International Journal of Mental Health Nursing最新文献

{"title":"Within the Walls: Experiences of Admission to Psychiatric Hospital in Ireland Prior to 2001","authors":"Clare Graham,&nbsp;Anthony Webster,&nbsp;Suzanne Guerin,&nbsp;Keith Gaynor","doi":"10.1111/inm.70123","DOIUrl":"https://doi.org/10.1111/inm.70123","url":null,"abstract":"<p>There has been a dramatic shortage of patient-focused research in the history of psychiatric inpatient treatment. This study aimed to explore the lived experience of a sample of inpatients of psychiatric hospitals in Ireland before the introduction of the Mental Health Act in 2001. Six adults (aged 40–73 years; M = 57) who had been inpatients in Irish psychiatric institutions were interviewed using a semi-structured format. The data were analysed using interpretative phenomenological analysis. The analysis yielded four Group Experiential Themes (GET): Within the Walls, the Treatment of Treatments, Relationship with Self and Identity as Patient, and Relationships and Ruptures. Each GET comprised two subthemes exploring the impact of participants' admission to a psychiatric hospital. Participants described a complex and ambivalent relationship to their psychiatric admission. The findings emphasised the need to understand the individuals' experiences and the societal and cultural context in which the admission occurred. The findings highlighted how historical psychiatric admissions impacted social identity and wellbeing. The findings have direct clinical implications. This cohort is aging and may require inpatient services in the form of nursing home care. For those who have experienced long-term psychiatric institutionalisation, it is important to tailor support for this group whose voices have not been heard until now.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70123","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869298","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":"Understanding the Multi-Faceted Nature of the Public Stigma of Mental Illness: Insights and Implications From a Structural Violence Perspective","authors":"Sebastian Gyamfi,&nbsp;Priscilla Boakye,&nbsp;Natalie Giannotti,&nbsp;Edward Cruz","doi":"10.1111/inm.70121","DOIUrl":"https://doi.org/10.1111/inm.70121","url":null,"abstract":"<p>The societal stigma surrounding mental illness emerges because of dysfunctional social dynamics between patients, their families and the broader community. This phenomenon, referred to as public stigma, manifests through discriminatory actions or the exclusion of individuals within power structures. Public stigma detrimentally affects the well-being and recovery of those grappling with mental illness, impeding their quality of life. This paper discusses public stigma, examining society's negative attitudes toward individuals diagnosed with mental illness, the systemic injustices perpetuating their marginalisation and the ramifications for nursing practice. Ultimately, the authors propose a theoretical framework to educate and inform health professionals across both mental health and general medical domains, as well as policymakers, about the impact of structural violence in perpetuating public stigma and providing recommendations for remedial action.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70121","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869529","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":"Encountering Adults With Schizophrenia in Home Settings: A Qualitative Study of Home Health Care Nurses' Experiences","authors":"Chimezie J. Agomoh,&nbsp;Kechi Iheduru-Anderson","doi":"10.1111/inm.70125","DOIUrl":"https://doi.org/10.1111/inm.70125","url":null,"abstract":"<div>\u0000 \u0000 <p>Little is known about home care nurses' experiences caring for adults with schizophrenia post-discharge to the home setting; or how they form relationships with these adults. The purpose of this study was to describe the experiences of home health care nurses (HHCNs) in caring for adults with schizophrenia following discharge from an inpatient psychiatric unit to home. The specific aims of the study were to: (a) explore the experiences of HHCNs caring for adults with schizophrenia discharged from the inpatient psychiatric unit to home; and (b) describe HHCNs' process of building and maintaining therapeutic relationships with adults with schizophrenia following discharge from an inpatient psychiatric unit to home. Data were collected using a qualitative descriptive design from a purposive sample of 16 registered nurses across the United States. Six themes were identified from the data: interprofessional communication and information exchange, coordination of care, first encounter, building the nurse–patient relationship with the patient, mitigating risk and sense of fulfilment. The findings of this study offer a new and unique insight into the HHCNs' experiences of caring for adults with schizophrenia that are useful to consider in future training and support for home care nurses.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869344","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":"Support for Recovery in Mental Health: A Delphi Study From the Family's Perspective","authors":"Estefania Guerrero,&nbsp;Maite Barrios,&nbsp;Hernán María Sampietro,&nbsp;Alba Aza,&nbsp;Juana Gómez-Benito,&nbsp;Georgina Guilera","doi":"10.1111/inm.70119","DOIUrl":"https://doi.org/10.1111/inm.70119","url":null,"abstract":"<p>Mental health services are increasingly adopting a recovery-oriented approach that prioritises human rights and user empowerment. In this evolving landscape, family members, who are often the primary support network for mental health service users, face unique challenges in assisting a person's recovery. This study aims to establish an international consensus on supportive actions for the recovery process and to identify key facilitators and obstacles to providing support from the perspective of families of mental health service users. Methodological rigour was ensured by following the CREDES checklist. A total of 53 family caregivers from around the world agreed to participate in a three-round e-Delphi study. Consensus was reached on 47 statements detailing supportive actions, among which an awareness of the user's needs was considered the most important. The study also identified 42 facilitators of providing support, with openness to learning and trusting the user being the most significant. A total of 23 obstacles were also acknowledged, with the major barrier being the emotional or physical absence of the caregiver. These results highlight the multifaceted nature of support and the critical role families play in a person's recovery journey. The findings also underscore the need for training programmes based on these consensus statements so as to empower families to provide more effective and person-centred support.