Journal of the American Psychiatric Nurses Association最新文献

{"title":"Beyond Crisis: Enhancing Behavioral Response Through a Conceptual Framework.","authors":"Alirio Olmedo, Jane Muir","doi":"10.1177/10783903251315947","DOIUrl":"https://doi.org/10.1177/10783903251315947","url":null,"abstract":"<p><strong>Objective: </strong>The objective of the study is to present a conceptual model informed by existing literature surrounding behavioral health crises and response teams.</p><p><strong>Method: </strong>The Behavioral Crisis Response Model (BCRM) was developed through a comprehensive literature review, synthesizing existing knowledge to clarify the structure, relationships, and processes between patients and Behavioral Response Teams (BRTs), focusing on published literature from 2018 to 2023. Themes to inform the BCRM were developed through iterative review and discussion with an expert panel.</p><p><strong>Results: </strong>The BCRM framework comprises five key domains: Patient-Centered Care, Preparation, Planning, Execution, and Evaluation. Each domain encompasses specific actions and strategies to ensure comprehensive and effective crisis intervention. The Patient-Centered Care domain ensures the patient remains the focus during a crisis. The Preparation domain focuses on readiness through training and resource verification. The Planning domain involves initial and risk assessments, followed by devising a tailored response plan. The Execution domain emphasizes the implementation of the response plan with adaptable leadership styles. The Evaluation domain involves debriefing, root cause analysis, and performance reviews to promote continuous improvement.</p><p><strong>Conclusion: </strong>The BCRM offers a patient-centered, structured approach to managing behavioral health crises and enhancing team cohesion and effectiveness. Further evaluation of adopting the BCRM is needed within health care institutions to improve patient outcomes, reduce harm, and advance better care quality.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903251315947"},"PeriodicalIF":1.5,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080574","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 Relationship Between Trait Mindfulness and Depression Severity Among People With Schizophrenia: The Role of Perceived Public Stigma Toward Mental Illness.","authors":"Ahmad Rayan","doi":"10.1177/10783903241312682","DOIUrl":"https://doi.org/10.1177/10783903241312682","url":null,"abstract":"<p><strong>Background: </strong>Studies have found that trait mindfulness is associated with lower levels of depressive symptoms among people diagnosed with schizophrenia. Still, the role of the perceived public stigma in this association has yet to be established.</p><p><strong>Aims: </strong>The purpose of this study was to assess the association between mindfulness and depressive symptoms experienced by people diagnosed with schizophrenia, controlling for the impact of their demographics and their perceived public stigma against mental illness.</p><p><strong>Methods: </strong>A quantitative descriptive correlational design was used. The sample included 184 Jordanian outpatients diagnosed with schizophrenia who completed self-administered measures of mindfulness, depressive symptoms, public stigma against mental illness, and demographic information. Multiple hierarchical regression analysis was performed to identify the unique variance in perceived depression explained by participants' demographic and clinical variables, public stigma, and mindfulness.</p><p><strong>Results: </strong>Participants had moderate perceived discrimination and moderate to severe depression. Age, gender, perceived physical pain, perceived public stigma, and mindfulness were significantly correlated with depression among the study participants. After controlling for demographic and clinical variables, public stigma was significantly associated with depression and accounted for 14% additional variance above and beyond the 37% accounted for by demographic and clinical variables. Mindfulness accounted for a 15% additional variance above and beyond the variance accounted for by all other predictors.</p><p><strong>Conclusion: </strong>Anti-stigma programs could be combined with mindfulness-based interventions to reduce depression in people diagnosed with schizophrenia.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903241312682"},"PeriodicalIF":1.5,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066715","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":"Improving Medication Adherence in Psychiatric Patients With a Medication Adherence Program.","authors":"Whitney Peterson","doi":"10.1177/10783903241310229","DOIUrl":"https://doi.org/10.1177/10783903241310229","url":null,"abstract":"<p><strong>Background: </strong>It's estimated that over 50% of patients prescribed antipsychotic medication are nonadherent to the prescribed treatment. Medication nonadherence impedes the patient's safety, leads to relapse, and the need for rehospitalization. Thus bolstering the importance of routine nursing follow-up interventions to improve adherence rates in patient with SMI.</p><p><strong>Aims: </strong>The purpose of this research is to address the significant impact that medication nonadherence has on patients with serious mental illness (SMI) and the positive impact that telephonic medication adherence programs have on improving patient outcomes through enhanced medication adherence.