International Journal of Mental Health Nursing最新文献

{"title":"The Relationship Between Resilience and Mental Health Status Among Nurses With Workplace Violence Experiences: A Cross-Sectional Study","authors":"Li-Chung Pien,&nbsp;Chia-Hui Wang,&nbsp;Wan-Ju Cheng,&nbsp;Yu-Huei Lin,&nbsp;Kuei-Ru Chou,&nbsp;Chia-Yueh Hsu","doi":"10.1111/inm.13497","DOIUrl":"10.1111/inm.13497","url":null,"abstract":"<div>\u0000 \u0000 <p>Nurses encounter many stressors and challenges at work, which can negatively affect their mental and physical health. Modern theories of resilience suggest that resilience is a dynamic process of positive adaptation to adversity. This process involves personal growth through adversity, developing effective coping strategies and inculcating the ability to cope with stress. The resilience process involves individual characteristics, social support and environmental factors, including workplace culture. Strengthening nurses' resilience can help them cope with adversity, maintain their mental health and well-being and support their provision of care. The aim of this study was to examine the associations between workplace characteristics, resilience and mental health status among nurses with experiences of workplace violence. The study objectives were to analyse the relationships between workplace characteristics, resilience and mental health status among nurses with experiences of workplace violence and to investigate the effects of resilience on nurses' mental health outcomes. In this cross-sectional study, full-time nurses at a medical centre in Taiwan completed a questionnaire survey. Of 600 distributed questionnaires, 334 nurses were identified to have experienced workplace violence. The questionnaires included items on workplace violence, resilience, metal health status (burnout and mental distress), sleep quality, work characteristics (job control, psychological job demands and workplace justice) and demographic characteristics. Data were analysed through chi-square tests and multivariate logistic regression. Nurses with low resilience tended to be younger, work more rotating/night shifts and perceive lower levels of job control and workplace justice. They also reported higher risks of burnout and mental distress and lower sleep quality. Multivariate logistic regression revealed that psychological job demands, workplace justice and resilience significantly influenced nurses' mental health status. Nurses with high resilience exhibited a lower risk of mental distress and higher sleep quality. However, resilience was not associated with burnout. The findings revealed how workplace factors and resilience influence nurses' mental health. The findings help nurse managers and policymakers develop strategies to promote nurses' resilience and mental health and mitigate the adverse effects of negative workplace events.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142879167","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":"Can Emotionally Intelligent Mental Health Nurse Leaders Influence Workforce Sustainability? A Scoping Review","authors":"Whitney Johnson,&nbsp;Adam Searby,&nbsp;Louise Alexander","doi":"10.1111/inm.13487","DOIUrl":"10.1111/inm.13487","url":null,"abstract":"<div>\u0000 \u0000 <p>Due to a global shortage of nursing staff, there is renewed attention on the impact of leadership and management styles on the sustainability of the nursing workforce. Emotional intelligence (EI), the ability to manage both your own emotions and to perceive and understand the emotions of others, has been implicated as a nursing management style impacting reduced turnover and greater nurse wellbeing. Despite these promising findings, there is a dearth of research on the role of emotionally intelligent leadership on the retention of mental health nurses. This scoping review aimed to (1) explore whether the findings from EI leadership in general nursing settings can be contextualised to mental health nurse leaders and (2) whether emotional intelligent leadership can influence the retention of mental health nurses. We used Arksey and O'Malley's framework to conduct this scoping review, locating 987 papers in our initial search. After screening, 30 papers remained; most methodologies were quantitative (<i>n</i> = 20), followed by qualitative (<i>n</i> = 8) and mixed methods (<i>n</i> = 2). This review found that while this concept has been studied extensively in the general nursing context, there is a lack of research into EI as a leadership style in mental health nursing. Where EI was the dominant leadership style, turnover intention was lower. However, despite showing promise in other settings, because of distinct differences between nursing contexts and workforce characteristics, it is difficult to state that emotionally intelligent leadership would be effective in mental health settings. There is therefore an urgent need identified to explore leadership styles in mental health settings to determine whether they impact retention and turnover, which will have significant implications for organisations, staff and consumers. We recommend that mental health nurse leaders be provided with EI training and education to ensure that they are equipped to provide the necessary support and leadership to sustain and grow the mental health nursing workforce.