Issues in Mental Health Nursing最新文献

{"title":"Healthcare Professionals' Experience with the Implementation of a Recovery-Oriented Approach across in-Patient Units and Assertive Community Treatment.","authors":"Kim Jørgensen, Birgitte Lerbæk, Jesper Frederiksen, Emma Watson, Mathias Søren Hansen, Morten Hansen, Rikke Juhl, Anna Bay Østergaard, Merete Bjerrum, Bengt Karlsson","doi":"10.1080/01612840.2025.2456180","DOIUrl":"10.1080/01612840.2025.2456180","url":null,"abstract":"<p><strong>Introduction: </strong>Recovery-oriented approaches in mental health emphasize personal growth, agency, and meaningful community integration. While endorsed by policies and reforms, the practical implementation of such approaches remains challenging, particularly in settings like Denmark, where structural fragmentation, professional hierarchies, and resource constraints may limit the adoption of holistic recovery principles.</p><p><strong>Methods: </strong>This qualitative study employed focus group interviews with 21 health professionals from inpatient units and Assertive Community Treatment (ACT) teams in Danish mental health services. Using inductive content analysis, we examined participants' perceptions, understandings, and experiences in implementing personal recovery-oriented practices.</p><p><strong>Results: </strong>Four categories emerged: (1) \"Creating New Control in Recovery\" highlighted the importance of personal agency and collaborative care involving patients, families, and community stakeholders; (2) \"Recovery-Oriented Practice within Professional Parameters\" underscored efforts to balance patient preferences with clinical responsibilities; (3) \"Barriers to Implementing Recovery-Oriented Practice\" revealed systemic constraints, resource limitations, and emotional strain on staff; and (4) \"Advocating for a Paradigm Shift towards Recovery-Oriented Approaches\" emphasized the desire for interprofessional collaboration, the inclusion of peer workers, and structural reforms.</p><p><strong>Discussion/conclusion: </strong>The findings demonstrate that while Danish health professionals recognize the value of personal recovery-oriented care, their capacity to realize this approach is constrained by organizational structures, professional hierarchies, and limited resources. Strengthening systemic support, enhancing interprofessional collaboration, and integrating peer expertise are critical to fostering more equitable, person-centered mental health services. These insights contribute to a nuanced understanding of recovery-oriented implementation in European contexts and may inform strategies that better support professionals and service users in achieving sustained, meaningful recovery.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"197-205"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449121","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":"Exploring Risk and Protective Factors for Suicidality and Physical Self-Harm: A Cross-Sectional Analysis in Nordic Adolescents.","authors":"Ishak Celik, Bekir Cakar","doi":"10.1080/01612840.2024.2441838","DOIUrl":"10.1080/01612840.2024.2441838","url":null,"abstract":"<p><p>While the connection between risk factors and suicidality (suicide attempts and ideation) and physical self-harm is well established, the preventive roles of social bonding and dietary patterns remain underexplored. This study, based on the 2021 National Ungdata Surveys in Norway among middle and high school students (<i>N</i> = 15,430), can provide novel and context-specific insights into comparable environments. The results indicated a 5% suicide attempt rate, 18.3% prevalence of physical self-harm, and 26.7% suicidal ideation in the sample. The prevalence was higher among girls, students with low socioeconomic status, middle schoolers, and non-religious individuals. Logistic regression models for suicide attempts showed that substance use and victimization (sexual harassment and bullying) were significant predictors of suicide attempts. Elevated depressive symptoms and the use of pain relievers increased the risk. For suicidal ideation, victimization and depressive symptoms were significant predictors. Concerning physical self-harming behavior, substance use and risky behaviors increased odds, whereas binge drinking had varying effects. Victimization variables and health measures were also significant predictors. Dietary patterns, social bonding measures, and self-motivation were found to be protective factors, as they decreased the likelihood of suicidal and self-harming behaviors, highlighting the critical role of strong social connections, healthy dietary habits, and well-being.