International Journal of Mental Health Nursing最新文献

{"title":"Psychological Distress Among Suicide Exposed and Subsequently Bereaved Carers","authors":"Myfanwy Maple,&nbsp;Navjot Bhullar,&nbsp;Marie Reid,&nbsp;Sarah Wayland","doi":"10.1111/inm.70113","DOIUrl":"https://doi.org/10.1111/inm.70113","url":null,"abstract":"<p>People bereaved by suicide are at risk of developing significant mental health issues, including the risk of self-harm. To understand suicide exposure and psychological factors contributing to these adverse outcomes, survey data from 92 participants (Mean_age = 53.50 years, SD = 14.5, female = 83.7%) who had provided care to someone who subsequently died by suicide were used. Participants responded to questions relating to suicide exposure, bereavement, suicidal ideation and psychological distress. A hierarchical regression analysis found that the perceived impact of suicide death and one's own suicidal ideation explained 46% variance in psychological distress. Suicide bereaved carers are highly distressed and are at heightened risk of self-harm. Therefore, targeted support and postvention services for individuals who have previously cared for someone who subsequently died by suicide are needed due to their repeated exposure to suicide. As these individuals are often in contact with mental health services prior to the person's death, these connections with mental health nurses should be used for identifying those at greater risk and initiating early support.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70113","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144782445","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":"Instruments for Short-Term (24 h) Violence Risk Assessment and Strategies for Managing Violence Risk Among Adolescents With Risk for Violent Behaviour: A Systematic Review","authors":"Laura Väätäinen,&nbsp;Maiju Björkqvist,&nbsp;Yan Li,&nbsp;Veikko Pelto-Piri,&nbsp;António Ferreira,&nbsp;Tella Lantta","doi":"10.1111/inm.70110","DOIUrl":"https://doi.org/10.1111/inm.70110","url":null,"abstract":"<p>Short-term (24 h) violence risk assessment and management can reduce violence in institutional settings, yet they remain understudied in adolescent populations. This systematic review aimed to identify instruments used for short-term violence risk assessment and strategies for managing violence risk among adolescents in institutional settings, as well as to evaluate related outcomes. PRISMA was used as an evidence-based minimum set of items for reporting systematic reviews. The literature search (March 2024 and March 2025) was conducted in PubMed, PsycINFO, Web of Science, CINAHL, The Cochrane Library and Scopus, and references from selected studies were reviewed. Data extraction and analysis were performed in Covidence. Nine studies met inclusion criteria describing six assessment instruments: DASA, DASA-YV, V-RISK-Y, Kennedy Axis V, Pedi-BEWS and BVC. No studies regarding strategies for short-term violence risk management were identified. DASA-YV, BVC and V-RISK-Y predicted violence among adolescents within 24 h (AUC = 0.70–0.95); DASA predicted violence moderately (AUC = 0.50–0.69). Pedi-BEWS (ICC = 0.83) and Kennedy Axis V (ICC = 0.79) demonstrated similar inter-rater reliability. Due to the lack of studies, firm conclusions on the best instrument for clinical practice in institutional settings remained elusive. Further research is necessary to ascertain if youth-specific instruments (e.g., DASA-YV, V-RISK-Y) predict violence more effectively than non-age-specific instruments (e.g., DASA). The lack of youth engagement in violence risk assessment stands out clearly. Scoring was done by the staff, mostly by nurses. Future studies should involve adolescents in the scoring or evaluation of assessment and management. There is a need for evidence-based recommendations for youth engagement.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70110","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144767886","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":"To Make Another Goal or to Dream a Different Dream—A Mixed Method Study of Experiences of People Using Mental Health Advance Care Planning","authors":"Vrinda Edan,&nbsp;Lisa Brophy,&nbsp;Bridget Hamilton","doi":"10.1111/inm.70098","DOIUrl":"https://doi.org/10.1111/inm.70098","url":null,"abstract":"<p>Advance statements are instruments under the Mental Health Act (2014) (Vic) (the Act) in Victoria, Australia that support advance care planning, should a person become a compulsory patient under the Act. Advance care planning supports consumers to have their values and preferences known to the service and other decision makers. Uptake of advance statements in mental health has been poor, and minimal literature is available that explores direct experiences of these instruments by consumers. Feminist Standpoint theory was