International Journal of Mental Health Nursing最新文献

{"title":"The Impact of Workplace Bullying and Organizational Incivility on Nurses' Emotional Distress: Exploring Parallel Mediation Through Life Satisfaction and Functional Impairment—A Cross-Sectional Study","authors":"Mehran Tahrekhani,&nbsp;Amirhossein Rasouli,&nbsp;Seyed Amirreza Rasouli,&nbsp;Omid Saed","doi":"10.1111/inm.70308","DOIUrl":"10.1111/inm.70308","url":null,"abstract":"<div>\u0000 \u0000 <p>Workplace bullying and organizational incivility are widespread psychosocial hazards in healthcare, putting nurses at a heightened risk for emotional distress. While prior research has demonstrated their harmful effects, the mechanisms through which these stressors influence psychological outcomes are still not well understood. Guided by the Conservation of Resources (COR) theory, this study aimed to investigate whether life satisfaction and work and social adjustment function as parallel mediators linking workplace mistreatment to emotional distress among nurses. A cross-sectional survey was conducted among 1355 registered nurses from 12 hospitals. Participants completed validated measures of workplace bullying, organizational incivility, life satisfaction, work and social adjustment, and emotional distress. Structural Equation Modelling (SEM) was performed using maximum likelihood estimation to evaluate direct and indirect pathways. Mediation effects were tested using bias-corrected bootstrapping with 5000 resamples. Both workplace bullying and organizational incivility were significantly associated with lower life satisfaction and greater work and social impairment. Life satisfaction negatively predicted emotional distress, whereas work and social impairment showed a positive association. The final SEM demonstrated excellent fit indices (<i>χ</i>²/df = 1.467; RMSEA = 0.024; CFI = 0.98), supporting full mediation via the two parallel pathways. Indirect effects of workplace bullying and organizational incivility on emotional distress were significant. Findings highlight dual cognitive-evaluative and functional-behavioural mechanisms through which workplace mistreatment contributes to emotional distress, aligning with COR theory. However, the cross-sectional design limits causal inference, and the reliance on self-report measures may introduce common method bias; these limitations should be considered when interpreting the findings.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431867","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":"Trauma and Violence Informed Research and Evaluation: A Perspective Paper for Mental Health Nursing","authors":"Sophie Isobel","doi":"10.1111/inm.70310","DOIUrl":"10.1111/inm.70310","url":null,"abstract":"<p>There are increasing guides and expectations for being trauma informed in research practices. This perspective paper builds upon this emerging field of literature to consider what it means to be trauma and violence informed in mental health nursing research and evaluation. Being trauma and violence informed requires all the same in-the-moment application of the principles of trauma informed care when engaging with participants or data, while also contextualising trauma in the context of wider social contexts. This includes recognising the role that structural violence plays in compounding and sustaining trauma for groups and individuals. To be trauma and violence informed in research requires attention to the power that research and evaluation hold and ongoing reflection on the implications of the design, measures, outcomes and findings of research and evaluation, while informing all decisions by awareness of trauma and the forms of violence that cause and sustain it.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70310","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431842","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":"Workaholism, Mindfulness, and Work-Related Quality of Life Among Nursing Educators in Saudi Nursing Colleges: A Multisite Cross-Sectional Study","authors":"Daniel Joseph E. Berdida","doi":"10.1111/inm.70306","DOIUrl":"10.1111/inm.70306","url":null,"abstract":"<div>\u0000 \u0000 <p>Workaholism has been widely examined among employees across occupational groups, but limited empirical evidence is available on its association with work-related quality of life (WRQoL) among nursing educators. This study examined whether mindfulness statistically mediated the association between workaholism and WRQoL among nursing educators. A multisite observational study using a cross-sectional and correlational design was conducted among nursing educators from four nursing colleges in Saudi Arabia using consecutive and snowball sampling. Between February and July 2025, data were collected using three validated self-report scales. Structural equation modelling, mediation analysis, and path analysis were used to examine the hypothesised associations