Issues in Mental Health Nursing最新文献

{"title":"Latent Profiles of Perceived Social Support and Their Impact on Suicidal Behavior in Chinese Gender Minorities: A Mediated Model.","authors":"Genglin Guo, Chengjin Hu, Xintian Liu, Qilin Zhang, Xi Huang, Zhenmin Chen, Zhaoyang Xie, Xinyu Li","doi":"10.1080/01612840.2025.2468452","DOIUrl":"10.1080/01612840.2025.2468452","url":null,"abstract":"<p><strong>Background: </strong>Gender minority face significant health challenges, with social support playing a crucial role in mitigating these issues. However, the impact of various social support profiles on suicidal behavior among gender minorities in China, a country with an Eastern collectivist culture, remains underexplored.</p><p><strong>Objective: </strong>This study aimed to examine how social support profiles affect suicidal behavior in Chinese gender minority, with a focus on the mediating roles of appearance congruence and gender identity acceptance.</p><p><strong>Methods: </strong>This study involved 419 Chinese gender minority, recruited in December 2020. Latent profile analysis was conducted with Mplus (version 8.3) to classify different social support profiles. Additionally, mediation analyses using the PROCESS macro (version 3.5) were performed to explore the relationship between these social support profiles and suicidal behavior. The mediating roles of appearance congruence and acceptance of gender identity were examined within these pathways.</p><p><strong>Results: </strong>Four social support profiles were identified: Low Social Support (LSS; 22.2%), Middle Social Support (MSS; 31.0%), Low Family Support (LFS; 20.5%), and High Social Support (HSS; 26.3%). The LSS profile exhibited the highest rates of suicidal behavior, while the LFS and MSS profiles showed no significant differences in suicide rates (<i>p</i> = 0.77, 95% CI [-0.86, 1.16]). Additionally, appearance congruence mediated the relationship between social support and suicidal behavior for MSS, LFS, and LSS profiles, with indirect effects of 0.12, 0.06, and 0.14, respectively. Only the LSS profile showed an indirect effect on suicidal behavior through gender identity acceptance, with an effect size of 0.06.</p><p><strong>Discussion: </strong>Our study examines how collectivist cultural norms, particularly Confucian family ideals, influence social support and mental health outcomes among Chinese gender minorities. By applying Latent Profile Analysis (LPA), we identify distinct social support profiles and emphasize the crucial role of family support in mitigating suicidal behavior. These findings provide a foundation for culturally sensitive interventions tailored to the needs of Chinese gender minorities, offering insights.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"462-473"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143572963","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":"Examining the Long-Term Impacts of Psychotropic Drugs and Considerations for People Discontinuing Treatment.","authors":"Timothy Wand","doi":"10.1080/01612840.2025.2476156","DOIUrl":"10.1080/01612840.2025.2476156","url":null,"abstract":"<p><p>Psychotropic drugs dominate the mental healthcare landscape. This is despite contention over their proposed mechanism of action, concerns for their adverse effects, and questionable effectiveness, especially over the long term. Mental health nurses are routinely involved in administering psychotropic drugs, observing for and managing adverse effects, and providing information and support to people prescribed these agents. This critique explores the current understanding of the mechanism of action for psychotropic drugs, evidence for their effectiveness, adverse effect burden and implications for long term use. The role of mental health nurses in deprescribing and supporting people to discontinue treatment is considered.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"411-419"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673889","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":"Mental Health Treatment Barriers to Emergency Nursing Care for Boarding Patients.","authors":"Rachel Keslar, Cindy Bacon, Crystal Epstein, Audrey Snyder, Denise Rhew","doi":"10.1080/01612840.2025.2473381","DOIUrl":"10.1080/01612840.2025.2473381","url":null,"abstract":"<p><p>Many patients seek mental health care through emergency departments. Emergency departments use many ways to care for mental health patients, however, one major challenge is boarding where medically cleared patients cannot be dispositioned from the emergency department because of inadequate health services. This study's goal was to determine emergency nurses' perceptions on mental health treatments in the emergency department in caring for mental health patients who were boarding. This qualitative descriptive study used one-on-one semi-structured interviews of bedside emergency nurses. Interviews took place remotely. Codes were derived from the data itself and then condensed into findings. Eighteen bedside emergency nurses participated. Four themes around mental health treatment for mental health patients who were boarding were discovered: safety precautions, basic medications, mental health team, and disposition for definitive care. With each aspect of care, benefits and barriers were dependent on resource adequacy or workflow challenges. To adequately care for mental health patients who are boarding, sufficient resource provision and efficient workflows for achieving good mental health care in the emergency department should be in place. Emergency nurses may be allies in supporting non-emergency department mental health services so that mental health patients can be adequately supported and boarding times decreases.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"444-450"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143572965","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 Young Widows and Widowers Experience Grief More Than Two Years Following the Death of Their Spouse: An Integrative Review.","authors":"Kathryn Kazoleas, Shelley Spurr, Jill Bally, Shelley Peacock","doi":"10.1080/01612840.2025.2475354","DOIUrl":"10.1080/01612840.2025.2475354","url":null,"abstract":"<p><strong>Background: </strong>Grieving the loss of a spouse as a young adult is unthinkable to many, yet a reality for some. Little is known about the grief of young widow(er)s, age 45 and under, and how it is experienced when moving forward in their forever changed lives, several years following the death of a spouse.</p><p><strong>Purpose: </strong>An integrative review was conducted to develop an understanding of what is currently known about the long-term experiences of grief in the young widowed population.</p><p><strong>Results: </strong>Four themes emerged: (1) Losing More Than a Spouse; (2) Embracing Personal Change and Growth; (3) Maintaining a Lasting Relationship; and, (4) Enduring Grief.</p><p><strong>Conclusion: </strong>These findings provide a foundational understanding of how grief is experienced several years following a death, and support future research in this domain. This valuable information can be used to inform the education and practices of nurses, and other health-care professionals who support bereaved individuals.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"489-498"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673896","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":"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}

{"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":"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}

{"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}