Journal of the American Psychiatric Nurses Association最新文献

{"title":"Postpartum Depression: Effects of Access to Information on Treatment Preferences in Spanish Population.","authors":"Blanca Peral-Cabrera, Rebeca Pardo-Cebrián, Concepción Serrador-Diez","doi":"10.1177/10783903251415537","DOIUrl":"10.1177/10783903251415537","url":null,"abstract":"<p><strong>Background: </strong>There are a number of effective treatment options available to women with postpartum depression (PPD). However, women often do not receive information about such options to help them make an informed choice.</p><p><strong>Aims: </strong>To determine the treatment preferences of women with PPD in Spain, to explore how exposure to evidence-based information influences these preferences, and to analyze whether these preferences are attended to by health professionals.</p><p><strong>Methods: </strong>A quasi-experimental pre-post survey study was designed, using an online questionnaire including the Edinburgh Postnatal Depression Scale (EPDS) and questions on treatment preferences, depression history, and access to therapeutic information. The sample consisted of 1146 women aged 19-52 years who had given birth in the last year, selected by nonprobability sampling. They were randomly assigned to an experimental group (with access to evidence-based information on treatments for PPD) and a control group (no information). Most participants preferred psychotherapy.</p><p><strong>Results: </strong>Access to information did not change the preference for psychotherapy but increased the inclination toward antidepressants. The severity of PPD did not influence the choice of combined treatment. More than half of the diagnosed patients did not receive detailed information from the National Health Service (NHS), and their preferences were not taken into account.</p><p><strong>Conclusions: </strong>The results suggest a need for improved primary care training, increased psychotherapeutic resources, and the development of digital tools to improve access to PPD treatment.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"174-186"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146052996","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":"Nursing Students' Perceptions of Small-Group Standardized Patient Simulations to Enhance Therapeutic Communication Skills.","authors":"Brayden Kameg, Madeline Lepore, Emily Matthews, Ann Mitchell","doi":"10.1177/10783903261422688","DOIUrl":"10.1177/10783903261422688","url":null,"abstract":"<p><strong>Objective: </strong>Therapeutic communication is essential to nursing practice, yet many pre-licensure nursing students report discomfort applying these skills in clinical settings. Standardized patient (SP) simulation offers a controlled environment for practicing communication, yet qualitative research describing students' perceptions of these experiences remains limited. This study explored undergraduate nursing students' perspectives on small-group, communication-focused SP simulations within a psychiatric-mental health nursing course.</p><p><strong>Methods: </strong>As part of a larger program evaluation, six in-person focus groups were conducted with 47 Bachelor of Science in Nursing students following participation in two series of SP simulations across nine scenarios. Discussions were audio-recorded, transcribed, and analyzed using inductive thematic content analysis. An audit trail and team debriefing supported rigor and consistency.</p><p><strong>Results: </strong>Three themes emerged. First, students reported that SP simulations increased their comfort and confidence in therapeutic communication, providing a safe space to practice navigating emotionally charged conversations and building rapport. Second, the simulations evoked ambiguity regarding the psychiatric-mental health nurse's role, as students struggled to differentiate therapeutic communication from psychotherapy and acknowledged real-world time constraints that limit such interactions. Third, students identified high-quality, instructive feedback, particularly during debriefing, as essential to learning and expressed a desire for more structured guidance from SPs and faculty.</p><p><strong>Conclusions: </strong>Communication-focused SP simulations effectively enhance therapeutic communication skills among pre-licensure nursing students. To optimize learning, faculty should intentionally clarify nursing role boundaries and strengthen debriefing structures. Findings highlight the importance of targeted feedback and instructional support in maximizing the educational value of SP-based simulation.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"198-202"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13136538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271271","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":"A Point Prevalence Study of the Provision of Palliative Care for Adult Inpatients With Mental Health Issues.","authors":"Janie Brown, Dipna Martin-Robins, Alannah Cooper","doi":"10.1177/10783903261434242","DOIUrl":"10.1177/10783903261434242","url":null,"abstract":"<p><strong>Background: </strong>Little is known about the palliative care needs of people living with a mental illness and a life-limiting illness.