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142879160","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":"Has Family Engagement Finally Gained Foothold in Forensic Mental Healthcare?","authors":"Sara Rowaert,&nbsp;Ellen Boldrup Tingleff,&nbsp;Ulrica Hörberg,&nbsp;Stijn Vandevelde,&nbsp;Gilbert Lemmens","doi":"10.1111/inm.13486","DOIUrl":"10.1111/inm.13486","url":null,"abstract":"<div>\u0000 \u0000 <p>Despite advancements in promoting family engagement in mental health settings, limited involvement of family members persists in forensic mental healthcare. Forensic mental healthcare professionals face various barriers in engaging families, including a patient-centered approach and resource constraints. However, limited understanding exists of professionals' experiences with family engagement, which is crucial for improving care practices in this setting. Consequently, this study investigates the evolution of professionals' experiences with family engagement from 2015 to 2021 in Flanders, Belgium. Qualitative methods were employed, including focus group interviews in 2015 and individual interviews in 2021 with 23 forensic mental healthcare professionals. Thematic analysis is employed to identify patterns and changes over time. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was utilised to report the study. The analysis revealed that while initial steps towards family engagement in forensic mental healthcare have been taken, full integration in organisational structures is still lacking. Future efforts should focus on involving family organisations and caregivers, addressing barriers like time and resource constraints, and fostering a cultural shift towards family engagement. Further research involving a broader range of stakeholders is needed to enhance family engagement initiatives in forensic mental healthcare settings.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142879162","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":"Effectiveness of AIMS, a Four-Week Recovery-Oriented Suicide Prevention Pathway","authors":"Manaan Kar Ray,&nbsp;Melanie Gregory,&nbsp;Marianne Wyder,&nbsp;Md Abu Choudhury,&nbsp;Nikki Geffen,&nbsp;Abigail Lane,&nbsp;Kieran Kinsella,&nbsp;Chiara Lombardo","doi":"10.1111/inm.13485","DOIUrl":"https://doi.org/10.1111/inm.13485","url":null,"abstract":"<div>\u0000 \u0000 <p>Striking a balance between risk and recovery while supporting people in suicidal distress is a challenging proposition. To address this challenge, a 4-week AIMS (Assessment, Intervention, Monitoring, Step up/down) pathway was created to support people in suicidal crisis. Each of the four functions was customised into semi-structured conversations about pain relief. The pathway operationalised tools for relational safety from the PROTECT framework for suicide prevention. To deliver this pathway, a new team was established that included both clinicians and lived experience staff. Scores for the Short Warwick Edinburgh Mental Wellbeing Scale (SWEMWBS) for 300 patients were collected before and after time on the pathway. Paired T tests were performed individually for each item as well as for the total. All 7 items and the total score had statistically significant improvement (<i>p</i> &lt; 0.01). The mean pre- and post-total scores increased from 14.8 to 22.5, strongly indicating clinically meaningful improvement at an individual and group level. The improvement on baseline in each of the seven items ranged from 38% to 73.5%. The top two were in the person's ability to deal with problems and in them feeling relaxed. The study provides a blueprint for collaborative and empowering suicide prevention pathways that strike a balance between positive risk taking and safe care through a relational approach. Professional and lived experience both played a part in capturing hope through evidence-based person-centred interventions, helping a person in suicidal crisis improve their mental wellbeing.