{"title":"Weathering in Psychiatric Nursing: A Concept Analysis.","authors":"Ali Hudays, Susan R Mazanec, Faye Gary","doi":"10.1080/01612840.2025.2460536","DOIUrl":"10.1080/01612840.2025.2460536","url":null,"abstract":"<p><p>The weathering phenomenon has been defined in diverse fields, including nursing, sociology, and public health. Throughout its development, the concept of weathering has undergone significant expansion in meaning and evolution. Furthermore, a substantial gap in the literature exists, as no concept papers have specifically explored weathering in psychiatric nursing. This paper used the Walker and Avant concept analysis method to examine the concept of weathering in psychiatric nursing and establish a clear theoretical definition. This includes identifying the defining attributes, antecedents, consequences, and empirical referents of weathering. This comprehensive analysis also includes illustrative cases that demonstrate the effects of weathering on nurses' health outcomes. A deeper understanding of this concept may enable the development of practical assessment tools to address weathering's underlying causes. Ultimately, this knowledge may empower us to enhance nurses' overall health outcomes, ensuring their well-being and success. Further research is recommended to gain a comprehensive understanding and define weathering in psychiatric nursing, informing evidence-based strategies that address its challenges and promote nurses' well-being.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"370-378"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414186","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":"Suicide Mortality Among Nurses in the United States: Incidence, Factors Associated with Suicide, Circumstances Preceding Suicide, and Methods of Suicide.","authors":"Elizabeth Kreuze, Janet York, Elizabeth I Merwin","doi":"10.1080/01612840.2024.2405844","DOIUrl":"10.1080/01612840.2024.2405844","url":null,"abstract":"<p><p>The aim of this review was to identify and integrate evidence on suicide mortality among U.S. nurses. To the best of our knowledge, this represents the first review to focus exclusively on suicide among U.S. nurses. Electronic medical databases, reference lists, and supplementary files were searched to identify studies that examined suicide mortality among U.S. nurses. In total, n = 28 studies were included: n = 14 were cohort, n = 10 were epidemiological, and n = 4 utilized mixed methods. Many studies had unique aims, included different nurse groups and referent populations, and utilized a variety of statistical procedures. However, when taken together, four categories were assessed across these n = 28 cumulative studies: incidence of suicide, factors associated with suicide, circumstances preceding suicide, and methods of suicide among U.S. nurses. Taken together, continued surveillance of suicide incidence among U.S. nurses is important, as evidence largely suggests nurses experience elevated suicide incidence when compared to select referent groups. Additional research on factors associated with suicide and circumstances preceding suicide are also needed, particularly among male nurses. Finally, additional research regarding the leading method of suicide, leading substance implicated in self-poisoning, and sex-differentiated suicide methods are also important. Collectively, these data are needed to inform intervention and surveillance strategies.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"310-319"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465715","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":"Enhancing Resilience in Mental Health Nursing: A Commentary on Burnout and Caregiver Well-Being.","authors":"Gryan Garcia","doi":"10.1080/01612840.2025.2461207","DOIUrl":"10.1080/01612840.2025.2461207","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"305-307"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414184","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":"Nursing Trauma and Coping: An Integrative Review.","authors":"Amy Hutchens, Melissa Craft, Marlene Beaty, Beth Condley, Kacy Aderhold, Vanessa Wright, Valerie Eschiti, Stacy Frisbie, Kimberly Allen","doi":"10.1080/01612840.2025.2464694","DOIUrl":"10.1080/01612840.2025.2464694","url":null,"abstract":"<p><p>Nurses are exposed to traumatic situations in a plethora of settings. Continuous exposure to stressors and the inability to cope with trauma may result in the development of psychological disorders. An integrative review was conducted to analyze the state of the science concerning the impact of trauma in the nursing profession on nurses coping mechanisms. Inclusion criteria necessitated studies used qualitative or quantitative design, published in English language peer reviewed journals. A total of 25 studies met the inclusion criteria after full text review. The body of research is limited in experimental designs due to the nature of the issue. Thirteen qualitative studies, five mixed methods, and seven quantitative studies are included in the review. Social support was overwhelmingly identified as a coping mechanism for nurses. Spirituality and exercise were also noted as coping mechanisms for those in the nursing profession. More research is needed to explore potential negative coping mechanisms such as alcohol and drug use. Science could be advanced through the development of interventions aimed at increasing coping skills for nurses who may experience trauma while providing care.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"379-388"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491971","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}