used in this study as it centres the experience of the marginalised person within the study. This study comprised four in-depth interviews and a survey with 59 responses that explored consumers' direct experiences of using advance statements in Victoria. Results are consistent with past research identifying that many mental health advance statements were consenting documents, although some issues remained with locating the advance statement and identifying the most beneficial staff members to notify. Analysis of the interviews identified four main themes in people's experiences: not being read, working/not working, the use of advocacy and adjusting expectations. Consumers suggested how advance statements could be improved. Specific examples of advocacy by nurses were identified, and as the largest body of mental health workers, nurses have a key role in supporting consumers throughout their journey. Nurses are best placed to enact supported decision making, a key factor in advance care planning. With greater understanding of advance statements, and better resourcing of supported decision-making mechanisms, there is potential for advance statements to contribute to an improved experience for consumers in mental health services.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70098","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144767413","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":"Towards Coproduction in Mental Health Academia: A Cooperative Inquiry","authors":"Brenda Happell,&nbsp;Terri Warner,&nbsp;Louise Whitaker,&nbsp;Kitty-Rose Foley,&nbsp;Nina Joffee-Kohn,&nbsp;Cath Roper,&nbsp;Sam Brhaspati Stott","doi":"10.1111/inm.70108","DOIUrl":"https://doi.org/10.1111/inm.70108","url":null,"abstract":"<p>Coproduction has emerged as an important means of effective mental health service delivery. Unfortunately, this term is commonly misunderstood, with tokenistic participation too often presented as coproduction. Funding and resourcing have been identified as significant, and often insurmountable, barriers to achieving coproduction. This paper presents findings from a cooperative inquiry project, addressing ideas and strategies for working towards coproduction within an academic unit. Three consumer/lived Experience academics and three nonconsumer academics (from Nursing, Occupational Therapy and Social Work) participated in a series of in-depth conversations to consider and identify potential strategies to advance the faculty's progress towards coproduction. Conversations were transcribed and analysed using a thematic approach. Five main themes were identified: importance of coproduction; preparing for coproduction; barriers to coproduction; the need for university transformation; and power. A belief in the inherent value of coproduction was shared among the group, and strategies were identified to clarify the level of participation. Radical transformation of universities, aligned with contemporary industry practice, is essential to achieving coproduction. Strategies such as allocating vacant academic positions for health professionals to consumer academics are indicative of measures required for genuine aspirations for coproduction to be realised and to address the seemingly insurmountable funding issues. Universities must recognise power differences and remain honest about their position according to participation ladders. These findings provide guidance for academics who acknowledge the value of coproduction to address the commonly identified barriers to its implementation.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70108","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144758626","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":"Safety for Recovery During Admission to Acute Mental Health Hospitals: A Constructivist Grounded Theory Study to Support Safety-Focused Recovery-Oriented Care in the Context of Risk Management Constraints","authors":"Kris Deering,&nbsp;Chris Wagstaff,&nbsp;Richard G. Kyle,&nbsp;Ivor Bermingham,&nbsp;Jo Williams,&nbsp;Chris Pawson","doi":"10.1111/inm.70104","DOIUrl":"https://doi.org/10.1111/inm.70104","url":null,"abstract":"<p>Recovery during admission to acute mental health hospitals can involve supporting individuals in beginning to work towards a fulfilling life despite experiencing mental distress. This can help reduce risks such as suicide and aggression. However, restrictive risk management practices, such as physical restraint may increase during this period, and the distress caused by these practices can hinder a person's abilities to understand their recovery needs. Little is known about how recovery can occur safely within the context of such risk management restrictions. Therefore, this constructivist grounded theory study explored the perspectives of 15 individuals with hospital admission experiences about how they might begin their recovery