International Journal of Mental Health Nursing最新文献

{"title":"The Impact of Online Mindfulness Interventions on Postpartum Depression: A Systematic Review and Meta-Analysis","authors":"Qier Liu,&nbsp;Jiaqi Yuan,&nbsp;Siyao Shi,&nbsp;Miao Du,&nbsp;Ying Jiang","doi":"10.1111/inm.70085","DOIUrl":"https://doi.org/10.1111/inm.70085","url":null,"abstract":"<div>\u0000 \u0000 <p>Postpartum depression is a significant global public health issue, with serious maternal and neonatal consequences. Online mindfulness interventions provide a promising alternative, offering flexible and low-risk support that overcomes barriers like stigma and accessibility. This review aimed to assess the effects of online mindfulness interventions on postpartum depression, anxiety, and stress symptoms. We searched databases including PubMed, Web of Science, Scopus, ClinicalTrials, Cochrane Library, CINAHL, PsycINFO, ProQuest, Embase, CNKI, Wanfang, VIP, and Sinomed. The search was limited to randomised controlled trials published up to December 31, 2024. Study quality was assessed using the Cochrane Handbook 5.1.0 tool. Depression scores were analysed using standardised mean differences (SMD) with 95% confidence intervals (CIs). A total of 2560 papers were found, and of these, 23 studies including 2725 participants across eight countries, met the inclusion criteria and were meta-analysed. Meta-analysis results showed that online mindfulness interventions significantly improved depression in postpartum women, both in the short term (SMD = −0.53, 95% CI [−0.72, −0.34], <i>p</i> &lt; 0.05) and in the long term (SMD = −0.53, 95% CI [−0.82, −0.23], <i>p</i> &lt; 0.05). Anxiety symptoms were also significantly improved (SMD = −0.36, 95% CI [−0.58, −0.14], <i>p</i> &lt; 0.05). Stress symptoms were not significantly improved (SMD = −0.16, 95% CI [−0.43, 0.10], <i>p</i> &gt; 0.05). Greater effects were observed for interventions delivered via text messages and online face-to-face formats. Interventions involving additional researcher support and those with complex mindfulness components were also more effective (<i>p</i> &lt; 0.05). A 5–8-week intervention period showed the most stable effects (<i>p</i> &lt; 0.05). The follow-up dropout rate was similar between the intervention and control groups (RR = 0.98, 95% CI [0.96, 1.01]). Future studies should further explore the long-term effects of these interventions.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144714711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Global Landscape of Neuropsychiatric Prescribing Practices of Nurses: A Scoping Review","authors":"M. Naidoo,&nbsp;C. J. Filmalter,&nbsp;W. Cordier","doi":"10.1111/inm.70101","DOIUrl":"https://doi.org/10.1111/inm.70101","url":null,"abstract":"<p>Mental healthcare service access in South Africa is currently strained due to, among others, shortages of specialised mental healthcare professionals. The National Strategic Plan for HIV, TB and STIs (2023-2028) recommends enabling nurses to diagnose, prescribe and dispense neuropsychiatric medication for promoting mental health services. The aim was to explore and describe the existing practices, strengths and challenges for nurses prescribing neuropsychiatric medication globally through a scoping and document review. A standardised search was conducted across PubMed, CINAHL and EBSCOHost electronic databases. An online Google search was conducted across governmental legislative and regulatory websites. The Joanna Briggs Institute scoping review framework was followed using relevant MeSH terms and free-text words. South African governmental and parastatal documentation relating to relevant regulatory frameworks affecting such prescribing authorisation in South Africa was analysed following Bowen (2009) guidelines. Of 817 citations identified, 20 reports were included. The included reports originated mostly from developed countries, with only one from South Africa. Patients and healthcare professionals were mostly positive towards including the prescription of neuropsychiatric medication in the nursing care model. Prescription of Schedule 5 and 6 controlled substances by nurses is already authorised in the USA and UK. In South Africa, nurses are not yet permitted and will require amendments to the legislative framework that guides nursing practice. Nurses can prescribe neuropsychiatric medications in certain developed countries; however, contextual research is necessary to ascertain whether South African stakeholders will support such an authorisation. Educational and interprofessional concerns will need to be thoroughly assessed to ensure that appropriate competencies are obtained, ensuring the boundaries of the scope of practice. Investigation of potential professional overlap of responsibilities and perceptional biases, as well as transformation of educational platforms, will be needed should such a recommendation come to pass. Furthermore, legislative changes will be required to authorise the prescription of neuropsychiatric medications.