Journal of the American Psychiatric Nurses Association最新文献

{"title":"Developing Psychotherapy Competency in PMHNP Students Through the Curricular Integration of Simulation, Experiential Learning, and Self-Reflective Practice.","authors":"Danielle Conklin, Kathryn E Phillips, Karen Corcoran","doi":"10.1177/10783903261491743","DOIUrl":"https://doi.org/10.1177/10783903261491743","url":null,"abstract":"<p><strong>Background: </strong>Developing competent psychiatric mental health nurse practitioner (PMHNP) psychotherapists requires supporting students' movement from a biomedical outcome-orientated toward a dynamic, process-oriented paradigm. Experiential learning methods provide a robust framework for achieving entry-level competence.</p><p><strong>Objective: </strong>This study describes and evaluates an integrative teaching strategy combining didactic content, self-applied psychotherapy exercises, and standardized patient simulations to support the development of the nurse psychotherapist.</p><p><strong>Methods: </strong>Using a retrospective qualitative design, thematic content analysis was conducted on written wellness reflections from 18 PMHNP students. Participants completed a cognitive behavioral therapy (CBT) learning module featuring self-applied CBT exercises and a simulated psychotherapy session.</p><p><strong>Results: </strong>Five themes were identified from the analysis: cognitive self-awareness, insight through personal experience, emotional growth, wellness and self-care, and barriers to integration and implementation.</p><p><strong>Conclusions: </strong>The findings suggest that integrating experiential learning methods in PMHNP education can successfully promote students' emotional resilience, cognitive self-awareness, and wellness while developing critical psychotherapy competence.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261491743"},"PeriodicalIF":2.1,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216381","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: Competencies for Nurse-Assessment and Management of Inpatient Suicide Risk.","authors":"","doi":"10.1177/10783903261496786","DOIUrl":"https://doi.org/10.1177/10783903261496786","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261496786"},"PeriodicalIF":2.1,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216392","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":"Holding the Line or Heading for the Door: A Phenomenological Exploration of Retention and Turnover Among Direct Care Staff in Inpatient Psychiatry.","authors":"Morgan Lindberg, Kathryn Phillips, Alysha Thompson, Ellen Costello","doi":"10.1177/10783903261492202","DOIUrl":"https://doi.org/10.1177/10783903261492202","url":null,"abstract":"<p><strong>Background: </strong>Inpatient psychiatry settings rely heavily on non-licensed direct care behavioral health staff to provide continuous patient supervision, therapeutic support, and effective crisis response. Despite their central role, they remain underrepresented in workforce literature, particularly with respect to factors influencing retention and turnover.</p><p><strong>Aims: </strong>The purpose of the study was to explore the lived experiences of non-licensed direct care behavioral health staff in inpatient psychiatry and identify factors that influence intentions to remain in or leave their roles.</p><p><strong>Methods: </strong>A qualitative study was conducted using semi-structured virtual interviews with 12 non-licensed direct care behavioral health staff. Participants were employed at six inpatient psychiatric hospitals across the United States and represented multiple job titles and experience. Interviews were audio-recorded, transcribed, and analyzed using thematic analysis.</p><p><strong>Results: </strong>Two overarching themes were identified: Barriers to Continuing in the Role and Facilitators of Retention. Barriers included concerns about physical safety, compensation, workload strain, poor leadership communication, and limited career advancement opportunities. Facilitators included positive peer support, meaningful patient connections, supportive workplace culture, and opportunities for supervision and growth. Many participants described peer loyalty as more influential than loyalty to the organization.</p><p><strong>Conclusions: </strong>Retention among non-licensed direct care behavioral health staff reflects a balance between purpose in the work and sustained occupational risk. Findings suggest that workforce sustainability may be strengthened through intentional peer-support systems, structured post-incident support, leadership visibility, staff safety initiatives, and clear pathways for professional development. Behavioral health workforce planning should more intentionally incorporate the perspectives of non-licensed direct care staff when developing retention initiatives, establishing organizational policies, and implementing workforce strategies.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261492202"},"PeriodicalIF":2.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171521","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":"Leading Forward Together: Psychiatric-Mental Health Nurses Shaping the Next Era of Mental Health Care.","authors":"Eugenia Flores Millender","doi":"10.1177/10783903261489526","DOIUrl":"https://doi.org/10.1177/10783903261489526","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261489526"},"PeriodicalIF":2.1,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149166346","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":"Mock Codes Improve Multidisciplinary Behavioral Health Crisis Management in Inpatient Psychiatry.","authors":"Melissa D'Agostino, Timothy Rice","doi":"10.1177/10783903261487390","DOIUrl":"https://doi.org/10.1177/10783903261487390","url":null,"abstract":"<p><strong>Background: </strong>High levels of workplace violence occur in inpatient behavioral health settings, where verbal and physical aggression frequently test direct frontline staff, specifically nurses. Simultaneously, staff stress reactivity moderates the risk of assault, as does staff experience.