International Journal of Mental Health Nursing最新文献

{"title":"Correction to ‘Ethnic Disparities in Clinical Decision-Making for Rapid Tranquillisation in Adult Forensic Mental Health Inpatient Settings: A Qualitative Study’","authors":"","doi":"10.1111/inm.70339","DOIUrl":"https://doi.org/10.1111/inm.70339","url":null,"abstract":"<p>\u0000 <span>Pedersen, M. L.</span>, <span>J. Baker</span>, <span>T. Munk-Olsen</span>, and <span>F. A. Gildberg</span>. <span>2026</span>. “ <span>Ethnic Disparities in Clinical Decision-Making for Rapid Tranquillisation in Adult Forensic Mental Health Inpatient Settings: A Qualitative Study</span>.” <i>International Journal of Mental Health Nursing</i> <span>35</span>, no. <span>4</span>: e70323. https://doi.org/10.1111/inm.70323.\u0000 </p><p>In Table 1, the heading ‘History of clonvictions, <i>n</i> (%)’ was incorrect. This should have read ‘History of convictions, <i>n</i> (%)’. Furthermore, the numbers for ‘Benzodiazepines’ under the heading ‘Psychopharmacological treatment, <i>n</i> (%)’ were incorrectly placed. The correct table is provided below.</p><p>We apologise for this error.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 5","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70339","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860194","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.70311","DOIUrl":"https://doi.org/10.1111/inm.70311","url":null,"abstract":"","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 S2","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148811117","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":"Transforming Nursing Students' Learning Experiences Toward Mental Illness Through a Dual-Contact Pedagogical Intervention: A Mixed Methods Study","authors":"Yen-Hua Shih,&nbsp;Mei-Yu Yeh,&nbsp;Li-Yu Chuang","doi":"10.1111/inm.70317","DOIUrl":"10.1111/inm.70317","url":null,"abstract":"<div>\u0000 \u0000 <p>This study aimed to evaluate the effectiveness of interventions involving a dual contact pedagogical intervention on nursing students' attitudes toward mental illness, and to further explore their learning experiences and perspectives. A mixed methods approach using an explanatory sequential design was applied with a single group quasi-experimental design, and a qualitative deductive approach guided by Kolb's experiential learning theory. The dual-contact intervention involving both inpatients and individuals in recovery was integrated into the psychiatric nursing curriculum. Forty-four nursing students enrolled in a five-year junior college in southern Taiwan participated in the intervention group, including 13 who took part in three focus groups. Quantitative data from three self-report scales assessing attitudes, perceived stigma and social distance were analysed using repeated one-way analysis of variance, while qualitative data from focus group interviews conducted after students completed their psychiatric nursing practicum were analysed using content analysis. There were significant differences in attitudes and social distance, particularly after contact with the individuals in recovery. Qualitative data analysis identified that the Dual Learning Strategies with Meaningful Contacts category was associated with these changes, which encompassed three subcategories: (1) Reflective learning experiences, (2) Transforming experiential insights into clinical practice and (3) Debriefing of contacts across phases of psychiatric care. Both contact-based interventions improved attitudes. Notably, engaging with individuals in recovery significantly reduced perceived stigma and social distance. Interaction with inpatients reinforced theoretical knowledge integrating clinical contexts, while engaging with individuals in recovery cultivated empathy and caregiving competencies. Both contact-based interventions provided complementary learning benefits.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551777","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":"Between Autonomy and Duty. Mental Health Nurses' Experiences of Early Intervention in a Rights-Prioritised Reform Context: A Qualitative Descriptive Study","authors":"Louise Alexander,&nbsp;Whitney Johnson,&nbsp;Adam Searby,&nbsp;Jacqueline Rozario,&nbsp;Sue Belmore,&nbsp;Cally Mills","doi":"10.1111/inm.70319","DOIUrl":"10.1111/inm.70319","url":null,"abstract":"<p>Mental health reform represents a sustained effort to improve the accessibility, quality and human rights orientation of mental health systems through changes to policy, legislation and service delivery. The scale and pace of growth in the lived and living experience workforce (LLEW) is unprecedented within mental health services, with a marked increase in roles representing a significant shift in the contemporary mental health landscape. In Australia, the state of Victoria is currently undergoing the most significant mental health reform in its history. This study aimed to explore mental health nurses' perceptions of the impacts of mental health reform on (1) their delivery of care in relation to consumer and carer safety and wellbeing and (2) their experiences of working alongside lived experience workers within reformed service contexts. This study employed a