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143117596","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":"Building the Community Mental Health Nursing Workforce Through a Supported Transition Programme: An Evaluation of a Competency Framework Implementation","authors":"Sandra Burkitt,&nbsp;Liza Hopkins,&nbsp;Michael Olasoji","doi":"10.1111/inm.13474","DOIUrl":"10.1111/inm.13474","url":null,"abstract":"<div>\u0000 \u0000 <p>There is a growing focus in the Australian healthcare system of providing mental health care in a community setting. A key feature of the Royal Commission into Victoria's mental health system was to prioritise community-based care ‘a system with community at its core’. Developing a skilled, flexible and competent nursing workforce is a key objective for any community-based mental health service as nurses provide a vital role in healthcare delivery. The 3-year comprehensive nursing qualification has little to no mental health curriculum leaving nursing graduates unprepared for work in mental health, while hospital-based training for graduate nurses doesn't prepare them for the realities of community-based work. Significant work in Victoria to develop, refine and implement a competency framework for transition from acute mental health inpatient settings into community-based services has been undertaken. The aim was to evaluate the effectiveness of this framework in preparing nurses for the community workforce, as well as the barriers and enablers of implementation. A qualitative method investigated experiences of mental health staff who had participated in the transition programme in either aged, adult or a homeless outreach team. Interviews were conducted with transition nurses (<i>n</i> = 5), mentors (<i>n</i> = 4), Clinical managers (<i>n</i> = 3) educators/coordinator (<i>n</i> = 2). The framework structure helped mitigate role stress, allowed for consolidation of theory into practice providing learning opportunities, provided clinical oversight for safe practice, supported autonomous practice, critical thinking, staff wellbeing and demonstrated positive outcomes for consumers and carers. It also had a positive impact on retention and recruitment. Whilst there were limited barriers, the framework implementation relied on organisational support with staff resourcing. Evaluation findings demonstrate the importance of this framework. This structured programme helped facilitate professional development with an integration of knowledge, skills, attitudes and confidence along with staff wellbeing, leading to enhanced clinical practice and outcomes for clients and carers.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142879137","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":"How Do People With Schizophrenia Manage Their Daily Life? A Qualitative Study","authors":"Jolien Braeckman,&nbsp;Mariotte Wyckaert,&nbsp;Patricia De Vriendt,&nbsp;Ursula Costa,&nbsp;Gilbert Lemmens,&nbsp;Ann Van Hecke,&nbsp;Ton Satink,&nbsp;Dominique Van de Velde","doi":"10.1111/inm.13490","DOIUrl":"10.1111/inm.13490","url":null,"abstract":"<div>\u0000 \u0000 <p>Due to the rising number of long-term mental health conditions, there has been a shift in therapeutic focus from curing these conditions, to living a meaningful life with them. Self-management is described as the ability to live with the emotional, life role and medical consequences of long-term conditions such as schizophrenia. However, the perspective of people with schizophrenia on self-management in current literature is missing. A lack of understanding of strategies used by people with schizophrenia to self-manage, could adversely affect the use of self-management interventions. Therefore, this study aims to identify how people with schizophrenia manage their daily life. Semi-structured interviews (<i>n</i> = 9) were conducted in a qualitative descriptive design. The study is reported by using the COREQ checklist. All participants, recruited through purposive sampling, have been stabilised after a schizophrenic episode and have been reintegrated into their community. The data were analysed through thematic analysis. Self-management for people with schizophrenia is an individualised process that revolves around performing day-to-day activities according to the participant's wishes. In addition, participants tried to prevent relapse by self-managing daily life. Personal-, social- and schizophrenia-related factors were seen as barriers and/or facilitators in their self-management. These barriers and/or facilitators were self-managed using daily activities. Current self-management interventions for this population often aim at improving medication adherence. Self-management interventions facilitated by health care professionals should (i) focus more on supporting patients in finding their daily structure through meaningful activities and (ii) be mindful of the duality contained within self-management of people with stabilised schizophrenia.