Olivia Hatchman, Sally Buchanan-Hagan, Kim Foster, Kinga Pemo, Louise Alexander
{"title":"From Representation to Integration: Lived Experience in Mental Health Teams: A Qualitative Descriptive Study","authors":"Olivia Hatchman, Sally Buchanan-Hagan, Kim Foster, Kinga Pemo, Louise Alexander","doi":"10.1111/inm.70230","DOIUrl":"10.1111/inm.70230","url":null,"abstract":"<p>Lived experience workers are an integral part of mental health multidisciplinary teams, contributing unique insights and support grounded in personal experience and lived expertise. Despite their growing presence, challenges with the integration of lived experience workers into these teams persist. There is a gap in knowledge on lived experience workers' perspectives on their inclusion in multidisciplinary teams, as well as clinicians' views on the lived experience role. The aim for this qualitative descriptive study was to explore the experiences and perspectives of lived experience workers and clinicians regarding the integration of lived experience roles within multidisciplinary mental health teams, with a focus on identifying barriers, facilitators and impacts of role integration. Semi-structured interviews were conducted with lived experience workers (<i>n</i> = 7) and mental health clinicians (<i>n</i> = 7). Framework Analysis of interviews resulted in four main themes: (1) Systemic barriers hinder integration; (2) Lack of lived experience workforce role clarity limits impact; (3) Discipline-based defensiveness as a barrier to integration; and (4) Clinical and lived experience workforce perspectives clash. This study highlights that successful integration of the lived experience workforce in mental health care requires more than structural reform. Sustainable inclusion depends on role clarity, shared responsibility and accountability among multidisciplinary team members and relational trust. Without addressing differing attitudes and beliefs about authority and recovery, integration of lived experience into mental health risks being symbolic rather than transformative.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12872202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121491","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}
Johanna M. Boardman, Louise Alexander, Michael Steele, Nigel Toomey, Kim Foster
{"title":"Psychosocial Outcomes and Turnover Intention of Mental Health Transition-to-Practice Nurses at 6 Months Follow-Up","authors":"Johanna M. Boardman, Louise Alexander, Michael Steele, Nigel Toomey, Kim Foster","doi":"10.1111/inm.70231","DOIUrl":"10.1111/inm.70231","url":null,"abstract":"<div>\u0000 \u0000 <p>There are worldwide shortages in the mental health nursing workforce. Transition-to-practice programs are a vital avenue for recruiting and supporting nurses entering the mental health sector. There is little evidence, however, on the psychosocial and work-related outcomes of mental health transition nurses (registered and enrolled) during their transition into this specialty field. The overall aim of this study was to investigate mental health transition nurses' perceived stress, well-being, resilience, work satisfaction, turnover intention and mental health stigma attitudes at 6 months into their program and examine changes in these outcomes between a baseline assessment at 4 weeks into transition and follow-up at 6 months. At follow-up, perceived stress, well-being and resilience scores were moderate, turnover intention was low and work satisfaction of <i>n</i> = 49 nurses was high. Higher work satisfaction predicted greater well-being, less stigmatising attitudes predicted higher resilience and lower work satisfaction predicted increased turnover intention. Only turnover intention significantly increased from baseline to 6 months. Nurses with scores indicating poor well-being (<i>n</i> = 10) had significantly higher perceived stress and turnover intention and lower work satisfaction and stigma. These findings highlight the need for targeted support over the initial transition period to promote nurses' mental health, well-being and retention as they transition into the field. Addressing factors such as work satisfaction and stigma in transition programs may be essential for reducing nurses' stress and turnover intentions, particularly for nurses experiencing reduced well-being.