International Journal of Mental Health Nursing最新文献

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The Burden of Bouncing Back: A Critical Reflection on Resilience and Student Mental Health Nurses 反弹的负担:对弹性和学生心理健康护士的批判性反思
IF 3.6 2区 医学
International Journal of Mental Health Nursing Pub Date : 2025-07-09 DOI: 10.1111/inm.70090
Jane Fisher, Emma Jones
{"title":"The Burden of Bouncing Back: A Critical Reflection on Resilience and Student Mental Health Nurses","authors":"Jane Fisher, Emma Jones","doi":"10.1111/inm.70090","DOIUrl":"https://doi.org/10.1111/inm.70090","url":null,"abstract":"<p>In this paper, we express our continued concern with the growing trend to misuse the concept of resilience. We have previously contended that resilience has devolved into a fashionable buzzword, adopted by neoliberal mental health services. Used as a double-edged sword against both staff and patients, it implies an impossible ability to simply bounce back from stress and adversity (Fisher and Jones <span>2023</span>). In this paper, we make the case for its potential harm to student mental health nurses and encourage reflexivity in both clinical and academic staff regarding our role in perpetuating the oppressive resilience narrative.</p><p>The Latin word ‘resilier’ means to rebound, or spring back and was originally used to describe the structure of materials in an engineering context. A semantic shift however expanded the definition to include the human ability to bounce/spring back or recover from adversity. This lexicon evolution has gained popularity in the fields of social sciences, triggering its adoption by mental health services. However, the definition of resilience is not agreed upon in the literature. In the first integrative review of resilience in mental health nursing, Foster et al. (<span>2019</span>) identified a prevailing focus on resilience being a static personality trait or characteristic. These prevalent connotations of resilience as an individual character attribute, align with neoliberal ideologies that promote individualism and self-reliance. The burden of resilience is unfairly placed on individuals, rather than societal or political structures. In the context of student mental health nurses, this is problematic as blame is shifted from external workplace and academic challenges, towards the individual student nurse. They can be posited as being unable to cope, weak, emotional or needing to ‘build resilience.’</p><p>Within clinical practice, resilience should be supported by both internal and external resources. According to Cooper et al. (<span>2022</span>) these resources should focus on helping individuals return to optimal functioning following workplace stress and adversity. However, all too often external resources are limited to tokenistic gestures, tick box exercises designed to mitigate corporate responsibility. We do not excuse academic institutions; we too can be guilty of relying on transient wellbeing activities to solve the unsolvable and applying a sticking plaster to systemic failings.</p><p>In our roles as personal tutors to mental health students, our conversations are often consumed with challenging clinical practice concerns, hence the importance of discussions around the concept of resilience. Practice concerns can include racism, harassment, bullying, and violence and aggression. Sadly, these complaints are reflected in the wider literature, with Hallett et al. (<span>2021</span>) finding that 81% of student nurses had experienced non-physical aggression, with 56% experiencing physical aggressio","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70090","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144589557","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}
引用次数: 0
Brief Admission by Self-Referral: A 4-Year Follow-Up on Utilisation Patterns and Experiences 自我介绍的简短入院:对使用模式和经验的4年随访
IF 3.6 2区 医学
International Journal of Mental Health Nursing Pub Date : 2025-07-09 DOI: 10.1111/inm.70091
Daiva Daukantaitė, Rose-Marie Lindkvist, Reid Lantto, Sofie Westling