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":"46 2","pages":"165-179"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143501400","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":"Fostering a Sense of Belonging: Supporting Psychosocial Well-Being.","authors":"Catherine Hungerford, Jennifer Mulvogue, Craig Morris, Julie Bradshaw","doi":"10.1080/01612840.2024.2391850","DOIUrl":"10.1080/01612840.2024.2391850","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"211-214"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142107488","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":"Family Perspectives on Stigma Toward Women Who Use Drugs in Tanzania.","authors":"Haneefa T Saleem, Kathryn Noon, Chijindu Nwakama, Kaitlyn Atkins, Alana Snyder, Elly Josaphat, Jessie Mbwambo, Samuel Likindikoki","doi":"10.1080/01612840.2024.2445008","DOIUrl":"10.1080/01612840.2024.2445008","url":null,"abstract":"<p><p>The stigma surrounding drug use adversely affects the health and wellbeing of people who use drugs. With projected increases in drug use in Africa over the next decade, understanding public perceptions of drug use is critical. This study explores perceptions and attitudes toward illicit drug use from the viewpoint of the families of women who use drugs. In March 2019, we conducted semi-structured interviews with 19 family members of women who use drugs in Dar es Salaam, Tanzania. The interviews included a closed-ended survey and open-ended questions about drug use attitudes. We thematically analyzed open-ended responses and summarized survey response frequencies. Three key themes emerged: (1) disapproval and stigma regarding drug use, (2) increased stigma and social consequences for women who use drugs, and (3) empathy and a call for support and intervention. Participants viewed people who use drugs negatively, associating them with danger and criminality. Women faced harsher judgment due to cultural expectations of femininity and motherhood. Despite these negative perceptions and attitudes, participants wanted to support people who use drugs, advocating for better access to treatment. Culturally tailored, gender-sensitive interventions are essential to reduce stigma and improve outcomes for these women and their families.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"156-164"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11864885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Experience of Loneliness among People Living with Schizophrenia: A Qualitative Study.","authors":"Samantha B Randolph, Allison M Ratner, Jessica Kersey, Erin Moran, Deanna M Barch, Bailee Rousso, Lisa Tabor Connor","doi":"10.1080/01612840.2024.2428632","DOIUrl":"https://doi.org/10.1080/01612840.2024.2428632","url":null,"abstract":"<p><strong>Background: </strong>People living with schizophrenia or schizoaffective disorder are at heightened risk for experiencing loneliness, which is associated with negative health, quality of life, and symptom-specific outcomes.</p><p><strong>Aims: </strong>This study aimed to better understand the experience of loneliness among adults living with schizophrenia or schizoaffective disorder.</p><p><strong>Methods: </strong>Using a semi-structured interview guide, researchers interviewed twelve participants living with schizophrenia or schizoaffective disorder. Interview topics included the contexts of loneliness, hopes related to living a life less impacted by loneliness, and coping strategies. Researchers used conventional content analysis to analyze interview data and generate themes.</p><p><strong>Results: </strong>The research team identified four themes from the interview data: emotional disconnection, social anxiety leading to loneliness, unmet needs within social networks, and lacking companionship. Participants had a variety of hopes for the future, including increasing the quality of their relationships and improving their sense of self-efficacy. Participants described a variety of coping strategies, ranging from individual (e.g. leveraging technology, using cognitive reframing techniques) to systems-level (e.g. local clubhouses and walkable neighborhoods).</p><p><strong>Conclusions: </strong>Participants have identified several priorities and coping strategies to reduce loneliness that can be integrated with current models of loneliness to develop interventions that are meaningful and effective for this population.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":"46 1","pages":"12-19"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005451","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":"Psychometric Properties of the Edinburgh Postnatal Depression Scale Among Rural-Dwelling U.S. Women.","authors":"Elizabeth Lau, Yenupini Joyce Adams, Roya Ghiaseddin","doi":"10.1080/01612840.2024.2434907","DOIUrl":"https://doi.org/10.1080/01612840.2024.2434907","url":null,"abstract":"<p><p>To decrease the high rates of mental health-related maternal morbidity and mortality among rural-dwelling women, it is critical to identify those experiencing postpartum depression (PPD) and provide necessary follow-up care. To effectively screen for PPD, clinicians must utilize instruments which account for context-specific factors and maintain validity across diverse populations. The Edinburgh Postnatal Depression Scale (EPDS) is the most commonly used depression screening tool in perinatal settings, but has not been validated for use within rural American settings. The aim of this study was to establish the psychometric properties of the EPDS and assess its validity for clinical use within a rural American context. In regards to construct validity, we found that a single-factor structure representing depression status was psychometrically sound and well explained by the items of the EPDS. The scale demonstrated strong criterion-related validity, where EPDS screening results were significantly correlated with the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria used by providers to make differential depression diagnoses. The EPDS yielded acceptable reliability and internal consistency (Cronbach's alpha = 0.90) in measuring depression status among our rural-dwelling sample. This is the first study establishing validity of a PPD screening tool within a rural U.S. population.