among the study variables. Workaholism was negatively associated with WRQoL (<i>β</i>_<i>D</i> = −0.46, 95% CI = −0.63 to −0.29, <i>p</i> = 0.004) and mindfulness (<i>β</i>_<i>D</i> = −0.41, 95% CI = −0.56 to −0.21, <i>p</i> = 0.004). Mindfulness was positively associated with WRQoL (<i>β</i>_<i>D</i> = 0.35, 95% CI = 0.16 to 0.52, <i>p</i> = 0.004). A statistically significant indirect association was observed between workaholism and WRQoL through mindfulness, consistent with statistical mediation (<i>β</i>_<i>I</i> = −0.15, 95% CI = −0.24 to −0.05, <i>p</i> = 0.004). In the final model, workaholism accounted for 17.10% of the variance in mindfulness, whereas workaholism and mindfulness together accounted for 46.60% of the variance in WRQoL. These findings suggest that higher workaholism is associated with lower mindfulness and WRQoL, while higher mindfulness is associated with better WRQoL among nursing educators. Although causal conclusions cannot be drawn and generalisability is limited by the non-probability sample, the results may inform institutional strategies in similar nursing education settings that address workaholic tendencies and support mindfulness-informed approaches to educator well-being.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148427615","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 Professional Growth and Constraint Through Clinical Supervision: A Qualitative Study of Community Mental Health Nurse Specialists in South Korea","authors":"Suyoun Ahn,&nbsp;Eunmi Hwang","doi":"10.1111/inm.70298","DOIUrl":"10.1111/inm.70298","url":null,"abstract":"<div>\u0000 \u0000 <p>As community mental health services expand in scope and responsibility, mental health nurses are playing a central role in delivering integrated, recovery-oriented care. However, they face substantial challenges in adapting to community practice and sustaining professional development. Clinical supervision can mitigate these demands through its formative, normative, restorative functions. This study explored the supervision experiences of community mental health nurse specialists in South Korea to provide evidence for specifying the effective functions and operational systems of supervision using an exploratory qualitative design. Twelve community mental health nurse specialists participated in three focus group interviews conducted between June 2024 and July 2025. Data were analysed using reflexive thematic analysis. Four themes and 10 subthemes were generated: translating community mental health ideals into professional practice; serving as an anchor in unfamiliar terrain; supervision undermined by superficiality and disrespect; and competency development constrained by structural barriers. Supervision was perceived as a critical space for clarifying clinical direction, regulating emotional involvement and supporting professional adaptation. However, formalistic delivery and structural constraints limited its impact. These findings highlight the need for integrated and systematic supervision approaches aligned with the community mental health paradigm, supported by organisational and policy commitments to protected time, staffing, education and financial resources. Strengthening supervision under such conditions may enhance practitioner development and service user outcomes.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148407647","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 ‘Obesity Prevalence and Associated Factors Among Users of Specialized Community Mental Health Services: An Observational Study’","authors":"","doi":"10.1111/inm.70303","DOIUrl":"10.1111/inm.70303","url":null,"abstract":"<p>Bruna da Cruz Diomedece, T., B. da Silva Marinho, A. L. S. Lourencetti, et al. 2026. “Obesity Prevalence and Associated Factors Among Users of Specialized Community Mental Health Services: An Observational Study.” <i>International Journal of Mental Health Nursing</i> 35, no. 3: e70279. https://doi.org/10.1111/inm.70279.</p><p>Following publication of this article, the authors identified an error in the background statement of the abstract.</p><p>The sentence currently reads:</p><p>‘In Brazil, approximately 6.9 million people live with severe, mild, or moderate mental disorders, requiring different levels of care’.</p><p>The sentence should read:</p><p>‘In Brazil, approximately 37.1 million people live with severe, mild, or moderate mental disorders, requiring different levels of care’.</p><p>This correction concerns only the contextual information presented in the abstract and does not affect the study data, analyses, results, interpretation, or conclusions of the article.</p><p>We apologize for this error.