Issues in Mental Health Nursing最新文献

Beyond Facilitation: Reconceptualising the Psychiatric Nurse's Role in Shared Decision-Making. 超越促进：重新定义精神科护士在共同决策中的角色。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-10-16 DOI: 10.1080/01612840.2026.2745964

Mei-Hsin Ho, Chia-Jung Hu, Chun-Liong Tung, Rei-Mei Hong

{"title":"Beyond Facilitation: Reconceptualising the Psychiatric Nurse's Role in Shared Decision-Making.","authors":"Mei-Hsin Ho, Chia-Jung Hu, Chun-Liong Tung, Rei-Mei Hong","doi":"10.1080/01612840.2026.2745964","DOIUrl":"https://doi.org/10.1080/01612840.2026.2745964","url":null,"abstract":"From the perspective of psychiatric nursing, this discussion paper reconceptualises the role of psychiatric nurses in shared decision-making (SDM) in mental health care. Although psychiatric nurses are commonly described as facilitators, educators, advocates, coordinators, or supporters of SDM, these representations may underrecognise how knowledge developed through psychiatric nursing practice contributes to decision-making. Drawing on nursing epistemology and contemporary understandings of SDM, this paper conceptualises psychiatric nursing knowing as relational, interpretive, contextual, and longitudinal. Building on these characteristics, three conceptual shifts are proposed: from communication support to knowledge generation, from preference elicitation to collaborative preference interpretation, and from the decision moment to the decision trajectory. These shifts provide the epistemological basis for the Psychiatric Nurse as Core Contributor Framework, comprising five interrelated epistemic domains: Therapeutic Engagement Partner, Preference Interpreter, Clinical Context Integrator, Decision Knowledge Translator, and Implementation and Evaluation Partner. The framework conceptualises psychiatric nurses as making a distinctive and complementary contribution to the generation, interpretation, integration, translation, and application of decision-relevant knowledge alongside biomedical and clinical expertise and service-user lived and experiential knowledge. By making these knowledge processes explicit, the framework aims to strengthen the theoretical and epistemological foundation of psychiatric nursing while supporting more relational, contextually responsive, recovery-oriented, and person-centred approaches to SDM in mental health care.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-11"},"PeriodicalIF":2.0,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149193735","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}

引用次数: 0

Perceived Family Functioning and Social Adaptation Levels in Patients with Depression. 抑郁症患者的感知家庭功能和社会适应水平。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-10-14 DOI: 10.1080/01612840.2026.2742487

Büşra Sanal, Nihan Altan Sarıkaya

{"title":"Perceived Family Functioning and Social Adaptation Levels in Patients with Depression.","authors":"Büşra Sanal, Nihan Altan Sarıkaya","doi":"10.1080/01612840.2026.2742487","DOIUrl":"https://doi.org/10.1080/01612840.2026.2742487","url":null,"abstract":"Depression is not only an individual disorder but also a condition associated with family systems. This cross-sectional study examined the relationship between perceived family functioning and social adaptation in adults diagnosed with depression. The sample consisted of 123 patients attending a state hospital psychiatric outpatient clinic. Data were collected using the Perceived Family Functioning Scale (PFFS) and Social Adaptation Self-Evaluation Scale (SASS). Descriptive statistics, Pearson's correlation, and hierarchical multiple linear regression analyses were performed. The mean PFFS and SASS scores were 104.59 ± 16.98 and 37.80 ± 8.49, respectively. A statistically significant but weak positive correlation was found between perceived family functioning and social adaptation (r = 0.366, p < 0.001). In regression analyses, the intra-familial communication and positive affect subscales were significantly associated with social adaptation, explaining 17.1% of the variance in the unadjusted model and 16.1% after controlling for age, gender, employment status, and illness duration in months. Other subscales were not statistically significant. These findings suggest that higher levels of intra-familial communication and positive affect are associated with better social adaptation in young adults with depression. Psychiatric nurses may consider the potential role of family functioning when assessing patients.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-7"},"PeriodicalIF":2.0,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181617","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}

