Issues in Mental Health Nursing最新文献

{"title":"Highlights from the 2026 Conference of INANE.","authors":"Sandra P Thomas","doi":"10.1080/01612840.2026.2719370","DOIUrl":"https://doi.org/10.1080/01612840.2026.2719370","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":"47 8","pages":"769"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148850588","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":"Sexual Health in Patients Admitted to Geriatric Psychiatry Wards in Flanders (Belgium).","authors":"Rosie De Vidts, Anne Nobels, Ines Keygnaert, Gilbert Lemmens","doi":"10.1080/01612840.2026.2655203","DOIUrl":"10.1080/01612840.2026.2655203","url":null,"abstract":"<p><strong>Introduction: </strong>Ageist stereotypes hinder sexual health and rights in late life. These challenges are amplified for geriatric psychiatry patients, who face dual stigmas around sexual and mental health in old age.</p><p><strong>Aim/question: </strong>With this paper, we aim to get a better insight into the sexual health characteristics of patients admitted to geriatric psychiatry wards.</p><p><strong>Method: </strong>Between July 2019 and March 2020, 100 inpatients from three geriatric psychiatry wards in Flanders (Belgium) participated in structured face-to-face interviews. The participation rate was 58%.</p><p><strong>Results: </strong>Over 30% were sexually active, while 78% of inactive patients experienced physical tenderness in the past 12 months. Among sexually active participants, 77% were satisfied with their sexual life, compared to 68% of sexually inactive patients. One participant identified as non-cisgender, and 18% as non-heterosexual. Male patients were more likely to be sexually active than female patients (<i>p</i> = 0.033). On average, participants exhibited less knowledge about and/or more negative attitudes towards sexuality in later life (<i>p</i> = 0.030). Participants provided positive feedback during the interviews.</p><p><strong>Discussion: </strong>Sexual health remains important in patients admitted to geriatric psychiatry wards.</p><p><strong>Limitations: </strong>Limitations include restricted geographical scope and sample size, exclusion of cognitively impaired patients, lack of data on psychopharmaceutical use, and potential selection and cultural bias.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"859-866"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148053878","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":"Survey on Nursing Education and the Perceived Burden of Borderline Personality Disorder in France.","authors":"Aurore Pasetto, Alexandre Bot, Alexis Dias Alves, Théo Denis, Antoine Lamer, Paul Quindroit","doi":"10.1080/01612840.2026.2642090","DOIUrl":"10.1080/01612840.2026.2642090","url":null,"abstract":"<p><p>Borderline personality disorder (BPD) is a complex psychiatric condition often linked with self-harm, comorbidities, and high healthcare use. Nurses, frequently on the front line of care, report relational difficulties that may stem from insufficient training. A cross-sectional survey was conducted among nurses in three psychiatric hospitals in Northern France. An anonymous online questionnaire assessed professional identity, nursing school training, transition into practice, perceptions of BPD, and comfort in care. 210 nurses were included. Most judged their psychiatric training incomplete, citing limited theory, insufficient practice, and uneven placements. While 93% recognized BPD features, only half felt comfortable providing care. Comfort was positively associated with longer psychiatric experience. Respondents strongly requested additional training, especially in therapeutic approaches and simulation. Significant gaps in psychiatric nursing education regarding BPD reduce confidence and contribute to ambivalence in care. Strengthened curricula, simulation, and advanced practice mentorship may improve preparedness and patient outcomes.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"727-732"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148404776","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":"Sleep Disturbances in People with Major Depressive Disorder: A Qualitative Descriptive Study of Patient Experiences in Danish Outpatient Psychiatric Care.","authors":"Catrine Moesgaard, Sofie Wolsing, Peter Hjorth","doi":"10.1080/01612840.2026.2645385","DOIUrl":"10.1080/01612840.2026.2645385","url":null,"abstract":"<p><p>To describe how patients with major depressive disorder (MDD) experience support for sleep disturbances in Danish outpatient psychiatric care and which pharmacological and non-pharmacological strategies they report using and perceiving as helpful in everyday life. Qualitative descriptive study. Semi-structured individual interviews were conducted with 12 adults diagnosed with MDD who were receiving ongoing outpatient psychiatric treatment. Data were analysed inductively using Braun and Clarke's reflexive thematic analysis. The Standards for Reporting Qualitative Research (SRQR) checklist guided reporting to enhance transparency and rigour. Six women and six men [mean (SD) age = 52 (19) years] participated. Participants described