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121507","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":"Correction to “Re-Visiting the Content Validity of the Manchester Clinical Supervision Scale (MCSS-26)”","authors":"","doi":"10.1111/inm.70232","DOIUrl":"10.1111/inm.70232","url":null,"abstract":"<p>Buus, N., H. Ryu, R. Prematunga, et al. 2025. “Re-Visiting the Content Validity of the Manchester Clinical Supervision Scale (MCSS-26).” <i>International Journal of Mental Health Nursing</i> 34, no. 5: e70128. https://doi.org/10.1111/inm.70128.</p><p>We referred to an article that breached MCSS copyrights, and we are therefore withdrawing our mention of it and our reference to it. This includes, first, in the fourth paragraph under “5 Discussion”: “Khani et al. (2009) reported the translation of MCSS-36 into Iranian, which included an evaluation (CVI) by five experts. The CVI indicated that while all items were deemed relevant, four items were not important, but Khani et al. (2009) did not state how they addressed items that were ‘not important’. While the development of MCSS-26 undoubtedly solved some of the interpretation/equivalence issues, the differences between these two responses to sub-threshold CVI scores are striking.” Second, in the same paragraph, “and Khani et al. (2009) seemed to ignore the identified problems”. And third, the reference itself “Khani, A., M. Jaafarpour, and Y. Jamshidbeigi. 2009. “Translating and Validating the Iranian Version of the Manchester Clinical Supervision Scale.” <i>Journal of Clinical and Diagnostic Research</i> 3, no. 2: 1402–1407.”</p><p>We apologize for not being aware of this violation of copyright earlier.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70232","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121470","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":"Nurses' Knowledge, Attitudes, and Practices Regarding Trauma-Informed Care: A Scoping Review","authors":"Jinjin Yang, Yanbo Wang, Tingting Zhi, Fazhan Chen","doi":"10.1111/inm.70225","DOIUrl":"10.1111/inm.70225","url":null,"abstract":"<div>\u0000 \u0000 <p>Trauma-Informed Care (TIC) aims to reduce re-traumatization in healthcare settings, with nurses playing a key role in its delivery. This scoping review sought to map existing research on nurses' knowledge, attitudes and practices related to TIC. Guided by Arksey and O'Malley's framework and PRISMA-ScR, six databases (PubMed, Medline, Scopus, ProQuest, Web of Science and Cochrane Library) were searched for English-language studies published between 2011 and 2025. Twenty-one studies met inclusion criteria. Using a pre-defined thematic mapping approach, findings were grouped into: (1) nurses' attitudes toward TIC, (2) knowledge gaps across nursing specialties, (3) barriers and facilitators influencing TIC practices. While nurses generally endorsed TIC principles, gaps in knowledge and inconsistent clinical application were noted. The review highlights the influence of factors such as training, time constraints, clinical experience, healthcare settings, and interprofessional collaboration. Future research should focus on developing standardised, specialty-specific training programs and evaluating their long-term impact on nursing practice.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146109141","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}
Jenny Karlsson, Anna Björkdahl, Nina Gårevik, Lars Kjellin, Veikko Pelto-Piri, Naimi Johansson
{"title":"Exploring the Impact of Safewards on Aggression and Coercion in Psychiatric Inpatient Care: Findings From a Swedish Longitudinal Quasi-Experimental Trial","authors":"Jenny Karlsson, Anna Björkdahl, Nina Gårevik, Lars Kjellin, Veikko Pelto-Piri, Naimi Johansson","doi":"10.1111/inm.70228","DOIUrl":"10.1111/inm.70228","url":null,"abstract":"<p>Coercive measures in psychiatric inpatient care remain controversial and are often associated with negative experiences for both patients and staff. The Safewards model aims to reduce conflict and containment by fostering a safer and more therapeutic ward environment. However, evidence regarding its effectiveness is mixed. This study investigated the implementation and impact of Safewards in nine Swedish psychiatric inpatient wards, focusing on coercive measures, aggressive incidents, and the normalisation of the intervention. A quasi-experimental, longitudinal design with comparison wards was used. Data were collected through administrative records on coercive measures, staff surveys for incident reports (SOAS-R), and normalisation (S-NoMAD). Mixed model regression analyses assessed changes over time in coercive measures. Wards implemented between two and five Safewards interventions. No statistically significant reductions were found in coercive measures or aggressive incidents. Although the effects on mechanical restraint were not statistically significant, the significant increase in normalisation and the declining trend in mechanical restraint suggest a potential shift. Partial implementation and contextual challenges likely restricted the model's full impact. The study was reported according to the TREND checklist.