International Journal of Mental Health Nursing最新文献

{"title":"Optimising Psychosocial Interventions for People With Severe and Enduring Eating Disorders (SEED) Perspectives of Healthcare Professionals in Ireland: A Qualitative Study","authors":"Kate Mooney,&nbsp;Ann-Marie Bright,&nbsp;Annmarie Grealish","doi":"10.1111/inm.70037","DOIUrl":"https://doi.org/10.1111/inm.70037","url":null,"abstract":"<p>To date, no studies have explored healthcare professionals' perceptions on the acceptability and effectiveness of psychosocial interventions for patients with severe and enduring eating disorders in Ireland. The aims of this study were to explore how healthcare professionals view the use of psychosocial interventions for patients with severe and enduring eating disorders and how these approaches can be improved. A qualitative study design was utilised to explore perceptions and opinions. Semi-structured, one-to-one interviews were used to collect data from healthcare professionals (<i>n</i> = 16) in mental health settings. Interviews were audio-recorded and transcribed verbatim before being analysed using thematic analysis. Four themes were identified: (1) therapeutic relationship, (2) patient-centred approaches, (3) co-morbidities and (4) pathway of care and services. Findings strongly suggest the need for patients with severe and enduring eating disorders to set their own goals to improve treatment outcomes and quality of life. Furthermore, findings also suggest a strong correlation between a history of trauma and the diagnosis of severe and enduring eating disorders. Therefore, training for healthcare professionals to provide trauma-informed care is needed.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143793590","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":"Carers’ Understanding of Recovery-Oriented Practice in Mental Health Settings: A Systematic Review and Narrative Synthesis","authors":"Birhanie Mekuriaw,&nbsp;Natalie Ann Cutler,&nbsp;Jo River","doi":"10.1111/inm.70035","DOIUrl":"https://doi.org/10.1111/inm.70035","url":null,"abstract":"<p>Recovery-oriented practice is a contemporary and internationally accepted approach to mental health care. Moving away from privileging ‘clinical recovery’, it recognises and supports ‘personal recovery’, defined as living a meaningful life. Family and carers' (carers) understanding, and support of recovery-oriented practice is crucial to the provision of comprehensive and continuous mental health care. Few studies exist on carers' knowledge and experiences of recovery-oriented practice. We conducted a systematic review to explore carers' understanding of recovery-oriented practice in mental health settings. A narrative synthesis was undertaken using both deductive and inductive approaches, guided by the established framework for recovery-oriented practice by Le Boutillier and colleagues. Findings indicated that carers have a grasp of the principles and aims of recovery-oriented care, which aligned with the selected framework. However, carers' comprehension also identified shortcomings in how recovery-oriented practices were currently implemented in mental health services. Extending the work of Le Boutillier and colleagues, this review found that carers experienced a ‘disillusionment with mental health services’. While carers were keen to be involved and support recovery, they often felt excluded by mental health workers and the broader mental health system. This sense of exclusion led to carers feeling unsupported and disinclined to engage with the service, and this adversely affected their well-being. Findings suggest that operationalising recovery-oriented practice requires more genuine involvement of carers in decision-making forums such as care planning meetings, and formal feedback mechanisms be made available to integrate their perspectives into service development.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143793593","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 Association Between Nurse Staffing and Conflict and Containment in Acute Mental Health Care: A Systematic Review","authors":"Samuel Woodnutt,&nbsp;Simon Hall,&nbsp;Paula Libberton,&nbsp;Jane Ball,&nbsp;Chiara Dall'Ora,&nbsp;Peter Griffiths","doi":"10.1111/inm.70039","DOIUrl":"https://doi.org/10.1111/inm.70039","url":null,"abstract":"<p>Conflict and containment are the most frequently reported incidents in acute mental health care settings. This systematic review seeks to examine and synthesise existing evidence on the association between nurse staffing levels, nursing skill-mix and the occurrence of these incidents in acute mental health wards. Systematic review of quantitative studies examining nurse staffing levels and skill-mix (proportion of nursing shift that are registered or experience levels). Searches were undertaken in CINAHL, Cochrane, Embase, MEDLINE, PsycINFO, SCOPUS and Web of Science. Thirty-five observational studies were reviewed, including 32 on staffing levels (44 analyses) and 12 on skill-mix (14 analyses). Nine analyses found that higher staffing levels were associated with a reduction in reported conflict and containment incidents, while nine found lower staffing levels were associated with reduced incidents. Twenty-six studies found no significant association. For skill-mix, six analyses found that higher skill-mix was associated with a reduction in incidents, seven found no significant association, while one analysis showed reduced skill-mix was associated with a reduction in incidents. The results from analyses are mixed, with no clear conclusions on the relationship of staffing on incident