引用次数: 0

Post-Master's Psychiatric/Mental Health Nurse Practitioner Students' Perspectives on Addressing Mental Health Stigma in the Post-COVID-19 Era: A Qualitative Description Study. 硕士后精神病学/心理健康执业护士学生对后covid -19时代解决心理健康污名的观点：一项定性描述研究。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-10-13 DOI: 10.1080/01612840.2026.2741669

Joseph P De Santis, Beatriz Valdes, Giovanna C De Oliveira, Christopher P Weidlich, Deborah Salani, Renessa S Williams, Erick Zarabozo, Lilian G Bravo

{"title":"Post-Master's Psychiatric/Mental Health Nurse Practitioner Students' Perspectives on Addressing Mental Health Stigma in the Post-COVID-19 Era: A Qualitative Description Study.","authors":"Joseph P De Santis, Beatriz Valdes, Giovanna C De Oliveira, Christopher P Weidlich, Deborah Salani, Renessa S Williams, Erick Zarabozo, Lilian G Bravo","doi":"10.1080/01612840.2026.2741669","DOIUrl":"https://doi.org/10.1080/01612840.2026.2741669","url":null,"abstract":"Many people with mental health disorders experience mental health related stigma. This type of stigma may impact mental health care and treatment. The COVID-19 pandemic further impacted mental health stigma, indicating a need for psychiatric/mental health nurses to become involved in efforts to address mental health stigma. The purpose of this study was to understand psychiatric/mental health nurse practitioner (PMHNP) students' perspectives on how to address and reduce mental health stigma in the post-COVID era. A qualitative description design was used to collect data from a formal writing exercise with 29 PMHNP students at the end of a one-semester course on theories and psychotherapy modalities. Responses were analyzed with qualitative rigor to form categories. Participants identified six major categories, such as the responsible use of social media and the use of destigmatizing language, and five minor methods, such as partnering with primary care providers and mental health providers' self-care, to address and reduce mental health stigma. This study's results have implications for psychiatric/mental health nursing education, practice, and research.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-13"},"PeriodicalIF":2.0,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149181658","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}

引用次数: 0

When Crisis Plans Are Not Used: Relational and Temporal Meanings in Mental Health Nursing. 当危机计划不使用：关系和时间的意义在心理健康护理。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-10-05 DOI: 10.1080/01612840.2026.2739250

Takahiro Shimizu, Taku Irie

{"title":"When Crisis Plans Are Not Used: Relational and Temporal Meanings in Mental Health Nursing.","authors":"Takahiro Shimizu, Taku Irie","doi":"10.1080/01612840.2026.2739250","DOIUrl":"https://doi.org/10.1080/01612840.2026.2739250","url":null,"abstract":"Crisis plans are widely used in mental health nursing to support service user participation, recovery-oriented care, risk management, and continuity of care. However, they do not always function as intended during severe distress. Service users may avoid, ignore, or feel burdened by plans created collaboratively during more stable periods. This theoretical paper reconsiders such nonuse not simply as non-adherence or implementation failure, but as potentially reflecting relational and temporal tensions within crisis planning. Drawing on literature on crisis planning and recovery-oriented care, alongside Levinasian ethics and Winnicottian psychoanalysis, the paper argues that crisis planning relies on some degree of continuity between the person who formulates a plan and the person who later experiences crisis. During severe distress, this continuity may be disrupted, and plans intended to support autonomy may be experienced as pressure, obligation, or institutional expectation. The paper further reconceptualizes crisis plans as relational containers that may carry traces of having once been listened to, understood, and accompanied. This perspective suggests that mental health nurses should attend not only to whether plans are followed, but also to how they are created, avoided, rejected, and re-encountered within therapeutic relationships.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-7"},"PeriodicalIF":2.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109807","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}

引用次数: 0

Experiences of a Specialized Task Group Intervening in High-Risk Situations Within Forensic Psychiatric Care. 一个专门任务小组介入法医精神病学护理中的高危情况的经验。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-10-05 DOI: 10.1080/01612840.2026.2739255

Julia Karlberg, Lilijan Houso, Ulrica Hörberg, Andreas Söderberg

引用次数: 0

Operationalizing Excellence in Psychedelic Care Through Advancing Competencies in Nurses: State-of-the Science Review. 通过提高护士的能力来实现迷幻药护理的卓越操作性：科学综述。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-10-05 DOI: 10.1080/01612840.2026.2740656