Elanor Lucy Webb, Deborah J Morris, Malaika Khan, Nour Al-Refai
{"title":"Sources of Distress for Secure Mental Healthcare Staff: A Cross-Sectional Study of the Impact of Personal and Occupational Problems on Psychological Wellbeing and Functioning.","authors":"Elanor Lucy Webb, Deborah J Morris, Malaika Khan, Nour Al-Refai","doi":"10.1080/01612840.2024.2412597","DOIUrl":"10.1080/01612840.2024.2412597","url":null,"abstract":"<p><p>Despite a global drive to improve staff well-being in healthcare, distress and absenteeism continue to persist, posing consequences for patient care and organisational functioning. Current research and subsequent strategies implemented to remediate such problems have primarily focused on occupational experiences, disregarding the contribution of problems occurring outside of the workplace. The current study sought to establish the prevalence of work and non-work problems, and their respective impacts on several well-being outcomes, in this occupational group. Secondary analysis of data from a cross-sectional survey of 323 staff in a secure UK mental healthcare organisation was conducted. Exposure to non-work problems was pervasive across the sample (79.3%). Demographic discrepancies in exposure to types of problems were apparent, though number of problems reported was comparable across the sample. Number of non-work problems was a significant predictor of depression, anxiety, functional impairment, and complex post-traumatic stress disorder symptoms, when controlling for exposure to work problems. The findings implicate the need for a broader conceptualisation of distress in secure mental healthcare staff, who typically report exposure to several non-work problems, in the context of occupational challenges. Policy, practice and service implications are discussed, with consideration for the availability and modality of support offered to staff.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"320-330"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142620674","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":"Epidemiology of Suicide Mortality Among Nurses Internationally.","authors":"Elizabeth Kreuze, Janet York, Elizabeth I Merwin","doi":"10.1080/01612840.2024.2438886","DOIUrl":"https://doi.org/10.1080/01612840.2024.2438886","url":null,"abstract":"<p><strong>Aim: </strong>To examine the epidemiology of suicide mortality among nurses internationally.</p><p><strong>Methods: </strong>The literature was searched to identify studies that analyzed suicide mortality among nurses internationally. Cumulatively, <i>n</i> = 61 studies were included (i.e. <i>n</i> = 40 epidemiological and <i>n</i> = 21 cohort).</p><p><strong>Results: </strong>Epidemiological and cohort evidence on nurse suicide mortality were available for the European Region, Region of the Americas, and Western Pacific Region. Male nurse suicide rates in the European Region were both below and above male age-standardized suicide rates in this region, while female nurse suicide rates in the European Region were above female age-standardized suicide rates in this region. Male nurse suicide rates in the Region of the Americas were above male age-standardized suicide rates in this region, and female nurse suicide rates in the Region of the Americas were both below and above female age-standardized suicide rates in this region. Male nurse suicide rates in the Western Pacific Region were above male age-standardized suicide rates in this region, and female nurse suicide rates in the Western Pacific Region were both slightly below and above female age-standardized suicide rates in this region.</p><p><strong>Conclusion: </strong>There were no epidemiological or cohort studies on nurse suicide mortality within three global regions (i.e. African, Eastern Mediterranean, and South-East Asia), and research in these regions is important in building the evidence base. Cumulatively, it remains difficult ascertaining cross-regional nurse suicide risk, in part, due to the limited availability of global data on occupation-specific suicide mortality.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":"46 4","pages":"362-369"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811472","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":"Experiences of Community Mental Health Nurses Who Lost Patients to Suicide: A Qualitative Study.","authors":"Naoko Nishii, Yoshimi Endo, Yasuko Shimizu","doi":"10.1080/01612840.2025.2475353","DOIUrl":"10.1080/01612840.2025.2475353","url":null,"abstract":"<p><p>Patient suicide has a profound impact on mental health professionals. While existing research has explored the experiences of hospital-based professionals, knowledge of community mental health nurses (CMHNs) who work in different contexts remains limited. This qualitative study explored the experiences of seven CMHNs who lost patients to suicide within the past four years through interviews, analysed using the KJ Method. The experiences of CMHNs revealed a complex interplay between emotions and thoughts. They attempted to cope