rates. Studies often rely on routine or staff-reported data that are prone to measurement and observer bias, where most analyses did not control for important factors, e.g., patient case-mix or other patient-related factors which could have influenced the results. Although higher staffing levels are sometimes associated with increased incident reporting, this may reflect greater interaction and reporting, or residual (unmeasured) confounding and/or lack of control for mediators and effect modifiers. The review highlights the need for better risk adjustment in observational studies, more refined methodologies and clearer definitions of outcomes to guide workforce planning and policy. Further large-scale research is necessary to understand the complex relationships between staffing, skill-mix and safety in mental health care. There is a major staffing crisis in mental health nursing, but evidence to understand the impact of this on patient outcomes and to guide staffing policies is missing, with several significant limitations in the existing evidence that need to be resolved. Identified evidence on mental health nurse staffing levels and skill-mix is mixed and inconclusive; therefore, no clear implications for workforce planning or deployment can be recommended. However, this prompts debate on the nature and efficacy of routinely collected patient outcomes in clinical practice.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143793594","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":"A Mixed-Methods Evaluation of a Peer Group Intervention to Promote Wellbeing in Mental Health Nurses","authors":"Alannah L. Cooper,&nbsp;Richard A. Read,&nbsp;Sally Burrows,&nbsp;Janie A. Brown","doi":"10.1111/inm.70032","DOIUrl":"https://doi.org/10.1111/inm.70032","url":null,"abstract":"<p>The work mental health nurses undertake is widely acknowledged as being challenging. Stressors encountered in the workplace can negatively impact nurses' psychological wellbeing and contribute to issues with retaining nurses in the profession. There is limited interventional research that focuses on external factors that foster nurse wellbeing. This study aimed to evaluate a peer group intervention to promote nurse wellbeing. A longitudinal mixed-methods study with an equal status concurrent design was undertaken. Qualitative and quantitative data were collected via semi-structured interviews and surveys across three timepoints, baseline, mid-intervention, and post-intervention. Qualitative data were collected to explore interviewees' experiences of participating in the intervention, and quantitative data were obtained to assess for any measurable effect on wellbeing outcomes. Fifteen peer group participants completed semi-structured interviews. There were <i>n</i> = 28 responses to the baseline survey, <i>n</i> = 27 returned the mid-intervention survey, and <i>n</i> = 25 responded to the post-intervention survey. Qualitative data analysis identified four main themes: Attending Peer Group, Participating in Peer Group, Impact on the Individual, and Unrelated Workplace Change. Wellbeing scores were found to be significantly modified by the number of peer group sessions attended for depression (<i>p</i> = 0.006), stress (<i>p</i> = 0.004), and emotional exhaustion (<i>p</i> = 0.02) By the post-intervention survey, more favourable scores were significantly associated with higher attendance levels for all three measures. Integration of the qualitative findings and quantitative results demonstrated potential benefits of peer groups for nurse wellbeing. Given that greater exposure to the intervention was associated with better outcomes, facilitating attendance is essential to realise the benefits of peer groups.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70032","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143769958","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":"A Qualitative Study of Coping Strategies for Loneliness Among Indonesian Older Adults: Implications for Nursing Practice","authors":"Joko Gunawan,&nbsp; Nazliansyah,&nbsp;Yupin Aungsuroch,&nbsp;Jed Montayre","doi":"10.1111/inm.70033","DOIUrl":"https://doi.org/10.1111/inm.70033","url":null,"abstract":"<div>\u0000 \u0000 <p>Loneliness is a widespread issue that significantly affects the well-being of older adults globally, with cultural shifts and urbanisation increasing their vulnerability to social isolation. Despite growing concern about this issue, there is a lack of research on coping strategies for loneliness among older adults in Indonesia. This study aimed to explore how older adults in Belitung, Indonesia cope with loneliness. A descriptive phenomenology design was used, and in-depth semi-structured focus group discussions (FGDs) were conducted with older adults (aged 60 and above) at two public health centres. The first FGD, with five participants, took place in October 2023, followed by a second FGD with ten participants in March 2024. Both sessions were audio-recorded. The interview data were transcribed verbatim and analysed using Colaizzi's method. The results showed that all participants reported experiencing loneliness and shared various coping strategies. Five themes emerged from the analysis: (1) Cultural and Religious Practices as Coping Mechanisms, highlighting the significance of spirituality; (2) Traditional Social Interactions, such as ‘Ngelakar’ and ‘Begalor,’ which strengthen community bonds; (3) Staying Active through ‘Posyandu Lansia,’ which supports physical and emotional well-being; (4) The Role of Family and Grandchildren, providing emotional warmth and a sense of purpose; and (5) Leisure and Recreational Activities, offering enjoyment and distraction. The findings reveal that older adults use culturally rooted strategies to manage loneliness, emphasising the importance of community, tradition, and spirituality. Gender differences were also noted. These results may inform the development of culturally tailored community nursing interventions aimed at reducing loneliness and enhancing the well-being of older adults.