International Journal of Mental Health Nursing最新文献

{"title":"Pre-Registration Nursing Student Experiences of International Mental Health Clinical Placement: A Scoping Review With Relevance to the Australian Context","authors":"Alana Wilson,&nbsp;Renee Molloy,&nbsp;Adam Searby","doi":"10.1111/inm.70221","DOIUrl":"10.1111/inm.70221","url":null,"abstract":"<p>Clinical placement is an essential part of Australian pre-registration nursing degrees and is mandated for all students to become registered as nurses. Clinical placement in mental health settings is important for preparing students to work with individuals with mental ill health and mental health conditions, with positive experiences during mental health placements reported to increase the desirability of mental health nursing as a career pathway. Given Australia's reliance on international students in the tertiary sector and nurses born in countries other than Australia, there is a dearth of research exploring the experiences of international pre-registration nursing students on mental health clinical placement. This scoping review aimed to explore existing literature examining international student experiences of mental health clinical placements. Database searches of the CINAHL, Emcare, MEDLINE, Scopus and PsycINFO databases found no literature specifically examining the experience of international nursing students in Australia on mental health clinical placements. The search was expanded to conceptually analyse published papers (<i>n</i> = 25) exploring nursing student experiences of mental health nursing placement from around the world. Themes that emerged were fear and apprehension, skills, knowledge and attitude changes, managing own emotions and uncomfortable experiences, translating theory to practice, and opportunities for active learning and support needs. Our review highlights an urgent need for research into the experiences of Australian pre-registration international nursing student experiences of mental health clinical placements, both to understand the challenges this student cohort experiences, and to improve the recruitment of international nursing students to the mental health nursing specialty.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12835837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146055473","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":"Emergency Department Presentations for Mental Health Crisis: Comparing ED-Only Care With Transfer to a Crisis Stabilisation Unit","authors":"Carly Hudson,&nbsp;Marcus Randall","doi":"10.1111/inm.70216","DOIUrl":"10.1111/inm.70216","url":null,"abstract":"<p>Emergency departments (EDs) are often the first point of contact for individuals experiencing mental health crises; however, they remain unsuitable to cater to the complex needs of mental health patients. As an alternative, Crisis Stabilisation Units (CSUs) are increasingly being implemented to provide a more therapeutic setting for patients to receive specialised emergency mental health care. However, to date, the evaluation of CSUs in comparison to traditional EDs remains limited. This study aims to examine whether there are significant differences between patients who are transferred to the CSU and those treated solely in the ED in terms of patient characteristics, length of stay and re-presentation. Using ED data obtained from the Gold Coast Hospital and Health Service, this retrospective study analysed 18 240 mental-health-related presentations made between August 2021 and August 2023. Descriptive and inferential statistics were used to examine differences between patients who completed treatment in the ED and those who were transferred to the CSU. Patients who were transferred to the CSU were found to have a shorter length of stay than those who completed treatment in the ED. CSU patients were more likely to walk in and had lower triage ratings, whereas patients treated in the ED were more likely to arrive by ambulance. Re-presentation rates did not significantly differ between those who completed treatment in the ED and those who were transferred to the CSU. This study adds to the limited work on alternative crisis care models by comparing CSU and ED services for emergency mental health presentations. Findings suggest that CSUs may effectively reduce repeat ED presentations, particularly for patients with moderate clinical acuity. However, the complexity of mental health crises extends beyond basic demographic factors, underscoring the need for deeper, multifaceted research to fully understand patient experiences and service effectiveness.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12831008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146042281","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":"Māori Models of Adult Inpatient Mental Health Services: An Integrative Literature Review","authors":"C. Pohatu,&nbsp;T. Kake,&nbsp;T. Clark,&nbsp;J. Slark","doi":"10.1111/inm.70211","DOIUrl":"10.1111/inm.70211","url":null,"abstract":"<div>\u0000 \u0000 <p>Māori, the Indigenous people of Aotearoa New Zealand, experience higher rates of mental health admissions, seclusions and poorer outcomes. Current mental health services are largely based on Western models of care and do not address the needs of Māori. This integrative review aimed to identify, critically appraise and synthesise evidence on Māori models of inpatient mental health services. Whittemore and Knafl's