{"title":"Brief Admission by Self-Referral: A 4-Year Follow-Up on Utilisation Patterns and Experiences","authors":"Daiva Daukantaitė,&nbsp;Rose-Marie Lindkvist,&nbsp;Reid Lantto,&nbsp;Sofie Westling","doi":"10.1111/inm.70091","DOIUrl":"https://doi.org/10.1111/inm.70091","url":null,"abstract":"<p>Brief Admission by self-referral (BA) is a crisis intervention for individuals with recurrent self-harm and suicidal ideation. While short-term effects are documented, long-term utilisation patterns remain unclear. This study examines BA usage over 4 years, identifies distinct utilisation profiles, and qualitatively explores participants' experiences with BA over time. Participants were 62 individuals from a prior randomised controlled trial who provided informed consent for follow-up. Using a mixed-methods convergent parallel design, quantitative and qualitative data were collected simultaneously, analysed separately, and integrated during the discussion. BA utilisation and profiles were examined quantitatively, while qualitative content analysis was applied to open-ended responses. When analysing mean levels across the entire sample, BA usage initially averaged 8 days per 6-month period but gradually declined over 4 years to 3–4 days. However, cluster analysis revealed distinct BA usage trajectories across three utilisation profiles: Cluster 1 (<i>n</i> = 40) exhibited consistently low BA usage, Cluster 2 (<i>n</i> = 14) showed a gradual decline following an initial phase of engagement, and Cluster 3 (<i>n</i> = 8) maintained high and sustained BA usage throughout the 4-year period, reporting greater impairments but strong satisfaction with BA. These individuals valued BA for its structured support, autonomy, and sense of security. BA appears to serve as both a form of self-care and a gateway to broader psychiatric support, particularly for those with greater functional impairments. To optimise its long-term effectiveness, structural barriers, access inconsistencies, and stigma must be addressed through better integration into psychiatric services.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70091","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144589556","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}
引用次数: 0
Correction to ‘Digital Mental Health Interventions for the Mental Health Care of Refugees and Asylum Seekers: Integrative Literature Review’ 对“难民和寻求庇护者心理健康护理的数字心理健康干预:综合文献综述”的更正
IF 3.6 2区 医学
International Journal of Mental Health Nursing Pub Date : 2025-07-09 DOI: 10.1111/inm.70089
{"title":"Correction to ‘Digital Mental Health Interventions for the Mental Health Care of Refugees and Asylum Seekers: Integrative Literature Review’","authors":"","doi":"10.1111/inm.70089","DOIUrl":"https://doi.org/10.1111/inm.70089","url":null,"abstract":"<p>Mabil-Atem, J.M., Gumuskaya, O. &amp; Wilson, R.L. (2024) Digital mental health interventions for the mental health care of refugees and asylum seekers: Integrative literature review. <i>International Journal of Mental Health Nursing</i>, 33, 760–780. Available from: https://doi.org/10.1111/inm.13283.</p><p>There were errors in the in-text citations and references for the above article. These have been corrected in the online article.</p><p>We apologise for the errors.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70089","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144589554","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}
引用次数: 0
Suicidal Ideation Among Indonesian Adolescents: A Qualitative Synthesis of the Psychosocial, Cultural and Spiritual Dynamics 印度尼西亚青少年的自杀意念:心理社会、文化和精神动力的定性综合
IF 3.6 2区 医学
International Journal of Mental Health Nursing Pub Date : 2025-07-09 DOI: 10.1111/inm.70092
Rika Sarfika, Hema Malini, Bunga Permata Wenny, Christina Yeni Kustanti, I. Made Moh. Yanuar Saifudin, Dewi Eka Putri, Nindi Eka Wijaya, Ferry Efendi
{"title":"Suicidal Ideation Among Indonesian Adolescents: A Qualitative Synthesis of the Psychosocial, Cultural and Spiritual Dynamics","authors":"Rika Sarfika,&nbsp;Hema Malini,&nbsp;Bunga Permata Wenny,&nbsp;Christina Yeni Kustanti,&nbsp;I. Made Moh. Yanuar Saifudin,&nbsp;Dewi Eka Putri,&nbsp;Nindi Eka Wijaya,&nbsp;Ferry Efendi","doi":"10.1111/inm.70092","DOIUrl":"https://doi.org/10.1111/inm.70092","url":null,"abstract":"<div>\u0000 \u0000 <p>Suicide among adolescents represents a significant public health concern in Indonesia, where complex interactions between cultural values, religious beliefs and contemporary social pressures shape mental health experiences. Despite the increasing prevalence of suicidal ideation among Indonesian adolescents, limited qualitative research has explored how these sociocultural factors influence suicide risk within this population. This study aimed to explore the lived experiences and psychosocial factors influencing suicidal ideation among Indonesian adolescents within Indonesia's collectivistic, religiously