International Journal of Mental Health Nursing最新文献

{"title":"Cognitive Behavioural Therapy and Dual Diagnosis: A Systematic Review Exploring Its Effectiveness and Implications for Nursing Practice","authors":"Dominic Nessbach,&nbsp;Alan Simpson","doi":"10.1111/inm.70129","DOIUrl":"10.1111/inm.70129","url":null,"abstract":"<p>Dual diagnosis (DD) is defined as the presence of a co-occurring mental health and substance use disorder. It is associated with poor treatment outcomes, which can be further fuelled by frequent exclusion from specialist treatment due to the separation between mental health and drug and alcohol services. Cognitive Behavioural Therapy (CBT) has an extensive evidence base in treating mental health and substance use disorders in isolation, but there is a paucity of evidence regarding its efficacy in treating DD. The current systematic review aimed to explore the use and effectiveness of CBT as a treatment for individuals with DD. Sources were derived in September 2024 from electronic databases including Medline, PsychINFO, Embase and CINAHL; topically relevant meta-analyses were also citation tracked. Twenty-three studies were included in this review from a total of 2364 which were initially retrieved. Study outcomes highlighted that CBT-based interventions provided some level of improvement to mental health or substance use symptoms, although several interventions did not display superiority when compared to typical addiction approaches. Mental health nurses are well suited to deliver CBT-based interventions and could address the current treatment gap experienced by individuals with DD. This could include supporting patients in maintaining and generalising CBT skills that have already been acquired, which would help guarantee accessibility to CBT-based interventions over a longer time period. However, additional support structures would need to be implemented to allow nurses to deliver CBT effectively, such as access to training, supervision, protected time and reflective practice.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70129","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314207","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":"Exploring the Links: Factors Influencing Job Satisfaction in Public Mental Health Services","authors":"Kaitlyn Crocker,&nbsp;Inge Gnatt,&nbsp;Darren Haywood,&nbsp;Zoe Jenkins,&nbsp;Ravi Bhat,&nbsp;Ingrid Butterfield,&nbsp;David Castle","doi":"10.1111/inm.70145","DOIUrl":"https://doi.org/10.1111/inm.70145","url":null,"abstract":"<div>\u0000 \u0000 <p>Within Australia, demand for mental health treatment is increasing, yet access to these services remains an ongoing challenge due to staff shortages within the mental health workforce. The current study aimed to establish the key factors associated with job satisfaction in the public mental health workforce in Victoria, Australia, and to explore whether these factors differed between metropolitan and regional services. The multi-site, mixed methods, cross-sectional study was conducted across four Victorian public health services, including two metropolitan and two regional services. A total of 172 current mental health workers employed in non-leadership roles were included in the final analyses. Three feed-forward multiple regression analyses were used to examine determinants of job satisfaction. Findings indicated that perceived lack of leadership, the disengagement component of occupational burnout, limited workplace flexibility, and expertise understaffing were key factors related to job satisfaction. Across jurisdictions, dissatisfaction with leadership, higher levels of disengagement, and lack of workplace flexibility emerged as influential in both urban and regional localities, whilst expertise understaffing was found to be important only in regional settings. These findings highlight and inform key target areas for interventions to improve job satisfaction within the Australian public mental health workforce. In particular, interventions should focus on enhancing leadership and workplace flexibility and reducing occupational burnout. Further, addressing expertise understaffing may be a key target within regional services.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145317588","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":"Immersive Solutions With Real-World Impact: Integrating Artificial Intelligence and Virtual Reality Into Global Suicide Prevention Training for Psychiatric Nurses","authors":"Erman Yıldız","doi":"10.1111/inm.70154","DOIUrl":"10.1111/inm.70154","url":null,"abstract":"<div>\u0000 \u0000 <p>The ongoing global suicide crisis demands urgent attention, with over 720 000 lives lost annually; a stark reality demanding multifaceted intervention strategies. Compounding this issue, approximately 73% of these deaths occur within low- and middle-income countries; this disparity necessitates focused resource allocation and culturally sensitive approaches. Psychiatric nurses occupy a critical position in suicide prevention efforts, serving as frontline responders in moments of acute crisis. Existing educational methodologies, including traditional lectures and role-playing simulations, frequently fall short, however. They often fail