Issues in Mental Health Nursing最新文献

{"title":"Coercive Measures in Patients Hospitalized in Psychiatric Wards: A Contextual Concept Analysis Using a Hybrid Model.","authors":"Hamid Asayesh, Ahmad Mashkoori, Ali Khaji, Vahideh Nayeri, Mohammad Parvaresh-Masoud","doi":"10.1080/01612840.2026.2632768","DOIUrl":"https://doi.org/10.1080/01612840.2026.2632768","url":null,"abstract":"<p><strong>Introduction: </strong>The use of coercive measures in psychiatric settings remains a contentious issue at the intersection of clinical necessity and ethical controversy. This study aimed to analyse the concept of coercive measures in inpatient psychiatric care.</p><p><strong>Methods: </strong>A hybrid concept analysis was conducted. Initially, a comprehensive literature review was performed, encompassing 264 relevant studies. Subsequently, a qualitative phase was conducted in an Iranian psychiatric context, utilizing content analysis to examine 27 semi-structured interviews with patients, family members, and psychiatric staff. Methodological rigor was ensured through data triangulation, including 67 field notes from direct observations of coercive events in clinical practice.</p><p><strong>Results: </strong>Coercive measures were defined as \"explicit or implicit interventions restricting patients' freedom of choice, movement, and self-determination, primarily to control behavioural disturbances and prevent harm.\" Their use raises ethical dilemmas regarding autonomy, beneficence, nonmaleficence, and dignity, further complicated by a lack of clear guidelines. Findings highlighted the potential for significant physical and psychological harm to patients and staff, sometimes with long-term effects. Perspectives diverged: while staff often emphasized necessity, patients highlighted negative consequences; however, both agreed that many incidents might be preventable through early recognition and management of antecedents.</p><p><strong>Conclusion: </strong>This conceptual analysis clarifies coercive measures in psychiatry as multifaceted interventions with ethical, clinical, and psychological implications. By systematically defining the concept and identifying its antecedents, the study provides a foundation for developing guidelines that balance patient autonomy and clinical safety. Reducing coercive practices requires addressing underlying triggers while upholding human rights in psychiatric care.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-12"},"PeriodicalIF":1.4,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147698456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep Disturbances in People with Major Depressive Disorder: A Qualitative Descriptive Study of Patient Experiences in Danish Outpatient Psychiatric Care.","authors":"Catrine Moesgaard, Sofie Wolsing, Peter Hjorth","doi":"10.1080/01612840.2026.2645385","DOIUrl":"https://doi.org/10.1080/01612840.2026.2645385","url":null,"abstract":"<p><p>To describe how patients with major depressive disorder (MDD) experience support for sleep disturbances in Danish outpatient psychiatric care and which pharmacological and non-pharmacological strategies they report using and perceiving as helpful in everyday life. Qualitative descriptive study. Semi-structured individual interviews were conducted with 12 adults diagnosed with MDD who were receiving ongoing outpatient psychiatric treatment. Data were analysed inductively using Braun and Clarke's reflexive thematic analysis. The Standards for Reporting Qualitative Research (SRQR) checklist guided reporting to enhance transparency and rigour. Six women and six men [mean (SD) age = 52 (19) years] participated. Participants described a range of strategies to manage sleep disturbances, including prescribed sleep medication, physical activity, relaxation techniques, and, in some cases, self-directed use of alcohol or cannabis. Across interviews, participants reported limited professional attention to sleep problems in outpatient care, describing fragmented guidance, a predominant reliance on pharmacological solutions, and a lack of systematic follow-up. Patients with MDD perceived insufficient and inconsistent support for managing sleep disturbances in outpatient psychiatric care. The findings suggest a gap between clinical guidelines and everyday clinical practice, with limited integration of non-pharmacological sleep interventions. Strengthening systematic sleep assessment and nurse-led holistic approaches may improve care quality and support recovery in this population.