</p><p><strong>Methods: </strong>The literature was examined from the past 5 years (2016-2021) on the use of telephonic follow-up interventions to improve medication adherence in patients with psychiatric disorders and other chronic diseases at risk for mental illness. Databases (PubMed, CINAHL, ProQuest, and the Cochrane Library) were used. The inclusion criteria focused on psychiatric disorders, telephone calls to improve medication adherence, and the use of questionnaires to determine adherence.</p><p><strong>Results: </strong>The implementation of telephonic follow-up after discharge has proven to be an effective strategy to promote medication adherence in patients with mental illness and to provide additional support (emotional, side effect management, appointment reminders, and activity involvement) to improve the patient's well-being.</p><p><strong>Conclusions: </strong>Telephonic follow-up is an effective strategy to improve medication adherence in patients with SMI and other chronic diseases as a short-term intervention (less than 24 months). Further research is needed on the benefits of telephonic follow-up as a long-term intervention (beyond 24 months).</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903241310229"},"PeriodicalIF":1.5,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066713","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":"Implementation and Evaluation of a High-Fidelity, Interprofessional Simulation Project Using Standardized Patients to Address Aggression in a Psychiatric Emergency Department.","authors":"Nancy M Bowllan, Heather P O'Brien, Courtney Blackwood, Wendi F Cross, Patrick Walsh","doi":"10.1177/10783903241308529","DOIUrl":"10.1177/10783903241308529","url":null,"abstract":"<p><strong>Introduction: </strong>Increased aggression in a regional Comprehensive Psychiatric Emergency Program (CPEP) led to a significant rise in physical assaults, restraints, and use of security personnel. Root cause analysis revealed a need for more extensive training on de-escalation, teamwork and communication.</p><p><strong>Aims: </strong>This quality improvement project evaluated the impact of an interprofessional, high-fidelity simulation project on interdisciplinary collaboration to manage de-escalation and aggression safely and effectively.</p><p><strong>Methods: </strong>Interdisciplinary team members (<i>N</i> = 171 nurses, psychiatrists, social workers, crisis specialists, and safety officers) participated in a 2.5-hr educational initiative that included Crisis Prevention Intervention (CPI) and Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) interventions, high-fidelity simulation using standardized patients, observation, and debriefing. Quantitative data collection and analysis included the use of the Confidence in Coping with Patient Aggression Instrument (CCPAI), TeamSTEPPS Perception Questionnaire (T-TPQ), pre-post data on restraints, injuries, and an educational survey. A qualitative analysis of debriefing themes was also performed.</p><p><strong>Results: </strong>Statistically significant improvement was noted in individuals' confidence to manage aggression. In addition, data collected over a 5-month period before and after simulation demonstrated a 35% reduction in restraints and a 52% reduction in injuries. Interestingly, quantitative evidence revealed no changes in perceptions of teamwork. Results from the educational survey highlighted the positive impact of standardized patients and debriefing, and gaining new insights into patient care. Qualitative analysis of debriefing themes revealed educational opportunities to improve communication, role clarity, de-escalation, and insights into patient impact.</p><p><strong>Conclusion: </strong>The use of high-fidelity simulation with standardized patients has the potential to strengthen interdisciplinary collaboration to safely manage aggression in an acute psychiatric setting.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903241308529"},"PeriodicalIF":1.5,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142950723","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":"Preparing for the Future While Honoring the Past.","authors":"Joyce M Shea","doi":"10.1177/10783903241303179","DOIUrl":"10.1177/10783903241303179","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"89-91"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142823928","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 Influence of Writers on Psychiatric Mental Health Care Policy and Practice.","authors":"Michelle DeCoux Hampton","doi":"10.1177/10783903241303509","DOIUrl":"10.1177/10783903241303509","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"5"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142846957","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-Defense Training to Reduce Violence Against Women and Girls: An Integrative Review.","authors":"Ashlyn M Johnson, Britt S Cole","doi":"10.1177/10783903241254308","DOIUrl":"10.1177/10783903241254308","url":null,"abstract":"<p><strong>Background: </strong>Violence against women and girls (VAWG) is a serious threat to individual and public health with vast negative impacts, including numerous physical and mental health issues, as well as societal and economic consequences. Numerous women's self-defense interventions have been proposed to reduce the risk of victimization.</p><p><strong>Aims: </strong>The current integrative review, based on Whittemore and Knafl's framework, was completed to synthesize current evidence on women's self-defense training, the impact of such training on outcomes related to VAWG, and evaluate the strength of evidence for women's self-defense training interventions.