</p><p><strong>Aims: </strong>To gain an understanding of palliative care need and service utilization in adult inpatients with mental health issues across a metropolitan area health service in Perth, Western Australia.</p><p><strong>Methods: </strong>Data were collected at four sites from patient medical records. Adult patients who were admitted at study sites' mental health units were eligible for inclusion.</p><p><strong>Results: </strong>In total, 192 patient records were reviewed. Almost one-third of patients (32%, <i>n</i> = 61) had at least one condition listed in the Gold Standards Framework, and 30% (<i>n</i> = 18) of these could have potentially benefited from palliative care. There was evidence of one patient receiving some form of palliative care.</p><p><strong>Conclusions: </strong>In this cohort, there was unmet need for palliative care, especially among older adults. The majority of patients with potential palliative care needs were admitted to older adult mental health wards. There are missed opportunities to provide holistic care to adult inpatients with mental health issues experiencing life-limiting conditions, likely to result in poorer symptom control and reduced quality of life. Approaches to identify and respond to palliative care needs in mental health settings need to be adopted.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"166-173"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13136536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147499291","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":"The Power of Community: Resilience.","authors":"Allyson Matney Neal","doi":"10.1177/10783903261435442","DOIUrl":"10.1177/10783903261435442","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"228-229"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147593006","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":"When Diagnosis Becomes Identity: Navigating the Cultural Inflation of Psychiatric Diagnoses in Nursing Practice.","authors":"Victor G Petreca, Joanne T Barros, Shari L Harding","doi":"10.1177/10783903251404481","DOIUrl":"10.1177/10783903251404481","url":null,"abstract":"<p><strong>Objective: </strong>The diagnostic landscape in psychiatric practice has shifted significantly in recent years, particularly around neurodevelopmental and trauma-related conditions. Where diagnosis once functioned primarily as a medical tool to identify and treat functional impairment, it is increasingly used as a narrative framework to explain suffering, validate identity, and confer legitimacy within both clinical and social contexts. This conceptual article critically examines the cultural inflation of psychiatric diagnoses, especially autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), and trauma-related conditions, and explores implications for psychiatric nursing practice.</p><p><strong>Methods: </strong>We conducted an integrative review of literature on diagnostic inflation in psychiatry from 2010 to 2024, with particular attention to nursing implications. Literature findings are synthesized with composite case examples representing common clinical dilemmas-identity-based self-diagnosis, diagnostic ambiguity, and the pathologization of adaptive behavior-to illustrate key concepts.</p><p><strong>Results: </strong>Diagnostic inflation impacts psychiatric nursing in areas including assessment validity, therapeutic alliance, resource allocation, ethical decision-making, and professional identity. Digital culture accelerates these challenges by promoting self-diagnosis and identity-based diagnostic frameworks, particularly among young adults seeking explanations for psychological distress and interpersonal difficulties.</p><p><strong>Conclusion: </strong>Psychiatric nurses are increasingly called upon to discern between pathology and personhood. We propose a practice framework that maintains diagnostic integrity while honoring lived experience and the meaning that diagnostic narratives hold for individuals seeking understanding of their experiences.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"208-221"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145819826","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":"Causation and Burnout Among Correctional Nurses.","authors":"Kimberly C Parker, Teresa D Welch, Shameka Cody","doi":"10.1177/10783903261423492","DOIUrl":"10.1177/10783903261423492","url":null,"abstract":"<p><strong>Objective: </strong>Burnout among correctional nurses is a growing concern, with 50% to 62% reporting symptoms and intent to leave their positions. This occupational phenomenon, marked by emotional, physical, and mental exhaustion, stems from chronic workplace stress and is exacerbated in correctional environments due to overcrowding, perceived threats of violence, and limited autonomy. This study aimed to assess environmental contributors to burnout among nurses located in a southeastern U.S. county correctional facility.</p><p><strong>Methods: </strong>Using a cross-sectional design and the Maslach Burnout Inventory paired with the Areas of Work life Survey, the study evaluated six domains of workplace stressors.</p><p><strong>Results: </strong>Of 22 eligible participants, 45% completed the survey. Contrary to prior findings, nurses reported feeling safe and having adequate time to complete tasks. However, low scores in workplace relationships, recognition, and fairness suggest systemic issues. These findings highlight the need for leadership training, improved reward systems, and policy reforms to foster healthier work environments.