International Journal of Mental Health Nursing最新文献

{"title":"Promoting Personal Recovery Within Psychiatric Inpatient Care—Nurses' Experiences","authors":"Patrick Hallberg,&nbsp;Ulla Hällgren Graneheim,&nbsp;Maivor Olsson-Tall","doi":"10.1111/inm.13504","DOIUrl":"10.1111/inm.13504","url":null,"abstract":"<p>To meet the aim of synthesising research on nurses' experiences of promoting personal recovery within psychiatric inpatient care, meta ethnography according to Noblit and Hare has been chosen as the method, which is a qualitative review of scientific literature that results in a synthesis. The focus is on interpretation and is expressed to be able to reduce a story, but at the same time keep what is unique using metaphors. Nine articles formed the basis of the synthesis. The analysis resulted in two levels of synthesis. The first level involved the translation of metaphors into one another, which proceeded in two directions, described as two principal headings. The second level produced five overarching metaphors. The first principal heading is that ‘erected walls in psychiatric inpatient care impedes personal recovery.’ It encompasses the overarching metaphors ‘cultivating in exhausted soil’ and ‘nurses are gatekeeping watchdogs’. The second principal heading is ‘torn-down walls in psychiatric inpatient care enable personal recovery’. It encompasses the overarching metaphors ‘disarming and de-escalating’, ‘facing suffering together reveals treasures’ and ‘elevating the competent partner promotes recovery’. Conclusively, if the nurse is to be able to promote personal recovery in psychiatric inpatient care, bridges of cooperation and consensus need to be built to other professions in care. Otherwise, the obstacles to promoting personal recovery will be far too hard to overcome.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070507","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":"Physical Health Views Among Individuals Experiencing Mental Illness: A Mixed-Methods Study of Self-Reported Health and Contributing Factors","authors":"Stefan Sebastian Heinz,&nbsp;Anthony John O'Brien,&nbsp;Matthew Parsons,&nbsp;Cameron Walker","doi":"10.1111/inm.13489","DOIUrl":"10.1111/inm.13489","url":null,"abstract":"<p>Severe mental illness is linked to poor physical health and shorter life expectancy, yet research on how individuals experiencing mental illness view and on improve their physical health is limited. This study investigates the perceptions of individuals experiencing mental illness regarding their physical health, utilising a mixed-methods approach. Phase I involved quantitative and qualitative data from an online Qualtrics survey, which included the 12-item Short Form (SF-12) survey to measure participants' quality of life and assess self-reported physical and mental health. Key findings from Phase I revealed significant relationships between lower Physical Component Summary (PCS) scores and factors such as the frequency of GP visits. Additionally, exercise preferences were found to significantly impact Mental Component Summary (MCS) scores, with individuals who preferred a mix of exercise settings reporting higher MCS scores compared to those who exercised alone or with a training partner. Phase II explored these findings further through semi-structured interviews, where participants discussed themes including physical health perceptions, the role of medication and the importance of the general practitioner relationship. Thematic analysis revealed five main barriers to improving physical health: accessibility and availability of services, motivation, staff attitudes, medication side effects and the experience of diagnostic overshadowing. Participants reported viewing physical and mental health as interconnected and expressed a desire for more collaborative care. The results suggest that strengthening the relationship with GPs and increasing awareness of medication side effects may improve physical health outcomes for individuals experiencing mental illness. Mental health nurses can play a pivotal role in enhancing physical health outcomes by monitoring, supporting health-improving strategies and facilitating access to primary care services.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054679","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":"Developing a Mobile App to Prevent Suicide Based on a Software Development Life Cycle: Application of Ecological Momentary Assessment and Interventions","authors":"Hyunwoo Jeong,&nbsp;Heeyeon Kim,&nbsp;Yoojin Jeon,&nbsp;Heejung Kim","doi":"10.1111/inm.70001","DOIUrl":"10.1111/inm.70001","url":null,"abstract":"<p>To improve mental health, diverse mobile applications (apps) have been developed to target those who actively use smartphones and in-phone apps. In this vein, this study developed a mobile app, eRAPPORT, to prevent suicide using ecological momentary assessment and intervention. A brief literature review and mobile app market search were conducted to determine the app's content and modality. The design and contents of eRAPPORT were developed through consulting with contextual and methodological experts for end-users' need assessment and technician review. For implementation, an experienced mobile app developer collaborated with the research team to create the app, which includes a safety plan, a feature to track suicidal risk and mental health status, evidence-based information from international and national authorised