International Journal of Mental Health Nursing最新文献_第5页

Perspectives and Experiences of People Receiving Care on a De-escalation Intervention to Reduce Restrictive Practices in Acute Mental Health Units 在急性精神卫生单位中，人们接受降级干预以减少限制性做法的观点和经验

IF 3.9 2区医学

International Journal of Mental Health Nursing Pub Date : 2026-06-29 DOI: 10.1111/inm.70300

Esario IV Daguman, Dane Owen, Jacqui Yoxall, Richard Lakeman, Marie Hutchinson

{"title":"Perspectives and Experiences of People Receiving Care on a De-escalation Intervention to Reduce Restrictive Practices in Acute Mental Health Units","authors":"Esario IV Daguman, Dane Owen, Jacqui Yoxall, Richard Lakeman, Marie Hutchinson","doi":"10.1111/inm.70300","DOIUrl":"https://doi.org/10.1111/inm.70300","url":null,"abstract":"Interventions aimed at reducing restrictive practices are also designed to enhance the service experience in acute mental health units. However, people with experience of coercive engagement with these services are seldom involved as active contributors in evaluative research on interventions to reduce restrictive practices. With the meaningful involvement of lived experience practitioners, this research was aimed at examining care recipients' service experiences and perspectives on nurses' therapeutic responses during the implementation of a de-escalation intervention in three adult inpatient units within New South Wales, Australia, from March 2024 to April 2025. Nested within a larger study employing a mixed concurrent control design, this research evaluated the effectiveness and process of the Safe Steps for De-escalation through comparisons of unmatched measures of empowerment, dehumanisation, and staff actions on violence prevention across three time points, as well as through a reflective thematic analysis of semi-structured interviews. Safe Steps is a structured approach for therapeutic responding, targeting nurses' relationship-promotion behaviours to increase focus on minimising the use of restrictive practices. Eighty-six inpatients completed the unmatched measures, with nine participating in interviews following discharge. No significant changes were noted in quantitative measures over time. Five themes emerged from the qualitative analysis: (i) Clarity calms; confusion harms, (ii) Control cuts deep, (iii) Systems strain; people break, (iv) Connection is treatment in itself, and (v) Meaning-making outweighs medicine. These findings cast acute inpatient units in a light akin to a power circuit, elevating the need to make inpatient admissions more reflective of everyday life outside the units.","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 4","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70300","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148343394","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}

引用次数: 0

Re: Development of a Repeat Suicide Risk Management Protocol for Emergency Department Patients With Suicide Attempts: An Exploratory Sequential Mixed-Methods Study 对急诊科有自杀企图的病人制定重复自杀风险管理方案：一项探索性顺序混合方法研究。

IF 3.9 2区医学

International Journal of Mental Health Nursing Pub Date : 2026-06-15 DOI: 10.1111/inm.70291

Maajid Mohi Ud Din Malik

引用次数: 0

Letter on ‘Distress, Discomfort and Moral Injury: Emergency Department Clinicians Experiences Caring for People With a Psychosocial Disability and a National Disability Insurance Scheme Plan’ 关于“痛苦、不适和道德伤害：急诊科临床医生照顾社会心理残疾者的经历和国家残疾保险计划”的信

IF 3.3 2区医学

International Journal of Mental Health Nursing Pub Date : 2026-06-12 DOI: 10.1111/inm.70287

Maajid Mohi Ud Din Malik

引用次数: 0

‘A Moment for Me’: The Role of Respite in Sustaining Mental Health Carers “我的片刻”：喘息在维持心理健康护理人员中的作用。

IF 3.3 2区医学

International Journal of Mental Health Nursing Pub Date : 2026-06-12 DOI: 10.1111/inm.70283

