International Journal of Mental Health Nursing最新文献

{"title":"Reflections on Women and Seclusion in Forensic Mental Health Services","authors":"Martin Locht Pedersen, Frederik Alkier Gildberg","doi":"10.1111/inm.70243","DOIUrl":"10.1111/inm.70243","url":null,"abstract":"","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 2","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147313518","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":"Dismantling the Diagnostic Construct of Borderline Personality Disorder: A Critical Discourse Analysis","authors":"Laurence Cobbaert,&nbsp;Ellen Maloney,&nbsp;Keir Harding,&nbsp;Sandi James","doi":"10.1111/inm.70241","DOIUrl":"10.1111/inm.70241","url":null,"abstract":"<p>Borderline personality disorder (BPD) is widely presented as an objective psychiatric diagnosis describing emotional and relational distress. However, feminist, decolonial, neurodiversity and lived experience-led scholarship demonstrates that BPD emerged within colonial, cisheteronormative, misogynist and neuronormative epistemologies that moralise distress and regulate identity, self-expression and access to care. This paper critically examines BPD as a diagnostic construct and governance technology that produces iatrogenic harm through epistemic injustice, structural exclusion and moralised interpretations of need. It explores how the diagnosis discredits lived experience knowledge, justifies care withdrawal and obscures sensory, cultural and structural determinants of distress and considers the implications for mental health nursing practice. A critical discourse analysis was conducted across psychiatric literature, policy documents, historical diagnostic texts and lived experience scholarship, treating psychiatric language and categorisation as technologies of power shaping credibility and clinical response. The analysis shows that BPD operates less as a clinical description than as a regulatory framework maintained through gendered, colonial and cisheteronormative norms. Dominant narratives of dependence, attachment theory and emotional expression obscure trauma, sensory differences and structural violence, while legitimising coercive and exclusionary practices. Mental health nurses are positioned at the frontline of enacting these logics, often experiencing moral distress. The BPD diagnosis lacks epistemic, cultural and ethical legitimacy. Its continued use undermines therapeutic safety and trust. A harm reduction transition away from the BPD construct is required, prioritising relational safety, sensory-informed and culturally responsive care, epistemic humility and lived experience leadership.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 2","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12936405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147313568","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":"Beyond Self-Stigma in Bipolar Disorder: Self-Compassion as a Target for Mental Health Nursing Interventions—Conditional Indirect Effects by Treatment Adherence and Age","authors":"Erman Yıldız,&nbsp;Gamze Örüm","doi":"10.1111/inm.70239","DOIUrl":"10.1111/inm.70239","url":null,"abstract":"<div>\u0000 \u0000 <p>Self-stigma profoundly impacts psychological well-being in individuals with bipolar disorder, yet the mechanisms underlying this relationship remain unclear. This study examined whether self-compassion mediates the relationship between self-stigma and psychological well-being, whether treatment adherence moderates this mediating pathway, and whether age moderates the direct relationship. A cross-sectional study was conducted with 121 outpatients diagnosed with Bipolar Type I Disorder receiving care at two hospitals in Eastern Türkiye between January 2024 and February 2025. Participants completed validated measures of self-stigma, self-compassion, and psychological well-being during clinical remission. Data were analysed using mediation, moderated mediation, and simple moderation models with bootstrap procedures. Self-stigma demonstrated a strong negative total effect on well-being. Self-compassion partially mediated this relationship, explaining 27% of the total effect. Critically, moderated mediation analysis revealed that treatment adherence significantly altered the strength of this mediating pathway. Among individuals with poor treatment adherence, self-stigma more severely compromised self-compassion, resulting in a substantially stronger indirect effect on well-being compared to those with good adherence. The difference between these conditional indirect effects was statistically significant. Additionally, age moderated the direct relationship between self-stigma and well-being, with younger adults showing greater vulnerability than older adults, though age did not moderate the self-compassion pathway. These findings identify self-compassion as a key but conditionally effective protective mechanism against self-stigma. Treatment adherence emerges as a critical factor that preserves this protective mechanism, suggesting that adherence promotion represents both a clinical and psychosocial intervention target for mental health nurses.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146230328","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":"Risk Redux? Therapeutic Risk Taking and the Role of Supported Decision Making in Mental Health Settings","authors":"Helen P. Hamer,&nbsp;Debra Lampshire,&nbsp;Katey Thom,&nbsp;Daniel Sutton,&nbsp;Gillian MacIntyre,&nbsp;Nicola Cogan","doi":"10.1111/inm.70234","DOIUrl":"10.1111/inm.70234","url":null,"abstract":"<p>The prevailing culture of risk aversion and defensive practice within mental health systems significantly undermines recovery and well-being. In response, many Western jurisdictions are undergoing a fundamental transformation of mental health legislation, shifting towards a human rights-based approach. This transition emphasises supported decision-making, a reduction in coercive practices, and a stronger focus on recovery-oriented care. As services shift towards being human rights-led, clinicians need to move from making decisions for individuals in their best interests to considering what support is required to enable people to make their own