with two interrelated aspects: emotions and coping with those they could not save; and thoughts and coping with being unable to save them. Their close, family-like relationships with patients intensified these experiences. While supported by informal conversations, some nurses carried their burden alone. The community setting complicated their experience through limited support access despite high autonomy, the inability to provide continuous safety monitoring, and a deeper emotional impact of long-term relationships. CMHNs sought redemption by modifying their practices-distinct from professional growth. The findings emphasised the need for accessible support systems, acknowledging the unique challenges of CMHNs in community settings. Healthcare organisations should promote a culture where staff are encouraged to discuss their concerns openly.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"389-396"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673893","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":"Vicarious Resilience in Mental Health Nursing: A Discursive Review Through Carper's Fundamental Patterns of Knowing.","authors":"Nora Ghalib AlOtaibi","doi":"10.1080/01612840.2025.2480387","DOIUrl":"10.1080/01612840.2025.2480387","url":null,"abstract":"<p><p>Vicarious resilience is a relatively new concept that illustrates the positive effect on professionals who assist trauma survivors; this concept was recently utilized in mental health nursing. This discursive review aims to show how this concept can be explored and applied through the integration of Carper's four fundamental patterns of knowing in nursing: empirics, ethics, esthetics, and personal knowing, to determine how well it relates to mental health nursing clinical practice; it showed how it is essential to integrate the Carper fundamental pattern of knowing into vicarious resilience. The empirical pattern of knowing indicates that vicarious resilience is developed through grounded theory based on observations of patients and the arising ethical issue of transference and countertransference, which is wrongly paired with the concept of vicarious resilience. Stressing the importance of personal knowing, which involves the mental health nurse's self-awareness and recognition of their values and beliefs, reinforces the exploration of how patient personal narratives and nurse self-reflection enhance vicarious resilience. Moreover, the article shows how esthetic patterns are reflected through listening to the patients and admiring their artwork to serve as the essence of esthetics in vicarious resilience.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"397-405"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709815","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":"Beyond the Checklist: How Do We Really Measure Mental Wellbeing?","authors":"Supianto","doi":"10.1080/01612840.2024.2437436","DOIUrl":"https://doi.org/10.1080/01612840.2024.2437436","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":"46 4","pages":"406-407"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811470","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":"Effectiveness of Focus Group Cognitive Behavioral Therapy in Ameliorating Risk of Depression in Mental Health Nurses.","authors":"Reem Jarrad, Ahmed Karajeh, Naser Mahmoud, Khadeejeh ALdasoqi, Sawsan Hammad, Abdalaziz ALassi","doi":"10.1080/01612840.2024.2438887","DOIUrl":"https://doi.org/10.1080/01612840.2024.2438887","url":null,"abstract":"<p><p>Mental health nurses care for patients with mental health and addiction problems. The particular nature of their job makes them prone to increased risk of depression. Timely use of cognitive behavioral therapy (CBT) in a focus group of nurses yields significant results when it comes to minimizing vulnerability to depression risk. Therefore, a structured cognitive behavioral therapy program was implemented for four weeks in a focus group of mental health male nurses who work in a specialized addiction and mental health care facility. A general survey was administered at baseline in addition to the depression scale. Depression risk was reassessed at the end of the program. Then, the risk assessment was repeated after one month to test for the reliability of the outcomes. The study adopted a one-group repeated measure design where a repeated measure ANOVA was used to examine the effect of cognitive behavioral therapy on depression risk. The study revealed that the depression level differed significantly between time points. Post hoc analysis with a Bonferroni adjustment showed that depression level was significantly decreased from pre-intervention to first post-intervention, and from pre-intervention to second post-intervention. One alarming red flag was the fact that 4 out of the 12 participants thought of committing suicide, at least once, in the past six months; thus, drawing attention, extra care, and vigilance. So, health authorities must maintain psychological surveillance of mental health nurses and offer them timely rehabilitation, help, and support. A promising measure in this domain is focus group cognitive behavioral therapy.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":"46 4","pages":"351-361"},"PeriodicalIF":1.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811471","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}