Zahra Almoaber, Lorna Moxham, Christopher Patterson, Elizabeth Curtis

{"title":"‘A Moment for Me’: The Role of Respite in Sustaining Mental Health Carers","authors":"Zahra Almoaber, Lorna Moxham, Christopher Patterson, Elizabeth Curtis","doi":"10.1111/inm.70283","DOIUrl":"10.1111/inm.70283","url":null,"abstract":"Evidence suggests respite care reduces carers' burden by providing temporary relief, reducing stress and ensuring safety. Most research focuses on carers of people with dementia or physical disabilities, leaving a gap in understanding carers of individuals with mental illness (MI). Few studies explore their specific needs, indicating a crucial area for further research. This study utilised phenomenology to examine the perception of respite for those who care for people with mental illness. An interpretative phenomenological approach guided and informed the philosophy of the study. A purposive sample of 14 caregivers who utilise respite care (n = 14) provided narrative data through individual semi-structured interviews. Verbatim transcripts were analysed using van Manen's approach revealing eight key elements, four primary themes and an overarching essence of meaning. The themes include (1) feeling overwhelmed, (2) the process of obtaining respite, (3) facility suitability and (4) the need to keep going. The overarching essence of meaning was identified as “Constant care is constant.” This study presents an in-depth analysis of the findings, supplemented by a comprehensive exploration based on established theoretical frameworks. Carers benefit from respite services by improving their mental and physical health and quality of life, but service delivery needs enhancement. Service providers should improve communication, offer flexible scheduling, and tailor services to individual needs. Training and education for respite care workers, especially in managing challenging situations and providing emotional support, are vital. Raising awareness through collaborations with healthcare providers and community organisations can better inform carers about available options.","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 3","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70283","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148229708","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}

引用次数: 0

How Does Artificial Intelligence Align With Person-Centred Principles in Mental Health Nursing? A Scoping Review 在心理健康护理中，人工智能如何与以人为本的原则保持一致？范围审查。

IF 3.3 2区医学

International Journal of Mental Health Nursing Pub Date : 2026-06-10 DOI: 10.1111/inm.70282

Carmel Bond, Adrianna Lorraine Watson, Graeme D. Smith, Helen Aveyard, Debra Jackson

{"title":"How Does Artificial Intelligence Align With Person-Centred Principles in Mental Health Nursing? A Scoping Review","authors":"Carmel Bond, Adrianna Lorraine Watson, Graeme D. Smith, Helen Aveyard, Debra Jackson","doi":"10.1111/inm.70282","DOIUrl":"10.1111/inm.70282","url":null,"abstract":"Artificial intelligence is increasingly used in mental health nursing, yet its alignment with person-centred care remains underexplored. This scoping review examines the extent to which artificial intelligence applications in mental health nursing align with person-centred principles, and where tensions and risk emerge. A systematic search of three electronic databases identified studies published since 2018. Data were charted for study characteristics, artificial intelligence modalities, person-centred care concepts addressed, and research gaps. Findings show growing interest in technology-enabled care delivery, monitoring, and decision support in mental health settings, with varying degrees of attention to person-centred values such as empathy, shared decision-making, dignity and therapeutic alliances. However, considerable gaps remain regarding ethical integration, digital therapeutic relationships, trust, surveillance and the measurement of person-centred care outcomes. This review maps the current evidence base and highlights critical gaps in understanding how artificial intelligence reshapes therapeutic relationships, professional roles and power dynamics in mental health nursing. Future research is needed to ensure that the adoption of artificial intelligence is not only safe and effective, but also ethically grounded and aligned with the humanistic foundations of person-centred mental health nursing.","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 3","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70282","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221049","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}

引用次数: 0

Qualified but Unprepared: The Readiness Paradox in Early Career Mental Health Nurses—A Descriptive Qualitative Study 合格但没有准备：早期职业心理健康护士的准备悖论-一项描述性质的研究。

IF 3.3 2区医学

International Journal of Mental Health Nursing Pub Date : 2026-06-10 DOI: 10.1111/inm.70285

Louise Alexander, Gabrielle Burdeu, Anita Cappello, Keith Griffin

{"title":"Qualified but Unprepared: The Readiness Paradox in Early Career Mental Health Nurses—A Descriptive Qualitative Study","authors":"Louise Alexander, Gabrielle Burdeu, Anita Cappello, Keith Griffin","doi":"10.1111/inm.70285","DOIUrl":"10.1111/inm.70285","url":null,"abstract":"Mental health issues such as anxiety and depression are reported at higher rates in undergraduate nursing students than in the general population, highlighting the potential value of enhanced wellbeing supports for recent graduates. Evidence suggests that supportive strategies, including clinical supervision and structured wellbeing programmes, can improve graduate wellbeing and retention within health services. This study aimed to explore mental health nursing educators' perceptions of early career nurses' work readiness, wellbeing and preparedness for practice. Using a qualitative descriptive design, semi-structured interviews were conducted with 10 registered nurse educators employed at a large tertiary metropolitan health service in Melbourne, Australia. Data were analysed thematically following Braun and Clarke's method. Four key themes emerged: (1) Registered but not ready, (2) Perceptions, practice and role identity, (3) The work of wellbeing and (4) At the boundaries of education and care. Findings indicate that graduates frequently lack readiness for independent practice and demonstrate a disconnect between expectations and the realities of mental health nursing. Emerging mental health concerns among graduates further highlight the emotional demands of the role and gaps in coping strategies. Educators face the added challenge of navigating a dual role: supporting graduates' wellbeing while maintaining educational responsibilities, without assuming a counselling function. These insights underscore the need for structured interventions to support both graduates and educators, including enhanced preceptorship, resilience training and clear delineation of educational versus therapeutic roles, to strengthen workforce readiness and sustainability in mental health nursing.","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 3","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70285","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221272","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}

