International Journal of Mental Health Nursing最新文献

{"title":"Radicalising Self-Care to Sustain Nursing Practice","authors":"Sophie Isobel","doi":"10.1111/inm.70354","DOIUrl":"10.1111/inm.70354","url":null,"abstract":"<p>The ideal mental health nurse is empathic in work hours and unaffected by work once they leave for the day. Modern movements like trauma informed care can disrupt this separation by encouraging us to tap into our humanity, to notice how the work impacts us and acknowledge all the myriad of things we may feel in any given day. When working in trauma informed ways, our approach to care shifts, but so does how we think about ourselves.</p><p>Many mental health nurses have experienced trauma in their lives and may also experience trauma in their work. Despite how desensitised nurses may feel at times, we are not immune to the things we see and do. Even when resilient, we are still impacted by our work.</p><p>There are various terms used to describe the ways work can impact us. We may experience secondary trauma from hearing about things in the lives of people we care for, that we don't directly experience. This can occur from stories, handovers, conversations or reading notes. We may experience compassion fatigue: a gradual loss of empathy and care that occurs from emotional exhaustion. We can develop burnout from constant organisational demands and a sense that there are so many people in distress, making our work feel futile or pointless.</p><p>We can also experience vicarious trauma. Vicarious trauma is similar to secondary trauma, compassion fatigue or burnout, but it occurs beneath consciousness. It is a relational experience linked to empathy (Isobel and Thomas <span>2022</span>). Our work requires imagining the experience of others to understand their emotional state. In doing so, our brains replicate a representation of what they may be experiencing. This is helpful for building relationships and supporting people, but when we do it repeatedly (without the opportunity to regulate), our brains can become less clear on what experiences are ours and what are someone else's. Vicarious trauma replicates a primary trauma response yet, without an anchoring event, we may not recognise it as such.</p><p>Vicarious trauma can result in sustained shifts in our perceptions of the world, which is different to being impacted or distressed by our work. It can alter how we relate to others, how we live our lives, how we view the world and how we think of ourselves. These impacts of the work have long been recognised in trauma therapy fields yet are only beginning to be recognised in mental health nursing. There is still some uncertainty about whose responsibility it is to prevent and respond to trauma that occurs in the course of work.</p><p>All experiences of trauma can feel helpless; this is a fundamental element of trauma. Counteracting this helplessness with a sense that recovery is possible is important. The most significant thing that ‘helps’ vicarious trauma is awareness. When we know that experiencing traumatic effects is something likely to happen in providing empathic care, then the best defence against it sneaking into our unconscious is awarene","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70354","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148922361","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":"Building a Mental Health–Ready Nursing Workforce: A Scoping Review of Preparatory Interventions","authors":"Ivana Felicia Angkawijaya,&nbsp;Celine Joy Jing Hsia Gan,&nbsp;Ziqiang Li,&nbsp;Yong Shian Goh","doi":"10.1111/inm.70343","DOIUrl":"10.1111/inm.70343","url":null,"abstract":"<div>\u0000 \u0000 <p>The rising prevalence of mental health conditions (MHCs), coupled with increased public awareness, has led to greater help-seeking behaviours and heightened demands on nurses across healthcare settings. However, many general trained nurses report feeling inadequately prepared to care for individuals with MHCs due to limited training and clinical exposure. This lack of preparedness may result in compromised quality of care, reduced professional satisfaction and poorer recovery outcomes for clients. Existing systematic reviews have predominantly focused on psychosocial interventions for psychiatric nurses, limiting insights into interventions relevant to the broader nursing workforce. This review aimed to map the available evidence on interventions that prepare general trained nurses to care for individuals with MHCs. A comprehensive search was conducted across eight electronic databases between August and September 2024, alongside grey literature sources, including ProQuest Dissertations and Theses and ClinicalTrials.gov, searched between September and October 2024. A total of 7646 records were identified. Following title and abstract screening, 38 full-text articles were reviewed, of which 24 met the inclusion criteria. A narrative synthesis was undertaken, with findings organised into delivery methods, intervention domains and implementation challenges. The review found that interventions targeting mental health literacy, stigma reduction, interpersonal and communication skills, and nurse safety and resilience were associated with improved confidence, empathy, therapeutic relationships and willingness to provide care. Overall, the findings underscore the importance of multifaceted, contextually relevant approaches, including digital literacy training, ongoing evaluation and stronger organisational support, to enhance nurses' preparedness and well-being in mental health care.