</p><p><strong>Conclusion: </strong>Addressing organizational culture is critical to improving nurse well-being, retention, and patient outcomes. This study contributes to the limited literature on correctional nurse burnout and underscores the importance of targeted interventions to reduce stress and enhance job satisfaction in secure care settings.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"203-207"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147365691","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":"Addressing the Barriers That Hinder Research and Scholarship Dissemination: Balancing Evidence-Based Approaches With Feasibility.","authors":"Michelle DeCoux Hampton","doi":"10.1177/10783903261435457","DOIUrl":"10.1177/10783903261435457","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"161-163"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574697","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":"Autonomous Sensory Meridian Response in Mental Health: Evaluating the Evidence Beyond the Hype.","authors":"Syeda Huda Fatima","doi":"10.1177/10783903251415532","DOIUrl":"10.1177/10783903251415532","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"164-165"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145989780","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":"Bridging the Gap: Canadian Healthcare Providers' Perspectives of Harm Reduction and Substance Use Education in Hospital.","authors":"Leanne E Scott, Cheryl Forchuk, Rick Csiernik","doi":"10.1177/10783903251405853","DOIUrl":"10.1177/10783903251405853","url":null,"abstract":"<p><strong>Background: </strong>The complexity of health concerns associated with unregulated substance use has led to increased hospital utilization by people who use unregulated substances. Health care providers have described inadequate knowledge to adequately support this patient population during hospitalization.</p><p><strong>Aims: </strong>The aim of this research was to explore health care providers' perspectives on harm reduction and substance use education in hospital settings.</p><p><strong>Methods: </strong>A qualitative secondary analysis was conducted using an interpretive lens. The research was conducted across three hospitals in one city in Southwestern Ontario. To guide the research, 31 health care providers, the majority being nurses, participated in either focus groups or individual interviews based on preference. All focus group or interview data were analyzed using an ethnographic method of analysis focusing on the hospital environment and education.</p><p><strong>Results: </strong>Health care providers described two interconnected states regarding harm reduction and substance use education: the current state and the desired state. Key themes which emerged in the current state and desired state include: (a) <i>insufficient education</i>, (b) <i>lack of resources</i>, (c) <i>inconsistent policy</i>, (d) <i>culture of stigma and suboptimal care</i>, (e) <i>enhanced education</i>, (f) <i>resources</i>, (g) <i>policy change</i>, and (h) <i>culture shift and optimal care</i>.</p><p><strong>Conclusion: </strong>Findings of this study demonstrate the need for supportive policies, adequate resources, and enhanced harm reduction and substance use in hospital settings. Addressing these gaps is essential to transforming hospital culture and improving care for people who use unregulated substances. These insights can inform future policy, practice, education, and guide new research initiatives.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"187-197"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13136535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145850335","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":"An Untapped Solution to the Mental Health Crisis: Independent Practice for NPs.","authors":"Emily Fowler Bemben","doi":"10.1177/10783903251381365","DOIUrl":"10.1177/10783903251381365","url":null,"abstract":"<p><strong>Objective: </strong>Restrictive laws still impede nurse practitioners (NPs) from realizing the full scope of their training and education in too many states. While practice laws vary from state to state, working in states with restricted practice policies creates a multitude of barriers for patients seeking accessible, high-quality mental health care, especially in rural areas.</p><p><strong>Methods: </strong>One psychiatric mental health NP describes the multiple obstacles she faced in attempting to provide much-needed care to the perinatal mental health community in her state.</p><p><strong>Results: </strong>This review highlights evidence that supports full practice authority, showing improved patient access to high-quality care combined with anecdotal support describing the barriers faced by one clinician.</p><p><strong>Conclusions: </strong>Her journey directly speaks to harsh realities imposed by collaborative physician mandates and the urgent need for nurse practitioner independent practice.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"222-227"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145232859","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}