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70303","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148407626","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":"Response to ‘Methodological Concerns About Synthesising Intervention Effects in a Scoping Review of Nursing Interventions for Anxiety and Sleep’","authors":"Louise Constancia de Melo Alves Silva,&nbsp;Samia Valeria Ozorio Dutra,&nbsp;Barbara Fernandes Ferreira,&nbsp;Yenifer Lizeth Gañan Rojas,&nbsp;Kauanny Vitoria Gurgel dos Santos,&nbsp;Carlos Jordão de Assis Silva,&nbsp;Hylarina Maria Montenegro Diniz Silva,&nbsp;Kátia Regina Barros Ribeiro,&nbsp;Daniele Vieira Dantas,&nbsp;Rodrigo Assis Neves Dantas","doi":"10.1111/inm.70305","DOIUrl":"10.1111/inm.70305","url":null,"abstract":"","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148400180","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":"A Qualitative Exploration of Trainee Nurse Practitioners' Experiences and Readiness to Provide Care for Borderline Personality Disorder in Primary Care","authors":"Lisa Marie Riddell,&nbsp;Sophie Scott,&nbsp;Felicity Hasson","doi":"10.1111/inm.70299","DOIUrl":"10.1111/inm.70299","url":null,"abstract":"<p>To explore trainee Advanced Nurse Practitioners' clinical experience and professional preparedness in managing personality disorder presentations within primary care. A qualitative descriptive study using semi-structured interviews and inductive thematic analysis. Between July and December 2024, 10 trainees enrolled at Ulster University completed online semi-structured interviews. Data were analysed using Braun and Clarke's reflective thematic analysis framework, with rigour enhanced through triangulation. Four themes emerged: perceptions of patient attendance and engagement, workplace challenges, reflections on clinical experience and educational readiness. Participants described feeling underprepared for consultations, particularly around assessment, diagnosis and intervention. Limited training, time constraints, lack of clear pathways and systemic barriers were highlighted. Emotional strain and uncertainty often influenced clinical encounters. Participants emphasised the need for targeted continuing professional development, structured mentorship and crisis management training to build confidence and competence. Trainees face significant challenges in providing care for individuals with personality disorder in primary care. Missed opportunities in care were linked to limited training, systemic constraints and the emotional complexity of presentations. Strengthening psychiatric content in advanced practitioner curricula, alongside mentorship and organisational support, is essential for safe and effective practice. This study demonstrates the need for personality disorder-specific education, access to interdisciplinary mentorship and policy-level changes to support effective care in community settings. The study adhered to COREQ reporting guidelines. This study did not include patient or public involvement in its design, conduct or reporting.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70299","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148393095","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":"Intensive Home Treatment in Mental Health: A Qualitative Exploration of Carers' Experiences","authors":"Alba González-Fernández,&nbsp;Ana Martín-Blanco,&nbsp;Francesc Casanovas,&nbsp;Alba Luque Tintó,&nbsp;Denise Cid Matamoros,&nbsp;Joan Trujols,&nbsp;Maria J Portella,&nbsp;David Giménez-Díez","doi":"10.1111/inm.70302","DOIUrl":"10.1111/inm.70302","url":null,"abstract":"<p>Intensive Home Treatment for acute mental health crises has expanded internationally as a community-based alternative to inpatient admission. Despite its growing use, little is known about how informal carers experience supporting a relative during acute psychiatric decompensation at home—an emotionally demanding context marked by intensified responsibility and disruption of daily life. The aim of this study is to explore the lived experiences of informal caregivers providing support to a family member admitted to mental health Intensive Home Treatment using a reflexive thematic analysis within a constructivist orientation. The study adhered to the COREQ guidelines for qualitative research reporting. Data were collected using individual semi-structured interviews (<i>n</i> = 30) and one focus group (<i>n</i> = 8). The Stress Process Model informed the interview guide and acted as a sensitising lens; however, coding and theme development remained inductive. Three overarching themes and seven sub-themes captured the caregiving experience. Carers reported substantial physical, emotional, occupational and social consequences, including exhaustion, anxiety and marked disruption of daily routines. Their experiences combined distress with positive meaning making: strengthened bonds, feelings of usefulness and increased closeness coexisted with uncertainty, fear of relapse and difficulty managing unpredictable behaviours. Coping strategies included personal practices and external supports. All these findings suggest that caring during acute Intensive Home Treatment is meaningful yet highly demanding. Mental health professionals should systematically assess caregiver burden, support needs and coping resources, offering targeted interventions to enhance emotional well-being and sustain effective home-based psychiatric care.