Journal of the American Psychiatric Nurses Association最新文献_第10页

APNA Position: Adoption of Screening, Brief Intervention, & Referral to Treatment. APNA立场：采用筛查、短暂干预和转诊治疗。

IF 1.7 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2026-01-01 Epub Date: 2025-12-24 DOI: 10.1177/10783903251401867

引用次数: 0

Introducing Virtual Reality to Home-Based Primary Care Veterans With Dementia. 将虚拟现实引入以家庭为基础的初级护理痴呆症退伍军人。

IF 1.7 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-11-01 Epub Date: 2025-04-24 DOI: 10.1177/10783903251335980

Alison G Kaneshiro

{"title":"Introducing Virtual Reality to Home-Based Primary Care Veterans With Dementia.","authors":"Alison G Kaneshiro","doi":"10.1177/10783903251335980","DOIUrl":"10.1177/10783903251335980","url":null,"abstract":"Introduction: Persons with dementia (PwD) can experience behavioral and psychiatric symptoms (BPS), impacting their quality of life and sense of well-being. Symptoms can occur due to environmental changes, frustration with being asked to do things they can no longer do, underlying medical conditions, and medication interactions. Fatigue, fear, and misperceptions can lead to BPS, such as apathy, depression, irritability, agitation, and repetitive questions. Medication as treatment of BPS for PwD can lead to side effects and the potential for worsening the symptoms for older adults. Medication should only be considered when non-drug approaches fail.Aims: This project aimed to introduce virtual reality (VR) to home-based primary care veterans with dementia to determine the effect of VR on psychological well-being in PwD.Methods: Three consecutive days of VR sessions were completed to evaluate psychological well-being before and after VR intervention.Results: VR was associated with a significant reduction in frustration or agitation when asked to finish a task. After the intervention, veterans had fewer disapproving or angry verbalizations during contact with others and completed more than 5 min of a single activity. They showed fewer facial expressions of fright and demonstrated less frowning or crying. Compared to pre-intervention, veterans demonstrated less pulling away from others, less listlessness, less resistance to being involved in an activity, and asked repeated questions less frequently after the VR intervention.Conclusions: VR can be a non-pharmacological management technique for decreasing BPS in PwD to increase their psychological well-being.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"675-681"},"PeriodicalIF":1.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998946","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}

引用次数: 0

Mental Health Services Intake: Creating a Supportive Environment for Transgender and Gender-Expansive People[Formula: see text]. 接受心理健康服务：为跨性别者和性别膨胀者创造一个支持性环境[公式：见文本]。

IF 1.7 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-11-01 Epub Date: 2025-07-30 DOI: 10.1177/10783903251351989

Renae Hale, Mary Cecilia Wendler

{"title":"Mental Health Services Intake: Creating a Supportive Environment for Transgender and Gender-Expansive People[Formula: see text].","authors":"Renae Hale, Mary Cecilia Wendler","doi":"10.1177/10783903251351989","DOIUrl":"10.1177/10783903251351989","url":null,"abstract":"Objective: Mental health intake may be a time of vulnerability for transgender and gender-expansive (T/G-E) people. Here, we describe processes that create a supportive environment where T/G-E people can feel welcome and safe.Methods: After reviewing the literature describing the many negative experiences of T/G-E people when encountering health care, we developed a nursing theory-driven, humanistic approach for initiating the therapeutic relationship at intake. Specifically, our approach weaves together Human Caring Theory, trauma-informed care, and therapeutic use of the self during the first encounter with mental health services. Focusing on gathering information needed for the next steps, this process included an examination of every aspect of the intake process to eliminate bias.Results: When properly and holistically employed, these processes may facilitate the initiation of a trauma-informed, therapeutic relationship and rapport that welcomes all, but especially T/G-E people.Conclusions: Human Caring Theory provides necessary guidance that humanizes mental health intake procedures aligns with holistic outcomes and may be especially helpful when providing mental health services to people who identify as T/G-E.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"598-607"},"PeriodicalIF":1.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144742371","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}