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-10"},"PeriodicalIF":1.4,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147690119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When Care Turns Calculated: The Dark Art of Sabotage in Nursing.","authors":"Rachel Kornhaber, Debra Jackson, Michelle Cleary","doi":"10.1080/01612840.2026.2649498","DOIUrl":"https://doi.org/10.1080/01612840.2026.2649498","url":null,"abstract":"<p><p>Sabotage in nursing is often unacknowledged, yet many nurses have encountered it in both subtle and overt forms. It can manifest in routine interactions and may involve withholding information, social exclusion, interference with clinical or academic work, or the gradual undermining of a colleague's credibility. These behaviors are intentional and can have lasting effects on those targeted. This discussion paper explores the ways sabotage appears in both clinical and academic settings. It examines the workplace pressures, insecurities, and cultural patterns that allow it to persist. Factors such as competition, professional jealousy, power imbalances, and limited recognition can shape behavior and distort the teamwork and respect that nursing relies on. The impact on nurses and patients is significant, leading to compromised psychosocial safety and negative patient care outcomes. These issues are compounded when leaders respond with silence, avoidance, or by protecting the perpetrators. The paper argues that addressing sabotage requires recognizing its presence, openly discussing its impacts, and enacting leadership that upholds accountability and fairness. Creating positive, healthier workplace cultures depends on everyday actions that demonstrate respect, honesty, and genuine support for colleagues. By naming sabotage and understanding how it develops, nurses can begin to rebuild trust and strengthen the foundations of care essential to the profession.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-8"},"PeriodicalIF":1.4,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Triumphs and Challenges of Peer Recovery Work in Clinical Care.","authors":"Aislinn Woody, Mona Shattell, Sydney Long, Donna Neff, Shana Harris, Carmen Giurgescu, Christa Cook","doi":"10.1080/01612840.2026.2645386","DOIUrl":"https://doi.org/10.1080/01612840.2026.2645386","url":null,"abstract":"<p><p>Peer Recovery Workers (PRWs) bring lived experience to clinical care, offering non-clinical support that enhances engagement and reduces stigma for individuals recovering from substance use disorders. Despite their growing presence, PRWs face systemic challenges that threaten the sustainability of their roles, including low wages, limited advancement, stigmatized experience, and lack of institutional understanding. These challenges differ from mental health peer support roles and reflect the unique demands of substance use recovery settings. This empirical phenomenological study explored the lived experiences of 12 PRWs in the United States through semi-structured interviews. Five key themes were identified: (1) <i>respect in recovery</i> - PRWs valued recognition but often encountered stigma and exclusion; (2) <i>centering the consumer</i> - Participants prioritized consumer needs, fostering trust and connection; (3) <i>connection</i> - Peer work fostered community and personal growth, though boundaries were sometimes difficult to maintain; (4) <i>expertise</i> - PRWs viewed experiential knowledge as complementary to clinical training; and (5) <i>pay and benefits</i> - Low wages, limited advancement, and inadequate benefits were major barriers to PRW retention. These themes indicate that PRWs find fulfillment but face structural barriers that threaten long-term sustainability. Healthcare systems must improve compensation, clarify roles, and provide institutional support to retain and empower PRWs.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-8"},"PeriodicalIF":1.4,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychiatric Nurse-Led Assertiveness Therapy: A Standardized Protocol for the Reduction of Violent Behavior in Schizophrenia.","authors":"Yunita Anggraini, Budi Anna Keliat, Ice Yulia Wardani, Yossie Susanti Eka Putri, Eka Putri Yulianti","doi":"10.1080/01612840.2026.2644377","DOIUrl":"https://doi.org/10.1080/01612840.2026.2644377","url":null,"abstract":"<p><strong>Methods: </strong>To evaluate the effectiveness of a standardized, psychiatric nurse-led five CBT-based session Assertiveness Training (AT) protocol, delivered alongside Standard Nursing Intervention (SNI), in reducing VB among hospitalized patients with schizophrenia. This quasi-experimental study assigned 60 inpatients to control (SNI) or intervention (SNI + AT). Outcomes were assessed at baseline and Days 5, 11, and 17 using validated instruments for VB ability and symptoms. Mixed ANOVA controlled for baseline differences.