qualitative descriptive design, with secondary analysis of existing qualitative data (Szabo and Strang 1997), which were thematically analysed using Braun and Clarke and reported in accordance with CORE-Q guidelines. Semi-structured interviews were conducted with mental health nurses working in Victoria (<i>N</i> = 14), Australia, with three themes generated through reflexive thematic analysis: (1) Mind the gap: Reform impacts to safety and risk; (2) When care comes too late: reform impacts to care and treatment; and (3) Between sympathy and resistance: ambivalent attitudes towards LLEW roles. Persistent integration challenges related to LLEW influenced nurses' perceptions of usefulness. Nurses also described that an increased legislative emphasis on consumer choice, relative to clinical decision-making, contributed to uncertainty and hesitancy in intervention, which nurses perceived as negatively affecting care outcomes in some situations.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13389831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551750","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":"Iatrogenic Harm, Psychotherapy, and Eating Disorders: An Urgent Call to Action","authors":"Laurence Cobbaert","doi":"10.1111/inm.70318","DOIUrl":"10.1111/inm.70318","url":null,"abstract":"<p>Iatrogenic harm in psychotherapy remains under-recognised, despite longstanding evidence that psychological treatments can produce adverse effects. This omission is consequential in eating disorder care, where treatment is often intensive, prolonged and characterised by significant power asymmetries alongside poor long-term outcomes. This article examines iatrogenic harm in the context of eating disorders through an epistemic justice and intersectional framework. Drawing on qualitative and lived-experience-led scholarship, it argues that iatrogenesis is produced through structural features of mental health systems, including rigid diagnostic practices and manualised treatment models, limited professional accountability and the marginalisation of experiential knowledge. Treatment dropout and the attribution of treatment failure to patients are examined as mechanisms that obscure harm and inflate perceptions of treatment safety and effectiveness. Rather than rejecting evidence-based psychotherapy, the article calls for epistemic pluralism, routine monitoring and reporting of iatrogenesis and meaningful co-production as prerequisites for ethical, accountable and humane eating disorder care.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13382488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148521750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Future Is Now: Shaping the Next 50 Years of Mental Health Nursing","authors":"Rhonda Wilson,&nbsp;Brent Hayward,&nbsp;Wendy Cross","doi":"10.1111/inm.70315","DOIUrl":"https://doi.org/10.1111/inm.70315","url":null,"abstract":"&lt;p&gt;In October 2026, the Australian College of Mental Health Nurses (ACMHN) will host its 50th International Mental Health Nursing Conference in Adelaide, Australia. The conference also marks more than 50 years of leadership by Australia's peak professional organisation for specialist mental health nurses. While anniversaries naturally invite reflection, they should also provoke something more important: &lt;i&gt;a conversation about the future&lt;/i&gt;.&lt;/p&gt;&lt;p&gt;The conference theme, &lt;b&gt;The Future is Now&lt;/b&gt;, captures an important truth. The future of mental health nursing is not something waiting on the horizon. It is being shaped by the decisions we make today about workforce investment, education, research, leadership, technology and professional identity.&lt;/p&gt;&lt;p&gt;Mental health nursing is itself a relatively young specialty. Emerging internationally only around 75 years ago (Prior and Goodin &lt;span&gt;2026&lt;/span&gt;), the profession has evolved alongside profound changes in mental healthcare, including deinstitutionalisation, recovery-oriented practice, community-based care, trauma-informed approaches, human rights, lived experience partnerships and, more recently, digital models of care. Throughout this evolution, mental health nurses have continually adapted to changing societal expectations while maintaining the therapeutic relationships that remain central to quality mental healthcare.&lt;/p&gt;&lt;p&gt;Artificial intelligence is reshaping healthcare delivery. Digital technologies are transforming how people access care. Loneliness, climate change, forced migration, conflict, population ageing, substance use, rurality, and widening social inequities are altering both the demand for mental healthcare and the complexity of care required. At the same time, consumers increasingly expect services that are culturally safe, person-centred, recovery-oriented, and grounded in human rights.&lt;/p&gt;&lt;p&gt;These are not isolated challenges. They are interconnected pressures requiring equally integrated responses.