a range of strategies to manage sleep disturbances, including prescribed sleep medication, physical activity, relaxation techniques, and, in some cases, self-directed use of alcohol or cannabis. Across interviews, participants reported limited professional attention to sleep problems in outpatient care, describing fragmented guidance, a predominant reliance on pharmacological solutions, and a lack of systematic follow-up. Patients with MDD perceived insufficient and inconsistent support for managing sleep disturbances in outpatient psychiatric care. The findings suggest a gap between clinical guidelines and everyday clinical practice, with limited integration of non-pharmacological sleep interventions. Strengthening systematic sleep assessment and nurse-led holistic approaches may improve care quality and support recovery in this population.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"741-750"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147690119","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":"Physical Health Screening of Consumers in a Mental Health Rehabilitation Setting: Implementation and Evaluation of an Online Tool.","authors":"Rachel Latter, Antony Mullen, Ravita Mawson, Sarah Askie, Danielle Wilton, Agatha Conrad, Annette Murphy, Aaron Tammekand, Ross Tynan","doi":"10.1080/01612840.2026.2665755","DOIUrl":"10.1080/01612840.2026.2665755","url":null,"abstract":"<p><p>People with severe mental illness experience high rates of preventable physical health conditions. This study aimed to evaluate a purpose-built online tool to improve physical health screening rates within an inpatient mental health rehabilitation facility. The tool was developed using a web-based database and survey platform called REDCap. The mixed-methods evaluation consisted of three patient file audits (pre implementation, 3 and 6-month follow-up) assessing completion of mandated screening forms, and pre-post mental health nurses' (MHNs') surveys (n=47) and two semi-structured focus groups exploring MHNs' (n=9) attitudes and perspectives regarding the tool and physical health screening. Screening rates improved following implementation of the tool across a range of key metrics with 44% recorded at baseline and 72% at post-implementation with improvements sustained at 6 months. Surveys showed significant improvements in MHN confidence and knowledge. Focus groups recognised comorbid physical vulnerabilities for consumers, a range of barriers to screening and expressed strong endorsement for the project. These results show that a simple online tool, combined with tailored training can improve physical health screening rates and enhance MHNs' knowledge and confidence. The findings highlight the need for ongoing professional development, system-level support, and consumer engagement to address physical health disparities.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"683-692"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148264481","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":"Triumphs and Challenges of Peer Recovery Work in Clinical Care.","authors":"Aislinn Woody, Mona Shattell, Sydney Long, Donna Neff, Shana Harris, Carmen Giurgescu, Christa Cook","doi":"10.1080/01612840.2026.2645386","DOIUrl":"10.1080/01612840.2026.2645386","url":null,"abstract":"<p><p>Peer Recovery Workers (PRWs) bring lived experience to clinical care, offering non-clinical support that enhances engagement and reduces stigma for individuals recovering from substance use disorders. Despite their growing presence, PRWs face systemic challenges that threaten the sustainability of their roles, including low wages, limited advancement, stigmatized experience, and lack of institutional understanding. These challenges differ from mental health peer support roles and reflect the unique demands of substance use recovery settings. This empirical phenomenological study explored the lived experiences of 12 PRWs in the United States through semi-structured interviews. Five key themes were identified: (1) <i>respect in recovery</i> - PRWs valued recognition but often encountered stigma and exclusion; (2) <i>centering the consumer</i> - Participants prioritized consumer needs, fostering trust and connection; (3) <i>connection</i> - Peer work fostered community and personal growth, though boundaries were sometimes difficult to maintain; (4) <i>expertise</i> - PRWs viewed experiential knowledge as complementary to clinical training; and (5) <i>pay and benefits</i> - Low wages, limited advancement, and inadequate benefits were major barriers to PRW retention. These themes indicate that PRWs find fulfillment but face structural barriers that threaten long-term sustainability. Healthcare systems must improve compensation, clarify roles, and provide institutional support to retain and empower PRWs.