</p><p><strong>Results: </strong>Significant Group × Time interactions were found for Total Ability (<i>F</i> = 45.67, <i>p</i> < 0.001, ηp^² = 0.44), Recognizing VB (<i>p</i> < 0.001), Controlling VB (<i>p</i> < 0.001), Behavioral Symptoms (<i>p</i> < 0.001, ηp^² = 0.08), Cognitive Symptoms (p = 0.024, ηp² = 0.05), and Affective Symptoms (<i>p</i> = 0.007, ηp^² = 0.07). Physiological and social symptoms did not show significant interactions. Regression confirmed direct effects of the intervention on Day 17 outcomes for Total Ability, Recognizing VB, Controlling VB, and Behavioral Symptoms (all <i>p</i> < 0.001), but not for Cognitive Symptoms (<i>p</i> = 0.225). The five-session AT protocol produced robust behavioral improvements. Its modular design supports scalability and task-shifting in resource-limited settings. Integration with emotion-focused approaches may further enhance affective outcomes.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-11"},"PeriodicalIF":1.4,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cyberbullying, Cyberincivility, and Online Harassment in the Nursing Workforce: An Integrative Review.","authors":"Adrianna Lorraine Watson, Carmel Bond, Debra Jackson","doi":"10.1080/01612840.2026.2648568","DOIUrl":"https://doi.org/10.1080/01612840.2026.2648568","url":null,"abstract":"<p><p>This integrative review critically examined current evidence on cyberbullying, cyberincivility, and online harassment involving nurses as recipients, perpetrators, or participants in professional and public digital spaces. Guided by Whittemore and Knafl's framework and reported in accordance with PRISMA 2020, peer-reviewed studies (2017-2025) were identified through CINAHL, MEDLINE, and Embase (final search: 3 December 2025). Methodological quality was appraised using Joanna Briggs Institute tools, and findings were synthesised through inductive thematic analysis. Nine studies met the inclusion criteria. Five themes emerged: cyberbullying is widespread and multimodal; shaped by organisational culture and power dynamics; associated with significant psychological and occupational harm; intensified by blurred personal-professional boundaries; and inadequately addressed due to fragmented leadership, education, and policy responses. Cyberbullying and cyberincivility represent pervasive digital extensions of workplace bullying in nursing, with serious implications for nurse wellbeing, professional identity, workforce retention, and patient care. Addressing these behaviours requires recognition of cyber-aggression as workplace violence and coordinated organisational action across leadership, education, policy, and research.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-11"},"PeriodicalIF":1.4,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experience of Psychiatric Nurses in Managing Patient Transference: A Qualitative Study.","authors":"Mei-Hui Wu, Gwo-Cheng Chiang, I-Hsuan Lai, Yu-Chin Ma","doi":"10.1080/01612840.2025.2596207","DOIUrl":"10.1080/01612840.2025.2596207","url":null,"abstract":"<p><p>In psychiatric nursing, patients often develop strong transference toward nurses due to intense psychological needs. How nurses managed this transference while maintaining professionalism remained an important issue. This study aimed to explore psychiatric nurses' experience in dealing with patients' transference. A qualitative design was employed. Fourteen psychiatric nurses from the psychiatric ward of Hospital were recruited. Data was collected through in-depth interviews and analyzed using thematic analysis to identify core concepts. Four themes were constructed; 1. Invisible boundaries, 2. self-reflection, 3. seeking help and responding, and 4. adjustment and relearning. Through self-reflection, nurses integrated personal experiences, individual characteristics, and professional skills, transforming explicit textbook knowledge into tacit clinical knowledge, which enhanced their understanding and learning in nurse-patient interactions. The study revealed that psychiatric nurses transformed the potential challenges of transference into resources that promoted therapeutic relationships. Nursing education was recommended to strengthen awareness, self-reflection, and boundary-setting skills. Role-playing and group discussions were suggested to guide nurses in establishing flexible and professional nurse-patient relationships.