&lt;/p&gt;&lt;p&gt;Perhaps nowhere is this more evident than the global mental health nursing workforce. Most mental health professionals are mental health nurses, making up 44% of the specialised mental health workforce globally; however, they are more prevalent in upper middle income and high income countries—the global north (WHO &lt;span&gt;2025&lt;/span&gt;). Despite repeated calls to strengthen mental health services, no internationally agreed benchmark exists for the specialist mental health nursing workforce required to meet contemporary population needs. In the absence of global standards, mature specialist mental health systems provide a useful planning reference.&lt;/p&gt;&lt;p&gt;Australia offers one such benchmark. National workforce data indicate that between 2015 and 2024 Australia maintained approximately 87–104 employed mental health nurses per 100 000 population, equivalent to around 84–101 full-time equivalent positions per 100 000 population (Australian Government Department of Health and Aged Care [D","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70315","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148467237","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":"Experiences and Views of African Australian Consumers on the Role of Spirituality, Religion and Culture on Mental Health","authors":"Bekithemba Sibanda,&nbsp;Bindu. Joseph,&nbsp;Michael Olasoji","doi":"10.1111/inm.70314","DOIUrl":"https://doi.org/10.1111/inm.70314","url":null,"abstract":"<p>This study explored the lived experiences of African Australian consumers and their perspectives on the role of spirituality, religion and culture in shaping mental health and engagement with mental health services. A qualitative phenomenological design informed by transcultural nursing perspectives was used. Semi-structured interviews were conducted with 15 African Australian participants aged 18–25 years from diverse African backgrounds, including Zimbabwe (<i>n</i> = 2), Ethiopia (<i>n</i> = 3), South Sudan (<i>n</i> = 5), Somalia (<i>n</i> = 4) and Ghana (<i>n</i> = 1). Interviews were audio-recorded and transcribed verbatim. The data were analysed using Colaizzi's phenomenological method of analysis, which involved identifying significant statements, formulating meanings, clustering themes and developing an exhaustive description of participants' experiences and interpretations of mental health within cultural and spiritual contexts. Three interconnected themes were identified: living between two worlds, seeking healing beyond medication and breaking the silence. Participants described migration-related stress, disrupted social networks and tensions between collectivist cultural expectations and individual identity as contributing to psychological distress. At the same time, spirituality, religious practices and culturally grounded community networks were identified as important coping resources that fostered resilience and social support. Participants reported mixed experiences with formal mental health services, noting that biomedical approaches often overlooked cultural and spiritual dimensions of wellbeing, while culturally responsive care enhanced trust and engagement. The findings highlight the importance of culturally and spiritually responsive mental health care to improve service engagement and support the wellbeing of African Australian communities.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70314","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148467449","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":"Delirium-Related Distress of Hospitalised Older Adults Within the Framework of the Theory of Unpleasant Symptoms: A Scoping Review of Qualitative Literature","authors":"Irene Best,&nbsp;Ashley Kuzmik,&nbsp;Patrina Sexton Topper,&nbsp;Marie Boltz,&nbsp;Jennifer Yost","doi":"10.1111/inm.70309","DOIUrl":"https://doi.org/10.1111/inm.70309","url":null,"abstract":"<p>Delirium, experienced by up to 50% of hospitalised older adults, continues to be underrecognised, undertreated, and often confused with depression or dementia. Distress is a frequent and impactful symptom experienced in delirium, encompassing the individual's holistic biological or emotional response. Delirium-related distress has been shown to extend beyond the experience of the patient to include the care partners and nurses who are witnesses to delirium. The essence of delirium-related distress can be best understood through qualitative methodologies; therefore, this review explored the qualitative literature to summarise what is known about delirium-related distress in hospitalised older adults, their care partners, and the nurses who care for them. The Arksey and O'Malley methodological framework guided the process of conducting this scoping review, and the main concepts of the population, concept, and context were identified per the Joanna Briggs Institute scoping review methodology. A total of fourteen studies were included in this review, spanning qualitative study designs or mixed-methods designs that reported qualitative data. The Theory of Unpleasant Symptoms framework was used to categorise the factors that influence delirium-related distress and the symptom's consequences. This scoping review highlighted aspects of this phenomenon that have been less studied qualitatively, namely, the experiences of care partners and nurses, patients with delirium superimposed on dementia, and potential variations in how delirium-related distress is experienced over time, from acute care to transitional care to long-term care.