引用次数: 0

Self-Management in Bipolar Disorder: A Meta-Synthesis of Qualitative Evidence. 双相情感障碍的自我管理：定性证据的综合。

IF 1.7 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-11-01 Epub Date: 2025-05-21 DOI: 10.1177/10783903251338450

Ceylan Aksoy, Kübra Gökalp

{"title":"Self-Management in Bipolar Disorder: A Meta-Synthesis of Qualitative Evidence.","authors":"Ceylan Aksoy, Kübra Gökalp","doi":"10.1177/10783903251338450","DOIUrl":"10.1177/10783903251338450","url":null,"abstract":"BackgroundThere is a need to strengthen the existing qualitative literature to begin exploring the self-management experiences of individuals with bipolar disorder.AimThis meta-synthesis aimed to identify the common components of self-management in individuals with bipolar disorder and provide a synthesis of the qualitative literature on self-management strategies and patients' experiences with bipolar disorder.MethodThe SPIDER framework tool guided the development of an appropriate search strategy. Studies published between 2011 and 2023 in widely used health databases, including PubMed, Cochrane, and Science Direct, were searched. Included studies underwent quality assessment, and data were synthesized and analyzed using the thematic synthesis method.ResultsThe synthesis identified four analytical themes, encompassing 14 subthemes. These themes include (a) understanding bipolar disorder, (b) coping strategies, (c) changing lifestyle behaviors, and (d) social support. Most of the included studies encompassed self-management strategies and experiences developed to cope with the symptoms of the illness.ConclusionsIndividuals diagnosed with bipolar disorder identified effective self-management strategies, including exercising, regular and sufficient sleep routines, and maintaining social connections. They stressed the importance of being competent, self-aware, and resourceful. Additionally, understanding how they perceived bipolar disorder was crucial for making sense of past mood experiences.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"618-630"},"PeriodicalIF":1.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120087","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}

引用次数: 0

A Pilot Randomized Controlled Trial Evaluating Peer Recovery Coaches for Addiction Recovery Among Indigenous Americans. 一项试点随机对照试验，评估同伴康复教练在美国原住民中的戒毒效果。

IF 1.7 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-11-01 Epub Date: 2025-02-22 DOI: 10.1177/10783903251319789

Nicholas Guenzel, Lani Zimmerman, Shinobu Watanabe-Galloway, Hongying Daisy Dai, Fang Qiu, Dennis McChargue

{"title":"A Pilot Randomized Controlled Trial Evaluating Peer Recovery Coaches for Addiction Recovery Among Indigenous Americans.","authors":"Nicholas Guenzel, Lani Zimmerman, Shinobu Watanabe-Galloway, Hongying Daisy Dai, Fang Qiu, Dennis McChargue","doi":"10.1177/10783903251319789","DOIUrl":"10.1177/10783903251319789","url":null,"abstract":"Background: Peer recovery coaches (PRCs) have experienced addiction and are trained to help others in recovery. Indigenous American (IA) adult PRCs may fill gaps of culturally specific support in addiction.Aims: The aims were to: (1) evaluate the feasibility of implementing a PRC intervention compared to an attention control group recovering from a substance use disorder, (2) compare PRC and attention control groups on relapses and secondary outcomes, and (3) measure PRC strategies.Methods: In this feasibility trial, we recruited a total of 120 adult IAs with substance use disorders. Ninety participants were randomized to the PRC group which received support from a PRC and 30 to the attention control group which received support from a research nurse. Both groups received weekly support for 12 weeks. Participants completed surveys weekly during the 12-week intervention and then monthly for 3 months.Results: The two groups had similar quantities of alcohol consumed, days of alcohol use, and days of drug use except that the PRC group had fewer days of alcohol use in the first 3 weeks of the intervention phase (2.05 vs. 3.5 days, p = .04). \"Support and advocacy\" was the most common PRC intervention. PRCs were widely accepted by individuals who completed the program, receiving positive feedback from 79% of participants.Conclusion: This pilot demonstrated that racially concordant PRC services likely have high acceptability among IA populations. Future studies may draw on these findings by having trained IA coaches recruit and work with individuals in-person to assist with retention.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"643-659"},"PeriodicalIF":1.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476708","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}