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144695807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Creating an Empirically Informed Mental Health Workbook for Racialised Newcomer Youth in Saskatchewan: Community-Based Participatory Action Research","authors":"Geoffrey Maina,&nbsp;Camila Valez,&nbsp;Abukari Kwame,&nbsp;Priscilla Onyeniyona,&nbsp;Milan Muriithi,&nbsp;Razawa Maroof","doi":"10.1111/inm.70100","DOIUrl":"https://doi.org/10.1111/inm.70100","url":null,"abstract":"<p>Immigration is a significant determinant of mental illness among racialised newcomer youth who experience immigration challenges, including cross-cultural transitions and adaptations, social exclusion, anti-immigrant policies and the loss and reconstruction of social support networks. The development of tools to support self-care can improve the mental health and well-being of this population. In this project, we utilised the photovoice approach to explore racialised newcomers' mental health struggles and how they mitigate them. We constituted a working group comprising racialised newcomers with lived experiences of immigration-related mental health stressors to support the workbook development. The risk for mental illnesses for international students, and signs and symptoms of stress, depression and anxiety were covered. We utilised photos that depicted the immigration-related mental health stressors and mental health boosters that help mitigate these stressors. Each photo had a title and a closed caption that depicted its essence. Spaces to journal were provided as well as a list of resources for free groceries, religious organisations and thrift shops. The workbook was pilot tested with 13 participants who were racialised newcomers and experienced self-reported symptoms of mental illness since arriving in Canada. Their reported benefits of utilising the workbook include increasing mental health literacy, validating experiences, creating catharsis through journaling, incentivising them to better respond to stressors and habitually developing practices to boost their mental well-being. A workbook with psychoeducation content on mental health risks and symptoms and content that utilises data from people with experiences like the targeted population can enhance the agency of self-care through increased knowledge, validation of experiences and inculcation of hope.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144695781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring Recovery Using the Individual Recovery Outcomes Counter: A Cross-Sectional Multi-Center Study on Structural Validity in Dutch Mental Health Care","authors":"Margot Metz,&nbsp;Gabriëlle van Son,&nbsp;Floor Stuit,&nbsp;Nelleke van der Weerd,&nbsp;Erik de Groot,&nbsp;Edwin de Beurs","doi":"10.1111/inm.70093","DOIUrl":"https://doi.org/10.1111/inm.70093","url":null,"abstract":"<p>The Individual Recovery Outcomes Counter (I.ROC) is a recovery orientated measure, originating from Scotland, which is increasingly used in Dutch mental health care. The aim of this study is to extend previous research into the structural validity of the I.ROC. We investigated the factor structure of the Dutch I.ROC among mental health care clients treated in various settings using data (<i>N</i> = 8635) from five Dutch mental health care organisations. We conducted an exploratory factor analysis (EFA, <i>N</i> = 4295) and confirmatory factor analysis (CFA, <i>N</i> = 4340), and tested the fit of factor structures found in previous research. EFA revealed support for both a one- and a two-factor structure: ‘Total-scale’ (12 items; α = 0.88), ‘Empowerment’ (8 items; <i>α</i> = 0.86) and ‘Vitality and Activity’ (4 items; α = 0.67). CFA indicated a good fit for a modified two-factor model found in previous research on a representative sample of the Dutch population comprising ‘Wellbeing, control, network and meaningfulness’ and ‘Health safety and abilities’ (CFI = 0.944). Furthermore, the two-factor solution of this study showed a good fit (CFI = 0.940). However, these findings were not conclusive, as the one and alternative two-, three-, or four-factor models of other studies also demonstrated an acceptable fit. For use with individual patients, inspection of scores on individual items (in a spider graph) is most useful. As proven in several studies, the one-factor structure can be used for summarisation. Additionally, multiple solutions for subscale scores proved to be a good fit. Overall, the structural validity of the I.ROC requires further investigation and research with longitudinal data is recommended.