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146109182","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 Integrative Review of Carers' Perceptions of Seclusion and Restraint in Mental Health Care: A Critical Appraisal and Call for Methodological and Conceptual Precision","authors":"Wang Mei, Li Lixia, Wang Jinhuan, Wang Jiachun","doi":"10.1111/inm.70224","DOIUrl":"10.1111/inm.70224","url":null,"abstract":"","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146109151","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":"Experiences of Mental Health Nurses in Providing Care to Inpatients With Suicidal Behaviours in Psychiatric Care Settings: A Meta-Synthesis of Qualitative Research Studies","authors":"Youjin Kim, Soo-Hyun Nam","doi":"10.1111/inm.70233","DOIUrl":"10.1111/inm.70233","url":null,"abstract":"<div>\u0000 \u0000 <p>Understanding the context and challenges of psychiatric nursing care is essential for optimising patient outcomes and ensuring effective suicide prevention. While mental health nurses play a pivotal role in caring for inpatients with suicidal behaviours, research on their experiences and perspectives remains fragmented. This study aimed to synthesise qualitative studies on the experiences of mental health nurses in providing care to inpatients with suicidal behaviours. Manual searches were performed across five electronic databases. Nine eligible studies were identified and analysed using the thematic meta-synthesis approach proposed by Thomas and Harden. Four main themes were identified, as follows: (a) clinical challenges and limitations in managing suicidal behaviours; (b) negative emotional responses and strategies to cope with patient suicidal behaviours; (c) a strong sense of responsibility for patient safety as mental health nurses; and (d) a patient-centred approach in psychiatric nursing practice for patients with suicidal behaviour. This meta-synthesis highlights the critical role of mental health nurses in providing care to patients with suicidal behaviours, emphasising challenges such as unpredictable suicide risk, perceived lack of professional competence, emotional distress and the struggles of patient safety. Enhancing the effectiveness of mental health nurses' suicide prevention services may require implementing structured training for suicide behaviour management, establishing institutional support systems, adopting a patient-centred nursing care approach, and fostering multidisciplinary collaboration focused on psychiatric care and patient outcomes.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146109204","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}
Jialiang Cui, Cong Zheng, Cheryl Chi-Yan Yeung, Helen Yue-lai Chan
{"title":"Co-Designing End-of-Life Care for People With Pre-Existing Severe Mental Illness: Insights From Multiple Stakeholder Consultations","authors":"Jialiang Cui, Cong Zheng, Cheryl Chi-Yan Yeung, Helen Yue-lai Chan","doi":"10.1111/inm.70226","DOIUrl":"10.1111/inm.70226","url":null,"abstract":"<p>People with severe mental illness (SMI) experience significant health disparities, and their end-of-life care remains underdeveloped. Employing a co-design approach, this study engaged a range of stakeholders in Hong Kong, including people with SMI, their family members and professionals in mental health and palliative care, to identify service gaps, challenges and opportunities for improving end-of-life care for this population. Findings highlighted the suboptimal state of end-of-life care for people with SMI and the underlying challenges at individual, organisational and community levels, including limited knowledge of end-of-life care, low help-seeking motivation, communication difficulties, limited support networks, insufficient on-site medical support for end-of-life care, unclear guidelines for dying-in-place, inadequate collaboration between medical and social sectors, mental health stigma, insufficient legal support and cultural taboo surrounding death. Recommendations were co-developed with participants to inform the design of person-centred, contextually responsive models that promote equitable and dignified end-of-life care for people with SMI.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12848958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146069389","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}
