Issues in Mental Health Nursing最新文献_第7页

An Educational Program to Enhance the Identification of Obsessive-Compulsive Disorder and the Utilization of Exposure and Response Prevention Among Outpatient Mental Health Providers. 一个教育计划，以提高识别强迫症和利用暴露和反应预防门诊精神卫生服务提供者。

IF 1.7 4区医学

Issues in Mental Health Nursing Pub Date : 2025-03-01 Epub Date: 2025-02-19 DOI: 10.1080/01612840.2025.2464688

Jena Lerch, Deborah Witt Sherman

{"title":"An Educational Program to Enhance the Identification of Obsessive-Compulsive Disorder and the Utilization of Exposure and Response Prevention Among Outpatient Mental Health Providers.","authors":"Jena Lerch, Deborah Witt Sherman","doi":"10.1080/01612840.2025.2464688","DOIUrl":"10.1080/01612840.2025.2464688","url":null,"abstract":"Background: Obsessive-compulsive disorder (OCD) is a prevalent and impairing psychiatric disorder that is frequently misdiagnosed. Further, despite a breadth of evidence in support of Exposure and Response Prevention (ERP) in the treatment of OCD, it is often underutilized or used incorrectly.Methods: This quality improvement project was conducted utilizing the Plan Do Study Act Cycle at an outpatient group mental health facility with a sample of 19 mental health providers. A pretest post-test design was utilized to assess whether a 1-h educational program would result in an improvement in knowledge, attitudes, and behaviors of mental health providers.Results: Changes in knowledge toward the diagnosis of OCD and use of ERP from pre to post-test showed an increase. Mental health providers' attitudes surrounding perceived comfort in their ability to diagnose OCD, to use ERP, to identify taboo obsessional content, and to utilize exposures in patients with covert compulsions showed statistically significant improvement. The majority of participants indicated that they would change how they assess for OCD, how often they use ERP, and how they conduct ERP.Conclusion: This educational program shows promise as a relatively simple, cost-effective intervention to enhance the diagnosis and treatment of OCD among outpatient mental health providers.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"289-293"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458041","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

Care Farming Experiences of Individuals with Schizophrenia: A Focused Ethnography in Korea. 韩国精神分裂症患者的护理耕作经验：一个集中的民族志研究。

IF 1.7 4区医学

Issues in Mental Health Nursing Pub Date : 2025-03-01 Epub Date: 2025-02-13 DOI: 10.1080/01612840.2025.2461208

Jaewon Joung, Seonjin Jeong, Kyung Im Kang

{"title":"Care Farming Experiences of Individuals with Schizophrenia: A Focused Ethnography in Korea.","authors":"Jaewon Joung, Seonjin Jeong, Kyung Im Kang","doi":"10.1080/01612840.2025.2461208","DOIUrl":"10.1080/01612840.2025.2461208","url":null,"abstract":"Care farming can improve the well-being of patients with mental illnesses. While interest in care farms is increasing in Korea, the focus remains on the business aspect. Systematic applications that consider the characteristics of patients with mental illnesses are scarce. Therefore, this qualitative study applied focused ethnography to explore the experiences of individuals with schizophrenia engaged in a care farming program in Korea. Focus group interviews with six program participants with schizophrenia and in-depth individual interviews with three on-site staff were conducted. Using content analysis, three categories of participants' experiences were identified. The first category, \"new nature-based approach,\" had \"different from existing rehabilitation programs\" and \"harmonizing with nature\" as sub-categories. The second category, \"therapeutic elements of care farming,\" had \"autonomous participation\" and \"customized operation\" as sub-categories. The final category, \"positive effects of care farming,\" had \"manifestation of various positive emotions\" and \"social adaptation through small growth changes in various aspects\" as sub-categories. The findings provide key information for the development of novel and tailored approaches in Korea, where effective rehabilitation programs to support persons with mental disorders or disabilities are inadequate.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"261-266"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414182","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

Youth Anxiety, Digital Devices, and Advice for Parents. 青少年焦虑、数码设备和给家长的建议。

IF 1.7 4区医学

Issues in Mental Health Nursing Pub Date : 2025-03-01 Epub Date: 2025-03-07 DOI: 10.1080/01612840.2025.2466997