JoEllen Schimmels, Madison Nobbs

{"title":"Operationalizing Excellence in Psychedelic Care Through Advancing Competencies in Nurses: State-of-the Science Review.","authors":"JoEllen Schimmels, Madison Nobbs","doi":"10.1080/01612840.2026.2740656","DOIUrl":"https://doi.org/10.1080/01612840.2026.2740656","url":null,"abstract":"As interest in psychedelic-assisted therapies grows ahead of regulatory standardization, mental health nursing stands at a critical clinical and professional inflection point. This state-of-the-science review examines psychedelic-assisted therapies through a mental health nursing lens and advocates for the formal recognition of psychedelic nursing as a specialty with defined competencies, training pathways, and professional standards. Emerging evidence from neurobiology, empirical data, policy, and patient experience literature was synthesized alongside nursing scope of practice, ethics, and models of care. The evidence demonstrates that psychedelic-assisted therapies occur within structured phases in which therapeutic outcomes are influenced not only by pharmacologic effects but also by relational presence, the therapeutic environment, and meaning-making. These interventions appear to enhance neuroplasticity, emotional processing, and memory reconsolidation, particularly among individuals with treatment-resistant mental health conditions, while qualitative evidence highlights the importance of patients' subjective and lived experiences. Mental health nurses are uniquely positioned to promote safety, optimize therapeutic outcomes, and reduce harm throughout the continuum of care. However, substantial gaps remain in standardized education, role delineation, and nursing leadership in research and implementation. Safe, equitable, and scalable integration of psychedelic-assisted therapies will require specialty recognition, competency-based education, certification pathways, and greater nursing leadership in protocol development, research, and policy. A nursing-informed, evidence-based framework has the potential to strengthen interdisciplinary care while ensuring ethical, patient-centred, and trauma-informed practice.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-6"},"PeriodicalIF":2.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109766","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}

引用次数: 0

Suffering and Recovery among People with a History of Hikikomori (Prolonged Social Withdrawal) Participating in Peer-Support Groups: A Descriptive Phenomenological Study. 有长期社会退缩史的青年蛰居者参与同伴支持团体的痛苦与康复：一项描述性现象学研究。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-10-03 DOI: 10.1080/01612840.2026.2739241

Kazuki Hayashi, Toby Raeburn, Kyoko Nagata, Koji Tanaka

{"title":"Suffering and Recovery among People with a History of Hikikomori (Prolonged Social Withdrawal) Participating in Peer-Support Groups: A Descriptive Phenomenological Study.","authors":"Kazuki Hayashi, Toby Raeburn, Kyoko Nagata, Koji Tanaka","doi":"10.1080/01612840.2026.2739241","DOIUrl":"https://doi.org/10.1080/01612840.2026.2739241","url":null,"abstract":"Hikikomori (prolonged social withdrawal) emerged as a social issue primarily affecting young people in Japan in the 1970s and began to be reported internationally around the year 2000. Its prevalence This study analysed the perspectives of people with a history of hikikomori participating in peer-support groups. Employing a qualitative research design grounded in Husserlian phenomenology, semi-structured face-to-face interviews were conducted between February and September 2025 with 13 participants in hikikomori peer support groups and the data were analysed using Colaizzi's method. Three clusters of meaning were extracted. The clusters included loss of a safe space, prolonged social isolation, and a recovery journey. Participants traced the beginning of their prolonged social withdrawal to a wide range of distressing experiences, the loss of opportunities for social participation, and difficulties seeking help, which often triggered guilt and suicidal ideation. Their recovery journey were characterised by the acquisition of new values and ways of living through opportunities for agency, gratitude, and contributing to society. Participants described finding meaning within their suffering by sharing their experiences in peer support groups, thereby embarking on a recovery journey. The findings emphasise the importance of providing safe spaces and creative modes of communication for people who experience hikikomori.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-9"},"PeriodicalIF":2.0,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109751","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}