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70309","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148467562","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":"Lived Experience Workforce Perspectives About the Consumers' Experiences of Safewards in Acute Inpatient Mental Health Units: A Qualitative Exploratory Study","authors":"Antony Mullen,&nbsp;Brenda Happell,&nbsp;Bridget Hamilton,&nbsp;Stephanie Skinner","doi":"10.1111/inm.70301","DOIUrl":"10.1111/inm.70301","url":null,"abstract":"<p>The Safewards model and its ten interventions have been effective in reducing restrictive practices and preventing conflict within acute inpatient mental health units. However, few studies in the current literature explore the consumers' experiences of Safewards. This exploration also needs to consider the views of Mental Health Nurses and the Lived Experience Workforce, who are both important stakeholders in the application of Safewards and how it impacts on consumers' experiences. Despite this, the views of Mental Health Nurses and the Lived Experience Workforce about consumers' experiences of Safewards are limited. This qualitative study explored the views of Lived Experience Workforce leaders about consumers' experiences of Safewards, and Mental Health Nurses' responses to these experiences in acute inpatient mental health units in Australia. Six Lived Experience Workforce leaders participated in individual interviews. Data were analysed using thematic analysis, revealing four themes: (1) consolidating Safewards through understanding consumers' experiences, (2) consumers as leaders in Safewards, (3) acknowledging the realities of acute inpatient mental health units and (4) practice foundations underpinning Safewards. Results highlighted the positive impact of improved consumer involvement in Safewards. Additionally, mechanisms to develop strategic partnerships between Lived Experience Workforce leaders and mental health nurses warrant further investigation. This study highlighted the restrictive nature of acute inpatient mental health units and the need to acknowledge the impact this has on consumers. Further embedding of foundational approaches, such as trauma-informed and recovery-oriented practice within Safewards, is also required to align with consumers' expectations. Greater recognition of consumers' experiences and their agency within the model, and consideration of other Safewards interventions, is also needed. This is required to increase safety, reduce harms associated with restrictive practice, and enhance Safewards effectiveness.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70301","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148440369","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":"Innovative Educational Technologies in Undergraduate Mental Health Nursing Education: A Scoping Review","authors":"Sini Jacob,&nbsp;Sebastian Samuel,&nbsp;Greety Antony,&nbsp;Susan Hua,&nbsp;Nisha Antony","doi":"10.1111/inm.70307","DOIUrl":"10.1111/inm.70307","url":null,"abstract":"<p>Mental health nursing requires specialised training in therapeutic communication and related soft skills. Innovative, digitally enhanced strategies may support competency development, particularly amid clinical placement shortages. This article outlines insights from a scoping review of technology use in undergraduate mental health nursing education. The objectives were to (a) explore the impact of using these technologies in students' experience and (b) develop insights that can contribute to the development of a curriculum that embed innovative educational technology with strong theoretical foundations and pedagogical strategies. This review was guided by the modified Arksey and O'Malley methodological framework. The PCC (Population, Concept, Context) framework was used to formulate the eligibility criteria. A review protocol was registered with the Open Science Framework (OSF). The databases for searching included CINAHL, MEDLINE, Scopus, PsycINFO, Web of Science. The results were reported according to the PRISMA-ScR checklist. The review included 35 studies and the evidence showed that, virtual reality simulations (VRS) with varying immersive abilities were the most popular innovative educational technology used in undergraduate mental health nursing education. Interestingly, no articles were identified that used other innovative educational technologies as outlined in the search strategies. Both immersive and non-immersive VRS were equally effective in improving student learning experiences compared to traditional learning modalities. The main benefits included enhanced learning experiences and comprehension and the development of necessary skills and confidence before entering clinical settings. Advanced technologies offer future-focused benefits for mental health nursing education; however, core therapeutic skills remain essential. Virtual learning should therefore complement, not replace, realistic learning experiences.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70307","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148440360","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}