing this Pandora box, we, as healthcare providers, create a safe space for patients to express their concerns and vulnerabilities. Inspired by my placement in mental health at PRHC, this piece emphasizes the diverse and often unseen challenges that patients face, highlighting our commitment ot being present and supportive for our patients.

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1. Thorne, 2020: Reflecting upon different ways of knowing, personal knowing is the most difficult to master.

2. Thirsk et al., 2022: Personal biases and assumption can negatively impact nursing practice and quality of patient care.

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What does "ways of knowing" mean to you as a nursing student now? How do you envision its importance and application in your practice five years from now as a future nurse?

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1. Aspen University. (n.d.). Quotes for Nurses: 172 Words of Wisdom for All Nurses. https://www.aspen.edu/altitude/nursing-quotes/

2. Thorne S. (2020). Rethinking Carper's personal knowing for 21st century nursing. Nursing Philosophy: An International Journal for Healthcare Professionals, 21(4), e12307. https://doi.org/10.1111/nup.12307

3. Thirsk, L. M., Panchuk, J. T., Stahlke, S., & Hagtvedt, R. (2022). Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review. International Journal of Nursing Studies, 133, 104284. https://doi.org/10.1016/j.ijnurstu.2022.104284

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Nursing is a field of compassionate and empathetic care, requiring healthcare providers to consistently attend to the needs and wellbeing of their patients. However, with long working hours with high mentality and emotional toll, healthcare providers experience burned out and compassionate fatigue eventually .

This is why I chose to explore the topic of self-compassionate means. This would allows nurses to recognize our own struggles, taking steps to take care of our own mental health, and foster self-resilience against emotional exhaustion, such as compassionate fatigue.

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Personally, I interpret self-care as engaging in enjoyable activities that bring us happiness, such as skin care, treating ourselves with cheat meals, or maybe just a bouquet of flowers that bring us joy.

On the other hand, I interpret self-compassion to involve a deeper level of emotional care. It means taking time to encourage and speak positively to ourselves, allowing for self-reflection on our emotions. This process helps us us finding solutions to our challenges, and foster self-resilience. Self-compassion act as a powerful emotional recharge, supporting our overall well-being as nurses in a more profound way.

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"You Can't Pour From an Empty Cup" - Norm Kelly

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"You Can't Pour From an Empty Cup" - Norm Kelly

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Compassion fatigue occurs when healthcare providers experience emotion exhaustion from being continuously present and supportive for others, leading to secondary trauma and negative effects on their mental health (Canadian Medical Association, 2022). This state of burnout would diminish one's ability to provide effective patient care.

This quote serves as a powerful reminder for healthcare providers to prioritize our own mental health. Before we can effectively care for others, one must first ensure their own wellbeing. Just a cup needs to be filled before it can be used to pour into others!

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1. Abdollahi et al., 2021: Enhancing self-compassion can help alleviate perceived stress and prevent burned out.

2. Crego et al., 2022: Self-compassion help protect healthcare providers against psychosocial risk and promote work-life balance.

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Podcast: Why Self-Compassion is Significant

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Podcast: Why Self-Compassion is Significant

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How do you balance self-compassion with the demands and responsibilities of your nursing role?

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1. Dave Cutler. (n.d.). https://alcalde.texasexes.org/2011/05/do-unto-yourself/

2. Canadian Medical Association. (2022). Compassion Fatigue: Signs, Symptoms, and How to Cope. https://www.cma.ca/physician-wellness-hub/content/compassion-fatigue-signs-symptoms-and-how-cope#:~:text=What%20is%20compassion%20fatigue%3F,trauma%20can%20become%20their%20own.

3. Crego, A., Yela, J. R., Riesco-Matías, P., Gómez-Martínez, M. Á., & Vicente-Arruebarrena, A. (2022). The Benefits of Self-Compassion in Mental Health Professionals: A Systematic Review of Empirical Research. Psychology Research and Behavior Management, 15, 2599–2620. https://doi.org/10.2147/PRBM.S359382

4. https://hpcnursing.com/blog/item/coping-with-compassion-fatigue-as-a-travel-nurse

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After the mental health and maternal-child, I have gained valuable experience with teamwork. Collaboration is crucial to ensuring continuous patient care both within and outside the healthcare setting. My family-focused clinical placement has not only provided insights into the dynamics of family-focused care but also offered opportunities for me to collaborate with my new supportive nursing friends!

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While teamwork is a crucial aspect of nursing, balancing different personality and perspectives can be challenging. I am so glad to have such a great clinical group that is friendly, cooperative, and very supportive. Along with my clinical instructor, they have made my clinical experience become memorable and enjoyable. I truly appreciate have you all as my collaborators!

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1. Splauding et al., 2021: Interprofessional education and how it is helpful to building skills for successful collaboration

2. Labrague et al., 2021: Interdisciplinary collaboration help enhance job satisfaction in nursing

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How can we better foster and enhance collaboration among healthcare professionals to improve patient outcomes and team dynamics in our practice setting?

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1. Labrague, L. J., Al Sabei, S., Al Rawajfah, O., AbuAlRub, R., & Burney, I. (2022). Interprofessional collaboration as a mediator in the relationship between nurse work environment, patient safety outcomes and job satisfaction among nurses. Journal of Nursing Management, 30(1), 268-278. https://doi.org/10.1111/jonm.13491

2. Spaulding, E. M., Marvel, F. A., Jacob, E., Rahman, A., Hansen, B. R., Hanyok, L. A., Martin, S. S., & Han, H. R. (2021). Interprofessional education and collaboration among healthcare students and professionals: a systematic review and call for action. Journal of Interprofessional Care, 35(4), 612-621. https://doi.org/10.1080/13561820.2019.1697214

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I am currently a compressed nursing student!

Today, I'll take you on a journey of different topics that I am fascinated about after clinical placement at PRHC in mental health and maternal-child. Hold tight and I hope you'll enjoy the ride!