引用次数: 0

Implementing a Person-Centred Lifestyle Programme in a Mental Health Member Organisation: Implications for Psychiatric Nursing. 在精神健康成员组织实施以人为本的生活方式计划：对精神科护理的启示。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-10-02 DOI: 10.1080/01612840.2026.2739259

Ylva Rönngren, Annette Björk

{"title":"Implementing a Person-Centred Lifestyle Programme in a Mental Health Member Organisation: Implications for Psychiatric Nursing.","authors":"Ylva Rönngren, Annette Björk","doi":"10.1080/01612840.2026.2739259","DOIUrl":"https://doi.org/10.1080/01612840.2026.2739259","url":null,"abstract":"People with mental disorders often experience unmet physical, psychological, and social health needs, contributing to reduced life expectancy. Although lifestyle programmes can promote health and wellbeing, their implementation within non-profit mental health member organisations remains limited. This qualitative descriptive study, reported according to COREQ guidelines, explored experiences of implementing a person-centred lifestyle programme within a member organisation and its potential contribution to health-promoting and recovery-oriented support. Participants took part across two programme cycles and subsequent semi-structured interviews. Data were analysed using qualitative content analysis. The findings showed that the organisation provided an important context for implementation by facilitating participation, social connection, and integration of lifestyle-related activities into everyday life. Participants described the programme as providing structure, continuity, and practical opportunities for engaging with lifestyle-related changes, while the group setting offered opportunities for sharing experiences, belonging, hope, and meaning. Implementation challenges included irregular attendance, recruitment difficulties, reliance on key individuals, and the need for continued organisational support and follow-up. The findings suggest that member organisations may provide a complementary community-based context for recovery-oriented and health-promoting support outside formal healthcare. Collaboration between mental health nurses and community-based organisations may offer opportunities to combine professional knowledge with lived experience and extend recovery-oriented health promotion into everyday settings. Future research should examine how such collaborations can be implemented and sustained within organisational and community contexts.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-10"},"PeriodicalIF":2.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109735","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}

引用次数: 0

Performing Arts and Autism: Intervention, Inclusion and Improving Mental Health. 表演艺术与自闭症：干预、包容和改善心理健康。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-10-02 DOI: 10.1080/01612840.2026.2730910

Michelle Cleary, Sancia West, Rachel Kornhaber

引用次数: 0

The Effect of Art-Psychodrama Group Intervention on Alexithymia and Psychological Flexibility in Adolescents with Substance Use Disorders. 艺术-心理剧团体干预对青少年物质使用障碍述情障碍和心理灵活性的影响。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-10-01 Epub Date: 2026-09-04 DOI: 10.1080/01612840.2026.2701694

Cemile Fındık, Ege Anlı

{"title":"The Effect of Art-Psychodrama Group Intervention on Alexithymia and Psychological Flexibility in Adolescents with Substance Use Disorders.","authors":"Cemile Fındık, Ege Anlı","doi":"10.1080/01612840.2026.2701694","DOIUrl":"10.1080/01612840.2026.2701694","url":null,"abstract":"Objective: This study investigated the effects of an art psychodrama-based group intervention on psychological flexibility and alexithymia in adolescents with substance use disorders undergoing inpatient treatment at a ÇEMATEM unit.Methods: A randomized controlled experimental design was used. Adolescents were assigned to experimental or control groups. The Multidimensional Psychological Flexibility Inventory-Short Form and the Toronto Alexithymia Scale were administered pre- and post-intervention. Within- and between-group comparisons were performed.Results: No significant pre-post change was observed in the rigidity subdimension of psychological flexibility, though the experimental group showed a decreasing trend. A significant reduction was found in the difficulty identifying feelings subscale of the TAS in the experimental group compared to controls (p = 0.044). Decreases in difficulty describing feelings, externally oriented thinking, and total alexithymia scores were not statistically significant (p > 0.05). Psychological flexibility scores increased in the experimental group, but this improvement was not statistically significant.Conclusion: The art psychodrama-based intervention improved emotional identification in adolescents with substance use disorders. However, effects on psychological flexibility and other alexithymia dimensions were limited. Larger randomized controlled trials are needed to confirm clinical effectiveness.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1095-1103"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891575","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}

引用次数: 0