引用次数: 0

A Community-Driven Mental Health Solution: Lay Mental Health Ambassadors. 社区驱动的心理健康解决方案：心理健康大使。

IF 1.7 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-11-01 Epub Date: 2025-05-26 DOI: 10.1177/10783903251341546

Mary Molewyk Doornbos, Gail Landheer Zandee

{"title":"A Community-Driven Mental Health Solution: Lay Mental Health Ambassadors.","authors":"Mary Molewyk Doornbos, Gail Landheer Zandee","doi":"10.1177/10783903251341546","DOIUrl":"10.1177/10783903251341546","url":null,"abstract":"Background: Urban, ethnically/racially diverse, impoverished people are predisposed to experience unaddressed depression and anxiety. The use of lay mental health ambassadors (MHAs) may effectively expand access to mental health care in underserved neighborhoods.Aims: This study described the role of lay MHAs as they provided mental health prevention in their communities.Methods: Using community-based participatory research in the context of long-term partnerships between a department of nursing and three urban, racially/ethnically diverse, and impoverished neighborhoods, the researchers trained 22 Black, White, and Hispanic neighborhood residents to serve as lay MHAs. Descriptive data were collected on the MHAs, their \"touches\" (mental health conversations) with community residents, responses to these \"touches,\" and role satisfaction of the MHAs.Results: The MHAs conducted 3,782 \"touches\" with 1,614 persons during the 28 months of data collection. The recipients of the \"touches\" were primarily female, middle-aged, and Black. The MHAs employed the strategies of listening and teaching self-care/coping strategies most often. Neighborhood residents' major \"take aways\" from the \"touches\" were education and resources. The MHAs were highly satisfied with their role. MHA mental health literacy increased, and mental health stigma decreased from before to 4 to 9 months after training.Conclusions: The community-driven solution of training lay MHAs to do preventive, upstream mental health work in their neighborhoods holds potential to address existing mental health inequities. This study contributes to an emerging evidence base that can empower communities and nurses to collaborate in the development of useful research agendas, meaningful policy, and tailored mental health care.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"660-669"},"PeriodicalIF":1.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142902","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}

引用次数: 0

Developing Models of Prevention: Psychiatric Nursing and Community Violence Reduction. 发展预防模式：精神科护理和社区暴力减少。

IF 1.7 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-11-01 Epub Date: 2025-11-20 DOI: 10.1177/10783903251385522

Michelle DeCoux Hampton

引用次数: 0

Parents' Role as Care Managers During and After Adolescent Suicide Crises. 在青少年自杀危机期间和之后，父母作为照顾管理者的角色。

IF 1.7 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-11-01 Epub Date: 2024-12-11 DOI: 10.1177/10783903241302258

Guy M Weissinger, Voulda A Bluteau-James, Janell L Mensinger

{"title":"Parents' Role as Care Managers During and After Adolescent Suicide Crises.","authors":"Guy M Weissinger, Voulda A Bluteau-James, Janell L Mensinger","doi":"10.1177/10783903241302258","DOIUrl":"10.1177/10783903241302258","url":null,"abstract":"BackgroundAdolescent suicide crises usually require mental health services (inpatient and/or outpatient) to address their needs. Navigating the health care system, especially around suicide crises, is difficult and parents of adolescents usually manage their treatment access and engagement. Little research has examined how parents take on this care management role, vital to maintaining safety and improving adolescent menta health, and the barriers and facilitators they experience in these processes.AimsTo explore parents' experiences around adolescent suicide crises, with a focus on care management and barriers/facilitators to this role.MethodsInterviews were conducted with 18 parents of adolescents in the United States who had suicide crises in the previous 3 years. Using a family-systems lens and thematic analysis, researchers identified three themes and three subthemes.ResultsRelevant themes and subthemes were Care Manager Role Transition (subtheme: Home Safety); Barriers after Barriers (subthemes: Logistical and System Barriers; Poor Communication); and Facilitating Engagement. Parents had a sudden transition to the role of care manager during the adolescent's suicide crisis. They experienced difficulty in managing safety and navigating health care systems. Parents of adolescents with eating disorders had more difficulty in navigating systems and managing safety.ConclusionsPolicies and clinical practice must recognize the role and value of parents as care managers of adolescent's mental health services, especially around transitions out of acute care settings. Psychiatric nurses are well positioned to assist parents with this role transition so that parents can better support adolescents during and after suicide crises.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"631-642"},"PeriodicalIF":1.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807189","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}