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143770108","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":"Estimating Population-Based Need for Lifestyle Interventions Among Young Adults With Mental Disorders in Australia","authors":"Kate Gossip,&nbsp;Julie John,&nbsp;Charlotte Comben,&nbsp;Imogen Page,&nbsp;Holly E. Erskine,&nbsp;James G. Scott,&nbsp;Sandra Diminic","doi":"10.1111/inm.70034","DOIUrl":"https://doi.org/10.1111/inm.70034","url":null,"abstract":"<p>Lifestyle interventions encompass educational and treatment components addressing health risk behaviours such as sedentary lifestyles, nutrition, tobacco use, alcohol and drug use, sleep hygiene, and sexual health behaviours, and are known to improve symptoms of mental illness. However, these interventions are not widely available to young adults. The aims of this study were to (1) determine the proportion of young adults with mental illness who would benefit from lifestyle interventions and (2) describe the benefits and operational factors that should be considered when planning lifestyle interventions for young adults. A two-stage approach was utilised, including structured consultation with experts in youth mental health (<i>n</i> = 12) and an online Delphi study with respondents with expertise and interest in lifestyle interventions (<i>n</i> = 14). The recommended proportion of young adults benefiting from lifestyle interventions varied between the structured consultation and Delphi study. Generally, the proportion increased with illness severity. Overall, study participants recommended that more young adults should have access to individually delivered interventions compared to group interventions. This study provides provisional estimates and operational details that could be used to increase the availability of lifestyle interventions for young adults, improving mental health, functioning, and physical health, and supporting improved life outcomes.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70034","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143769959","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":"Perceived Trauma Among Nurses During the COVID-19 Pandemic: A Qualitative Descriptive Study","authors":"Dianna Burr,&nbsp;Louise Alexander,&nbsp;Adam Searby","doi":"10.1111/inm.70031","DOIUrl":"https://doi.org/10.1111/inm.70031","url":null,"abstract":"<p>The COVID-19 pandemic has caused disruption to healthcare services worldwide, and although the pandemic was declared over, nurses continue to experience burnout and mental health implications because of events experienced since 2020. The aim of this study was to explore the experiences of trauma among nurses during the COVID-19 pandemic, using a qualitative descriptive study design. This paper used secondary analysis of qualitative, semi-structured interviews conducted with 55 Australian nurses exploring their alcohol consumption, due to the frequent narratives of trauma and traumatic events arising during this process. Data were analysed using structural coding and reported in accordance with the Consolidated Checklist for Reporting Qualitative Data (CORE-Q guidelines). Four themes emerged during data analysis: managing the traumatic stress of the clinical environment in COVID (‘it doesn't feel like it's gone away’), post-pandemic trauma (‘it was like war, wasn't it?’), bonding over shared trauma (‘I was not expecting the camaraderie that developed’) and managing trauma after the event (‘If something bad happens whilst you're on shift, you just have to pretend like it hasn't happened’). Participants in this study described lasting mental health effects from working clinically during the COVID-19 pandemic that they described as trauma. These effects have lasted since governments worldwide have announced an end to the pandemic, and although participants described bonding over these shared experiences, they continue to have a detrimental impact on workforce well-being and sustainability.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707396","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":"Critical Thinking and Mental Health Nurse Education","authors":"Jane Fisher","doi":"10.1111/inm.70021","DOIUrl":"https://doi.org/10.1111/inm.70021","url":null,"abstract":"<p>This paper examines critical thinking as a fundamental proficiency essential for inclusion in international mental health nurse education. Pragmatic solutions ensure the ongoing development of critical thinking in mental health nurses. The suitability of current mental health nurse education is under scrutiny globally. Critics claim that regulatory and educational standards have shifted from a focus on mental health-specific skills to generic physical health-based competencies, which do not adequately equip mental health nurses for clinical practice. The vital skill of critical thinking within mental health nurse theory and practice has been diluted (stating that it is a position paper or critical review, for example). This paper is a critical review of mental health nursing education. By summarising the global contextual background of generic-based nursing education, it highlights the