引用次数: 0

Stigma and Borderline Personality Disorder: An Umbrella Scoping Review of Existing Reviews 病耻感与边缘型人格障碍：现有综述的概括性范围综述。

IF 3.3 2区医学

International Journal of Mental Health Nursing Pub Date : 2026-06-10 DOI: 10.1111/inm.70278

Rachel Galea, Alison Rodgers, Rasha Wahid, Ellen Buck-McFadyen

{"title":"Stigma and Borderline Personality Disorder: An Umbrella Scoping Review of Existing Reviews","authors":"Rachel Galea, Alison Rodgers, Rasha Wahid, Ellen Buck-McFadyen","doi":"10.1111/inm.70278","DOIUrl":"10.1111/inm.70278","url":null,"abstract":"Borderline personality disorder (BPD) is a common mental health condition that remains highly stigmatized in health care settings. Numerous reviews have examined stigma related to BPD, yet findings remain varied across methodologies and focus areas. The objective of this umbrella scoping review was to synthesize existing literature by mapping the volume, scope, and characteristics of published reviews. Methodological quality was assessed using the JBI checklist and reported using PRISMA-ScR guidelines. A comprehensive search was conducted across six databases. Fourteen reviews met eligibility criteria, and the methodological approaches were highly heterogeneous. Data were synthesized and analysed using thematic analysis. Five broad themes emerged: (1) attitudes and perceptions of HCP, (2) diagnostic labelling of BPD, (3) internalization of stigma, (4) inadequate institutional structures, and (5) stigma reduction initiatives. Most reviews originated from the UK (n = 8) and Australia (n = 4). Social stigma, particularly negative attitudes among health care providers, was the dominant focus, while structural stigma was rarely addressed despite its recognized importance. Educational interventions have shown varying success, and individuals with BPD continue to face discrimination and restricted access to care. Stigma, often reinforced by the diagnostic label, remains a structural barrier to equitable health care. These findings highlight the need for systemic approaches to stigma reduction, integration of stigma reduction education into clinical training, and policy reforms to improve access and quality of care for individuals with BPD.","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 3","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70278","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221300","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}

引用次数: 0

‘We're Not Mental Health’: Perspectives of Emergency Department Clinicians on Trauma-Informed Care “我们不是心理健康”：急诊科临床医生对创伤知情护理的看法。

IF 3.3 2区医学

International Journal of Mental Health Nursing Pub Date : 2026-06-10 DOI: 10.1111/inm.70284

Olivia Miller, Danielle Villoresi

{"title":"‘We're Not Mental Health’: Perspectives of Emergency Department Clinicians on Trauma-Informed Care","authors":"Olivia Miller, Danielle Villoresi","doi":"10.1111/inm.70284","DOIUrl":"10.1111/inm.70284","url":null,"abstract":"Exposure to potentially psychologically traumatic events is extremely common, impacting both physical and mental health. Trauma-exposed people are more likely to access emergency care than their non-trauma-exposed counterparts, and they risk symptom exacerbation and re-traumatisation during the care process. Trauma-informed care (TIC) practices may provide better experiences for these patients. However, TIC understanding and implementation in emergency settings remains limited. Therefore, the current study aimed to explore how emergency clinicians perceive, conceptualise and enact TIC in their practice. Twenty emergency clinicians (2 doctors, 18 nurses) from one metropolitan hospital participated in semi-structured interviews about their understanding and use of TIC. Reflexive thematic analysis of this qualitative data generated three themes: (1) ‘treat the person not the problem’, (2) ‘we're not mental health’ and (3) ‘systemic factors that we can't fix’. When brought together, these themes suggested that emergency clinicians perceived TIC to be a holistic, person-centred practice designed to treat psychological trauma. This therefore displaced the responsibility for TIC from emergency clinicians onto others. Adoption of TIC practices was further impeded by perceived systemic barriers like competing priorities and working conditions fostering burnout. The findings suggest that systemic changes and TIC education for emergency clinicians are needed to support TIC implementation, which may in turn produce better patient experiences and outcomes.","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 3","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70284","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221294","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}

引用次数: 0

Obesity Prevalence and Associated Factors Among Users of Specialized Community Mental Health Services: An Observational Study 专业社区心理健康服务使用者的肥胖患病率及相关因素：一项观察性研究