Sandra P Thomas

引用次数: 0

The Perspective of Brief Admission Users on Health-Promoting Behaviors Based on Pender's Model - A Directed Content Analysis. 基于Pender模型的短期入院用户健康促进行为视角——定向内容分析

IF 1.7 4区医学

Issues in Mental Health Nursing Pub Date : 2025-03-01 Epub Date: 2025-01-27 DOI: 10.1080/01612840.2025.2456190

Sally Hultsjö, Marko Vidovic, Lena Eriksson

{"title":"The Perspective of Brief Admission Users on Health-Promoting Behaviors Based on Pender's Model - A Directed Content Analysis.","authors":"Sally Hultsjö, Marko Vidovic, Lena Eriksson","doi":"10.1080/01612840.2025.2456190","DOIUrl":"10.1080/01612840.2025.2456190","url":null,"abstract":"Patient-Initiated Brief Admission (PIBA) is perceived as a constructive intervention. It remains uncertain whether PIBA contributes to healthier behaviors among its users. To comprehend patients' motivation to engage in health-promoting behaviors, it is essential to understand how various nursing interventions influence the behavior-specific thoughts and feelings that lead to healthy behaviors. By integrating the theoretical concepts within the health promotion model, we can gain a better understanding of how PIBA as an intervention impacts health-promoting behaviors. Thus, the aim of this study is to describe PIBA users' perspectives on health-promoting behaviors based on Pender's health promotion model. Data were collected through semi-structured interviews with 20 PIBA users, and analyzed through directed content analysis based on Pender's health promotion model. The results illustrate that PIBA users experienced that access to and confidence in PIBA, interpersonal support, and help building self-efficacy promoted health-related behaviors. Deficiencies in PIBA's environmental impact and high internal and external demands were conditions counteracting health-related behaviors. Thus, PIBA has the potential to promote health-related behaviors among its users. However, health professionals need to be mindful of factors that counteract health-related behaviors and should strive to minimize these for PIBA to function fully and guide patients toward healthier behaviors.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"243-253"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052419","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

English Trans-Adaptation and Content Validity Testing of the Positive Psychological Capital Questionnaire (PPQ-E) Among Rural Youth. 农村青年积极心理资本问卷（PPQ-E）的英语跨适应及内容效度检验

IF 1.7 4区医学

Issues in Mental Health Nursing Pub Date : 2025-03-01 Epub Date: 2025-02-24 DOI: 10.1080/01612840.2025.2464689

Angela J Preston, Kuo Zhang, Lynn Rew, Cara C Young

{"title":"English Trans-Adaptation and Content Validity Testing of the Positive Psychological Capital Questionnaire (PPQ-E) Among Rural Youth.","authors":"Angela J Preston, Kuo Zhang, Lynn Rew, Cara C Young","doi":"10.1080/01612840.2025.2464689","DOIUrl":"10.1080/01612840.2025.2464689","url":null,"abstract":"Background: Psychological capital (PsyCap), the combination of hope, self-efficacy, resilience, and optimism, is gaining relevance for understanding youth life satisfaction and wellbeing. Typically a variety of unidimensional scales are used to measure PsyCap in mental health studies with English-speaking youth, limiting the ability to compare results across studies. The Positive Psychological Capital Questionnaire (PPQ) is a multi-dimensional tool developed with Asian youth to measure general PsyCap. The purpose of this study is to describe the trans-adaptation process and content validity testing of the PPQ in English (PPQ-E) and to describe how rural US youth feel about discussing items on the scale.Methods: An iterative process of trans-adaptation was utilized to establish content validity, including forward-backward translation by the original scale developer, advisory forums with a diverse rural teen council, and expert panel review. Written notes and dictated field notes were taken during and following the teen advisory council (TAC) meeting. Content validity index scores for item and total scale clarity and relevance were computed using frequencies.Results: The majority of items on the 26-item PPQ-E received minor modifications based on TAC feedback. Qualitative feedback demonstrated validity of items and that this activity was a positive experience.Conclusion: This study describes a rigorous process of trans-adaptation of a scale to measure general PsyCap for use with rural US youth. The next step for the PPQ-E is to further test the scale with a large sample of rural US youth.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"280-288"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491962","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