impact of the loss of mental health-specific skill sets. Critical thinking is identified as a vital skill for the 21st-century mental health nurse. This paper provides pragmatic suggestions to include critical thinking in nurse education in the absence of global reform and systemic educational change. Personal lived experience is used to illustrate the importance of critical thinking and service users’ experience of care. Critical thinking can be a partial solution to the current dilution of mental health nurse education occurring across the global North. Nurse educators should strive to embed critical thinking into mental health nurse education in order to develop lifelong critical thinkers who are not afraid to question the hegemonic perspective and continually ask, “why?” Recommendations are for nurse educators to be consciously aware of methods to encourage critical thinking, such as Socratic questioning, the consideration of epistemic injustice, coproduction, critical reflexivity and including case-based ethical learning.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707398","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":"Perception of Mental Health Professionals on Using Humour in Therapeutic Relationships in Acute Mental Health Units","authors":"Sergi Piñar-Rodríguez,&nbsp;Montse Puig-Llobet,&nbsp;David Corcoles-Martínez,&nbsp;Diana Tolosa-Merlos,&nbsp;Miriam Leñero-Cirujano,&nbsp;Dolors Rodríguez-Martin","doi":"10.1111/inm.70028","DOIUrl":"https://doi.org/10.1111/inm.70028","url":null,"abstract":"<div>\u0000 \u0000 <p>Throughout history, the conceptualisation of “humour” has posed a challenge, without achieving a definitive consensus. This study explores the application of humour in mental health, highlighting its potential to strengthen the therapeutic relationship. This research seeks to fill the knowledge gap in this constantly evolving field. To investigate mental health professionals' perceptions of using humour in the therapeutic relationship. A phenomenological interpretative approach was employed, following qualitative guidelines in healthcare. The study was conducted between November and December 2023. The target population consisted of mental health professionals working in acute units. A purposive sample of 10 participants was selected for the study. COREQ was used to organise individual interviews. Data collection included recorded interviews. The study had Ethics Committee approval and informed consent from participants. Data were analysed with ATLAS.Ti version 24. Ten professionals (5 women and 5 men), aged between 42 and 61 years with 20 to 35 years of experience in mental health, participated in the interviews. Data analysis yielded five main categories: barriers and benefits of using humour, professionals' humour styles, training in humour, and communication skills in the therapeutic relationship. An integrated understanding of humour in mental health and its impact on the therapeutic relationship is revealed. Barriers and benefits are highlighted, emphasising the need for specific training. The affiliative style is valued for its emotional connection, cautioning against other styles. The lack of training underlines the need to integrate humour into mental health training. The importance of adaptation and empathy in communicative interventions is emphasised, highlighting the need for greater awareness and training for a more humane and effective therapeutic environment.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707403","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":"Use of the Columbia-Suicide Severity Rating Scale Screener in a General Hospital Setting","authors":"Harin Kim,&nbsp;C. Hyung Keun Park,&nbsp;Sung Moon Jeong,&nbsp;Soonhaeng Lee,&nbsp;Sun Hee Lee,&nbsp;Junghee Lee,&nbsp;Hyeree Shim,&nbsp;Sumee Kim,&nbsp;Seockhoon Chung","doi":"10.1111/inm.70029","DOIUrl":"https://doi.org/10.1111/inm.70029","url":null,"abstract":"<p>Specific differences between interviewer-rated and self-report suicide risk assessments are unknown. This descriptive cross-sectional study examined the acceptance of the Columbia-Suicide Severity Rating Scale (C-SSRS) screener, conducted by nurse-interviewers versus self-reporting, and identified the factors contributing to refusal in each mode. We reviewed the charts of inpatients at a general hospital that included the C-SSRS screener at the time of admission. C-SSRS screening by a nurse-interviewer and self-reported mode were included. Two modes and the acceptors and refusers were compared using descriptive statistics. Multi-variate logistic regression was performed to determine associations between the studied factors and suicide risk. The study included 398 patients. The acceptance of the nurse-interview and self-report modes was 93.8% and 74.7%, respectively. Refusers for the former were more likely to be male (<i>p</i> = 0.029) and from the surgical departments (<i>p</i> &lt; 0.001). Refusers for the latter tended to be older (<i>p</i> &lt; 0.001). Compared to the nurse-interview group, the self-report group was more likely to report a high risk of suicide (odds ratio = 6.508, <i>p</i> = 0.041). Each mode of the C-SSRS screener, when used in general hospital inpatients, has its own advantages and disadvantages. Healthcare providers should select the mode optimal for their institutional environment after comprehensively considering the patients' characteristics and available hospital resources.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70029","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707397","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}