journeys amidst these constraints. The study found that people could reconnect with their beliefs about a fulfilling life vicariously through interpersonal relationships. This facilitated a sense-making process allowing individuals to better understand their recovery needs which were otherwise obscured by the complexity and intrusiveness of risk management practices. The theory comprised of four social processes: ‘treating me safely,’ when nurses began to understand those admitted as individuals; ‘outside world inside,’ which involved nurses helping the person to form meaningful connections to their personal world; ‘tangible hopefulness,’ where nurses raised the person's awareness of meaningful successes; and ‘scaffolding recovery,’ which built on the previous three processes, with the nurses helping individuals recognise the potential for working towards a fulfilling life. The study shows how supporting a relational approach to care may lessen people feeling unsafe when admitted to hospital, despite experiencing potentially distressing risk management practices.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70104","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144751718","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":"Implementation of a Sensory Room in a Psychiatric Intensive Care Unit: A Mixed-Methods Study","authors":"Suzanne Dawson,&nbsp;Amy Hawke,&nbsp;Lemma Bulto,&nbsp;Patricia Whitelaw,&nbsp;Ngoni Jeranyama,&nbsp;Justin Newton Scanlan","doi":"10.1111/inm.70103","DOIUrl":"https://doi.org/10.1111/inm.70103","url":null,"abstract":"<p>Sensory rooms provide a safe space for consumers in inpatient psychiatric settings to self-manage distress and agitation and potentially reduce the use of restrictive practices. However, sensory rooms are often not available, and there is limited knowledge about strategies that support the implementation. This study explored consumer and clinician experiences of a sensory room in an acute psychiatric intensive care unit (PICU) and examined its impacts on restrictive practice use (seclusion and Pro re nata [PRN] medication). A mixed-methods approach was employed in the analysis of interviews with consumers and clinicians and routinely collected data pertaining to restrictive practice use. Themes were generated from the qualitative data through deductive analysis against the Theoretical Domain Framework (TDF) and COM-B to understand the barriers and facilitators to use. Rates of PRN use and seclusion were calculated for three 2-month periods: prior to the implementation of the room and two time points following implementation. Prominent barriers related to limited opportunity to use the room due to the environmental context (room location) and resources (staffing). Facilitators were clustered around consumer and staff motivation to use the room. There were no significant changes in PRN use over time, and while there was a numeric decrease in the use of seclusion, this did not reach statistical significance. In summary, sensory rooms were valued by consumers and most staff and were considered to provide a safe therapeutic space within the often chaotic and complex treatment environment of a PICU. Strategies for successful implementation are discussed.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70103","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144751716","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":"Working Together to Deliver Person-Centred Care Within the Stepped Care Model: An Australian Multidisciplinary Perspective","authors":"Shingai Mareya,&nbsp;Lin Zhao,&nbsp;Mimmie Claudine Watts,&nbsp;Michael Olasoji","doi":"10.1111/inm.70111","DOIUrl":"https://doi.org/10.1111/inm.70111","url":null,"abstract":"<p>The Australian stepped care model (SCM) in primary mental healthcare aims to provide a structured, accessible and flexible approach to addressing mental health issues. This study, a subset of a broader study, explores the perspectives of multidisciplinary mental health professionals on the implementation and effectiveness of the SCM. Using an exploratory descriptive qualitative methodology, the study collected data from nine participants: mental health nurses, an occupational therapist, a psychologist, a social worker, psychiatrists and a care coordinator, all involved in an SCM. Ethical approval was obtained from the Human Research Ethics Committee (de-identified for review), and measures were implemented to ensure the privacy and confidentiality of all participants. Data were collected through face-to-face interviews and analysed using reflective thematic analysis. Four main themes were developed from the reflexive thematic analysis: working together to deliver collaborative care, a flexible and personalised approach, complexities of navigating the model and stories of success: positive client outcomes. The multidisciplinary nature