</p><p><strong>Methods: </strong>A systematic literature search, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, was performed including a comprehensive computer-assisted database search, as well as citation searching and website searching for studies that included quantitative outcomes related to VAGW published between 2011 and 2023. Data were extracted and analyzed in accordance with Whittemore and Knafl's (2005) methodology, and the body of evidence was synthesized and best evidence recommendations developed based on the ©The Johns Hopkins Hospital/The Johns Hopkins University Evidence-Based Practice Model.</p><p><strong>Results: </strong>Ultimately, 19 publications met inclusion criteria and were included in this review. Key findings included strong evidence demonstrating that participants in women's self defense training reported fewer incidents of attempted rape, completed rape, and nonconsensual sexual contact compared to controls, as well as fewer postraumatic stress disorder (PTSD) symptoms, among other positive outcomes.</p><p><strong>Conclusions: </strong>Further research is needed in more diverse populations at risk for violence and to identify key characteristics of effective interventions, including optimal content and dose.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"23-45"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141093671","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":"Saudi Arabian Nurses' Motivations and Barriers to Employment in Inpatient Mental Health Facilities: A Qualitative Investigation.","authors":"Seham Mansour Alyousef","doi":"10.1177/10783903241260734","DOIUrl":"10.1177/10783903241260734","url":null,"abstract":"<p><strong>Background: </strong>The shortage of inpatient psychiatric mental health care nurses in Saudi Arabia represents an important health care challenge.</p><p><strong>Aim: </strong>The aim of this study was to illuminate perspectives of psychiatric mental health nurses employed in psychiatric inpatient settings about their employment experiences.</p><p><strong>Method: </strong>This study adopted an exploratory qualitative approach using thematic content analysis. Ten professional nurses with psychiatric inpatient caring experience participated in two focus groups composed of Master of Nursing students.</p><p><strong>Results: </strong>Four main themes emerged: inadequate professional skills and knowledge for psychiatric mental health care practice, negative public attitudes toward psychiatric/mental health nurses, concerns for personal safety, and alternatives and advantages. The findings of this study suggest that nurses' lack of interest in working in psychiatric units is not merely personal but also social and organizational.</p><p><strong>Conclusions: </strong>The study findings may encourage managers and authorities to develop measures to attract more mental health nurses to work in psychiatric units. Such strategies may include modification of nurses' skills, training, and professional knowledge, collegial supervision, mentoring, and working conditions and environment.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"64-75"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141432219","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":"Thoughts on Connections and Control: A Letter From 2024 APNA Award for Distinguished Service Recipient, Dr. Diane Allen.","authors":"Diane E Allen","doi":"10.1177/10783903241301783","DOIUrl":"10.1177/10783903241301783","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"6-7"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751224","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":"Improving Mental Health Literacy and Stigma Among the Hmong.","authors":"Mayche Vang-Kue, Cynthera McNeill, Umeika Stephens","doi":"10.1177/10783903241277344","DOIUrl":"10.1177/10783903241277344","url":null,"abstract":"<p><strong>Introduction: </strong>One in five adults in the United States suffers from mental illness. Negative social influences in the Hmong community stigmatize those who have mental health challenges and mental health outcomes are impacted by poor mental health literacy. Language barriers, conflicting traditional beliefs, and Western concepts of health contribute to low mental health literacy and willingness to seek professional mental health services among the Hmong.</p><p><strong>Aims: </strong>The aim of this project was to successfully implement Mental Health First Aid (MHFA) to a group of 30 or more Hmong adult church leaders in a faith-based setting.</p><p><strong>Methods: </strong>A pretest posttest project design was used. The project implementation process was guided by the Plan-Do-Study-Act (PDSA) model and took place from June 2023 to August 2023. Participants were recruited from three local Detroit Hmong churches. Indicator measures included the Mental Health Literacy Scale (MHLS) and Community Attitudes toward Mental Illness (CAMI) Scale before and immediately after training. One final survey was administered at 6 weeks post MHFA training to measure information retention, stigma, and utilization of MHFA skills.</p><p><strong>Results: </strong>Results reflect the existing body of literature regarding MHFA and the positive impacts on mental health literacy, confidence level, mental health awareness, and decreasing stigma.</p><p><strong>Conclusion: </strong>MHFA continues to demonstrate successful implementation across many settings and populations, especially for this project among Hmong adult church leaders. More research is needed to expand on mental health and the Hmong.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"83-88"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142140422","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}