Sonata I. Black, Jessica Stubbing, Sarah Collett, Laura Saunders, David F. Tolin, Gretchen J. Diefenbach
{"title":"A Qualitative Study of Behavioural Health Experiences Reported by Transgender and Gender Diverse People During Inpatient Treatment","authors":"Sonata I. Black, Jessica Stubbing, Sarah Collett, Laura Saunders, David F. Tolin, Gretchen J. Diefenbach","doi":"10.1111/inm.70229","DOIUrl":"10.1111/inm.70229","url":null,"abstract":"<div>\u0000 \u0000 <p>Transgender and gender diverse (TGD) adults face higher rates of psychiatric conditions and suicidality compared to cisgender people. Additionally, they confront gender identity-related barriers in accessing and receiving behavioural health care (BHC). Inpatient level of BHC is unique both in terms of treatment milieu and patient acuity. However, little is known about the gender identity-related experiences of TGD adults in psychiatric inpatient settings. The aim of this study is to describe and quantify the lived BHC experiences of TGD adult psychiatric inpatients. Participants were 50 TGD adult inpatients who were interviewed regarding (1) previous gender identity-related barriers accessing BHC and (2) negative and positive experiences during their current inpatient stay. Interviews were audio-recorded and transcribed. Content analysis was performed to identify and quantify themes. Out of the 50 participants, 27 (54%) reported experiencing gender identity-related barriers to accessing previous BHC, the most common of which was services being grouped by gender binary categories. With respect to their time on the inpatient unit, 37 (74%) reported at least one negative gender identity-related experience and 45 (90%) reported at least one positive gender identity-related experience. Common inpatient experience themes included chosen name/pronoun use, working with uninformed providers and barriers accessing gender-affirming items. Results highlight the pervasiveness and nature of gender identity-related BHC disparities as well as identify positive, gender-affirming interactions. These results may be used to inform best practices to help cultivate improved BHC experiences and outcomes for TGD adults.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146069407","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":"Navigating Anomie: A Grounded Theory Study of the Trajectory of Caregiving for Persons With Early-Stage Dementia","authors":"Hui-Chin Teng, Yea-Ing L. Shyu, Yi-Chen Chiu, Huei-Ling Huang, Hsiu-Li Huang, Wen-Chuin Hsu","doi":"10.1111/inm.70223","DOIUrl":"10.1111/inm.70223","url":null,"abstract":"<div>\u0000 \u0000 <p>This grounded theory study aimed to understand the trajectory of the experience of family caregivers of a relative during the early stages of dementia over 2 years. Thirty family caregivers were purposively recruited; data were collected with face-to-face semi-structured interviews. Transcribed interviews were analysed with open, axial, and selective coding. The COREQ checklist was utilised for reporting. The core category that captured the trajectory of the caregiving process was ‘Navigating anomie: Finding light during the caregiving journey’. ‘Anomie’ encompassed a sense of alienation and anxiety surrounding symptoms and behaviours of their relative. The trajectory involved three phases, which employed unique strategies to help caregivers understand the dynamic nature of the progression of dementia. Phase 1, ‘chaotic orientation and sense making’, occurred as caregivers developed an ‘evolving awareness’ of that behaviours and symptoms of their relative were an indication of early stages dementia. Phase 2, ‘zigzag stabilisation and course setting’, involved strategies of ‘transitional steering’, which shifted caregiving from making sense of their relative's unpredictable behaviours to seeking guidance on treatment and establishing a care plan. Phase 3, ‘confident execution and reflection’, resulted from ‘course-correcting tactics’, which helped caregivers reassess perspectives on caregiving and their expectations about the long-term needs of their relative with dementia. Navigating anomie describes the trajectory of caregiving for a with early-stage dementia from the initial feelings of confusion to an understanding of the importance of their caregiving role. Mental health nurses should provide support interventions tailored to each phase of the trajectory, which could improve outcomes for caregivers.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146069357","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}