influenced society. A qualitative phenomenological approach was employed to conduct in-depth, semi-structured interviews with 34 adolescents (aged 15–19 years). Participants were recruited through purposive sampling from educational institutions in West Sumatra, Indonesia. Interviews were conducted in participants' preferred language (Indonesian or Minangkabau dialect), audio recorded, transcribed verbatim and analysed using Braun and Clarke's thematic analysis framework. The study revealed five key themes influencing suicidal ideation: (1) the impact of trauma on social and emotional disconnection, (2) the burden of unrealistic expectations and emotional isolation, (3) barriers to emotional expression and coping through isolation and distraction, (4) navigating emotional overwhelm, stigma and spiritual conflict and (5) perceived formality of support and the desire for genuine acceptance. These themes revealed how family disruption, academic pressure and cultural expectations interact with religious beliefs to shape adolescents' struggles with suicidal ideation, whereas also highlighting significant barriers to accessing mental health support. The findings underscore the intricate interplay of psychosocial, cultural and spiritual influences on adolescent suicidal ideation, highlighting the necessity for culturally responsive prevention strategies that address both the protective and constraining aspects of sociocultural norms.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144589555","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}
引用次数: 0
A Realist-Informed Evaluation of a Rapid Response System for Mental State Deterioration in Acute Hospitals: Testing Program Theories Through Interviews 急诊医院精神状态恶化快速反应系统的现实评估:通过访谈测试程序理论
IF 3.6 2区 医学
International Journal of Mental Health Nursing Pub Date : 2025-06-20 DOI: 10.1111/inm.70083
Tendayi Bruce Dziruni, Alison M. Hutchinson, Sandra Keppich-Arnold, Tracey Bucknall
{"title":"A Realist-Informed Evaluation of a Rapid Response System for Mental State Deterioration in Acute Hospitals: Testing Program Theories Through Interviews","authors":"Tendayi Bruce Dziruni,&nbsp;Alison M. Hutchinson,&nbsp;Sandra Keppich-Arnold,&nbsp;Tracey Bucknall","doi":"10.1111/inm.70083","DOIUrl":"https://doi.org/10.1111/inm.70083","url":null,"abstract":"<p>Effective management of patient mental state deterioration in acute hospital settings is crucial due to its significant impact on both patients and staff. However, inconsistencies in management strategies highlight the need for standardised approaches. We adopted a realist evaluation approach to gain insights into staff perceptions and experiences, exploring how, for whom and under what circumstances the DIvERT (De-escalation, Intervention, Early, Response, Team) system, a rapid response system functions in practice. We conducted 23 semi-structured interviews with clinical staff from two pilot acute hospital settings. The qualitative data were analysed to identify key themes and contextual factors that influence the system's functioning, providing insights into the mechanisms through which DIvERT facilitates proactive intervention. Findings indicated that ward staff valued a structured approach and benefited from interdisciplinary collaboration with mental health experts, which improved their clinical knowledge and confidence. A supportive ward culture, characterised by teamwork and open communication, facilitated collaboration and response effectiveness. However, bedside nurses often deferred escalation decisions to senior staff, have to balance prioritising immediate medical needs over proactive risk management. Inconsistent training, unclear escalation pathways and knowledge gaps, particularly among new graduates, limited system efficiency. Resource shortages and scheduling conflicts further constrained timely responses. Addressing these barriers through structured training, clear escalation pathways and proactive risk management is essential to improving mental state deterioration management. A ward culture that promotes communication, teamwork and effective resource allocation can strengthen the implementation and effectiveness of rapid response systems in acute hospital settings.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 3","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70083","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144331896","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}
引用次数: 0
