Journal of the American Psychiatric Nurses Association最新文献

{"title":"Collaboration: A Necessary Ingredient on the Path to Care Excellence.","authors":"Joyce M Shea","doi":"10.1177/10783903251347954","DOIUrl":"10.1177/10783903251347954","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903251347954"},"PeriodicalIF":1.5,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333408","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":"Building Momentum Toward Ending Workplace Violence: Multidisciplinary Strategies to Maximize Healthcare Safety While Mitigating Factors of Risk.","authors":"Susan L Michels, Nancy T Brasic, Jennifer L Fencl, Erica B Spangler, Lisa S Norman","doi":"10.1177/10783903251346837","DOIUrl":"10.1177/10783903251346837","url":null,"abstract":"<p><strong>Objective: </strong>Health care workers are sustaining significant numbers of workplace violence events, and health care organizations are called to respond. Through critical evaluation, comprehensive planning, and thoughtful steps into action, organizational leaders and direct care staff must work collaboratively to meet the demands of the dynamic health care landscape. Our objective is to identify multidisciplinary, evidence-based practice strategies through the use of tools, innovation, and education to equip health care teams in building a culture of personal and organizational safety.</p><p><strong>Methods: </strong>A subject-focused review of international research, government, professional, and regulatory guidelines dated 2015 to 2024 was used to identify evidence-based practices and current barriers in workplace violence mitigation. The global nature of workplace violence suggests a need to explore human-centric solutions, and a multidisciplinary framework is ideal to examine the current climate, identify gaps in education and practice, and explore the impact of environmental conditions contributing to workplace violence. Through layered primary, secondary, and tertiary violence prevention strategies, health care systems may engage in continuous quality improvement, elevate interpersonal safety, and mitigate risks associated with workplace violence.</p><p><strong>Results: </strong>Deepening conversations and establishing multi-team engagement around workplace violence expands an organization's capacity to break work silos and build processes that can effectively activate organizational change.</p><p><strong>Conclusions: </strong>With amplified attention to workplace violence, organizations must be committed to addressing the problem from all sides. Through identifying risk factors and mitigation strategies, targeting education, and empowering health care teams, organizations can navigate a strong path toward a safer future for patients, staff, and communities.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903251346837"},"PeriodicalIF":1.5,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333407","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 Care Experiences of Pregnant Women With Serious Mental Illness: A Scoping Review [Formula: see text].","authors":"Ariel Hill-Thomas, Roy Brown, Patricia A Kinser","doi":"10.1177/10783903251345454","DOIUrl":"https://doi.org/10.1177/10783903251345454","url":null,"abstract":"<p><strong>Background: </strong>Serious mental illness (SMI) in pregnancy is a public health concern due to associated poor maternal-child outcomes. There is a gap in the literature about the healthcare experiences of pregnant women with SMI and the experiences of providers who care for this population. The purpose of this scoping review is to examine the current state of the science regarding the experiences of pregnant women with SMI and the experiences of providers when treating this population.</p><p><strong>Aims: </strong>The aim of this review was to fill a knowledge gap that is needed to facilitate paradigm shifts in the treatment of pregnant women with SMI.</p><p><strong>Methods: </strong>We conducted a systematic search for published, peer-reviewed, English-language literature addressing the experiences of pregnant women with SMI receiving care and the experiences of those providing care to the population. The databases searched were OVID MEDLINE, Embase (OVID), CINAHL, PsycINFO (EBSCO), and Sociological Abstracts (ProQuest).</p><p><strong>Results: </strong>Sixteen qualitative and mixed-method articles focused on pregnant women with SMI were included in this review. Key themes emerged regarding patients' desire for specialized providers for treatment, preparedness in pregnancy, access to quality guidance and information, special attention to issues/concerns, guidance in medication, and care integration. Providers reported a desire for better interdisciplinary communication and specialized knowledge and expertise regarding SMI.</p><p><strong>Conclusions: </strong>This review provides insight into areas where interprofessional collaboration can be vital in helping improve health outcomes; however, more research is needed surrounding the perspectives of providers and their support and resources when treating this population.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903251345454"},"PeriodicalIF":1.5,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293938","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":"A <i>NEW LENS</i> for Addressing Workplace Violence: Trauma Informed Care as an Approach to Management.","authors":"Katherine C Brewer, Chrystal L Lewis","doi":"10.1177/10783903251346891","DOIUrl":"https://doi.org/10.1177/10783903251346891","url":null,"abstract":"<p><strong>Objective: </strong>To explore an innovative model for nursing administration practice in which a trauma-informed care approach is applied to staff and personnel management. This model is applicable especially for preventing workplace violence and managing its aftermath in psychiatric care facilities.</p><p><strong>Methods: </strong>This discussion article presents a conceptual model for practice called <i>NEW LENS</i> (Nurses who Experience Workplace violence, Leadership to meet Expectations and NeedS), which is based on the BITTEN trauma-informed care framework. A model case exemplar is used to illustrate current nursing administration practices and to contrast them with a trauma-informed care approach to staff and personnel management.</p><p><strong>Results: </strong>The model case exemplar highlights how the implementation of a trauma-informed care approach for nurses and staff could potentially impact the psychiatric work environment. Additionally, the model case exemplar suggests current administrative approaches may not adequately address the cumulative effects of workplace and personal trauma on staff responses to violence.