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"398-404"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146041040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Turkish Psychiatric Inpatients' Perceptions of Ward Atmosphere and Associated Factors: A Cross-Sectional Study.","authors":"Perihan Güner, Alime Nur Uygun","doi":"10.1080/01612840.2026.2633310","DOIUrl":"10.1080/01612840.2026.2633310","url":null,"abstract":"<p><p>Ward atmosphere is a critical component of psychiatric inpatient care, shaping perceptions of safety, autonomy, therapeutic engagement, and recovery. While extensively studied internationally, little is known about patients' perceptions of ward climate in Türkiye. This descriptive cross-sectional study was conducted with 150 adult inpatients in open psychiatric wards in Istanbul. Data were collected using a Personal Information Form and the Ward Atmosphere Scale, and analysed with descriptive statistics, Mann-Whitney U-tests, Kruskal-Wallis tests, and correlation analyses. Patients reported the highest mean score for Order and Organization and the lowest for Autonomy. Female patients scored higher on Spontaneity, whereas male patients scored higher on order and organization. Married and voluntarily admitted patients reported greater Program Clarity. Educational and diagnostic differences were also significant: primary school graduates reported higher Autonomy, secondary school graduates scored higher on Practical Orientation, and patients with schizophrenia perceived greater Autonomy compared with those with mood disorders, while patients with bipolar disorder reported higher Anger and Aggression. Age was positively correlated with Order and Organization and Program Clarity. These findings suggest that psychiatric inpatients in Türkiye perceive their ward climate as highly structured but lacking in autonomy, and that gender, education, and diagnosis significantly shape perceptions. Psychiatric nurses play a pivotal role in enhancing ward climate. Strategies to strengthen autonomy, clarify ward routines, and implement evidence-based interventions, such as Safewards, may improve therapeutic engagement and reduce conflict.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"405-410"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147306053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Call for Manuscripts: Special Issue of <i>Issues in Mental Health Nursing</i> on the Topic of: Workplace Bullying and Incivility in Nursing.","authors":"Michelle Cleary, Debra Jackson","doi":"10.1080/01612840.2026.2649714","DOIUrl":"10.1080/01612840.2026.2649714","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"339"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147512258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence Through the Eyes of Psychiatric Nurses: An In-Depth Investigation of Thought, Anxiety and Readiness.","authors":"Eda Albayrak Günday, Kübra Gülırmak Güler","doi":"10.1080/01612840.2025.2596210","DOIUrl":"10.1080/01612840.2025.2596210","url":null,"abstract":"<p><p>This study aimed to explore psychiatric nurses' thoughts, concerns, and readiness regarding artificial intelligence (AI) in care. AI is increasingly entering psychiatric practice, yet how nurses will integrate it remains underexplored. Using a phenomenological design and purposeful sampling, data were collected via in-depth interviews with 20 psychiatric nurses. Colaizzi's method was employed for analysis. Four main themes emerged: (1) The Paradox of Artificial Intelligence's Inability to Understand Humanity, (2) Watching Eyes and Misleading Judgments, (3) Shadows of Security and Privacy, and (4) Difficulty of Adaptation and the Human Factor. Nurses expressed doubts about AI's capacity for empathy and abstract reasoning, emphasizing that it may misjudge patients and create ethical dilemmas. Concerns were also raised about AI's limitations in observation-based assessments and its potential to disrupt nurse-patient dynamics. The study recommends training for both nurses and patients, clear task definitions for AI, and implementation under human supervision. It highlights the critical role of psychiatric nurses in guiding ethical integration and promoting accurate information. These findings support a cautious, evidence-based approach to integrating AI into psychiatric care within broader digital health policies.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"387-397"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145933324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}