The Factors That Affect Sexual Safety on Adult Mental Health Inpatient Units: A Scoping Review and Content Analysis 影响成人精神卫生住院单位性安全的因素:范围回顾与内容分析
IF 3.6 2区 医学
International Journal of Mental Health Nursing Pub Date : 2025-06-17 DOI: 10.1111/inm.70081
Karen Dixon, Melissa Petrakis, Ellie Fossey, So Sin Sim, Linda Barclay
{"title":"The Factors That Affect Sexual Safety on Adult Mental Health Inpatient Units: A Scoping Review and Content Analysis","authors":"Karen Dixon,&nbsp;Melissa Petrakis,&nbsp;Ellie Fossey,&nbsp;So Sin Sim,&nbsp;Linda Barclay","doi":"10.1111/inm.70081","DOIUrl":"https://doi.org/10.1111/inm.70081","url":null,"abstract":"<p>Mental health inpatient units aim to be safe places for consumers to recover but existing literature suggests this is not always the case. Women are particularly vulnerable to sexual safety incidents due to their higher prevalence of experiencing sexual assault and harassment in the broader community. This review aimed to identify and synthesise the factors that affect sexual safety on adult mental health inpatient units in the published literature, from the perspectives of staff and consumers. The literature search of four databases (CINAHL, Ovid Medline, PsychINFO and AMED) and other sources, yielded 15 studies that met the inclusion criteria. Content analysis identified four categories: (1) the built environment, (2) leadership, (3) the consumer voice and (4) staff capabilities and resources. Recommendations to promote sexual safety included the creation of separate flexible areas for women or others with sexual safety vulnerabilities such as gender diverse people. Clear guidance from leadership was identified as necessary to promote good practice when managing and responding to sexual safety incidents and creating reliable systems for consumers to feel safe when reporting their concerns. Trauma-informed principles must be embedded into everyday practice including the routine completion of a trauma history upon admission and staff training is recommended to promote and respond to sexual safety incidents. This training should be delivered and/or co-designed by consumers. This review highlights the need for further research into the effectiveness of interventions designed to address these factors that affect sexual safety on mental health inpatient units.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 3","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70081","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144308630","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}
引用次数: 0
Efficiency of AIMS: A 4-Week Recovery Oriented Suicide Prevention Pathway 目的的有效性:4周康复导向的自杀预防途径
IF 3.6 2区 医学
International Journal of Mental Health Nursing Pub Date : 2025-06-17 DOI: 10.1111/inm.70080
Manaan Kar Ray, Annabelle Groth, Nicola Geffen, Melanie Gregory, Eliza Farley, Abigail Lane, Muthur Anand, Chiara Lombardo, Marianne Wyder
{"title":"Efficiency of AIMS: A 4-Week Recovery Oriented Suicide Prevention Pathway","authors":"Manaan Kar Ray,&nbsp;Annabelle Groth,&nbsp;Nicola Geffen,&nbsp;Melanie Gregory,&nbsp;Eliza Farley,&nbsp;Abigail Lane,&nbsp;Muthur Anand,&nbsp;Chiara Lombardo,&nbsp;Marianne Wyder","doi":"10.1111/inm.70080","DOIUrl":"https://doi.org/10.1111/inm.70080","url":null,"abstract":"<p>The global rise in presentations to emergency departments (EDs) for suicidal crises has created significant challenges for healthcare systems. Traditional approaches often emphasise containment and risk aversion, leading to prolonged ED stays and resource-intensive inpatient admissions. A large Australian metropolitan mental health service introduced a Wellbeing Team (WBT), and trialled the recovery-oriented AIMS (assessment, intervention, monitoring, step up/down) pathway. Grounded in the PROTECT framework, its focus is on person-centred care, integrating positive risk-taking and collaborative safety planning to stabilise individuals and reduce reliance on public mental health services. This study analysed 552 people referred to the WBT over 32 months, primarily from EDs (47.1%) and acute care teams (47.5%). The population predominantly consisted of women (63.2%), with a mean age of 27.9 years. The most common diagnoses were adjustment disorders (30.4%), depressive episodes (22.3%) and emotionally unstable personality disorder (14.7%). The WBT provided tailored interventions, including motivational interviewing, safety planning, distress tolerance techniques and psychopharmacological optimisation, guided by tools like the DESPAIR