integrative review procedure was used. Pubmed, PsycINFO, EMBASE, CINAHL, Proquest and Google were searched for records published between 2014 and 2024 in English or the Māori language. Included studies had to refer to Māori models of adult inpatient mental health services or aspects of such services relevant to Māori. Studies were critically appraised using the Joanna Briggs tools and evaluated for Māori responsiveness using the Te Ara Tika Guidelines. This review is consistent with the PRISMA guidelines. Twenty-five publications were included and comprised qualitative and quantitative studies, reviews and policy articles. Eight studies used kaupapa Māori research methods. One hundred and nine Māori participants were included across the studies, of which 21 were service users, three were family members and the remainder were healthcare professionals. The current evidence base on Māori models of care for inpatient mental health services in Aotearoa New Zealand is very limited. Four main themes were identified, which included an urgent need to transform inpatient mental health services for Māori, to embed cultural processes and values throughout such services, to involve service users and family in the co-design of services and to increase Māori research on inpatient mental health services.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146021201","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":"Compulsory Treatment Orders and Mental Health Inequities: Implications for Involuntary Outpatient Treatment","authors":"Martin Locht Pedersen,&nbsp;Frederik Alkier Gildberg","doi":"10.1111/inm.70222","DOIUrl":"10.1111/inm.70222","url":null,"abstract":"","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004903","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 Disciplinary Societies to Societies of Control: Foucault, Deleuze and the Care of People Under the Mental Health Review Board in Psychiatric Settings","authors":"Etienne Paradis-Gagné,&nbsp;Marie-Ève Roy-Ducharme,&nbsp;Manouel Argod,&nbsp;Emmanuelle Bernheim,&nbsp;Dave Holmes","doi":"10.1111/inm.70220","DOIUrl":"10.1111/inm.70220","url":null,"abstract":"<p>The number of individuals declared not criminally responsible on account of mental disorder is increasing in Canada. The supervision of these individuals—balancing the imperatives of public safety with philosophies of care—can create significant ethical dilemmas for psychiatric nurses. This article examines the intersection of mental health and the justice system, drawing on the accounts of nurses and service users admitted to psychiatric units. Using grounded theory, the study seeks to deepen understanding of the impact of judiciarization, particularly its influence on therapeutic relationships and the perceived quality of care. Special attention is given to the role of the Mental Health Review Board (MHRB) in monitoring individuals found NCRMD. Grounded in the theoretical framework of Deleuze's notion of societies of control, the analysis of interview data reveals three central categories: (1) the process of involuntary (re)admission; (2) the complexities of the care partnership; and (3) ethical tensions and prejudice. The experiences of users are explored through the lenses of coercive practices, disciplinary structures, and varied forms of social control in the context of MHRB supervision. Psychiatric nurses' narratives point to challenges related to power imbalances, conflicts of professional allegiance, and ambivalence in care perspectives—highlighting the need for ongoing ethical reflection and systemic change in the management of NCR patients.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12817105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004854","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":"Australian Acute Inpatient Psychiatric Units' Mental Health Nurses' Attitudes Towards Consumers With Mental Illness: A Survey Analysis","authors":"Anju Sreeram,&nbsp;Wendy M. Cross,&nbsp;Louise Townsin","doi":"10.1111/inm.70219","DOIUrl":"10.1111/inm.70219","url":null,"abstract":"<p>People living with mental illness often face negative attitudes and discrimination in the community. Mental health professionals have an essential role to play in the stigma experienced by people living with mental illness, and their actions have the capacity to either reduce or exacerbate stigma. Despite providing professional care to consumers, negative attitudes towards mental health conditions are evident even among Mental Health Nurses (MHNs) working in acute inpatient psychiatric units. At the same time, few studies are focusing on Australian acute inpatient psychiatric units' MHNs' attitudes towards mental illness. This study aims to assess Australian acute inpatient psychiatric units' MHNs' attitudes towards mental ill health to develop an educational package to enhance or maintain their attitudes. This study used a survey design to assess MHNs' attitudes using the Mental Illness Clinicians' Attitude version-4 (MICA-v4) scale. The lower scores indicated more positive attitudes, and the higher scores indicated more negative attitudes towards mental illness. A Consensus-Based Checklist for Reporting Survey Studies (CROSS) is used to report the quality of this survey. The MICA-v4 was recorded and summed to understand the relationship between attitudes and variables for straightforward interpretation of the results. The relationship between the MICA-v4 scores and