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"733-740"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627853","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 Science of Caring in the Age of AI.","authors":"Jennifer Tustison, Kristen R Choi","doi":"10.1080/01612840.2025.2590689","DOIUrl":"10.1080/01612840.2025.2590689","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"763-765"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145933263","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":"Predicting Medication Adherence in Schizophrenia: The Role of Reminiscence Functions and the Moderating Effect of Metacognitive Beliefs on the Effect of Insight on Medication Adherence.","authors":"Abdallah Abu Khait, Austin Menger, Mutasem Al-Omari, Ayat Alhamdan, Ahmad Dagamseh, Shaher H Hamaideh","doi":"10.1080/01612840.2026.2636099","DOIUrl":"10.1080/01612840.2026.2636099","url":null,"abstract":"<p><p>In the context of schizophrenia, it has been previously held that the more insight a patient has about their condition, the more likely they are to adhere to their medication regimen more closely. However, insight alone may not be enough. Metacognitive beliefs (ideas and assumptions about their own cognitive processes, such as thinking, memory, and attention) serve as a critical factor impacting this relationship, given their association with both improved medication adherence and increased insight. Another key component of insight is one's ability to reminisce. However, no existing studies have explored the link between reminiscence and medication adherence, which could inform the development of appropriate patient interventions. This study aimed to examine the moderating effect of metacognitive beliefs on the relationship between insight and medication adherence and assess the prediction of medication adherence based on reminiscence functions in a sample of patients hospitalized for schizophrenia. This cross-sectional study employed a convenience sampling method to collect data from 224 patients hospitalized for schizophrenia, as administered through interviews with clinical staff. While reminiscence functions were not directly associated with improved medication adherence, this could be due to their relationship with other sociodemographic predictors in the model. It was shown, however, that higher levels of metacognitive beliefs, dominated by dysfunctional metacognitive beliefs, were significantly associated with a reduced effect of insight on medication adherence (<i>p</i> = 0.016). Patients with high levels of dysfunctional metacognitive beliefs struggle with connecting awareness of their condition with the necessity of adhering to medication. Mental health nurses should consider overarching assessments of metacognitive beliefs to further understand medication adherence and its relationship with patient insight.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"714-726"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147365138","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":"Negotiating Narratives: Including Patient Perspectives in Mental Health Nursing Documentation.","authors":"Veronica Lockertsen, Linn May Burger, Jorunn Bjerkan, Silje Solø Skog, Katrine Staats","doi":"10.1080/01612840.2026.2670375","DOIUrl":"10.1080/01612840.2026.2670375","url":null,"abstract":"<p><p>Electronic health records (EHRs) are increasingly central in mental health and substance use care, yet how patient perspectives are captured within standardised systems remains uncertain. This qualitative study explores how healthcare staff experience and perceive the inclusion of patients' perspectives in clinical documentation in Norwegian mental health and substance use services. Guided by Gadamer's philosophical hermeneutics, we conducted in-depth interviews with 12 experienced professionals across specialist and primary care settings. The analysis revealed five overarching themes: <i>negotiating narratives</i>, highlighting how language shapes understanding and either validate or stigmatise patients; <i>documenting in the shadows</i>, reflecting tensions between transparency, privacy and safety; <i>between care and control</i>, capturing pressures to emphasise symptoms and risks due to legal and organisational demands; <i>patient`journal as a bridge or barrier</i> and <i>subjective realities</i>, illustrating challenges in balancing objectivity with the relational and emotional nature of mental health work. Across themes, participants expressed that standardised templates, biomedical framings and time constraints often hinder the meaningful inclusion of patient voices. At the same time, recovery‑orientated values underscore the importance of documentation that reflects lived experiences, goals and agency. The findings demonstrate that documentation is not a neutral task but an ethical, relational practice that requires systems and guidelines that support genuine patient involvement.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"673-682"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148277363","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":"Dangers of Dependence on Chatbots for Youth Mental Health.","authors":"Sandra P Thomas","doi":"10.1080/01612840.2026.2691661","DOIUrl":"https://doi.org/10.1080/01612840.2026.2691661","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":"47 7","pages":"671-672"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706587","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}