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857296","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 Patient's Role Development in the Process of Participating in Multidisciplinary Team Meetings: From Passive Attendees to Active Members or Dropouts","authors":"Kevin Berben,&nbsp;Emily Walgrave,&nbsp;Jochen Bergs,&nbsp;Ann Van Hecke,&nbsp;Eva Dierckx,&nbsp;Sofie Verhaeghe","doi":"10.1111/inm.13488","DOIUrl":"10.1111/inm.13488","url":null,"abstract":"<div>\u0000 \u0000 <p>Mental health patients are increasingly invited to participate in multidisciplinary team meetings during their admission to inpatient mental health units. To participate effectively, patients must adopt a role that enables them to actively engage and take their place as contributing member of the team. This study aims to understand how mental health patients experience the development of their roles when participating in multidisciplinary team meetings and to identify which dynamics are meaningful to them. A qualitative interview approach, using principles of grounded theory, was employed. Twelve mental health patients in Belgium were recruited for semi-structured interviews. Data were analysed using the constant comparative method. The conceptual framework which emerged reveals that mental health patients strive to assume a partnership role within the team. To effectively take on this role, they identify three key components as essential: being informed and prepared, being seen and heard and being able to understand. Based on their reflections on these components and the perceived value of their contributions and efforts, mental health patients decide whether to become and remain active members, revert to passive attendance or disengage entirely. These insights can encourage organisations to create an environment where mental health patients can grow into their role as partners in multidisciplinary team meetings. Such an environment would enable collaborative efforts between patients and the treatment team, recognising each patient as a unique individual capable of making their own choices. By focusing on what is personally meaningful to the patient and addressing their specific needs, this approach ensures that care is tailored to what is crucial for patients' recovery.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857326","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":"A Conceptual Framework to Improve Resilience Among Undergraduate First-Year Nursing Students: A Mixed-Methods Study","authors":"Gopolang Gause,&nbsp;Leepile Alfred Sehularo,&nbsp;Molekodi Jacob Matsipane","doi":"10.1111/inm.13492","DOIUrl":"10.1111/inm.13492","url":null,"abstract":"<p>It is generally presumed that most undergraduate first-year nursing students are not prepared for the transition from basic to higher education. Resilience is recommended as a viable coping strategy that acts as a buffer to the adversities that undergraduate first-year nursing students experience. Therefore, the aim of this study was to develop and validate a conceptual framework to improve resilience among undergraduate first-year nursing students at a South African university. A multiphase concurrent mixed-methods research design was followed through concept analysis, and the empirical, development and validation phases. Development and validation of a conceptual framework were guided by Dickoff et al.'s practice-oriented theory model and e-Delphi, respectively. Data used for development of the conceptual framework were gathered from undergraduate first-year nursing students from two campuses of a South African university, while national and international experts in nursing education were used to validate a conceptual framework. The conceptual framework developed shows that the undergraduate first-year nursing students are at the centre of four contexts, namely South African university, work-integrated clinical facilities, the South African Nursing Council and South African higher education. The conceptual framework includes collaboration of stakeholders, mentoring and debriefing. The guiding principles of the conceptual framework encompass strengthening internal resources and establishment of a support group to achieve the terminus, which is characterised by undergraduate nursing students' improved transition from basic to higher education. In conclusion, the newly developed conceptual framework has the potential to improve resilience among undergraduate first-year nursing students.