independent variables was explored using inferential statistics, including multivariate regression analysis. One hundred and three MHNs completed the MICA-v4 questionnaire using a face-to-face survey method. The results revealed that Australian mental health nurses working in the acute inpatient mental health settings showed positive attitudes towards mental illness. However, the relationship between the demographic variables and MICA-v4 showed that older age group nurses had more positive attitudes than younger nurses towards mental illness. At the same time, female nurses showed more positive attitudes towards mental illness than male nurses. In comparison, diploma-holding nurses showed more pessimistic attitudes towards mental illness than nurses holding higher qualifications. At the same time, enrolled nurses reflected more negative attitudes towards mental illness than registered nurses. Nurses with many years of experience show more positive attitudes towards mental illness than less experienced nurses. In comparison, younger nurses with higher qualifications also showed more positive attitudes towards mental illness. The results of this study may inform policymakers and researchers about the need to develop strategies to enhance or maintain the positive attitudes of MHNs nationally. Future research is required to focus on the development of exemplary strategies to maintain positive attitudes as well as the enhancement of negative attitudes among MHNs.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12817111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004879","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":"Articulating Grief: Arts-Based Therapy as a Pathway to Resilience in Nursing Practice","authors":"Michelle Stubbs,&nbsp;Minah Gaviola,&nbsp;Carla Sunner,&nbsp;Julie Reis","doi":"10.1111/inm.70218","DOIUrl":"10.1111/inm.70218","url":null,"abstract":"<p>Grief and bereavement are profound yet underexplored aspects of nursing practice within residential aged care facilities. Registered nurses who work in these settings often form close emotional bonds with residents, making repeated exposure to death deeply impactful. This study aimed to depict the grief, loss, and bereavement experiences of registered nurses in aged care through an arts-based qualitative approach. Nine nurses participated in a one-hour creative session involving drawing or painting to express their experiences of grief and loss. The artworks and accompanying narratives were analysed using a combined deductive and inductive approach guided by Guillemin's adaptation of Rose's critical visual methodology framework. Three key themes emerged: (i) symbolic use of colour, where colours conveyed emotions such as grief, peace, and transformation; (ii) elements of transformation, with imagery evolving from depictions of death and turmoil to representations of acceptance and renewal; and (iii) meaningful motifs, where symbols such as butterflies, birds, and domes represented peace, connection, and spirituality. Collectively, the artworks illustrated how grief, while painful, can evolve into acceptance and peace through creative expression. This study demonstrates the capacity of arts-based methods to reveal the emotional complexity of grief among aged care nurses, highlighting symbolism and colour as powerful tools for emotional understanding. Integrating creative approaches into professional development and emotional support initiatives may enhance wellbeing, reduce burnout, and improve retention. Further research should explore the long-term emotional effects of grief and the therapeutic potential of structured creative interventions in nursing practice.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12814764/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146000230","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 Personal Recovery Scale for Individuals With Schizophrenia in Thailand: Development and Psychometric Properties","authors":"Darunee Rujkorakarn,&nbsp;Andrew C. Mills,&nbsp;Choochart Wong-Anuchit,&nbsp;Borramart Wisungre","doi":"10.1111/inm.70215","DOIUrl":"10.1111/inm.70215","url":null,"abstract":"<div>\u0000 \u0000 <p>Personal recovery among individuals with schizophrenia reflects a subjective perception of how much individuals regain purpose and meaning in their lives despite disabilities. Recovery-oriented care centres on empowerment for individuals acquiring or regaining a capacity to work, manage resources, rebuild meaningful social interactions and community and restore hope and well-being. In Thailand, healthcare providers would benefit from a conceptually-based instrument to evaluate personal recovery. This cross-sectional study, guided by the CHIME framework, used a methodological and developmental design to construct and test an instrument assessing the personal recovery of community-dwelling Thai individuals with schizophrenia. A total of 521 outpatients from five northeastern provinces in Thailand participated from March 2023 through January 2025, completing both the 17-item Personal Recovery Scale and the Herth Hope Index. Results showed that less than 10% of participants lived alone, while a majority lived with their parents, a spouse, or members of an extended family. A moderate correlation between the two scales supported convergent validity (<i>r</i> = 0.686, <i>p</i> &lt; 0.001). Principal axis factoring with a Promax rotation identified three components of recovery: (i) self-confidence in living day-to-day, (ii) self-management of daily activities and (iii) social support sustains daily living. With Cronbach's alpha at 0.925 and McDonald's omega at 0.923, the Personal Recovery Scale exhibits strong reliability. Although living independently is often recognised as a criterion of recovery, individuals in Thai society are more likely to live in extended family networks. Being independent may be more appropriate than living independently and is measured by achieving self-confidence to live well and the ability to self-manage daily activities. The Personal Recovery Scale demonstrates promising validity and reliability, indicating its potential value in assessing the multifaceted concept of personal recovery among Thai individuals with schizophrenia.