to adequately prepare nurses for the complexities of real-world scenarios. This article investigates the potential of integrating artificial intelligence (AI) and virtual reality (VR) technologies into suicide prevention education for psychiatric nursing. Specifically, it explores how these technologies can enhance training through immersive simulations, personalised feedback mechanisms and advanced data analytics, aiming to strengthen capacity-building, a core pillar identified by the WHO LIVE LIFE framework. Taking a global perspective, this article considers disparities in technological access and variations in cultural perceptions of suicide across high-income countries and low- and middle-income countries; acknowledging that technological solutions must be implemented equitably and with cultural sensitivity. Critical ethical considerations, including data privacy, algorithmic bias and potential overreliance on technology, require careful consideration. To address these challenges, a resource-appropriate and culturally sensitive framework is proposed for integrating AI and VR into nursing education, with the ultimate goal of reducing global suicide rates. Recommendations are presented concerning interdisciplinary collaboration and the ethical utilisation of technology.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314240","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":"Evaluating Access, Service Delivery, and Experiences of a Peer-Led Acute Alternative Mental Health Service","authors":"Jenni Manuel,&nbsp;Bridgette Thwaites,&nbsp;Nathan Monk,&nbsp;Richard Porter,&nbsp;Annie Southern,&nbsp;Marie Crowe","doi":"10.1111/inm.70149","DOIUrl":"10.1111/inm.70149","url":null,"abstract":"<div>\u0000 \u0000 <p>Traditional mental health acute inpatient treatment has been described as harmful and traumatic. Peer-led community-based treatment is a new alternative model of care in New Zealand, whereby acute mental health treatment is provided in a home-like environment delivered by peer specialists with lived experience. A mixed-methods process evaluation compared socio-demographic and admission data from a peer-led acute service with those of a local public acute mental health hospital. Qualitative interviews were also conducted with guests (<i>n</i> = 10), peer specialists (<i>n</i> = 3), and clinical staff (<i>n</i> = 10), and analysed using inductive thematic analysis. The most common diagnoses of guests were major depressive disorder (28.7%) and psychotic disorder (20.6%). Compared with the traditional hospital, the peer-led service admitted fewer Indigenous Māori guests (14.8% vs. 18.9%), more women (64.6% vs. 44.7%), and fewer people from socioeconomically deprived areas. Risk was qualitatively identified as the main factor impacting referral patterns. Very few adverse events were recorded. Guests described positive experiences of interpersonal and environmental safety. Clinician and peer interviews highlighted issues with the alliance between the service and clinical outpatient teams. This evaluation indicated that peer-led acute community mental health services can foster recovery by offering safe, calm, and relationally supportive environments. However, the demographic profile of guests, often women from less deprived backgrounds, indicates the model may inadequately serve high-need groups. Future challenges include adopting a greater tolerance for risk through clear articulation of the services interpersonal and environmental safety approaches, enhancing equitable access, and improving clinicians' knowledge of recovery-oriented and peer-led treatment philosophies.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314201","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":"Nurses' Perceptions of Locked Doors to Prevent Absconding on Acute Mental Health Inpatient Units: A Qualitative Descriptive Study","authors":"Adam Searby,&nbsp;Dianna Burr,&nbsp;Jim Snipe,&nbsp;Russell James,&nbsp;Phil Maude,&nbsp;Louise Alexander","doi":"10.1111/inm.70153","DOIUrl":"10.1111/inm.70153","url":null,"abstract":"<div>\u0000 \u0000 <p>Locked entry and exit doors are common on contemporary mental health inpatient units, with previous research suggesting clinicians believe they reduce the risks of absconding, prevent the importation of illicit substances, and reduce aggression. However, this focus on reducing risk is at the cost of therapeutic relationships, resulting in mental health consumer perception that mental health units are punitive and create a custodial feel. The aim of this paper is to describe nurses' experiences of using locked doors on mental health inpatient units to prevent consumers absconding. We used a Qualitative Descriptive approach, with semi-structured interviews conducted with 15 Australian mental health nurses. Data were analysed using Braun and Clarke's (2006) method of thematic analysis and reported in accordance with the Consolidated Checklist for Reporting Qualitative Data (CORE-Q guidelines). Three themes emerged during data analysis: (1) Locked doors and absconding: Nurse perceptions, (2) Smoking as a driver of absconding, and (3) Locked in and lashing out: Aggression linked to door locking. Participants in this study expressed that locking doors was necessary to prevent absconding. However, they also felt that door locking was restrictive and detrimental to the therapeutic relationship. There is a need to examine the impact of locked doors on the mental health nursing role, in addition to enhancing nursing skills in risk assessment, shared decision making, and ways to enhance the therapeutic relationship and milieu of the ward.