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70302","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148393089","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":"Personal Recovery Profiles in Chinese Carers of Children and Young People With Mental Illness: A CHIME Framework-Based Study","authors":"Ziyao Guan,&nbsp;Hao Yao,&nbsp;Kunmei Li,&nbsp;Wanqi Sun,&nbsp;Yandan Peng,&nbsp;Enzhao Cong,&nbsp;Wenhong Cheng,&nbsp;Jianhua Chen,&nbsp;Yifeng Xu","doi":"10.1111/inm.70304","DOIUrl":"10.1111/inm.70304","url":null,"abstract":"<div>\u0000 \u0000 <p>While personal recovery is a well-established concept for people with mental illness, its application to carers, who share a similarly demanding journey, remains underexplored. This cross-sectional study firstly applied the CHIME framework (Connectedness, Hope and optimism, Identity, Meaning in life, and Empowerment) to 333 carers of children and young people with mental illness in China, via an online survey from September 2024 and February 2025, and aimed to provide baseline data on personal recovery and its correlates in this population. Carers completed questionnaires on demographic, caregiving and illness-related information, five indicators of personal recovery, and three indicators of psychological wellbeing. Latent profile analysis, descriptive analysis, bivariate analysis, and ordinal logistic regression were conducted using SPSS 26.0 and Mplus 8.3. Three profiles of personal recovery were identified: struggling group (13.2%), progressing group (62.4%), and recovering group (24.3%). Bivariate analyses showed that care recipients' sex, carers' employment, illness duration, and SDQ prosocial, externalising, and internalising domains differed significantly across profiles. Ordinal logistic regression (adjusting for all factors) revealed that carers' sex, care recipients' sex, and SDQ prosocial and internalising domains were independently associated with profile membership. Carers in the struggling group had the poorest psychological wellbeing, followed by the progressing and recovering groups. These findings may help identify carers with poor recovery and inform interventions tailored to profile membership. CHIME-based approaches targeting stigma reduction and enhancement of hope and mastery may be related to better personal recovery and psychological wellbeing in this population.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148400131","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":"How Do Australian Health Professionals Working in a Rural Emergency Department Perceive Their Work With People With Mental Illness? An Interview Study","authors":"Peter Nathan,&nbsp;Niels Buus,&nbsp;Alison Hansen","doi":"10.1111/inm.70293","DOIUrl":"10.1111/inm.70293","url":null,"abstract":"<p>Emergency departments (EDs) are often the first point of contact for individuals in mental health crisis. In rural Australia, health professionals face distinctive challenges shaped by limited resources, workforce shortages and overlapping professional and community roles. These conditions influence how health professionals perceive, engage with and respond to people experiencing mental health crisis. To explore how health professionals working in a rural emergency department perceive their work with people presenting with mental illness. A qualitative design using semi-structured interviews was employed with nine participants (six nurses and three medical officers) from a rural ED in South West Queensland. Data were analysed using Braun and Clarke's Reflexive Thematic Analysis. Three interrelated themes captured participants' perceptions: safety as relational and negotiated practice, education and training as relational and experiential learning and small-town mentality. Findings suggested that care in rural EDs is sustained less by systems and protocols than by human connection, local knowledge and moral endurance. Participants described navigating safety through empathy and teamwork, constructing learning through shared experience rather than formal training and managing the tensions of visibility, stigma and relationships in close-knit communities. Work with people with mental health illness in rural emergency settings is perceived as relational, adaptive and context bound. Building sustainable rural mental health responses may benefit from embedding specialist support, accessible education and reflective spaces that honour both professional wellbeing and community interdependence.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70293","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148371505","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}