safety formulation. Outcomes revealed significant system efficiencies, with only 3.8% of participants requiring ongoing public mental health support. Most participants were successfully transitioned to primary care. Six-month post-intervention data showed 76.3% of individuals with no prior public mental health involvement did not re-present, and 60.7% with prior involvement did not require further input from secondary mental health services. These findings demonstrate the efficiency of recovery-oriented care in reducing systemic pressures while fostering sustainable outcomes, underscoring the potential of short-term, intensive, structured interventions like AIMS to transform suicide prevention pathways.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 3","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70080","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144300461","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}
引用次数: 0
Unseen Battles: The Impact of War Media Exposure on Stress, Anxiety and Persistent Thinking Among Elderly Community Dwellers: A Cross-Sectional Study 看不见的战斗:战争媒体曝光对社区老年居民压力、焦虑和持续性思维的影响:一项横断面研究
IF 3.6 2区 医学
International Journal of Mental Health Nursing Pub Date : 2025-06-16 DOI: 10.1111/inm.70082
Nawara Kirallah Abd El Fatah, Ayman Mohamed El-Ashry, Mahmoud Abdelwahab Khedr, Sageda Magdy Ali
{"title":"Unseen Battles: The Impact of War Media Exposure on Stress, Anxiety and Persistent Thinking Among Elderly Community Dwellers: A Cross-Sectional Study","authors":"Nawara Kirallah Abd El Fatah,&nbsp;Ayman Mohamed El-Ashry,&nbsp;Mahmoud Abdelwahab Khedr,&nbsp;Sageda Magdy Ali","doi":"10.1111/inm.70082","DOIUrl":"https://doi.org/10.1111/inm.70082","url":null,"abstract":"<div>\u0000 \u0000 <p>Older adults are the most susceptible group to distressing and traumatic effects from the media content; they are at a higher risk for adverse psychological effects from exposure to war-related media. However, no attention has been given to clarifying the association between war media exposure and such psychological outcomes. Investigate the impact of war media exposure on stress, anxiety and persistent thinking among elderly community dwellers. A cross-sectional correlational descriptive study was conducted on a convenience sample of 400 elderly community dwellers selected from multiple community settings. Five tools were used: demographic and clinical data of elderly community dwellers, the Arabic version of the War-Related Media Exposure Scale, War-Related Stress Scale, War Anxiety Scale and War-Related Persistent Thinking Scale. Results indicated noticeable exposure to war-related media, with most participants reporting moderate levels of stress and anxiety, as well as mild persistent thoughts. War media exposure was a significant predictor of stress (<i>β</i> = 0.462), anxiety (<i>β</i> = 0.385) and persistent thinking (<i>β</i> = 0.768). Demographic factors such as sex, age, education and living conditions also influenced psychological outcomes, with males, younger elderly, and those with higher education reporting higher distress levels. The findings highlight the vulnerability of older adults to the psychological effects of war media exposure, emphasising the need for targeted interventions to mitigate these impacts. This study underscores the importance of addressing media-related mental health challenges in elderly populations, particularly in regions affected by ongoing conflicts. This study found that exposure to war media significantly predicted higher levels of stress, anxiety and intrusive thoughts among older adults. Demographic factors also contributed to psychological vulnerability, emphasising the need for tailored nursing interventions in community settings.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 3","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144299570","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}
引用次数: 0
An Exploration of Health Professionals' Views of Diet Intervention for Psychosis Management 卫生专业人员对饮食干预治疗精神病的看法探讨
IF 3.6 2区 医学
International Journal of Mental Health Nursing Pub Date : 2025-06-12 DOI: 10.1111/inm.70073
Kevin Williamson, John Baker, Nicola Clibbens
