{"title":"Proposing the Integrated Pathway Model of Moral Injury (IPM-MI): A Moderated Mediation Analysis of Moral Injury Among Secure Mental Healthcare Staff.","authors":"Elanor Lucy Webb, Jane L Ireland, Michael Lewis","doi":"10.1080/01612840.2025.2473375","DOIUrl":"10.1080/01612840.2025.2473375","url":null,"abstract":"<p><p>Moral injury is a prevalent issue for secure mental healthcare staff, though understanding of the underlying mechanisms is limited. This multi-study paper explores several developmental, cognitive and emotional pathways to moral injury and associated wellbeing outcomes. Frontline and support staff from secure mental healthcare services were recruited to two cross-sectional studies (<i>n</i> = 527 and <i>n</i> = 325, respectively), and completed several questionnaires. In the first study, findings indicated a serial mediating effect of childhood trauma symptoms, early maladaptive schemas, and maladaptive metacognitions in the pathway between exposure to potentially morally injurious events and moral injury symptoms. Moderating effects of social and organisational support were also apparent. Findings from study two supported pathways between moral injury and psychological, somatic and functional outcomes, which were mediated by negative emotional schema, with limited mediating effects for expressive suppression. Moderating effects of alexithymia on several mediating pathways were also noted. The results support a developmental-cognitive model to account for the development of moral injury and associated adverse well-being outcomes in secure mental healthcare staff. Drawing on the findings and wider literature, the Integrated Pathway Model of Moral Injury (IPM-MI) is proposed and discussed, offering a novel theoretical account that may inform several potential prevention and intervention strategies.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"420-435"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604899","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}
Paul E Norrod, Mary MacDonald, Kim Link, Melinda J Ickes
{"title":"Evaluating Implementation of the Collaborative Assessment and Management of Suicidality (CAMS) Training for Rural Suicide Prevention Among Mental Health and Healthcare Professionals.","authors":"Paul E Norrod, Mary MacDonald, Kim Link, Melinda J Ickes","doi":"10.1080/01612840.2025.2474117","DOIUrl":"10.1080/01612840.2025.2474117","url":null,"abstract":"<p><p>This study aimed to evaluate the feasibility and efficacy of the Collaborative Assessment and Management of Suicidology (CAMS) training among mental health and healthcare professionals in rural communities. Using a quasi-experimental design and convenience sampling, participants underwent CAMS training, with evaluations conducted through pre- and post-training surveys. Descriptive statistics and a paired-sample t-test were used to assess the outcomes. A total of 11 nurses participated in the CAMS training and completed the pre- and post-test surveys. Significant improvements were observed in participants' organizational facilitated self-efficacy for understanding one's responsibility for risk assessment with moderate effect post-training (<i>M =</i> 3.64<i>, SD =</i> 0.50<i>, t</i>(10) <i>=</i> 3.98<i>, p =</i> 0.02<i>, d =</i> 1.20) compared to pre-training (<i>M =</i> 2.18<i>, SD =</i> 0.98). Additionally, participants showed statistically significant improvement in their ability to maintain a collaborative and empathetic stance toward suicidal clients post-training (<i>M</i> = 3.27, <i>SD = 0.65</i>, t(10) = 2.89, <i>p</i> = 0.01, <i>d</i> = 0.87) compared to pre-training (<i>M =</i> 2.82<i>, SD =</i> 0.60). The study findings suggest that CAMS training improves nurses' knowledge, attitudes, skills, and competency of nurses to address suicide in rural communities. Expanding such training may help address suicide mortality in largely rural states like Kentucky.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"436-443"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604877","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":"\"I'm a Flower in Concrete\": A Qualitative Analysis of the Language, Culture, and Identity of African American Women Dementia Caregivers During a Pandemic: Part 2.","authors":"Shanae Rhodes, Pamela Recto, Janna Lesser","doi":"10.1080/01612840.2025.2474705","DOIUrl":"10.1080/01612840.2025.2474705","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"499-503"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604853","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":"''Two People in One Body\": Qualitative Study on the Family Perceptions of Recipients with a Family Member as Their Donor Using a Projective Method.","authors":"Özge İşeri, Oya Sevcan Orak","doi":"10.1080/01612840.2025.2492692","DOIUrl":"https://doi.org/10.1080/01612840.2025.2492692","url":null,"abstract":"<p><p>The aim was to examine the family perceptions of recipients with a family member as their donor using a projective method. In this qualitative study, an arts-based narrative method was employed. The study was completed with 16 recipients through the drawing test, observation, and interviews. The recorded data for each participant were analysed projectively by creating a coding list related to family perception. Each participant's drawings were analysed in alignment with data obtained from other data collection tools and the categories were identified. And then categories were evaluated thematically, main themes identified. There were numerous inconsistencies between the recipients' consciously expressed statements and their unconscious projections. The significant changes in the life of another family member after organ transplantation have placed a dual responsibility on the recipient, both for their own life and for the donor's sacrifice, alongside feelings of gratitude. Another finding is the sorrow of lost time within family roles due to illness and its associated treatment processes. Organ transplant recipients tend to view themselves as different from others in society, experience guilt, and engage in self-directed negative attributions. The findings provide transplant and mental health nurses with a new perspective on assessing the psychosocial difficulties of transplant recipients and understanding family dynamics.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005627","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}