IF 3.3 2区医学

International Journal of Mental Health Nursing Pub Date : 2026-06-10 DOI: 10.1111/inm.70279

Thaiane Bruna da Cruz Diomedece, Bruno da Silva Marinho, Ana Laura Salomé Lourencetti, Mark Costa, Maria O'Connell, Chyrell Bellamy, Carlos Alberto dos Santos Treichel

{"title":"Obesity Prevalence and Associated Factors Among Users of Specialized Community Mental Health Services: An Observational Study","authors":"Thaiane Bruna da Cruz Diomedece, Bruno da Silva Marinho, Ana Laura Salomé Lourencetti, Mark Costa, Maria O'Connell, Chyrell Bellamy, Carlos Alberto dos Santos Treichel","doi":"10.1111/inm.70279","DOIUrl":"10.1111/inm.70279","url":null,"abstract":"In Brazil, approximately 6.9 million people live with severe, mild, or moderate mental disorders, requiring different levels of care. Psychosocial Care Centres play a fundamental role in providing specialized care to this population, promoting welcoming practices, continuous treatment, and social reintegration within the Psychosocial Care Network. Although effective in reducing crises and hospitalizations, challenges remain regarding the maintenance of users' physical health. This observational and analytical study aimed to identify the prevalence of obesity (defined as a body mass index ≥ 30 kg/m2) and its associated factors among 358 adults receiving care in three specialized mental health services in a medium-sized municipality. A structured, content-validated questionnaire collected sociodemographic, clinical, behavioural and service-related information. Weight, height and waist circumference were measured following international standards. The prevalence of obesity was 32.1%, and an additional 32.7% were overweight, totaling 64.8% with excess weight. Lower prevalence of obesity was observed among users of services focused on the treatment of substance use disorders. Higher prevalence was identified among women, individuals who self-identified as Black, people with hypertension, and those with poorer self-rated health. Smoking was associated with lower obesity prevalence. It is concluded that obesity is highly prevalent among users of community mental health services, highlighting the need for integrated strategies that incorporate physical health as an essential component of mental health care.","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 3","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70279","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148221078","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}

引用次数: 0

Physical Restraint in Chinese Mental Health Settings: A Multi-Perspective Interpretative Phenomenological Analysis of Patients' and Healthcare Professionals' Experiences 中国心理健康环境中的身体约束：对患者和医护人员经验的多视角解释现象学分析。

IF 3.3 2区医学

International Journal of Mental Health Nursing Pub Date : 2026-06-08 DOI: 10.1111/inm.70261

Yue Chong, Fazhan Chen, Yunxian Zhou, Can Wang, Haiying Min, Lei Zhang, Yanbo Wang

{"title":"Physical Restraint in Chinese Mental Health Settings: A Multi-Perspective Interpretative Phenomenological Analysis of Patients' and Healthcare Professionals' Experiences","authors":"Yue Chong, Fazhan Chen, Yunxian Zhou, Can Wang, Haiying Min, Lei Zhang, Yanbo Wang","doi":"10.1111/inm.70261","DOIUrl":"10.1111/inm.70261","url":null,"abstract":"<div>\u0000 \u0000 Physical restraint is a highly controversial intervention in psychiatric nursing. While the prevalence and policies of physical restraint vary significantly worldwide and across China's diverse regional healthcare systems, the overall rate in Chinese mental health settings remains notably higher. However, the lived experiences and cognition of both patients with mental disorders and healthcare professionals remain underexplored in existing literature. This study adopted a multi-perspective interpretative phenomenological analysis to investigate the experiences, perceptions, and relational tensions regarding physical restraints among inpatients and healthcare professionals in Chinese mental health settings. A total of 21 participants were recruited from a mental health hospital in Shanghai, comprising nine patients with mental disorders in the recovery phase, seven mental health nurses, and five psychiatrists. In-depth semi-structured interviews were conducted individually with all participants to explore their lived experiences, perceptions, and perspectives related to physical restraint. The interview transcripts were analysed using multi-perspective interpretative phenomenological analysis (IPA). Three themes were extracted: (1) embodied experiences during physical restraint, (2) cognitive biases arising from diverse perspectives, and (3) the trust crisis and reconstruction between healthcare professionals and patients. Physical restraint in Chinese mental health settings is shaped by a complex interplay of power, culture and resource factors. To achieve a balance between safety and patient dignity, it is imperative to enhance communication, implement trauma-informed care and establish support systems.\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"35 3","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201806","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}

引用次数: 0