Understanding Implementation Fidelity of Physical Health Screening in Mental Health Nursing: A Mixed Methods Study. 了解心理健康护理中身体健康筛查的实施保真度：一项混合方法研究。

IF 1.7 4区医学

Issues in Mental Health Nursing Pub Date : 2025-03-01 Epub Date: 2025-02-27 DOI: 10.1080/01612840.2025.2464692

Camilla Långstedt, Daniel Bressington, Maritta Välimäki

{"title":"Understanding Implementation Fidelity of Physical Health Screening in Mental Health Nursing: A Mixed Methods Study.","authors":"Camilla Långstedt, Daniel Bressington, Maritta Välimäki","doi":"10.1080/01612840.2025.2464692","DOIUrl":"10.1080/01612840.2025.2464692","url":null,"abstract":"Physical health screening for patients with schizophrenia spectrum disorders is suboptimal despite patients' poor physical health and nurses' willingness to conduct assessments. However, this inadequate service provision is poorly understood. The purpose of this study was to describe nurses' adherence to conducting screening with the Finnish Health Improvement Profile and related factors. An explanatory, sequential two-phase mixed-methods design was used. A quantitative method was used to describe nurses' adherence and a qualitative approach to describe moderating factors. The data were collected and analyzed separately and later integrated into one dataset. Generally, screening was implemented as intended regarding content adherence despite very few nurses conducting the screening. Analysis identified four main themes related to adherence. Comprehensiveness of policy description included complexity and duration; strategies to facilitate implementation included fragmented information, instructions, nurses' fragmented work tasks, management and equipment; quality of delivery included preparedness and nurses' confidence and skills; and participant responsiveness included nurses' enthusiasm in screening, nurses' engagement in screening, patient willingness to participate, patient's refusal to participate, patient's cognitive capacity and collaborative screening. For successful screening, the utility and feasibility of the screening tool would need to be reevaluated after addressing some of the barriers identified as moderating factors.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"267-279"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523522","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

"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 1. “我是混凝土中的一朵花”：对大流行期间非裔美国女性痴呆症护理人员的语言、文化和身份的定性分析：第一部分。

IF 1.7 4区医学

Issues in Mental Health Nursing Pub Date : 2025-03-01 Epub Date: 2025-02-11 DOI: 10.1080/01612840.2025.2461216

Shanae Rhodes, Pamela Recto, Janna Lesser

引用次数: 0

The Use of Gender-Neutral Language in Psychiatric Care: A Qualitative Interview Study of Nurses' Perceptions and Experiences. 精神科护理中中性语言的使用：护士认知与经验的质性访谈研究。

IF 1.7 4区医学

Issues in Mental Health Nursing Pub Date : 2025-03-01 Epub Date: 2025-02-19 DOI: 10.1080/01612840.2025.2462678

Jenny Lindberg-Manna, Johanna Hiltunen Bohm, Ulrica Hörberg, Hanna Tuvesson

{"title":"The Use of Gender-Neutral Language in Psychiatric Care: A Qualitative Interview Study of Nurses' Perceptions and Experiences.","authors":"Jenny Lindberg-Manna, Johanna Hiltunen Bohm, Ulrica Hörberg, Hanna Tuvesson","doi":"10.1080/01612840.2025.2462678","DOIUrl":"10.1080/01612840.2025.2462678","url":null,"abstract":"Nurses in psychiatric and mental healthcare meet patients with varying backgrounds, including sexual and gender minorities. An essential part of nursing is the nurse-patient relationship, and previous research shows that LGBTQ patients desire a greater understanding of their needs, which can be illustrated in terms of a more inclusive linguistics usage, such as a gender-neutral language. There is, however, limited knowledge about nurses' views on this subject. The aim of this study was thus to describe nurses' perceptions and experiences on the use of gender-neutral language in psychiatric and mental healthcare. A qualitative, descriptive, and inductive approach was used, and 13 nurses working in psychiatric and mental healthcare were interviewed. The data were analysed with a qualitative content analysis, resulting in three themes; The nurses' understanding is characterised by individual prerequisites, The caring encounter is complex and requires normative awareness and responsibility, and The reflecting nurses become self-aware. The results are discussed and compared with the findings from previous research. The study also concludes that self-awareness and reflection play an important part in creating a safe environment for patients within the LGBTQ spectrum, where gender-neutral language can be used as an important tool for nursing in psychiatric and mental healthcare.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"219-226"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458042","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