of the SCM facilitates a holistic approach to mental healthcare, ensuring comprehensive support for patients. However, workforce shortages and systemic issues present significant challenges. The study found that flexibility and personalisation allow the SCM to adapt to diverse patient needs, which enhances outcomes and satisfaction, though inconsistencies in service delivery remain. Navigating the SCM is complex, requiring better coordination and more precise guidelines to ensure smooth transitions between care levels. Despite these challenges, the SCM has demonstrated considerable success in improving patient outcomes. In conclusion, the SCM represents a promising primary mental healthcare approach, emphasising tailored, multidisciplinary care. The study highlights the need for continuous improvements which include addressing workforce shortages and enhancing coordination to maximise the SCM's impact and ensure sustainable mental health services in Australia. Future research with larger samples and quantitative data is recommended to evaluate further the SCM's effectiveness in Australia.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144751717","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":"‘I Felt Like I Was Invisible’: Nursing Students' Experiences of Mental Health Clinical Placement—A Cross-Sectional Study","authors":"Louise Alexander,&nbsp;Cally Mills,&nbsp;Fiona Kumar,&nbsp;Susan Hunter","doi":"10.1111/inm.70112","DOIUrl":"https://doi.org/10.1111/inm.70112","url":null,"abstract":"<p>Australia is currently experiencing a nursing shortage, and the speciality of mental health has been particularly hard hit as it is plagued by student disinterest and difficulty recruiting and retaining nurses. There is also evidence to suggest that when students are on their mental health nursing placement, they experience a lack of learning opportunity, incivility, bullying and are often ignored by nursing staff. Positive experiences during undergraduate mental health clinical placements have been associated with a desire to work in mental health nursing upon graduation. Ensuring students have a positive placement experience, which provides opportunity to link theory and skills, is a priority for sustaining the mental health nursing workforce. This study reports on the mental health placement experiences of a cohort of Victorian undergraduate nursing students enrolled in a Bachelor of Nursing course. Cross-sectional study with thematic analysis of free-text responses and descriptive statistics of placement satisfaction survey (Placement Evaluation Tool: Nursing Student) of data collected between May 2023 and August 2024. Overall <i>n</i> = 264 (26.8%) students were satisfied with their placement (8/10); however, experiences pertaining to constructive feedback, supervision, learning support and feeling valued were rated lower. Additionally, <i>n</i> = 103 (39%) free-text responses on student experience of mental health placement were analysed using thematic analysis, where three themes emerged. Students described placement experiences that were often fraught with incivility and conflict, in addition to being unable to meet learning opportunities. Students were critical of community mental health placements where they were not provided adequate opportunity to engage with consumers or engage in mental health practice. Students reported that the experiences they had on clinical placement significantly influenced their desire to work with both the health service and in mental health. Health services need to address toxic workplace culture, not only for students but for their own staff, and recognise that students are often scrutinising a service for future employment. Despite evidence dating back decades to identify the importance of positive clinical placement experience on recruitment, there remain significant issues in some health services where students are seen as burdensome, and not the answer to the dwindling workforce. Payments by education providers for clinical placement services have been in operation in Victoria, Australia, since 2015; however, it is not necessarily directed to support student placement experience. Health services must be more proactive in identifying their capabilities around supporting undergraduate nursing students, the professional development of staff to provide quality supervision and the suitability and quality of the placement experience they offer.