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314285","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":"Experiences of Health Students and Supervisors During Rural Mental Health Placements","authors":"Latitia Kernaghan,&nbsp;Elyce Green,&nbsp;Lucy Clarke,&nbsp;Maddison Gillette,&nbsp;Tamiki Carr,&nbsp;Chloe Foster,&nbsp;Tracey Parkes","doi":"10.1111/inm.70147","DOIUrl":"10.1111/inm.70147","url":null,"abstract":"<div>\u0000 \u0000 <p>Student placements are crucial for health professional education, developing practical skills with academic studies and preparing students for the workforce. In rural mental health settings, these placements offer unique learning opportunities, but there is a recognised need for more placements in these areas. This study explored the experiences of health students and health professionals participating in a rural community mental health placement. Using an interpretive phenomenological design, the research focused on participants' sense-making of their placement experiences, which emphasised the significance and impact of these placements. Semi-structured interviews were conducted with 12 students and five host site staff in 2023 and 2024. Using interpretive phenomenological analysis, four themes were created: (1) entering the growth zone, (2) positive shifts in learning, (3) direct contact creates authenticity and impact, and (4) professional investment and returns. The findings highlight the importance of intentionally designing and implementing mental health placements to maximise their benefits. This paper provides evidence that scaffolded student learning, which incorporates direct contact with consumers in authentic mental health placements, should be prioritised and encouraged across health disciplines.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314288","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":"Clinical Ceiling: Barriers to Lived Experience-Led Approaches in the Mental Health Sector","authors":"Katie Larsen,&nbsp;Helena Roennfeldt,&nbsp;Debra Carlon,&nbsp;Ellie Hodges,&nbsp;Louise Byrne","doi":"10.1111/inm.70159","DOIUrl":"10.1111/inm.70159","url":null,"abstract":"<div>\u0000 \u0000 <p>Lived experience leadership is essential for reforming the mental health sector. However, deep-rooted barriers, such as entrenched mindsets and existing power structures, block the potential for lived experience perspectives to be leveraged for change. The aim of this paper is to critically examine the dominance of hierarchies that continue to marginalise lived experience roles and impede the advancement and authority of these roles in leadership and lived experience-led approaches. It emphasises the need to challenge systemic clinical authority and disrupt the prevailing dominance of the medical model in order to fully harness lived expertise, driving reforms and the creation of non-clinical alternatives.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314260","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":"Transitioning Into Mental Health Nursing: A Scoping Review","authors":"Kim Foster,&nbsp;Sini Jacob,&nbsp;Sophie Schapiro,&nbsp;Meena Gupta,&nbsp;Tyneille Hale,&nbsp;Jannette Newell,&nbsp;Johanna M. Boardman","doi":"10.1111/inm.70144","DOIUrl":"https://doi.org/10.1111/inm.70144","url":null,"abstract":"<div>\u0000 \u0000 <p>Transitioning to mental health nursing can be stressful for nurses new to the specialty, who need to develop relevant knowledge and skills to provide evidence-based care and psychosocial interventions to people experiencing mental distress. Nurses may feel overwhelmed and under-supported in their transition role, with potential for low retention. A scoping review was conducted with the aim to explore and synthesise evidence on transitioning nurses' career choice, experiences and psychosocial and work-related outcomes in the first 2 years of mental health practice and identify gaps in knowledge for future research. The systematic search process resulted in 17 empirical articles from eight countries, with a total sample of <i>n</i> = 436 transition nurses. Career choice influences included prior experience with mental health and wanting to reduce stigma and make a difference to care. Nurses initially experienced the shock of transitioning and grappled with the realities of the work, with most adjusting to their roles over time. Overall, there was high retention (88.3%–97.1%), low turnover intention and moderate-high work/job satisfaction, moderate levels of perceived stress and moderate-high wellbeing, resilience and coping self-efficacy. Gaps in knowledge for further research include longitudinal cohort studies investigating wellbeing and work-related outcomes. Evaluation research is needed on effective multi-level initiatives to enhance transition nurses' wellbeing, resilience and workplace belonging, reduce stigma, build professional identity and strengthen their nursing knowledge, confidence and skills. Recommendations include placing nurses in lower acuity settings early in transition, continued efforts to reduce workplace violence, trauma-informed self-care, and provision of structured transition programs and clinical supervision.