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148922355","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":"Why the Skinny Epidemic Is a Mental Health Nursing Issue","authors":"Sophie Isobel","doi":"10.1111/inm.70355","DOIUrl":"10.1111/inm.70355","url":null,"abstract":"&lt;p&gt;Mental health conditions are on the rise with more than 1 billion people worldwide diagnosed with something. Among these diagnoses, rates of eating disorders have rapidly increased. Although eating disorders occur across all ages, genders, body sizes, and cultural groups, the demographic profile is getting younger. In 2015, over half of 5 year old girls expressed internalisation of a thin ideal, and many practiced dietary restraint (Damiano et al. &lt;span&gt;2015&lt;/span&gt;). Then globally many countries have reported increases of up to 40% in eating disorder presentations among children and adolescents since the COVID-19 pandemic (Pastore et al. &lt;span&gt;2023&lt;/span&gt;). Currently the world is aghast as thinness comes back into fashion and visible markers of malnutrition are celebrated.&lt;/p&gt;&lt;p&gt;At the same time as rising rates of eating disorders, children meeting Body Mass Index standards for being overweight or obese is predicted by the World Obesity Federation to reach 400 million by 2035, leading to urgent calls for action. We are living in a world where both of these things can be true at once. After years of body positivity campaigns and public conversations about weight stigma, a new cultural obsession with shrinking bodies has emerged. Dramatic weight loss is being celebrated, admired, monetised, and perhaps most worryingly, disguised in the language of health. The rapid rise of highly effective and accessible weight-loss medications, coupled with the relentless visibility of curated online bodies, has created what many are calling a ‘skinny epidemic’; in which extreme weight loss is normalised. For nurses, this puts us in a precarious position between health promotion and harm reduction and raises questions about our responsibility and role in promoting mental wellbeing, eating disorder prevention and challenging fat-phobia.&lt;/p&gt;&lt;p&gt;The recent boom in weight loss medications means that thinness has gone beyond being idealised, to now being positioned as a health issue, attainable to all and almost expected: if you choose to stay fat when you could access this fix, that's on you. In mental health care, body positivity is complicated by the widespread use (and force) of psychiatric medications that significantly alter weight, leading to physical health conditions, shame and decreased engagement in care (Kline et al. &lt;span&gt;2023&lt;/span&gt;). Subsequently, mental health nurses engage in physical health care and monitoring for metabolic syndrome and may also increasingly take on prescribing roles with weight loss medications. But do we also play a role in tackling weight stigma?&lt;/p&gt;&lt;p&gt;People in larger bodies face a pervasive form of stigma linked to discrimination across settings, including in healthcare. The widely held devaluation and denigration of people in larger bodies is known to cut across nearly every part of life. It is also associated with negative physiological and psychosocial outcomes, with its impacts mirroring or outweighing the harms attributed ","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70355","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148922395","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":"Mental Health of First Responders in Rural Australia: A Qualitative Exploration of Intersecting Individual, Organisational and Contextual Factors on Psychological Wellbeing","authors":"Rikki Jones,&nbsp;Kylie Rice,&nbsp;Debra Jackson,&nbsp;Kim Usher,&nbsp;Jamie Ranse,&nbsp;Aimee Gayed,&nbsp;Clare Sutton,&nbsp;Lisa Clegg,&nbsp;Andrew Arena","doi":"10.1111/inm.70349","DOIUrl":"10.1111/inm.70349","url":null,"abstract":"<p>To explore the factors shaping mental health experiences among rural and remote first responders and to examine how organisational and contextual conditions influence psychological wellbeing. First responders are routinely exposed to traumatic events and are at elevated risk of mental health difficulties. In rural and remote settings, geographic isolation, limited workforce capacity, and reduced access to specialised services may compound these risks. However, less is known about how workplace culture and service structures interact with trauma exposure in these contexts. A participatory action research (PAR) approach was used to co-design this study, using phenomenological qualitative methods through semi-structured interviews with rural and remote first responders. Data were analysed using reflexive thematic analysis informed by phenomenological principles to explore lived experience. An advisory group contributed to the interpretation and refinement of findings. Participants described cumulative mental health strain arising not only from trauma exposure but also from structural and cultural conditions embedded within rural service environments. Geographic isolation, small team structures, high workload, and limited anonymity intensified emotional labour. Workplace cultures characterised by expectations of stoicism, ‘hero’ narratives, misogyny and gender discrimination, and limited recognition contributed to moral distress and psychological burden. Participants identified significant gaps in mental health service provision, including limited access to trauma-informed and first responder-specific supports in rural areas. Mental health challenges among rural first responders are shaped by intersecting individual, organisational, and structural factors. Trauma exposure alone does not account for the complexity of distress experienced in these settings. Interventions must extend beyond individual resilience-building to include organisational reform, psychologically safe workplace cultures, and improved access to tailored, trauma-informed mental health services in rural and remote contexts.