organisations, an outreach service with online/offline counselling and pop-ups displaying emergency contacts. Twenty-five general adults participated in the feasibility study. After using eRAPPORT for a month, they completed a self-reported questionnaire, followed by an in-depth interview of functionality, acceptability and safety. Both quantitative and qualitative evaluations assured the moderate level of usability and acceptability due to some features that should be improved before applying those with a high risk of suicide. No critical adverse event was reported. Thus, this eRAPPORT feasibility study provides fundamental information to describe the patient-centred processes on how to develop a mobile app for suicide prevention. Further study will be conducted to test the app's effectiveness and determine the application in clinical practice for monitoring and preventing suicide risk by collecting real-time and longitudinal data.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11773313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054623","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":"Graduate Nurses in Acute Mental Health Settings and Their Viewpoints of Nursing Education to Support Their Transition to Mental Health Nursing: A Q Methodology Study","authors":"Eric Lim,&nbsp;Kezia Higham,&nbsp;Kristina Ferraz,&nbsp;Kathryn Harban,&nbsp;Rebecca Tate,&nbsp;Amy Sewell,&nbsp;Jane Murdock,&nbsp;Sharon Delahunty","doi":"10.1111/inm.13493","DOIUrl":"10.1111/inm.13493","url":null,"abstract":"<div>\u0000 \u0000 <p>Graduate nurses are now comprehensively prepared in Australia and have limited mental health knowledge and experiences to work in acute mental health settings. As such, graduate nurses would need the support that they can get from their respective mental health services to progress from novice to advanced beginner. Nursing education is an important support for graduate nurses to develop the knowledge and skills required for them to transition successfully into acute mental health settings. This study explored 12 graduate nurses' experiences with the nursing education of one mental health services in Western Australia. Q methodology was the approach chosen to conduct this study as it is a ‘ready-to-use’ mixed method research approach that can enable the researchers to obtain in-depth and accurate understanding of the researched topic. Data analysis generated four factors which revealed that nursing education needs to: (1) <i>be tailored to the area of speciality for graduate nurses who experience challenges of being accepted by their nursing team</i>; (2) <i>provide advanced specialist mental health training for graduate nurses who have low self-confidence about their mental health nursing knowledge and skills to practice in acute mental health settings</i>; (3) <i>provide clinical supervision for graduate nurses who experience challenges to apply their mental health knowledge and skills to difficult clinical situations</i>; and (4) <i>change the way mental health education and training are delivered for graduate nurses who feel confident with their mental health knowledge and skills and accepted by their nursing team</i>. The findings of this study highlighted the usefulness of Q methodology in nursing research. The findings of this study can be used by nurse educators to provide more individualised education and training for graduate nurses. Future research will be conducted to test the use of different teaching and learning approaches for the different categories of graduate nurses in acute mental health settings and develop evidence-based nursing education.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054624","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":"Empathy and Mentalizing of Mental Health Nurses: A Cross-Sectional Correlational Study","authors":"Gieke Free,&nbsp;Wilma Swildens,&nbsp;Adriaan Hoogendoorn,&nbsp;Aartjan Beekman,&nbsp;Berno van Meijel","doi":"10.1111/inm.70002","DOIUrl":"10.1111/inm.70002","url":null,"abstract":"<p>In mental healthcare, therapists' empathy and mentalizing are associated with better opportunities to establish positive working relations with patients. The present study aimed to explore mental health nurses' level of empathy and mentalizing (compared with reference groups studying or working in different contexts), the association between mental health nurses' level of empathy and mentalizing and sociodemographic characteristics of these nurses, and the association between mental health nurses' level of empathy and mentalizing. A cross-sectional design was used in adherence with the Strengthening the Reporting of Observational Studies in Epidemiology statement. The 28-item Empathy Quotient was used to investigate empathy, and the 28-item Mentalisation Scale was used to assess mentalizing. One hundred and seven mental health nurses working in different work-intensity settings (intensive and intermittent-intensive) participated in the study. Our analyses showed that mental health nurses had statistically significantly higher levels of empathy and mentalizing than the matched reference groups. They also showed that most mental health nurses' demographic characteristics were not statistically significantly associated with their level of empathy and mentalizing: not with age, years of work experience, or educational level. Only two aspects were statistically significantly associated: female gender (for higher levels of empathy and mentalizing) and practicing in an intermittent-intensive work setting (for higher scores on the subscale ‘Motivation’ of the Mentalisation Scale). Furthermore, empathy and mentalizing of mental health nurses were strongly associated and also emerged as two partly overlapping concepts. We conclude that mental health educational institutions and supervisors could pay extra attention to the aspects of gender and work situation concerning mental health nurses' mentalizing and empathy in patient relations.