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70119","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144869345","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":"‘It's Not All About Medication’: Improving the Use of Sensory Approaches in an Acute Mental Health Unit—A Qualitative Analysis","authors":"Lisa Wright,&nbsp;Pamela Meredith,&nbsp;Sally Bennett","doi":"10.1111/inm.70118","DOIUrl":"https://doi.org/10.1111/inm.70118","url":null,"abstract":"<p>Improving the use of recovery-orientated and trauma-informed practices, such as sensory approaches, in acute mental health units (AMHUs) has proven challenging, and the biomedical model predominates. Limited research has explored how addressing local barriers to the use of sensory approaches can change clinical practice in these units. This study aimed to understand the factors that led to changes in practice following the implementation of a tailored strategy designed to improve the use of sensory approaches. Implementation strategies were co-designed with key stakeholders, guided by the Behaviour Change Wheel and Integrated Knowledge Translation. Strategies included: provision of sensory materials/resources; education and training; prompts and reminders; modelling; audit and feedback; workplace coalition; and facilitation. A qualitative descriptive design was used to conduct semi-structured interviews (<i>n</i> = 7) with mental health clinicians and peer support workers. Data were analysed inductively using reflective thematic analysis. Seven key themes emerged from the data: <i>That's just how we do things now</i>, <i>More options available</i>, <i>Wide range of benefits</i>, <i>Everyone needs to be trained</i>, <i>People drove change</i>, <i>You haven't got time</i> and <i>Risk considerations</i>. Participants reported how sensory approaches had become part of routine practice over the course of the project; however, the key ongoing barrier to their use was lack of time. Findings from this study highlight how addressing local contextual barriers to the use of sensory approaches can result in change in ward culture and improved use. Overall, the tailored strategy resulted in a move towards more consumer-centred, trauma-informed and recovery-orientated care in an AMHU.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70118","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144814515","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 Survey of 1144 ECT Recipients, Family Members and Friends: Does ECT Work?","authors":"John Read,&nbsp;Lucy Johnstone,&nbsp;Sarah Price Hancock,&nbsp;Chris Harrop,&nbsp;Lisa Morrison,&nbsp;Sue Cunliffe","doi":"10.1111/inm.70109","DOIUrl":"https://doi.org/10.1111/inm.70109","url":null,"abstract":"<p>The last placebo-controlled ECT trial for depression occurred in 1985. While awaiting trials that meet today's standards of evidence-based medicine, this paper presents the responses, to an online survey, of 858 ECT recipients and 286 family members and friends, from 44 countries, on five effectiveness measures. The majority (55%–71%) reported either no benefit or a negative outcome on the five measures. The percentages reporting some benefit were: helped the specific problem for which ECT was given—45%; improved mood—41%; generally ‘helpful’—41%; improved ‘quality of life’—29%; reduced suicidality—33%. Respondents were, unusually, given the option, on four of these measures, to report that the variable had been made worse. The results were: specific problem made worse—37%; worse mood—29%; reduced quality of life—62%; and increased suicidality—19%. The findings were consistent with responses from family and friends. It is striking that nearly half (49%) reported that their quality of life was made ‘much worse’ (22%) or ‘very much worse’ (27%) by ECT. A partial explanation of this alarming outcome is that quality of life encompasses the adverse effects of ECT alongside any benefits. In conjunction with the absence of evidence that ECT is more effective than placebo, and the known long-term adverse effects on memory, these survey findings lead us to recommend a suspension of ECT in clinical settings pending independent large-scale placebo-controlled studies to determine whether ECT has any effectiveness relative to placebo, against which the many serious adverse effects can be weighed.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70109","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144811179","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":"An Exploration of Online Positive Feedback in Relation to Mental Health Nursing Practice","authors":"Mark Pearson,&nbsp;Stefan Rennick-Egglestone","doi":"10.1111/inm.70116","DOIUrl":"https://doi.org/10.1111/inm.70116","url":null,"abstract":"<p>Web-based databases of service user feedback have become an important resource for the task of understanding the quality of healthcare provision, both in the UK and internationally. This research explores positive feedback submitted to the Care Opinion website (https://www.careopinion.org.uk/), some of which can provide insights into effective mental health nurse practices. An iterative search was undertaken using the Care Opinion website on 7 March 2025. A set of tags which frequently identified effective mental health nursing practices was identified, and then 51 items of feedback were taken forward for full analysis. The data was then analysed