choices; a difficult shift within services that remain risk-averse within a substitute decision-making regime. This paper reconceptualises risk not solely as a threat to be managed, but as a potential catalyst for recovery and empowerment. The authors call for a movement away from defensive, risk-averse models towards defensible and considered practices that thoughtfully balance safety with individual autonomy. At the heart of this shift is the innovative <i>Dimensions of Safety</i> framework, which assists practitioners in navigating complex decision-making processes while aligning their approaches with both human rights principles and the person's right to self-determination. This framework encourages therapeutic risk-taking as a means of fostering personal growth, resilience and empowerment. Furthermore, it incorporates cultural and spiritual dimensions to ensure care is equitable and inclusive. A trauma-informed perspective is also central, recognising the impact of past adversity on current mental health and decision-making skills. By challenging the dominance of substituted decision-making and promoting collaborative, rights-based care, this framework offers a practical and ethical pathway towards mental health systems that are safer, more inclusive and genuinely supportive of recovery and autonomy.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12915700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146222732","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":"Organisation and Practice of Crisis Resolution Teams in Adult Mental Health Services in Norway: A National Survey","authors":"Torleif Ruud,&nbsp;Bengt Karlsson,&nbsp;Trude Klevan,&nbsp;Nina Hasselberg","doi":"10.1111/inm.70238","DOIUrl":"10.1111/inm.70238","url":null,"abstract":"<div>\u0000 \u0000 <p>Crisis resolution teams (CRTs), which aim to reduce acute admissions to mental health inpatient units, have been the subject of studies on practice, effects and service user experiences. However, such studies involve a limited proportion of the CRTs. National surveys are necessary to understand the large-scale implementation of CRTs. The aims of this survey were to describe the organisation and practices of Norwegian CRTs as reported by team managers. An online questionnaire was sent to team managers of all 56 CRTs in mental health services for adults in Norway in 2013. The response rate was 100%. Findings were compared to national recommendations for CRTs in Norway and to findings from a similar survey in England. CRTs were available for 90% of the Norwegian adult population. Significant variations in team composition and practices indicated differences in CRT services provided across teams, and CRTs were not assigned the role of gatekeeping acute inpatient admissions. Unlike in England, Norwegian CRTs served a broader range of service users than just those who would otherwise require admission to an acute mental health inpatient unit. CRTs showed partial adherence to national recommendations and even less compared to English CRTs and the CRT model in international literature. High adherence to the CRT model would require more specific national recommendations, adequate staffing and training, and for CRTs to be given the resources and authority to act as gatekeepers for acute inpatient admissions.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146215166","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":"Psychometric Evaluation of the Competence Scale in Managing Behavioural and Psychological Symptoms of Dementia (CS-MBPSD) for Care Workers","authors":"Jun-Ah Song,&nbsp;Hongjin Cheon,&nbsp;Yoosun Yang,&nbsp;JeongLan Kim,&nbsp;YunHee Lee,&nbsp;Soyeong Oh,&nbsp;Jung Bok Lee","doi":"10.1111/inm.70227","DOIUrl":"10.1111/inm.70227","url":null,"abstract":"<div>\u0000 \u0000 <p>The aim of this study was to evaluate the validity and reliability of the competence scale in managing behavioural and psychological symptoms of dementia for care workers. A methodological study design was used. Data were collected from 180 care workers in long-term care facilities between December 1 and December 26, 2022. Confirmatory factor analysis was conducted to examine the dimensionality of the scale and support construct validity. Construct validity was assessed through convergent and discriminant validity. Concurrent validity was evaluated using correlations with dementia attitudes, self-efficacy and caregiver burden scales. Internal consistency tests were performed to assess reliability. The confirmatory factor analysis showed reasonable model fit indices. Evidence for convergent validity was supported by satisfactory standardised factor loadings, average variance extracted values and composite reliability values, except for one item. Discriminant validity was demonstrated between all constructs. Concurrent validity showed strong positive correlations with dementia attitudes and self-efficacy scales and a negative correlation with caregiver burden. The instrument exhibited strong validity, high reliability and reasonable model fit. The results provide initial psychometric support for the competence scale in managing behavioural and psychological symptoms of dementia among care workers with basic dementia care training.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146168476","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":"Healthcare Interventions to Support Informal Caregivers of People With Severe Mental Illnesses: A Scoping Review","authors":"Marjolijn Heslinga,&nbsp;Marie Louise Luttik,&nbsp;Bouwina Esther Sportel,&nbsp;Evelyn Finnema,&nbsp;Nynke Boonstra","doi":"10.1111/inm.70236","DOIUrl":"10.1111/inm.70236","url":null,"abstract":"<p>In recent years, care for people with severe mental illnesses (SMI) has shifted from institutional to recovery-based treatment in which informal caregivers often have an important role. However, their increased involvement has elevated issues such as role strain or burden of care, which indicates that they need greater support. Adding to existing reviews, this study is intended to provide an overview of interventions that support informal caregivers who are tending to people with severe depression, anxiety or personality disorders other