Aya Al-Shashani, Mohammad A Abu Sabra, Ekhlas Al-Gamal
{"title":"The Impact of Using Digital Health Interventions and Psychoeducation on Medication Adherence Among Patients with Schizophrenia: A Scoping Review.","authors":"Aya Al-Shashani, Mohammad A Abu Sabra, Ekhlas Al-Gamal","doi":"10.1080/01612840.2025.2492694","DOIUrl":"https://doi.org/10.1080/01612840.2025.2492694","url":null,"abstract":"<p><strong>Background: </strong>Schizophrenia is a significant global mental health concern. It is associated with substantial disability and psychosis and can have an impact on all aspects of life. Medication is an appropriate and effective treatment; thus, improving adherence remains a main concern among patients with schizophrenia in clinical practice. Several approaches, such as digital health interventions (DHI) and psychoeducational approaches, may enhance medication adherence. Despite several efforts to create and improve these approaches, their impact remains unclear.</p><p><strong>Objective: </strong>Conduct a scoping review to provide an overview of how digital health interventions and psychoeducation impact the medication adherence of individuals with schizophrenia.</p><p><strong>Method: </strong>Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines, we screened 435 studies published between 2019 and 2024 from the databases including Springer Link, MEDLINE, Pro-Quest Central, CINAHL Plus, and Google Scholar. All articles were filtered using inclusion criteria to eliminate redundant, irrelevant, and unnecessary content.</p><p><strong>Results: </strong>A total of 14 articles that addressed DHI and psychoeducational interventions for medication adherence in patients with schizophrenia were found to meet the inclusion criteria. Four themes emerged: psychoeducation, mobile applications, telephone interventions, and digital medical systems. DHI and psychoeducation effectively improved medication adherence, with mobile applications being the most popular and successful.</p><p><strong>Conclusion: </strong>The findings of this review should be used by healthcare professionals to direct their clinical practice. Interventions in digital health can provide a wealth of creative ideas for integrating technical advancement with psychotherapies.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013482","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":"How Do Family Members Describe Their Experience of Losing a Loved One to COVID-19 in Hospital During the First Wave of the Pandemic? Part 1.","authors":"Lisa A Dodge","doi":"10.1080/01612840.2025.2488330","DOIUrl":"https://doi.org/10.1080/01612840.2025.2488330","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-4"},"PeriodicalIF":1.7,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025033","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":"Navigating High-Stakes Interviews: Strategies for Mental Health Nurses in Competitive Job Markets.","authors":"Catherine Hungerford, Debra Jackson, Michelle Cleary","doi":"10.1080/01612840.2025.2489633","DOIUrl":"https://doi.org/10.1080/01612840.2025.2489633","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-3"},"PeriodicalIF":1.7,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010497","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}
Chelsea R Moore, Philip T Veliz, Todd I Herrenkohl, Alison L Miller, Natasha V Pilkauskas, Sarah A Stoddard
{"title":"Associations among Childhood Household Income, Latent Classes of Early Adverse Childhood Experiences, and Adolescent Mental Health.","authors":"Chelsea R Moore, Philip T Veliz, Todd I Herrenkohl, Alison L Miller, Natasha V Pilkauskas, Sarah A Stoddard","doi":"10.1080/01612840.2025.2490286","DOIUrl":"https://doi.org/10.1080/01612840.2025.2490286","url":null,"abstract":"<p><p>Adverse Childhood Experiences (ACEs) and low household income are associated with adolescent mental health challenges, and children from lower-income households experience more ACEs. Less is known about how ACEs may cluster for sub-groups of individuals (e.g. those with differing household incomes) or if different ACE clusters are associated with differential mental health outcomes. Using data from the Future of Families and Child Wellbeing Study (<i>n</i> = 2,524) and seven ACE indicators (harsh physical discipline; emotional/verbal abuse neglect; parent mental illness, problematic substance use, incarceration, and intimate partner violence), we conducted latent class analysis to identify distinct combinations of early childhood ACE exposure (ages 0-5). Then we tested associations between household income (relative to needs; at birth) and ACE class membership, as well as ACE class membership and adolescent depression and anxiety symptoms. We identified three distinct latent classes characterized as: \"Low ACEs\", \"Physical/Emotional Abuse,\" and \"High ACEs.\" Household income at birth was associated with early childhood ACE class membership and ACE class membership was associated with differential adolescent mental health outcomes. Future research and interventions must consider how different ACE combinations (beyond the simple count of ACEs) uniquely impact health/wellbeing, and the role that household income has in the patterning of ACEs.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-14"},"PeriodicalIF":1.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990653","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}
Catherine Hungerford, Denise Blanchard, Jennifer Mulvogue, Julie Bradshaw
{"title":"Self-Disclosure as a Therapeutic Tool.","authors":"Catherine Hungerford, Denise Blanchard, Jennifer Mulvogue, Julie Bradshaw","doi":"10.1080/01612840.2025.2484597","DOIUrl":"https://doi.org/10.1080/01612840.2025.2484597","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-5"},"PeriodicalIF":1.7,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981658","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":"The Role of Social Connections in Enhancing Mental Well-Being.","authors":"Supianto","doi":"10.1080/01612840.2025.2484605","DOIUrl":"https://doi.org/10.1080/01612840.2025.2484605","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-2"},"PeriodicalIF":1.7,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018484","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}