To Seclude or Not to Seclude? Using Grounded Theory to Develop a Model of the Seclusion Decision-Making Process Used by Mental Health Nurses in Forensic Services. 隐居还是不隐居？运用扎根理论建立法医服务中心理健康护士隔离决策过程模型。

IF 1.7 4区医学

Issues in Mental Health Nursing Pub Date : 2025-03-01 Epub Date: 2025-01-16 DOI: 10.1080/01612840.2025.2451161

Daniel Lawrence, Daniel Stubbings, Andrew Watt, Jenny Mercer

{"title":"To Seclude or Not to Seclude? Using Grounded Theory to Develop a Model of the Seclusion Decision-Making Process Used by Mental Health Nurses in Forensic Services.","authors":"Daniel Lawrence, Daniel Stubbings, Andrew Watt, Jenny Mercer","doi":"10.1080/01612840.2025.2451161","DOIUrl":"10.1080/01612840.2025.2451161","url":null,"abstract":"Seclusion is a restrictive intervention used in forensic mental health care to manage service user risk of harm. It has been associated with harmful effects for service users and consensus is that its use needs to be reduced. Research has identified that factors related to nursing staff influence the use of seclusion. However, to date no research has considered staff decision-making as it relates to the seclusion process, from initiation to termination. The current aim was to address this gap in the literature. Thirteen senior nurses were recruited from a UK-based service which provided care to men and women in low and medium secure wards. Constructivist Grounded Theory was used to analyse semi-structured interviews that were conducted with participants. Analysis revealed a complex model consisting of numerous overlapping categories that contributed to seclusion decision-making. There were four main categories: cognitive, emotional, relational, and organisational, each with numerous sub-categories. Practice could be improved through using structured assessments to inform seclusion decision-making, providing consistent emotional support for staff who implement seclusion, and focusing on relational approaches to care to build effective therapeutic relationships. There were implications for the importance of organisational policy and leadership and incorporating staff-related factors into seclusion recording processes.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"227-238"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005506","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

Coaching: A Leadership Strategy for Nurse Retention. 辅导：留住护士的领导策略。

IF 1.7 4区医学

Issues in Mental Health Nursing Pub Date : 2025-03-01 Epub Date: 2025-02-11 DOI: 10.1080/01612840.2025.2458102

Temitope K Gold

{"title":"Coaching: A Leadership Strategy for Nurse Retention.","authors":"Temitope K Gold","doi":"10.1080/01612840.2025.2458102","DOIUrl":"10.1080/01612840.2025.2458102","url":null,"abstract":"Attrition among psychiatric-mental health nurses (PMHN) threatens the safety and quality of psychiatric-mental health patient outcomes and may be related to nurse leaders lacking empowerment behaviors. Nurse leaders who demonstrate empowerment behaviors influence registered nurses' (RN) empowerment, and RNs who feel empowered are less likely to leave. Nurses who do not feel empowered experience job strain, are less satisfied with their jobs, and are likely to leave the organization. This study examined the relationship between leadership empowerment behaviors of delegation of authority, accountability, self-directed decision-making, information sharing, skills development, and coaching for innovative performance and the retention of PMHNs in their first 2 years of practice. The study used a nonexperimental correlational research design. The leader empowering behavior questionnaire (LEBQ) and turnover intention scale (TIS-6) were used to measure the variables. The study participants included 111 PMH RNs in their first 2 years of practice. Results showed that coaching for innovative performance was correlated with retention among the six leadership behaviors, with an inverse statistically significant relationship. The study findings could be used to develop PMHN leaders to coach new nurses to mitigate registered nurse turnover and impact the quality of nursing care delivery.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"239-242"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399252","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