</p><p><strong>Aims: </strong>This pilot study examined whether a novel educational intervention concerning the implementation of mock behavioral crisis codes could improve staff skills, competence, and comfort in simulated workplace violence events and reduce the frequency of workplace violence episodes.</p><p><strong>Methods: </strong>Behavioral mock codes were held monthly over 2 years, involving the entire multidisciplinary team on an urban inpatient psychiatric unit. An ad hoc rating scale applied by a multidisciplinary panel of experienced behavioral health clinical and security staff measured performance through team communication, proper patient escort, and prevention of patient and staff injury, while events of real-life workplace violence were monitored alongside qualitative data on staff knowledge, skills, and attitudes.</p><p><strong>Results: </strong>We observed an improvement in team performance measures as well as a reduction in reportable incidents of workplace violence over the intervention time period.</p><p><strong>Conclusions: </strong>Our behavioral mock code intervention further demonstrated that consistent experiential learning enabled staff in this setting to safely and effectively manage crisis situations, while its success could suggest opportunities for application in other behavioral health systems.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261487390"},"PeriodicalIF":2.1,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149039700","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":"Suicide Rates, Trends, and Evidence-Based Interventions: Part 2 of 2 2026 Special Issues on Suicide Risk and Prevention.","authors":"Angel Johann Solorzano Martinez","doi":"10.1177/10783903261487991","DOIUrl":"https://doi.org/10.1177/10783903261487991","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261487991"},"PeriodicalIF":2.1,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149039713","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":"Recommending Meditation in Complex PTSD: Clinical Considerations.","authors":"Jennifer Tustison","doi":"10.1177/10783903261488383","DOIUrl":"https://doi.org/10.1177/10783903261488383","url":null,"abstract":"<p><strong>Objective: </strong>Posttraumatic stress disorder (PTSD) guidelines are often applied to complex PTSD (CPTSD), despite CPTSD's distinct symptomatology. Core CPTSD symptoms, including affect dysregulation, negative self-concept, and relational disruption, may substantially alter treatment needs and safety considerations for mindfulness-based interventions. This article discusses clinical considerations for recommending meditation more safely in CPTSD populations.</p><p><strong>Methods: </strong>Targeted review of the literature on CPTSD screening instruments, meditation-related adverse effects, dissociation, and informed-consent practices in trauma-sensitive care.</p><p><strong>Results: </strong>CPTSD is characterized by elevated dissociative symptoms and is commonly associated with histories of childhood adversity; both dissociation and childhood adversity have been independently associated with meditation-related adverse events. Patients with CPTSD may also have self-blame and shame vulnerabilities that predispose them to interpret treatment failure as evidence of personal defectiveness. Standard PTSD screening tools do not capture CPTSD-specific symptomatology, which may limit clinicians' ability to identify patients who would benefit from enhanced informed-consent discussions regarding potential meditation-related adverse effects.</p><p><strong>Conclusion: </strong>Screening with validated instruments, trauma-informed consent conversations, and evidence-informed technique selection represent low-cost, high-impact practice opportunities. As CPTSD moves toward broader formal diagnostic recognition, clinical recommendations should reflect corresponding diagnostic specificity.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261488383"},"PeriodicalIF":2.1,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030863","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":"Sex-Stratified Effects of a Baduanjin Qigong Program for People with Chronic Schizophrenia: A Multicenter Randomized Controlled Trial.","authors":"Min-Huei Song, Chieh-Yu Liu, Ai-Fu Chiou, Chiu-Yueh Yang","doi":"10.1177/10783903261485882","DOIUrl":"https://doi.org/10.1177/10783903261485882","url":null,"abstract":"<p><strong>Background: </strong>People with schizophrenia have a higher risk of metabolic syndrome because of atypical antipsychotic side effects, a lack of exercise, and dietary intake and lifestyle behaviors.</p><p><strong>Aim: </strong>This study aimed to evaluate the sex-stratified effects of a Baduanjin qigong intervention on body mass index (BMI) and fasting blood glucose (FBG) in individuals with schizophrenia.</p><p><strong>Methods: </strong>This study involved 91 participants from three rehabilitation facilities who were randomly assigned to two groups. The experimental group (EG) practiced Baduanjin for 12 weeks and participated in 60-min sessions three times per week. Each session included a 10-min warm-up, two 20-min Baduanjin sets, and a 10-min cool-down, guided by an instructional video. The control group (CG) received standard care, consisting of 30 min of activities such as walking and dancing. Metabolic parameters and BMI were measured before the intervention, immediately postintervention, and at 3-month follow-up. Analyses were performed using generalized estimating equations (GEEs) stratified by sex.