{"title":"An Exploration of Health Professionals' Views of Diet Intervention for Psychosis Management","authors":"Kevin Williamson,&nbsp;John Baker,&nbsp;Nicola Clibbens","doi":"10.1111/inm.70073","DOIUrl":"https://doi.org/10.1111/inm.70073","url":null,"abstract":"<p>Psychosis has a large impact on individuals and their families and current treatment approaches are not fully efficacious. The formation and function of the brain are dependent upon nutrients, supplied through the diet. Despite this, evidence indicates that the diets of people living with psychosis are nutritionally suboptimal. The aim of this qualitative research study was to seek the views of healthcare professionals experienced in psychosis management on the role and core components of dietary intervention for psychosis management. The study was conducted following the Medical Research Council's (MRC) framework's approach to the development and evaluation of complex healthcare interventions. The data were thematically analysed and constructed into four themes: (1) ‘<i>A desire for more knowledge on diet in relation to psychosis management</i>’; (2) <i>‘Balancing duty of care around diet within services’</i>; (3) <i>‘Health Professionals' perceptions of dietary habits of people with psychosis’</i>; and (4) ‘<i>Factors to consider when developing and implementing a diet intervention for psychosis</i>’. Findings from these key stakeholders suggest value for diet intervention within psychosis management, delivered by trained health professionals within National Health Service (NHS) mental health services. The evidence-based diet intervention should be accessible to patients and should lead to the necessary dietary knowledge and skills acquisition for patients and their families. The principal recommendation following this research is to develop a diet intervention for psychosis management with additional stakeholder involvement, including NHS mental health service commissioners and academics responsible for health professionals' pre- and postregistration curricula.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 3","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70073","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144264379","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}
引用次数: 0
‘We Are the Cornerstone of This Hospital’: First-Hand Accounts of Expert-By-Experience Practices in Forensic Psychiatry in Finland “我们是这家医院的基石”:芬兰法医精神病学专家经验实践的第一手资料
IF 3.6 2区 医学
International Journal of Mental Health Nursing Pub Date : 2025-06-09 DOI: 10.1111/inm.70079
Katja Lumén, Olavi Louheranta, Lauri Kuosmanen
{"title":"‘We Are the Cornerstone of This Hospital’: First-Hand Accounts of Expert-By-Experience Practices in Forensic Psychiatry in Finland","authors":"Katja Lumén,&nbsp;Olavi Louheranta,&nbsp;Lauri Kuosmanen","doi":"10.1111/inm.70079","DOIUrl":"https://doi.org/10.1111/inm.70079","url":null,"abstract":"<p>Experts-by-experience can help care personnel in planning, producing and evaluating care and promoting the patient perspective in care. Patients in forensic psychiatry rarely influence core processes in hospitals, but involving them as experts-by-experience in various assignments has become a desirable way of making forensic psychiatric services more patient-centred. This is the first study to outline the forms that expert-by-experience work takes in Finnish forensic hospitals. It summarises experiences of such work from the perspectives of experts-by-experience themselves and the staff who work with them. We interviewed 19 experts-by-experience and 18 professionals who work with them to reveal the current situation of expert-by-experience activities in Finnish forensic psychiatric hospitals. We used inductive thematic analysis to explore their experiences. Our findings identify five main themes: a transformative effect, the resources as a contribution, motivation and achievement, interaction and co-operation and identification as validation. The results from this study show that a wide range of expert-by-experience tasks are assigned to current and former patients in these hospitals, but experts-by-experience have not yet gained a formal position in most of them. We identified several benefits of expert-by-experience work for different stakeholders, along with challenges to the implementation of EBE practices. We hope that this study will promote the development of expert-by-experience work in forensic psychiatric hospitals. A COREQ Checklist was applied.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 3","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70079","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244695","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}
引用次数: 0
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