than borderline personality disorder (BPD). A scoping review, following the JBI guidelines, was performed. Pubmed, PsycInfo, CINAHL, Embase and Cochrane Library were searched using the keywords ‘caregiver’, ‘SMI’, ‘support’, ‘interventions’ and related terms, which led to 21 720 references. After removing duplicates (<i>n</i> = 9043) and screening titles, abstracts (<i>n</i> = 12 677) as well as full-text (<i>n</i> = 108) for inappropriate results, 13 articles met the inclusion criteria and are included in this review. The included articles describe 11 different interventions. Interventions are built on diverse concepts or mechanisms, clustered in: ‘changing thoughts and behaviour’, ‘understanding the illness’ and ‘feeling supported’. Interventions described in this review are similar to those outlined in previous reviews that focus on, for example, psychotic disorders, and could decrease informal caregiver's burden and strain. Considering that only 13 relevant articles were identified from our search, we emphasise the need for further scientific attention to explore interventions that support the informal caregivers of people with depression, anxiety or personality disorders. Future researchers should explore how various intervention components and contextual factors affect outcomes, meet caregiver's diverse needs, and support practical implementation.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12895140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146168531","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":"Methodological Considerations in Modelling Stress and Well-Being Among Nursing Students: A Commentary","authors":"Wang Mei,&nbsp;Shi Hui,&nbsp;Wang Jinhuan,&nbsp;Wang Jiachun","doi":"10.1111/inm.70235","DOIUrl":"10.1111/inm.70235","url":null,"abstract":"","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151541","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":"From Representation to Integration: Lived Experience in Mental Health Teams: A Qualitative Descriptive Study","authors":"Olivia Hatchman,&nbsp;Sally Buchanan-Hagan,&nbsp;Kim Foster,&nbsp;Kinga Pemo,&nbsp;Louise Alexander","doi":"10.1111/inm.70230","DOIUrl":"10.1111/inm.70230","url":null,"abstract":"<p>Lived experience workers are an integral part of mental health multidisciplinary teams, contributing unique insights and support grounded in personal experience and lived expertise. Despite their growing presence, challenges with the integration of lived experience workers into these teams persist. There is a gap in knowledge on lived experience workers' perspectives on their inclusion in multidisciplinary teams, as well as clinicians' views on the lived experience role. The aim for this qualitative descriptive study was to explore the experiences and perspectives of lived experience workers and clinicians regarding the integration of lived experience roles within multidisciplinary mental health teams, with a focus on identifying barriers, facilitators and impacts of role integration. Semi-structured interviews were conducted with lived experience workers (<i>n</i> = 7) and mental health clinicians (<i>n</i> = 7). Framework Analysis of interviews resulted in four main themes: (1) Systemic barriers hinder integration; (2) Lack of lived experience workforce role clarity limits impact; (3) Discipline-based defensiveness as a barrier to integration; and (4) Clinical and lived experience workforce perspectives clash. This study highlights that successful integration of the lived experience workforce in mental health care requires more than structural reform. Sustainable inclusion depends on role clarity, shared responsibility and accountability among multidisciplinary team members and relational trust. Without addressing differing attitudes and beliefs about authority and recovery, integration of lived experience into mental health risks being symbolic rather than transformative.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12872202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121491","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":"Psychosocial Outcomes and Turnover Intention of Mental Health Transition-to-Practice Nurses at 6 Months Follow-Up","authors":"Johanna M. Boardman,&nbsp;Louise Alexander,&nbsp;Michael Steele,&nbsp;Nigel Toomey,&nbsp;Kim Foster","doi":"10.1111/inm.70231","DOIUrl":"10.1111/inm.70231","url":null,"abstract":"<div>\u0000 \u0000 <p>There are worldwide shortages in the mental health nursing workforce. Transition-to-practice programs are a vital avenue for recruiting and supporting nurses entering the mental health sector. There is little evidence, however, on the psychosocial and work-related outcomes of mental health transition nurses (registered and enrolled) during their transition into this specialty field. The overall aim of this study was to investigate mental health transition nurses' perceived stress, well-being, resilience, work satisfaction, turnover intention and mental health stigma attitudes at 6 months into their program and examine changes in these outcomes between a baseline assessment at 4 weeks into transition and follow-up at 6 months. At follow-up, perceived stress, well-being and resilience scores were moderate, turnover intention was low and work satisfaction of <i>n</i> = 49 nurses was high. Higher work satisfaction predicted greater well-being, less stigmatising attitudes predicted higher resilience and lower work satisfaction predicted increased turnover intention. Only turnover intention significantly increased from baseline to 6 months. Nurses with scores indicating poor well-being (<i>n</i> = 10) had significantly higher perceived stress and turnover intention and lower work satisfaction and stigma. These findings highlight the need for targeted support over the initial transition period to promote nurses' mental health, well-being and retention as they transition into the field. Addressing factors such as work satisfaction and stigma in transition programs may be essential for reducing nurses' stress and turnover intentions, particularly for nurses experiencing reduced well-being.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121507","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}