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70349","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914839","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":"International Pre-Registration Nursing Students' Experiences of Mental Health Clinical Placement in Australia: A Qualitative Study","authors":"Alana Wilson,&nbsp;Renee Molloy,&nbsp;Sharon Yahalom,&nbsp;Adam Searby","doi":"10.1111/inm.70350","DOIUrl":"10.1111/inm.70350","url":null,"abstract":"<p>As of May 2026, the Australian Government reported approximately 23 034 international students enrolled in pre-registration nursing degrees in Australian universities. These pre-registration nursing degrees typically include mandatory clinical placements in mental health settings; however, to date no research has explored the experiences of international pre-registration nursing students during their mental health clinical placement. Using a qualitative descriptive methodology, we interviewed 13 pre-registration international nursing students from an Australian university about their experiences of clinical placement in mental health settings. Analysis of the data resulted in four themes: (1) Pre-existing perspectives of mental health; (2) Experiencing transformation during clinical placement; (3) Gaining confidence during the placement experience; and (4) Overcoming placement challenges. Several participants held differing negative perceptions of mental illness prior to placement, which initially invoked feelings of fear and apprehension. However, as the mental health placement progressed, participants gained confidence and began exploring mental health nursing as a specialty. Challenges, such as racist comments, were encountered by some participants. Findings suggest that mental health placement plays an important role in preparing international nursing students for practice and influences their decision to specialize in mental health nursing. However, further work is needed from both universities and clinical placement venues to support the unique challenges faced by those who are not domestic students.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13548449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901596","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":"“Just (Don't) do It?” Stakeholder Perspectives on Physical Activity Interventions in Adult Acute Mental Health Wards: A Qualitative Thematic Analysis","authors":"Michelle Glascott,&nbsp;Philip Hodgson,&nbsp;Wendy Hope,&nbsp;Nicola Clibbens,&nbsp;Luke Aston,&nbsp;Laura Fleming,&nbsp;Alison Innerd,&nbsp;Michael Graham","doi":"10.1111/inm.70342","DOIUrl":"10.1111/inm.70342","url":null,"abstract":"<p>Adult acute mental health wards operate under sustained pressure, characterised by high patient acuity, workforce shortages and a focus on risk management that can limit opportunities for therapeutic engagement. Although physical activity is increasingly recognised as beneficial for mental and physical health, there remains limited evidence to guide its implementation within acute inpatient settings. The purpose of this study was to generate practice-relevant insights to inform the design and implementation of feasible physical activity interventions in adult acute mental health wards. A qualitative study was conducted using focus groups across two National Health Service mental health trusts in England. Thirty participants took part, including mental health nurses, multidisciplinary staff and people with lived experience of acute ward care. Data were analysed using reflexive thematic analysis within a multidisciplinary and lived-experience-informed research team. Three interrelated themes were identified. Barriers to implementation reflected the interaction between patient acuity, medication effects, restrictive practices, workforce pressures and ward organisation. Enablers and opportunities included nursing leadership, flexible and relational delivery approaches, staff participation and active involvement of patients in the design of activities and care planning. Participants also highlighted the importance of evaluation approaches that balance feasibility with meaningful patient-centred and ward-level outcomes, including staff wellbeing and ward atmosphere. Physical activity was perceived as both desirable and achievable when adapted to the realities of acute ward environments. These findings address an important evidence gap and can inform the development of context-sensitive, recovery-oriented physical activity interventions aligned with acute inpatient mental health nursing practice.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13550944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148908086","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":"Accessing Care and Treatment in the Emergency Department for Self-Harm and Suicidal Ideation: A Qualitative Study of Service Users' Experiences","authors":"Louise Doyle,&nbsp;Brian Keogh,&nbsp;Jean Morrissey,&nbsp;Agnes Higgins,&nbsp;Róisín Reilly,&nbsp;Kaitlyn McGeehan","doi":"10.1111/inm.70344","DOIUrl":"10.1111/inm.70344","url":null,"abstract":"<p>Despite the availability of guidelines and protocols, service users' experiences of accessing care and treatment for self-harm and suicidal ideation at the Emergency Department (ED) are variable. There is a need to better understand what impacts service user experiences given the important role of the ED for accessing care and influencing future interactions with mental health services for people who experience self-harm and suicidal distress. This study aimed to identify the experiences of service users when presenting to the ED with self-harm and suicidal ideation. A descriptive qualitative approach was utilised encompassing in depth semi-structured interviews with 50 adult service users who attended EDs across the Republic of Ireland for self-harm and suicidal ideation. Data were analysed using reflexive thematic analysis. Findings are reported in accordance with COREQ guidelines and focus on three themes that were developed from the data: (1) Experiences of assessment, (2) Interpersonal interactions, (3) Discharge, onward referral and next steps to care. Participant experiences of care and treatment in the ED were largely negative with reports of an over-reliance on mechanistic assessments, poor interpersonal interactions and lack of support following discharge from the ED. The use of evidence-based protocols is important to ensure standardised and effective care and treatment of people attending the ED with self-harm and suicidal ideation. However, a relational approach needs to underpin their use to ensure that service users feel respected and listened to by all staff in the ED, and more positively inclined towards future help-seeking.