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70112","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144725592","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 Impact of Online Mindfulness Interventions on Postpartum Depression: A Systematic Review and Meta-Analysis","authors":"Qier Liu,&nbsp;Jiaqi Yuan,&nbsp;Siyao Shi,&nbsp;Miao Du,&nbsp;Ying Jiang","doi":"10.1111/inm.70085","DOIUrl":"https://doi.org/10.1111/inm.70085","url":null,"abstract":"<div>\u0000 \u0000 <p>Postpartum depression is a significant global public health issue, with serious maternal and neonatal consequences. Online mindfulness interventions provide a promising alternative, offering flexible and low-risk support that overcomes barriers like stigma and accessibility. This review aimed to assess the effects of online mindfulness interventions on postpartum depression, anxiety, and stress symptoms. We searched databases including PubMed, Web of Science, Scopus, ClinicalTrials, Cochrane Library, CINAHL, PsycINFO, ProQuest, Embase, CNKI, Wanfang, VIP, and Sinomed. The search was limited to randomised controlled trials published up to December 31, 2024. Study quality was assessed using the Cochrane Handbook 5.1.0 tool. Depression scores were analysed using standardised mean differences (SMD) with 95% confidence intervals (CIs). A total of 2560 papers were found, and of these, 23 studies including 2725 participants across eight countries, met the inclusion criteria and were meta-analysed. Meta-analysis results showed that online mindfulness interventions significantly improved depression in postpartum women, both in the short term (SMD = −0.53, 95% CI [−0.72, −0.34], <i>p</i> &lt; 0.05) and in the long term (SMD = −0.53, 95% CI [−0.82, −0.23], <i>p</i> &lt; 0.05). Anxiety symptoms were also significantly improved (SMD = −0.36, 95% CI [−0.58, −0.14], <i>p</i> &lt; 0.05). Stress symptoms were not significantly improved (SMD = −0.16, 95% CI [−0.43, 0.10], <i>p</i> &gt; 0.05). Greater effects were observed for interventions delivered via text messages and online face-to-face formats. Interventions involving additional researcher support and those with complex mindfulness components were also more effective (<i>p</i> &lt; 0.05). A 5–8-week intervention period showed the most stable effects (<i>p</i> &lt; 0.05). The follow-up dropout rate was similar between the intervention and control groups (RR = 0.98, 95% CI [0.96, 1.01]). Future studies should further explore the long-term effects of these interventions.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144714711","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":"The Global Landscape of Neuropsychiatric Prescribing Practices of Nurses: A Scoping Review","authors":"M. Naidoo,&nbsp;C. J. Filmalter,&nbsp;W. Cordier","doi":"10.1111/inm.70101","DOIUrl":"https://doi.org/10.1111/inm.70101","url":null,"abstract":"<p>Mental healthcare service access in South Africa is currently strained due to, among others, shortages of specialised mental healthcare professionals. The National Strategic Plan for HIV, TB and STIs (2023-2028) recommends enabling nurses to diagnose, prescribe and dispense neuropsychiatric medication for promoting mental health services. The aim was to explore and describe the existing practices, strengths and challenges for nurses prescribing neuropsychiatric medication globally through a scoping and document review. A standardised search was conducted across PubMed, CINAHL and EBSCOHost electronic databases. An online Google search was conducted across governmental legislative and regulatory websites. The Joanna Briggs Institute scoping review framework was followed using relevant MeSH terms and free-text words. South African governmental and parastatal documentation relating to relevant regulatory frameworks affecting such prescribing authorisation in South Africa was analysed following Bowen (2009) guidelines. Of 817 citations identified, 20 reports were included. The included reports originated mostly from developed countries, with only one from South Africa. Patients and healthcare professionals were mostly positive towards including the prescription of neuropsychiatric medication in the nursing care model. Prescription of Schedule 5 and 6 controlled substances by nurses is already authorised in the USA and UK. In South Africa, nurses are not yet permitted and will require amendments to the legislative framework that guides nursing practice. Nurses can prescribe neuropsychiatric medications in certain developed countries; however, contextual research is necessary to ascertain whether South African stakeholders will support such an authorisation. Educational and interprofessional concerns will need to be thoroughly assessed to ensure that appropriate competencies are obtained, ensuring the boundaries of the scope of practice. Investigation of potential professional overlap of responsibilities and perceptional biases, as well as transformation of educational platforms, will be needed should such a recommendation come to pass. Furthermore, legislative changes will be required to authorise the prescription of neuropsychiatric medications.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 4","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144695807","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}