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145317667","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":"Workplace Cyberbullying Among Healthcare Workers: A Systematic Review of the Prevalence, Antecedents and Consequences","authors":"Wei Zhang,&nbsp;Ziqi Guo,&nbsp;Chengyan Zhu,&nbsp;Maxim Bakaev,&nbsp;Jianwei Zhang,&nbsp;Richard Evans","doi":"10.1111/inm.70157","DOIUrl":"https://doi.org/10.1111/inm.70157","url":null,"abstract":"<div>\u0000 \u0000 <p>Workplace cyberbullying is a growing issue that raises serious public health concerns due to its potential for physical and emotional harm. Previous studies on workplace bullying in the healthcare industry have mainly focused on traditional bullying or explored cyberbullying's effect in specific regions or demographic groups. This study aims to systematically review the prevalence, antecedents and consequences of workplace cyberbullying among healthcare workers. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guidelines, four academic databases (i.e., Web of Science, PubMed, Scopus and EBSCO) were systematically searched on July 31, 2025. Data were extracted on cyberbullying characteristics, classification, prevalence, antecedents and consequences. Out of 821 studies, 21 were eligible for inclusion. The study's results indicate that victimisation rates of workplace cyberbullying among healthcare workers range from 1.5% to 46.6%, with an incidence rate of workplace cyberincivility of 36.8% for nurses. Drawing on the Social-Ecological Model and Organisational Conflict Theory, the antecedents of workplace cyberbullying among healthcare workers can be classified at the individual, organisational and social levels. Consequences include personal and work-related outcomes. This systematic review suggests that the prevalence of workplace cyberbullying among healthcare workers is highly variable and that uniform standards and tools are needed for its measurement. The identified antecedents and consequences are specific and complex, requiring targeted interventions to prevent and manage cyberbullying in healthcare settings.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145317670","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":"Assessing Emotional Intelligence and Reducing Burnout in Nursing Students Through Simulation-Based Learning Experiences: An Experimental Design","authors":"Miguel Ángel Martín-Parrilla,&nbsp;Noelia Durán-Gómez,&nbsp;Jesús Montanero-Fernández,&nbsp;Carlos Casas-Méndez,&nbsp;Casimiro Fermín López-Jurado,&nbsp;Macarena C. Cáceres","doi":"10.1111/inm.70151","DOIUrl":"https://doi.org/10.1111/inm.70151","url":null,"abstract":"<p>Burnout affects a significant proportion of nursing students and is characterised by emotional exhaustion, depersonalisation, and a diminished sense of accomplishment. Previous studies have reported that the overall prevalence of academic burnout among nursing students is approximately 46%. Given the demanding nature of nursing education, identifying effective strategies to mitigate burnout is essential for fostering competent and resilient healthcare professionals. To assess the emotional intelligence levels of nursing students and evaluate the effectiveness of Simulation-Based Learning Experiences (SBLE) in reducing burnout. An experimental study was conducted according to the TREND checklist with nursing students assigned to either an intervention group, which participated in SBLE, or a control group, which received traditional classroom instruction. Emotional intelligence was measured using the Trait Meta-Mood Scale, while burnout levels were assessed using the Maslach Burnout Inventory-Student Survey at baseline and post-intervention. A total of 240 nursing students participated (intervention group: <i>n</i> = 133; control group: <i>n</i> = 107). Pre-intervention analysis revealed no significant differences in emotional intelligence between the groups. Following the intervention, the intervention group exhibited significant reductions in emotional exhaustion (mean change = −0.87, <i>p</i> &lt; 0.001) and cynicism (mean change = −0.54, <i>p</i> &lt; 0.001), alongside a significant increase in perceived efficacy (mean change = +0.78, <i>p</i> &lt; 0.001). The control group demonstrated no significant changes. A repeated-measures ANOVA confirmed the significant impact of the intervention on burnout dimensions (<i>p</i> &lt; 0.001). The findings suggest that SBLE is an effective approach for reducing burnout among nursing students. The intervention group demonstrated substantial improvements in exhaustion, cynicism, and perceived efficacy, while no meaningful changes were observed in the control group.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 5","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70151","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145317676","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}