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13548339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901610","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 Service Held Together in Practice: A Qualitative Study of Interorganizational Collaboration in a Swedish Youth Mental Health and Substance Use Service","authors":"Jofen Kihlström,&nbsp;Martin Salzmann-Erikson,&nbsp;Irene Hylander,&nbsp;Maria Lindberg","doi":"10.1111/inm.70347","DOIUrl":"10.1111/inm.70347","url":null,"abstract":"<p>Adolescent substance use frequently co-occurs with mental-health difficulties and social adversity. Existing research highlights heterogeneous risk profiles and a paucity of integrated service models that bridge health- and social-care sectors. A qualitative case study was undertaken at the newly established MiniMaria treatment centre in Sweden. Data were gathered through participant observation of 18 steering-, project- and operative-group meetings, four workplace meetings, and semi-structured interviews with five staff members. Reflexive thematic analysis was applied iteratively, guided by a conceptual framework of collaborative advantage (power, trust, organizational culture, leadership, goal management). This study adheres to the Standards for Reporting Qualitative Research (SRQR) checklist. Four overarching themes emerged: (1) divergent organizational cultures and power; (2) fragmented goal management; (3) fluctuating trust and leadership; and (4) operational-level impact on staff. Middle-management pragmatism compensated for strategic indecision, sustaining service delivery despite resource constraints (for instance absence of a dedicated physician). The MiniMaria project demonstrates that clear, enforceable governance structures are vital for integrated youth services. When senior-level alignment falters, empowered front-line managers can preserve continuity of care, but the sustainability of such models hinges on explicit memoranda, shared information systems and ongoing cultural monitoring.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13548445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901651","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 Paradox of Performativity: Latent Depression as a Crisis in the Contemporary Psychosocial Context","authors":"Nader Aghakhani,&nbsp;Violeta Lopez,&nbsp;Yong Shian Goh","doi":"10.1111/inm.70338","DOIUrl":"10.1111/inm.70338","url":null,"abstract":"","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876314","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 Classroom to Chaos: The Early-in-Career Mental Health Nursing Experience. A Qualitative Descriptive Study","authors":"Louise Alexander,&nbsp;Gabrielle Burdeu,&nbsp;Anita Cappello,&nbsp;Keith Griffin","doi":"10.1111/inm.70340","DOIUrl":"10.1111/inm.70340","url":null,"abstract":"<p>Persistent challenges remain in attracting and retaining early-in-career mental health nurses in Australia. Key contributing factors include gaps in undergraduate nursing preparation, with many students reporting insufficient mental health placement experience to inform career choice. Health services have responded to recognised gaps between undergraduate preparation and the realities of clinical practice by developing structured early-in-career programs, such as graduate nurse and transition-to-practice initiatives. These programs combine supported clinical exposure, targeted education and mentorship to consolidate core skills. However, early-in-career mental health nursing practice often occurs within unpredictable and complex environments that can be hostile and emotionally demanding, compounding stress for recently graduated nurses. This study aimed to explore early-in-career mental health nurses' experiences of (1) workplace readiness, (2) wellbeing and (3) preparedness for practice. Using a qualitative descriptive design, we recruited 12 early-in-career mental health nurses from a tertiary hospital in metropolitan Melbourne, Australia. Semi-structured interviews were thematically analysed according to Braun and Clarkes methodology. From analysis, four themes were identified: (1) Feeling ready, becoming ready; (2) Finding the right fit; (3) Practising under pressure; and (4) Organisational influences on readiness. This study provides important insights into early-in-career nursing experiences, highlighting the role of placement quality, exposure to workplace violence and organisational support in shaping preparedness and workforce retention. Variability in placement experiences contributed to misaligned expectations and heightened transition challenges. Findings also underscore occupational violence perpetrated by consumers and their family members highlighting the need for targeted preparation during undergraduate education and early career transition, as well as organisational responses to support safe workplaces.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13535270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876194","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}