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70093","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144695783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Moral Injury in Mental Health Nursing—A Qualitative Descriptive Study in Switzerland","authors":"Célina Heitzmann,&nbsp;Veronika Waldboth,&nbsp;Mirjam Mezger","doi":"10.1111/inm.70099","DOIUrl":"https://doi.org/10.1111/inm.70099","url":null,"abstract":"<p>Moral injury (MI) is the damage done to one's conscience or moral compass when one perpetrates, witnesses, or fails to prevent acts that transgress one's own moral beliefs. There are numerous associations between MI and various mental health outcomes, including burnout, depression, anxiety, sleep disorders, and increased job turnover. However, there has been no research or official study investigating MI in mental health nurses (MHNs) in Switzerland. This study aimed to examine and describe the spectrum and impact of MI in Swiss MHN. Demographic data and descriptions of MI in mental health nursing were collected from 19 problem-focused interviews between September and November 2023. The data were analysed descriptively and using qualitative content analysis strategies, respectively. Participants highlighted specific potentially morally injurious events (PMIEs) such as coercive measures, power plays, and sanctioning behaviour prevalent in mental health nursing. As they caused violations of moral values, with intense emotional responses ranging from anger to guilt, shame, helplessness, and powerlessness, MIs could be identified. They resulted in long-term consequences such as job changes, sleep disturbances, anxiety, panic attacks, sensory crises, and substance abuse. The results emphasise the impact of MI on the well-being and practice of MHN in Switzerland. Participants perceived MI as expressing intense emotions and dissatisfaction, challenging their moral principles in the context of their daily work. Participants confronted with MI reported increased risks for negative health outcomes. The identification of causes of MI emphasises the need for targeted interventions in the psychiatric setting.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70099","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144695782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letie Unfolded: A Relational Movement to Empower Flemish Mental Health Nursing and a Tribute to Hildegard Peplau","authors":"Karel Desmet,&nbsp;Eddy Deproost,&nbsp;Bruce Vrancken,&nbsp;Hanne Vandewiele,&nbsp;Julie Vandekerkchove,&nbsp;Bart Debyser,&nbsp;Bo Styl,&nbsp;Sabine Vandoorne,&nbsp;Lieke Vercruysse,&nbsp;Sofie Verhaeghe","doi":"10.1111/inm.70097","DOIUrl":"https://doi.org/10.1111/inm.70097","url":null,"abstract":"<div>\u0000 \u0000 <p>This paper outlines a strategic approach to strengthen the expertise and skills of mental health nurses. It addresses the ongoing (r)evolutions in how generic nursing standards are being integrated into nursing curricula. Focusing on Flanders in Belgium, it explores the decline of specialised mental health nursing education and its implications for advanced practice nursing at the master's level. Central to this discussion is ‘Letie’, a newly established Belgian non-profit organisation founded in 2023. Letie aims to inspire and empower professional cohesion within mental health nursing by fostering collaboration, innovation, knowledge sharing, research and professional development. Reflecting on Letie's first year of operation, the paper draws on the author's experiences and vision to propose pathways for advancing the profession, while promoting resilience and adaptability in the face of educational and professional challenges. It seeks to engage mental health nursing professionals working in clinical practice, education and research in a meaningful dialogue about future directions for the discipline.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence Based Approach to Self-Sensitivity and Compassion Scores: Development of Prediction Models","authors":"Özlem Doğu,&nbsp;Muhammed Kürşad Uçar,&nbsp;Çiğdem Şen Tepe","doi":"10.1111/inm.70084","DOIUrl":"https://doi.org/10.1111/inm.70084","url":null,"abstract":"<div>\u0000 \u0000 <p>This study investigates the usability of artificial intelligence and machine learning techniques to predict individuals' levels of self-sensitivity and compassion. As self-sensitivity and compassion significantly affect individuals' ability to cope with stress, this study aims to develop models to help effectively measure these psychosocial variables. The research covers Gaussian Process Regression (GPR), Neural Network Regression (Net), and Support Vector Machine (SVM) Regression models. The data were collected using the self-sensitivity and compassion scales, and MAPE, MAE, SE, MSE, RMSE, <i>R</i>, and <i>R</i>² values were used as performance evaluation criteria for each model. The findings show that the GPR model provides highly accurate predictions for both scale types. The Net and SVM models also provided effective predictions, but GPR performed the best overall. Artificial intelligence and machine learning-based models have emerged as practical tools for predicting self-sensitivity and compassion scores. The GPR model is particularly notable for its high prediction accuracy. These findings offer important applications in nursing practice and the design of psychosocial interventions.