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":"46 1","pages":"83-93"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005531","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":"Violent Political Rhetoric and Its Association with Suicide Rates.","authors":"Sandra P Thomas","doi":"10.1080/01612840.2024.2442896","DOIUrl":"https://doi.org/10.1080/01612840.2024.2442896","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":"46 1","pages":"1"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005532","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":"Post-Master's Psychiatric/Mental Health Nurse Practitioner Students' Attitudes, Knowledge and Preferences for Providing Psychotherapy: A Qualitative Description Study.","authors":"Joseph P De Santis, Deborah Salani, Renessa S Williams, Christopher P Weidlich, Giovanna C De Oliveira","doi":"10.1080/01612840.2024.2442454","DOIUrl":"10.1080/01612840.2024.2442454","url":null,"abstract":"<p><strong>Background: </strong>Mental illness is among the most common health conditions in the U.S., yet clients needing mental health services such as psychotherapy may not be able to receive these services because of mental health providers such as psychiatric/mental health nurse practitioners (PMHNPs). PMHNP students could be used as future clinicians to address this gap. However, little is known about PMHNP students' attitudes, knowledge, and modality preferences for providing psychotherapy.</p><p><strong>Aims: </strong>The purpose of this study was to qualitatively assess how PMHNP students' attitudes, knowledge, and modality preferences may change after educational exposure to this content in theories and modalities of psychotherapy course in a post-master's PMHNP program.</p><p><strong>Methods: </strong>A qualitative description design was used to collect data from formal writing assignments of 33 PMHNP students at the beginning and end of a one-semester course on theories and psychotherapy modalities. Responses were analyzed to form themes and categories while maintaining qualitative rigor.</p><p><strong>Results: </strong>Attitudes, knowledge, and preferred psychotherapeutic modalities changed from the beginning of the course when compared to the end. An increase in comfort, knowledge, and the preferred number of modalities increased both qualitatively and quantitatively throughout the course.</p><p><strong>Conclusions: </strong>Providing psychotherapy is an essential skill that is an important component of PMHNP education. More research is needed to learn the most efficient ways to increase attitudes, knowledge, and preferred modality. PMHNP faculty should encourage students to develop and refine beginning competency in psychotherapy during PMHNP educational programs.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"94-103"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142949075","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":"Partnering with Persons Living with Bipolar Disorder to Develop an Authentic Virtual Simulation.","authors":"Laura A Killam, Jane Tyerman, Natalie Chevalier, Frances C Cavanagh, Karen Henze, Kryslyn Mohan, Katherine E Timmermans, Marian Luctkar-Flude","doi":"10.1080/01612840.2024.2424750","DOIUrl":"10.1080/01612840.2024.2424750","url":null,"abstract":"<p><p>Nursing students, faculty, and community partners report a gap in the preparation of nurses to work collaboratively with persons living with mental health conditions in a variety of healthcare settings. Engaging the expertise from lived experience within undergraduate nursing education promotes a holistic approach to care that aligns with clients' real-world needs. This paper describes the steps we followed to create a virtual simulation in partnership with persons living with mental health conditions. In 4 months, a team with diverse expertise worked together to develop an open-access virtual simulation module. The process resulted in a quality product that was worth the time invested. Of importance to our team, this development project resulted in a meaningful and authentic person-centred simulation. This virtual simulation is a tool to provide scalable and meaningful experiential learning in a safe environment for students and nurses.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"20-28"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142828270","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":"Visitation Restrictions in Inpatient Psychiatric Settings: A Call for Connected Healing.","authors":"Jennifer T McIntosh","doi":"10.1080/01612840.2024.2362823","DOIUrl":"10.1080/01612840.2024.2362823","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"108-112"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141626784","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}