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11755217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026110","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":"Breaking Barriers Transforming Primary Care to Serve the Physical Health Needs of Individuals With SMI in the NHS","authors":"Emma Sheridan,&nbsp;Oladayo Bifarin,&nbsp;Maria Caves,&nbsp;Karen Higginbotham,&nbsp;Jane Harris,&nbsp;Julie Pinder,&nbsp;Peter Brame","doi":"10.1111/inm.13480","DOIUrl":"10.1111/inm.13480","url":null,"abstract":"<p>This critical review paper examines the health inequalities faced by individuals with Severe Mental Illness (SMI) in the United Kingdom; highlighting the disproportionate burden of physical health conditions such as respiratory disorders, cardiac illnesses, diabetes and stroke amongst this population. These conditions contribute to a significantly higher rate of premature mortality in individuals with SMI, with two-thirds of these deaths deemed preventable. Despite the National Health Service (NHS) acknowledging the need to address these health inequalities, the mortality gap between those with and without SMI continues to widen. Additionally, there is limited engagement from service users in annual physical health checks, a concern that this paper addresses by identifying several barriers and providing recommendations to improve access and engagement in physical health checks. This review emphasises the focus on primary care systems as a critical point for addressing health disparities in individuals with SMI. Also, it highlights the need for primary care services to be more adaptive and integrated, playing a key role in managing the physical health of patients with SMI through regular health checks, flexible service delivery, and enhanced coordination with secondary care. Effectively supporting individuals with SMI requires tailored, integrated primary care interventions that address both psychological and physical health challenges, considering diverse demographic needs across the UK.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11755219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026109","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 Future of Artificial Intelligence in Mental Health Nursing Practice: An Integrative Review","authors":"Lucian H. Milasan,&nbsp;Daniel Scott-Purdy","doi":"10.1111/inm.70003","DOIUrl":"10.1111/inm.70003","url":null,"abstract":"<p>Artificial intelligence (AI) has been increasingly used in delivering mental healthcare worldwide. Within this context, the traditional role of mental health nurses has been changed and challenged by AI-powered cutting-edge technologies emerging in clinical practice. The aim of this integrative review is to identify and synthesise the evidence of AI-based applications with relevance for, and potential to enhance, mental health nursing practice. Five electronic databases (CINAHL, PubMed, PsycINFO, Web of Science and Scopus) were systematically searched. Seventy-eight studies were identified, critically appraised and synthesised following a comprehensive integrative approach. We found that AI applications with potential use in mental health nursing vary widely from machine learning algorithms to natural language processing, digital phenotyping, computer vision and conversational agents for assessing, diagnosing and treating mental health challenges. Five overarching themes were identified: assessment, identification, prediction, optimisation and perception reflecting the multiple levels of embedding AI-driven technologies in mental health nursing practice, and how patients and staff perceive the use of AI in clinical settings. We concluded that AI-driven technologies hold great potential for enhancing mental health nursing practice. However, humanistic approaches to mental healthcare may pose some challenges to effectively incorporating AI into mental health nursing. Meaningful conversations between mental health nurses, service users and AI developers should take place to shaping the co-creation of AI technologies to enhance care in a way that promotes person-centredness, empowerment and active participation.