</p><p><strong>Conclusions: </strong>There is a need for further research on trauma-informed care in psychiatric nursing. Specifically, systematic exploration is required to understand how trauma-informed care strategies in nursing administration can address the intersection of workplace and personal trauma and improve staff resilience and safety.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903251346891"},"PeriodicalIF":1.5,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293937","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":"Who Do You Love? Psychiatric Mental Health Nurses' Role in Preventing Drug Overdoses.","authors":"Brayden Kameg, Dennis Hand, Jorge R Petit, Diana Mason","doi":"10.1177/10783903251346903","DOIUrl":"https://doi.org/10.1177/10783903251346903","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903251346903"},"PeriodicalIF":1.5,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293939","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":"Workplace Resiliency: A Mixed-Methods Evaluation of a System-Based Nurse Support Program.","authors":"Sara Gifford, Sonya Kowalski, Elaine Webber, Kaylin Suppon","doi":"10.1177/10783903251343481","DOIUrl":"https://doi.org/10.1177/10783903251343481","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic created challenges for nurses and healthcare systems, including mental health concerns and intention to leave job roles.</p><p><strong>Aims: </strong>The purpose of this mixed-methods study was to evaluate the effectiveness of a midwestern health system's resiliency programming in supporting nurse well-being and decreasing intent to leave roles, the organization, and/or the profession.</p><p><strong>Methods: </strong>A 25-question survey was deployed among all staff nurses in the system. Key measures considered whether there were differences in well-being and intent to leave between nurses who had an interaction with a \"<i>Resiliency Rounder</i>\" compared to those who did not, as well as between nurses who worked on high-risk units compared to those who did not. Interviews with <i>Resiliency Rounders</i> about the program were transcribed and coded to assess for consistent themes.</p><p><strong>Results: </strong>The study found that nurses who interacted with a <i>Rounder</i> disagreed with intending to leave the system. Nurses who worked on COVID-19 units reported better well-being but also agreed with intending to leave their roles, the system, and the profession. Themes such as <i>looking ahead, variability, value and appreciation</i>, and <i>connection and teamwork</i> emerged throughout the study.</p><p><strong>Conclusions: </strong>The <i>Resiliency Rounder</i> program was effective in supporting nurse well-being in high-risk units and decreasing intent to leave the organization for nurses across the system. Findings add to a growing body of knowledge about nursing resiliency within the workplace. As experts in the field of mental health, psychiatric nurses can aid in the design and implementation of resiliency programming to prepare for future workforce crises.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903251343481"},"PeriodicalIF":1.5,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285103","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":"\"KMS Culture\": When Hyperbole Masks Harm.","authors":"Marvin A Schilt-Solberg","doi":"10.1177/10783903251346874","DOIUrl":"https://doi.org/10.1177/10783903251346874","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903251346874"},"PeriodicalIF":1.5,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258340","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":"Student Registered Nurse Anesthetists' Perceptions of Substance Use [Formula: see text].","authors":"Karen J Foli, Anna K Forster, Loretta Ann Bostic, Zeyu Zhang, Lingsong Zhang, Linda Stone","doi":"10.1177/10783903251331229","DOIUrl":"10.1177/10783903251331229","url":null,"abstract":"<p><strong>Background: </strong>Nurses enrolled in certified registered nurse anesthetist programs are taught to be experts in complex pharmaceutical agents, often under high stakes conditions. Such conditions may create maladaptive coping mechanisms, such as substance use. However, exploration of student registered nurse anesthetists' (SRNAs) perceptions of substance use and drug diversion have only been minimally described in the literature.</p><p><strong>Aims: </strong>The study aims were to (a) investigate SRNAs' ratings of the American Association of Nurse Anesthesiology's (AANA) recommended strategies to reduce drug diversion and (b) analyze qualitative responses to open-ended items related to the use of substances.</p><p><strong>Methods: </strong>Approximately 400 students responded to an online survey in March 2021. The survey was randomly sent to 3,000 SNRAs who were members of the AANA (return rate of 13%). Descriptive statistics and paired <i>t</i>-tests were calculated to determine differences between strategies viewed as effective and strategies that have been implemented. A descriptive content analysis was conducted to derive themes from four open-ended questions.</p><p><strong>Results: </strong>For all 11 AANA strategies, the means for effectiveness were significantly higher than means for strategies that were implemented, indicating that strategies were seen as effective, but were not being implemented. The highest scored perceived effectiveness strategy was \"Creating a safe environment for prompt reporting.\" Themes captured a high-pressured, high-stakes educational environment, characterized by rigidity and incivility.</p><p><strong>Conclusions: </strong>Policies to support a safe environment to encourage students to self-report substance use, an awareness of alternative-to-discipline programs, and reintegration into educational programs should be formulated and implemented by educational institutions.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"209-219"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007070","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":"PMH Nurses: Architects of Change Through Innovation.","authors":"Joyce M Shea","doi":"10.1177/10783903251332934","DOIUrl":"10.1177/10783903251332934","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"313-315"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989305","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":"APNA Position Statement: Youth Suicide Prevention.","authors":"","doi":"10.1177/10783903251335983","DOIUrl":"10.1177/10783903251335983","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"316-322"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008713","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}