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146000201","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":"Service Users' Experiences and Perceptions of Carer Support and Involvement in Care and Treatment in Adult Mental Health Inpatient Settings: A Qualitative Evidence Synthesis","authors":"Ellen Boldrup Tingleff,&nbsp;Sara Rowaert,&nbsp;Jason Davies,&nbsp;Martin Locht Pedersen","doi":"10.1111/inm.70217","DOIUrl":"10.1111/inm.70217","url":null,"abstract":"<div>\u0000 \u0000 <p>Over the past decade, research has increasingly addressed the support needs of carers in mental health settings and their involvement in care and treatment. However, service users' perspectives have received comparatively limited attention, despite the importance of their preferences as a key starting point for carer involvement. Furthermore, existing evidence remains scattered across smaller qualitative studies. The aim of this qualitative evidence synthesis of adult mental health inpatient service users' experiences and perceptions of carer support and involvement in care and treatment. Systematic searches were conducted in CINAHL, PubMed, APA PsycINFO and Scopus for literature published between January 1, 2000 and January 3, 2025. Grey literature was identified through OpenGrey, GreyGuide, ProQuest Dissertations &amp; Theses Global, Google, Google Scholar and relevant websites. Eligible studies underwent quality appraisal and were analysed using a thematic approach. Fourteen studies were included, encompassing findings from 632 service users. Five themes were developed: (1) eagerness versus hesitations towards involvement of carers in care planning, care and treatment; (2) the significance of receiving support from carers in coping with mental illness; (3) the necessity of supporting carers—recognising needs and burdens; and (4) institutional barriers to carer support and involvement. These four themes are interrelated with an overarching theme five: (5) relationship between service users and carers. The overarching theme reveals that service users' perceptions of whether carer involvement and support were meaningful depended on the significance and quality of the relationship, which in turn was shaped by carers' knowledge and understanding of mental illness.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146000207","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":"Holding Hope Over Time: Evaluating the Enduring Impact of the AIMS Suicide Prevention Model","authors":"Manaan Kar Ray,&nbsp;Annabelle Groth,&nbsp;Nicola Geffen,&nbsp;Marianne Wyder,&nbsp;William Pinzon Perez,&nbsp;Melanie Gregory,&nbsp;Nahid Choudhury,&nbsp;Abigail Lane,&nbsp;Muthur Anand","doi":"10.1111/inm.70189","DOIUrl":"10.1111/inm.70189","url":null,"abstract":"<div>\u0000 \u0000 <p>This two-year follow-up study evaluated the sustained impact of the AIMS suicide prevention pathway, a structured, short-term intervention delivered by the Wellbeing Team (WBT) in a large Australian metropolitan mental health service. The retrospective cohort included 232 individuals who engaged with the WBT for at least 2 weeks and were discharged to primary care. Re-presentation to public mental health services was examined across three thresholds: any service contact (Condition 1), secondary care involvement (Condition 2) and sustained case management (Condition 3). At 24 months, 66.4% of participants had not re-presented to any public mental health service. Only 8.2% required further engagement with secondary services, and just 3.0% transitioned into longer-term case management. Survival analysis showed no statistically significant differences based on prior service contact, suggesting the AIMS pathway was broadly effective across diverse clinical histories. These findings indicate that AIMS supports not only crisis stabilisation but sustainable recovery. Its dual emphasis on clarity and growth is foundational: clarity through structured clinical actions, Assessment, Intervention, Monitoring and Step Up/Down (AIMS) and growth through guided discovery, values alignment, and peer support. The model is further strengthened by integration of the SAFE framework for dynamic safety planning and the HOPE framework for values-based recovery, both of which are embedded in the Safe Life Guide mobile application. By meeting individuals where they are and addressing both immediate safety and long-term purpose, AIMS offers a system-level reimagining of crisis care, one that reduces dependency, restores direction, and fosters life in motion.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145954377","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}