in relation to the deductively selected domains of tone, form, and intent. These were identified in a typology produced by a previous study of 200 positive feedback items across multiple sources. In relation to tone, most pieces of feedback were entirely positive with a small number being mixed. The intent of the feedback was often to express gratitude but also functioned to emphasise change and contrast the helpfulness of certain staff or organisations against others which were experienced as less helpful. A typology of form was established, comprised of (1) Narratives of being there; (2) Narratives of listening and being heard; Narratives of therapeutic relationships; and Narratives of recovery. Positive feedback can provide a valuable insight into the experiences of service users. This research provides proof of concept evidence that knowledge can be gained about the impact of mental health nursing through the analysis of online feedback gathered through websites such as Care Opinion.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70116","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144811053","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":"Abstract","authors":"","doi":"10.1111/inm.70086","DOIUrl":"https://doi.org/10.1111/inm.70086","url":null,"abstract":"","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 S3","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144782430","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":"Exploring Mental Health Consumer Perceptions and Experiences of Goal-Setting With the Physical Health Nurse Consultant","authors":"Tracy Tabvuma,&nbsp;Robert Stanton,&nbsp;Ya-Ling Huang,&nbsp;Brenda Happell","doi":"10.1111/inm.70114","DOIUrl":"https://doi.org/10.1111/inm.70114","url":null,"abstract":"<p>Despite the implementation of physical health policies, research and interventions, people diagnosed with mental health conditions (referred to as consumers) continue to experience increased morbidity and mortality compared with the general population. Underpinning this disparity, systemic and personal barriers continue to impede consumers' abilities, commitment and resourcing towards health behaviour changes. Evidence suggests appropriately skilled, interpersonally capable and empowered healthcare professionals like Physical Health Nurse Consultants can deliver person-centred physical health care aligning with goal-setting theory. However, little to no research focuses on the application of goal-setting theory regarding physical health interventions for consumers. This qualitative exploratory study seeks to explore consumers' views and experiences using goal-setting to co-develop and implement their personalised health goals. Between November 2020 and April 2021, fourteen consenting consumers participated in 30-to-60-min semi-structured individual interviews that were transcribed and thematically analysed. Three themes identified from the data reflect consumers' positive experience of health goal-setting with the PHNC. The themes communicate: (i) the process of goal-setting, (ii) techniques, barriers and facilitators to implementing and sustaining, and (iii) impact of health goals. Consumers perceived collaborative care-planning processes aligning with goal-setting theory facilitated co-development and implementation of varying health goals and goal types. Barriers to consumers' health goal attainment were effectively mitigated by the PHNC who applied elements of goal-setting theory to increase congruency with their physical and mental capacity and commitment. Subsequently, consumers indicated positive impacts on several health domains indicating the value of the PHNC in supporting behaviour change and directing future research regarding consumer physical health interventions to underpin behaviour change theories and measure both clinical and personal outcomes.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70114","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144782443","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":"Psychological Reactions and Coping Strategies in Nurses' Experiences With Workplace Bullying: A Qualitative Study","authors":"Liping Yang,&nbsp;Qingfang Liang,&nbsp;Qinglin Zeng,&nbsp;Yuqiang Wang,&nbsp;Yanli Zeng,&nbsp;Xiangeng Zhang","doi":"10.1111/inm.70117","DOIUrl":"https://doi.org/10.1111/inm.70117","url":null,"abstract":"<div>\u0000 \u0000 <p>Workplace bullying remains a pervasive concern in healthcare, with nurses reporting among the highest rates of exposure across health professions. This study explored nurses' lived experiences of workplace bullying, with particular attention to their psychological reactions, coping responses and the organisational conditions that shaped these processes. A descriptive phenomenological design was employed. Semi-structured, in-depth interviews were conducted with fourteen nurses at a tertiary hospital in China between October and December 2024. Data were analysed using Colaizzi's seven-step method. Four overarching themes were identified: (1) From emotional shock to lingering psychological trauma, (2) tensions between passive tolerance and active coping, (3) organisational climate of silence and hierarchical oppression and (4) psychological recovery and meaning reconstruction. The findings revealed that bullying induced acute and cumulative emotional distress—including anxiety, fear, helplessness and withdrawal—and prompted a range of coping behaviours such as endurance, overperformance and seeking support. Participants' responses were deeply shaped by hierarchical organisational cultures, leadership inaction, and a perceived lack of psychological safety in accessing support. These insights highlight the urgent need for healthcare institutions to implement trauma-informed, culturally responsive interventions that cultivate psychologically safe workplaces. Supporting nurses' emotional well-being is essential to fostering moral resilience, retaining workforce capacity and sustaining ethical, high-quality patient care.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144782444","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}