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Genericization of Mental Health Nursing: A Personal Perspective","authors":"Jane Fisher","doi":"10.1111/inm.70013","DOIUrl":"https://doi.org/10.1111/inm.70013","url":null,"abstract":"&lt;p&gt;As a mental health nurse lecturer and patient, I have grave fears over genericism eroding specialised mental health nursing education and clinical practice. Living with what mainstream psychiatry labels a severe and enduring mental illness, I have an intimate relationship with both mental distress and frontline mental health services. Working as a lecturer and educator of future mental health nurses grants me an oversight of nurse education. Contemporary mental health nurse academic literature is replete with calls to resist genericization (McKeown &lt;span&gt;2023&lt;/span&gt;), which in the UK is claimed to result from updated regulatory standards (Connell et al. &lt;span&gt;2022&lt;/span&gt;). Australia's generic pre-registration nursing curriculum has been posited as insufficient in preparing nurses for mental health clinical practice. Lakeman et al. (&lt;span&gt;2023&lt;/span&gt;) have made impassioned calls for Australian pre-registration education to return to specialised programmes, whilst in the UK the regulatory body has been lobbied, although so far unsuccessfully, to urgently review standards for nurse education (Mental Health Deserves Better &lt;span&gt;2023&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;Without my dual status as a mental health educator and patient, the inner workings of both educational standards and frontline services would otherwise be concealed under the clandestine cloak of ‘them’ and ‘us.’ This depicts nurses as exempt from mental health challenges, rendering patients as the ‘other,’ thus perpetuating prejudice. Nursing academics and frontline staff also reside in two distinct camps; educators often cannot occupy a dual educational and clinical post. This positions academic staff at risk of becoming unaccustomed to the challenging realities of working in frontline mental health services. Occupying the space between nurse and patient, educator and receiver of care, grants me a unique vantage point and insider view of academia, and frontline mental health nursing care.&lt;/p&gt;&lt;p&gt;The grassroots movement mental health deserves better is brimming with frustrated educators teaching generic nursing curriculums. Field-specific content is often withheld, and exclusive, to year two of the programme. With 2 years of shared (generic) learning across all fields, lecturers are desperately shoehorning mental health content into adult-centric teaching sessions. However, the shortfalls in students' knowledge, understanding and competency are a grave concern with Warrender et al. (&lt;span&gt;2023&lt;/span&gt;) contending that mental health-specific skills have been undervalued and replaced by adult-centric physical health skills.&lt;/p&gt;&lt;p&gt;Should I possess the enviable liberty of walking away from mental health nursing at the end of my working day, I could abandon my professional frustrations. Genericism would be a mild irritant, a periodic office rant to colleagues and a minor occupational annoyance. However, I cannot nonchalantly separate my work and personal life. My frustrations and fears do not exclusively abid","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144615037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences and Perspectives of Families of Psychiatric Hospitalisation of Their Adult Family Member: A Qualitative Systematic Review","authors":"Jane Karpa,&nbsp;Amanda Kenny,&nbsp;Andrea Thomson,&nbsp;Marian Ramage,&nbsp;Monica Ginn Forsyth,&nbsp;Kendra Rieger","doi":"10.1111/inm.70042","DOIUrl":"https://doi.org/10.1111/inm.70042","url":null,"abstract":"<p>Families who encounter the hospitalisation of an adult family member for a serious mental illness are frequently excluded from treatment and care planning. It has been established that family involvement is beneficial and positively impacts health outcomes; however, health systems continue to constrain collaborative practices. The aim of this qualitative systematic review was to explore families' views of their experiences