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11655958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857292","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 Glimmer of Hope: The Impact of the Recovery College Bern on Personal Recovery, Well-Being and Self-Stigmatisation—A Mixed Methods Study","authors":"Nora Ambord,&nbsp;Christian Burr,&nbsp;Gianfranco Zuaboni","doi":"10.1111/inm.13482","DOIUrl":"10.1111/inm.13482","url":null,"abstract":"<p>Recovery Colleges are mental health education centres co-produced by experts with lived experience with mental health problems and mental health professionals. The aim of the study was to evaluate the impact of a Recovery College in Switzerland on its students' mental health measured through personal recovery, well-being and self-stigmatisation in a mixed methods approach following the MMARS guideline. Three standardised questionnaires ‘Questionnaire about the Process of Recovery’, ‘WHO-5 Well-Being Index’ and ‘Self-Stigma of Mental Illness Scale Short Form’ were completed by 92 participants as part of a pre-post-evaluation while two focus groups (<i>n</i> = 10) provided further explanations regarding impacts on the three topics. Statistical analyses include paired sample <i>t</i>-test or Wilcoxon signed rank tests for pre-post-test comparisons as well as Cohen's d to determine effect sizes. For all three questionnaires, significant improvement was shown in the desired direction with low to medium effect sizes. A higher number of courses attended did not result in higher scores in the outcome measurements. The qualitative analysis confirmed these results by providing insights of specific aspects of these positive impacts. These include increased social inclusion, improvement in attitudes towards one's life and identity, increased engagement in hobbies and healthy behaviours, positive impacts on well-being and decreased self-stigmatisation. The findings indicate that Recovery Colleges should be made available continuously and further developed also in other regions of Switzerland. Similar projects require continuous evaluation in early development to ensure effectiveness and improve quality.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775995","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":"Co-Designing Case Scenarios and Survey Strategies to Examine the Classification and Reporting of Restrictive Care Practices in Adult Mental Health Inpatient Settings: Perspectives From International Stakeholders","authors":"Zelalem Belayneh,&nbsp;Den-Ching A. Lee,&nbsp;Terry P. Haines,&nbsp;Deborah Oyine Aluh,&nbsp;Justus Uchenna Onu,&nbsp;Giles Newton-Howes,&nbsp;Kim Masters,&nbsp;Yoav Kohn,&nbsp;Jacqueline Sin,&nbsp;Marie-Hélène Goulet,&nbsp;Tonje Lossius Husum,&nbsp;Eleni Jelastopulu,&nbsp;Maria Bakola,&nbsp;Tim Opgenhaffen,&nbsp;Guru S. Gowda,&nbsp;Birhanie Mekuriaw,&nbsp;Kathleen De Cuyper,&nbsp;Eimear Muir-Cochrane,&nbsp;Yana Canteloupe,&nbsp;Emer Diviney,&nbsp;Vincent S. Staggs,&nbsp;Melissa Petrakis","doi":"10.1111/inm.13479","DOIUrl":"10.1111/inm.13479","url":null,"abstract":"<div>\u0000 \u0000 <p>There is a global initiative to reduce the use of restrictive care practices in mental health settings. Variations in the reported rates across regions complicate the understanding of their use and tracking trends over time. However, it remains unclear whether these discrepancies reflect real differences in the implementation of these practices or are sourced from inconsistencies in incident classification and reporting methods. This study employed a co-design approach to identify contexts that would influence the classification and reporting of restrictive care practices. The research involved 29 mental health stakeholders, including 22 professional experts from 13 countries across Europe, Africa, North America, Asia and Australasia and seven service users and family carers from Australia. Recruitment was conducted through email invitations, snowball sampling and social media outreach. Six web-based panel meetings, each lasting 90–120 minnutes were held. These discussions focused on exploring various contexts that might lead to uncertainty among professionals when classifying and reporting actions whether or not as restrictive care practices. A final list of 23 contexts was identified and considered for the development of 81 case scenario items. Finally, all the 29 panel members selected 44 from 81 case scenarios for inclusion in an upcoming international survey to examine variations in the classification and reporting of restrictive care practices. The findings from this co-design work emphasise the involvement of a wide range of factors and contexts in the classification and reporting of restrictive care practices that may contribute to the observed variations in the in the reported rates of these practices. The case scenarios developed in this study will support future research and serve educational purposes, illustrating real-life situations in the mental healthcare context.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775996","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}