引用次数: 0

Storytelling in Care: Leveraging Narrative Identity and Suicide Narratives for Advanced Suicide Risk Assessments. 在护理中讲故事：利用叙事身份和自杀叙事进行高级自杀风险评估。

IF 1.7 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-11-01 Epub Date: 2025-03-12 DOI: 10.1177/10783903251321502

Matias Gay

{"title":"Storytelling in Care: Leveraging Narrative Identity and Suicide Narratives for Advanced Suicide Risk Assessments.","authors":"Matias Gay","doi":"10.1177/10783903251321502","DOIUrl":"10.1177/10783903251321502","url":null,"abstract":"Objective: To explore how integrating Narrative Identity (NI) theory and the Suicidal Narrative (SN) framework into nursing practices can enhance suicide risk assessments and therapeutic engagement, promoting resilience, hope, and recovery among patients.Methods: This study reviews existing literature on NI and SN frameworks, examining their theoretical foundations and applicability in nursing. It analyzes how these frameworks improve understanding of patient suicidality through qualitative assessment of personal narratives and identifies practical steps for implementation in clinical settings.Results: The integration of NI and SN into nursing practices has shown potential in improving the quality of suicide risk assessments. It enables nurses to gain a deeper, empathetic understanding of the factors influencing each patient's suicidality, fostering enhanced therapeutic engagement. Challenges such as time constraints and the need for specific training in narrative techniques are identified.Conclusions: Incorporating NI and SN into nursing assessments can significantly enrich the suicide risk assessment process, providing a more nuanced and empathetic approach that focuses on individual patient stories. However, effective implementation requires overcoming several barriers, including enhancing nurse training in narrative methods and adjusting clinical workflows to accommodate more in-depth patient interactions.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"688-696"},"PeriodicalIF":1.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605544","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}

引用次数: 0

A Mindfulness-Based Intervention: Effects on Psychiatric Nurses Well-being and Burnout. 基于正念的干预：对精神科护士幸福感和职业倦怠的影响。

IF 1.7 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-11-01 Epub Date: 2025-05-22 DOI: 10.1177/10783903251341548

Elizabeth Gianella, Rebecca A Owens, Mary T Quinn Griffin, Joyce J Fitzpatrick

{"title":"A Mindfulness-Based Intervention: Effects on Psychiatric Nurses Well-being and Burnout.","authors":"Elizabeth Gianella, Rebecca A Owens, Mary T Quinn Griffin, Joyce J Fitzpatrick","doi":"10.1177/10783903251341548","DOIUrl":"10.1177/10783903251341548","url":null,"abstract":"Background: Burnout has been shown to negatively affect the physical and emotional health of staff; contribute to rising costs; negatively impact patient satisfaction, worsen patient outcomes, and increase rates of safety events as well as mortality. Some research suggests that the practice of mindfulness could help nurses with burnout, but attrition rates are high due to the time commitment. In recent studies, the use of a 3-min mindfulness practice showed positive results.Aims: This research aimed to determine if a 3-min mindfulness-based intervention can decrease burnout and improve overall well-being in psychiatric nurses.Methods: An online 3-min mindfulness breathing space was used as the intervention. Burnout and well-being were measured prior to the intervention and at 2 weeks post-intervention.Results: The total sample included 46 psychiatric nurses; for the 16 who completed the pre- and post-well-being instrument, overall well-being increased. There was no difference in burnout scores from pre- to post-intervention.Conclusions: This is a promising intervention for psychiatric nurses that increases overall feelings of well-being.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"670-674"},"PeriodicalIF":1.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120085","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}

引用次数: 0