of psychiatric hospitalisation of their adult family member and the barriers and benefits for the uptake and delivery of collaborative relationships between mental health clinicians, families, family carers, and consumers. In September 2022, systematic searches were conducted for primary studies in: CINAHL, PsycInfo, PubMed, Web of Science, and dissertations in ProQuest Dissertation and Theses Global. The searches were updated February and September 2024. Retrieved articles were managed in Covidence and screened by three reviewers at the title and abstract and full text stages. Following screening, a total of 27 articles formed the review dataset. Study quality was assessed using the well validated Critical Appraisal Skills Programme checklist. Three themes emerged from the review: (1) Impenetrable System—‘<i>Expert-itis’</i>; (2) Perpetuating Family Invisibility; and (3) Unlocking the Door. Evidence consistently described participants' experiences of inhumane professional attitudes and practices in hospital mental health services. Further research on the types of interventions and communication strategies to promote family engagement and involvement in mental health service design and delivery is needed.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144589565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Burden of Bouncing Back: A Critical Reflection on Resilience and Student Mental Health Nurses","authors":"Jane Fisher,&nbsp;Emma Jones","doi":"10.1111/inm.70090","DOIUrl":"https://doi.org/10.1111/inm.70090","url":null,"abstract":"&lt;p&gt;In this paper, we express our continued concern with the growing trend to misuse the concept of resilience. We have previously contended that resilience has devolved into a fashionable buzzword, adopted by neoliberal mental health services. Used as a double-edged sword against both staff and patients, it implies an impossible ability to simply bounce back from stress and adversity (Fisher and Jones &lt;span&gt;2023&lt;/span&gt;). In this paper, we make the case for its potential harm to student mental health nurses and encourage reflexivity in both clinical and academic staff regarding our role in perpetuating the oppressive resilience narrative.&lt;/p&gt;&lt;p&gt;The Latin word ‘resilier’ means to rebound, or spring back and was originally used to describe the structure of materials in an engineering context. A semantic shift however expanded the definition to include the human ability to bounce/spring back or recover from adversity. This lexicon evolution has gained popularity in the fields of social sciences, triggering its adoption by mental health services. However, the definition of resilience is not agreed upon in the literature. In the first integrative review of resilience in mental health nursing, Foster et al. (&lt;span&gt;2019&lt;/span&gt;) identified a prevailing focus on resilience being a static personality trait or characteristic. These prevalent connotations of resilience as an individual character attribute, align with neoliberal ideologies that promote individualism and self-reliance. The burden of resilience is unfairly placed on individuals, rather than societal or political structures. In the context of student mental health nurses, this is problematic as blame is shifted from external workplace and academic challenges, towards the individual student nurse. They can be posited as being unable to cope, weak, emotional or needing to ‘build resilience.’&lt;/p&gt;&lt;p&gt;Within clinical practice, resilience should be supported by both internal and external resources. According to Cooper et al. (&lt;span&gt;2022&lt;/span&gt;) these resources should focus on helping individuals return to optimal functioning following workplace stress and adversity. However, all too often external resources are limited to tokenistic gestures, tick box exercises designed to mitigate corporate responsibility. We do not excuse academic institutions; we too can be guilty of relying on transient wellbeing activities to solve the unsolvable and applying a sticking plaster to systemic failings.&lt;/p&gt;&lt;p&gt;In our roles as personal tutors to mental health students, our conversations are often consumed with challenging clinical practice concerns, hence the importance of discussions around the concept of resilience. Practice concerns can include racism, harassment, bullying, and violence and aggression. Sadly, these complaints are reflected in the wider literature, with Hallett et al. (&lt;span&gt;2021&lt;/span&gt;) finding that 81% of student nurses had experienced non-physical aggression, with 56% experiencing physical aggressio","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70090","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144589557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}