</p><p><strong>Results: </strong>Male participants in the EG exhibited significant improvements in BMI (<i>p</i> = .009) and FBG levels (<i>p</i> = .030) immediately after the intervention. In contrast, male participants in the CG experienced significantly worse FBG levels at the 3-month follow-up (<i>p</i> = .005). No significant group differences were observed among female participants in the GEE analysis immediately after the Baduanjin program or at the 3-month follow-up, even after adjustments were made to account for covariate effects.</p><p><strong>Conclusion: </strong>Baduanjin qigong may effectively improve BMI and reduce FBG levels in male patients with schizophrenia.</p><p><strong>Trial registration: </strong>NCT04069988; www.</p><p><strong>Clinicaltrials: </strong>gov.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261485882"},"PeriodicalIF":2.1,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148977230","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":"Effectiveness of a Rational Emotive Behavior Therapy-Based Recovery Promotion Program for Psychiatric Inpatients: A Quasi-Experimental Study.","authors":"Ju Yeon Kim, Hyun Mee Cho, Won Hee Jun","doi":"10.1177/10783903261484098","DOIUrl":"https://doi.org/10.1177/10783903261484098","url":null,"abstract":"<p><strong>Background: </strong>To support early recovery and community reintegration among psychiatric inpatients, it is essential to provide structured and intensive psychosocial interventions during hospitalization.</p><p><strong>Aim: </strong>This study aimed to evaluate the effectiveness of a rational emotive behavior therapy (REBT)-based recovery promotion program for psychiatric inpatients.</p><p><strong>Methods: </strong>A quasi-experimental, nonequivalent control group design with non-synchronized data collection was used. Participants included 38 psychiatric inpatients (19 in the experimental group and 19 in the control group) from two psychiatric hospitals in South Korea. Data were analyzed using SPSS/WIN 27.0, with repeated measures ANOVA and generalized estimating equations to examine pre- and post-intervention changes between groups.</p><p><strong>Results: </strong>The REBT-based recovery promotion program produced statistically significant effects on meaning in life and recovery. No statistically significant effects were observed for internalized stigma or depression.</p><p><strong>Conclusions: </strong>The REBT-based recovery promotion program is recommended to be used in nursing practice for psychiatric inpatients when the goals are to increase meaning in life and recovery. Nursing professionals can integrate the REBT-based recovery promotion program into standard psychiatric care to help psychiatric inpatients enhance meaning in life and facilitate recovery.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261484098"},"PeriodicalIF":2.1,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148929228","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 Violence, Suicide Risk, and Mental Health Among Gender Diverse Young Adults: A Qualitative Study.","authors":"Larissa C Allen, Rezvaneh Manzour, James Egan, Susan Sereika, Teresa H Thomas, Jamie Zelazny","doi":"10.1177/10783903261485881","DOIUrl":"https://doi.org/10.1177/10783903261485881","url":null,"abstract":"<p><strong>Background: </strong>Gender diverse adolescents and young adults (AYA) experience disproportionately high rates of sexual violence victimization (SVV), suicidal thoughts and behaviors (STBs), and adverse mental health outcomes. Limited qualitative research has explored how acute SVV influences mental health and STBs among this population.</p><p><strong>Aims: </strong>This study aimed to explore how acute SVV influences STBs and mental health among gender diverse AYAs.</p><p><strong>Methods: </strong>This qualitative study was conducted from June to July 2025. Seventeen gender diverse young adults aged 21 to 24 years participated in semi-structured interviews exploring experiences of sexual violence, STBs, coping strategies, minority stress, support systems, and mental health outcomes. Interviews were analyzed using thematic analysis with constant comparison. Two reviewers achieved substantial interrater reliability (κ = .808).</p><p><strong>Results: </strong>Five themes captured the impact of sexual violence on identity, mental health, and relationships. Participants described erosion of self-worth, internalized stigma, and loss of trust following sexual violence. Psychological outcomes included depression, anxiety, posttraumatic stress disorder symptomatology, and STBs, often intensified by discrimination, racism, and transphobia. Interpersonal effects included fear of intimacy and social withdrawal. Disclosure and help-seeking were shaped by distrust; however, supportive confidants and online communities facilitated emotional validation. Participants described a range of coping strategies, from avoidance and substance use to creative and goal-directed activities.</p><p><strong>Conclusion: </strong>Acute SVV is associated with substantial impacts on psychological functioning and suicide risk among gender-diverse AYA. Trauma-informed, person-centered interventions are needed to support adaptive coping and improve mental health outcomes.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261485881"},"PeriodicalIF":2.1,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148956000","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}