Zeitschrift für fortgeschrittene Praktiken in der Krankenpflege

The movement from institutionalized care to community and home care is evident in all aspects of health care. This shift began in the 1950's in the United States changing the inpatient and outpatient treatment of the chronically mentally ill. The nature of psychiatric illness, however, differs significantly from other ailments. The stigma of mental illness, combined with the cardinal symptom of lack of self-care, often leaves the patient vulnerable impacting safe discharge to the family and community. Advances in mental health care, increased pressure from the public, and changing federal policies over the last six decades have contributed to the American shift towards a more community-centered care model. This review of the literature will examine three defining periods reflecting shifts in care paradigms (1950-1975, 1976-1995, and 1996-2015), and the subsequent changes in treatment provision for the seriously, chronically mentally ill in the United States.

Student satisfaction is an important means of assessing the institution’s capacity in meeting the students’ learning needs. The degree of student’s satisfaction with their educational experience is an important dimension in the assessment of institutional effectiveness. Understanding students’ perceptions and satisfaction is important in efforts to enrich the students’ learning experiences. This study aimed at identifying the student’s socio-demographic factors that influenced satisfaction with the nursing training among the final year nursing students in Kenya Medical Training College. This was a mixed method design where both quantitative and qualitative data was collected using the following; a self-administered questionnaire comprising of both closed and open ended questions and a Likert’s rating scale which scored the levels of satisfaction on various themes. Data was collected from final year nursing students in the six selected campuses. Quantitative data was analyzed using Statistical Package for Social Scientists (SPSS) program version 20.0. Chi-square tests were used to test relationships between perceived level of satisfaction and the selected independent variables. The results showed that gender of student did not influence students overall satisfaction. However, students who had positive college experience were satisfied with overall teaching and learning process. Student’s information sources regarding the nursing career had a significant association with their satisfaction with teaching and learning process.