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11755225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026126","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":"Perceptions of Mental Health Challenges and Needs of Indonesian Adolescents: A Descriptive Qualitative Study","authors":"Desy Indra Yani,&nbsp;Joelle Yan Xin Chua,&nbsp;John Chee Meng Wong,&nbsp;Minna Pikkarainen,&nbsp;Yong Shian Shawn Goh,&nbsp;Shefaly Shorey","doi":"10.1111/inm.13505","DOIUrl":"10.1111/inm.13505","url":null,"abstract":"<p>Indonesian adolescents face an increased risk of developing mental health conditions such as depression and anxiety, largely due to insufficient mental health literacy and awareness. This lack of knowledge often leads to delayed recognition and treatment. To address this, the present descriptive qualitative study explores Indonesian adolescents' perceptions of mental health challenges and needs. Fourteen adolescents from two public schools in Indonesia were selected through purposive sampling based on their mental health literacy scores (either high or low). One-on-one semi-structured interviews were conducted in December 2023, and thematic analysis was used to uncover key patterns and themes. The study follows the consolidated criteria for reporting qualitative research guidelines. Three main themes emerged: (1) Transitioning to Adulthood: Journeys Through Emotional Turmoil and Societal Expectations, (2) Navigating Challenges: Diverse Adolescent Responses and (3) Breaking the Silence: Empowering Adolescents Through Comprehensive Mental Health Education and Support. This study found that adolescents faced specific challenges related to emotional regulation, body image and self-esteem, academic pressure and the influence of social media. In response to these difficulties, they employed various coping mechanisms, both adaptive and maladaptive. Despite the adversities, adolescents expressed a strong desire to learn how to better manage these challenges and pursue their future career goals. These findings highlight the importance of developing culturally appropriate mental health education and support programs for Indonesian adolescents. Future studies should include a more diverse sample of adolescents and incorporate perspectives from parents and educators to gain a more comprehensive understanding of adolescent mental health in Indonesia.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019017","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":"Clinicians Perspectives on Effective Suicide Prevention in Secondary Care Adult Mental Health Services: An Appreciative Inquiry Approach","authors":"P. Holland,&nbsp;S. Haldane,&nbsp;T.R. Kake","doi":"10.1111/inm.13508","DOIUrl":"10.1111/inm.13508","url":null,"abstract":"<p>Suicide is a major health issue with devastating consequences for individuals, families and communities. In New Zealand, the latest confirmed suicide rates show an increase, with young adults, males and members of the indigenous Māori and LGBTQIA+ communities particularly affected. Until recently, most of the suicide research in New Zealand focused on the general population, rather than clinical populations such as those accessing mental health services. This evidence gap is especially important in New Zealand where almost half of those who die by suicide have known involvement with mental health services. The present qualitative study explored the question: What strategies and approaches do clinicians consider effective for preventing suicide in people accessing adult secondary care community mental health services? Eleven clinicians from a large metropolitan service were interviewed individually and in a focus group. Appreciative inquiry and thematic analysis were used. This report is adherent with COREQ. Four themes were identified for suicide prevention: Understanding who the person is, and for Indigenous Māori, this included use of cultural practices; providing a range of evidence-based prevention strategies; having an effective service structure that is part of a wider system; and suicide prevention work is important and staff need effective support. Clinicians identified strategies at the individual, family and service level for preventing suicide, most of which aligned with those recommended in the literature. There is a need for more suicide prevention research in secondary care mental health services and the effectiveness of suicide prevention in high-rate groups such as Māori and LGBTQIA+.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019024","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 Use of Sea Swimming as an Intervention With Young People With Mental Health Challenges: A Qualitative Descriptive Study","authors":"Alice Taylor,&nbsp;Maria O'Malley,&nbsp;Rachael O'Callaghan,&nbsp;John Goodwin","doi":"10.1111/inm.70000","DOIUrl":"10.1111/inm.70000","url":null,"abstract":"<p>There is emerging evidence that sea swimming can have a positive impact on the mental health of adults. Less is known about how this intervention can impact young people's mental health. The aim of this study was to explore young service users and staff's perspectives on sea swimming in the child and adolescent mental health services. Fourteen participants were interviewed (eight young people and six staff members). Data were analysed using reflexive thematic analysis and five themes were identified. A preference for sea swimming was demonstrated by young people in comparison to other therapies. Young people reported an enhanced (and sustained) sense of well-being after sea swimming. They were able to relate the act of entering cold water to their recovery journey, acknowledging the importance of leaving their comfort zone. A sense of social cohesion was also described. Staff members acknowledged the risks of open sea swimming but highlighted the importance of positive risk taking, given the benefits of this novel intervention. Owing to the positive impact sea swimming can have on the physical and psychological health of young people, there is potential for this novel intervention to be used more frequently within the services.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018961","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}