Journal of the American Psychiatric Nurses Association最新文献_第2页

Thematic Analysis of Mental Health Nurses' Views of Contributing Factors Fueling Workplace Violence in Psychiatric Hospitals: Insights From Unsung Soldiers. 心理健康护士对精神病院工作场所暴力助长因素看法的专题分析:来自无名士兵的见解。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-03-01 Epub Date: 2023-09-12 DOI: 10.1177/10783903231199114

Abdallah Abu Khait, Majd T Mrayyan, Abdullah Algunmeeyn

{"title":"Thematic Analysis of Mental Health Nurses' Views of Contributing Factors Fueling Workplace Violence in Psychiatric Hospitals: Insights From Unsung Soldiers.","authors":"Abdallah Abu Khait, Majd T Mrayyan, Abdullah Algunmeeyn","doi":"10.1177/10783903231199114","DOIUrl":"10.1177/10783903231199114","url":null,"abstract":"Background: Workplace violence against mental health nurses is an international phenomenon that sparks concerns for nurses' safety and mental health. This phenomenon has recently arisen as a crucial concern in the Middle East as it has become pervasive and has negative implications, causing nurses to accumulate psychological and emotional distress. However, no research has yet investigated the contributing factors of this phenomenon in Jordanian psychiatric hospitals from the nurses' perspectives.Aims: This study aimed to explore the factors contributing to workplace violence in Jordanian psychiatric hospitals from the perspective of mental health nurses.Methods: An exploratory, qualitative design was utilized. Using audio-recorded, semi-structured, face-to-face interviews, a purposive sample of 24 mental health nurses were interviewed to collect data. Thematic analysis was used to analyze the data.Results: Four overarching themes were identified: Peak Time of Violence, Unavoidable Part of the Job, Poor Organization and Lack of Policy, and Bite the Bullet.Conclusion: From nurses' perspectives, an in-depth understanding of factors contributing to workplace violence provides a foundation for developing preventive interventions, improving work environment safety, and promoting nurses' mental health. Prevention strategies and further studies are warranted to limit this phenomenon.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"100-110"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10590249","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

Investigation of Posttraumatic Stress and Depression Symptoms in Children Who Experienced the Kahramanmaraş Earthquake. 卡赫拉曼马拉什地震儿童创伤后压力和抑郁症状调查

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-03-01 Epub Date: 2024-07-27 DOI: 10.1177/10783903241257631

Mehmet Emin Düken, Sibel Küçükoğlu, Fethiye Kiliçaslan

{"title":"Investigation of Posttraumatic Stress and Depression Symptoms in Children Who Experienced the Kahramanmaraş Earthquake.","authors":"Mehmet Emin Düken, Sibel Küçükoğlu, Fethiye Kiliçaslan","doi":"10.1177/10783903241257631","DOIUrl":"10.1177/10783903241257631","url":null,"abstract":"Background: Trauma is important in the etiology of many problems including childhood anxiety, somatization, hostility and sleep disturbance.Aims: This study was conducted to examine the posttraumatic stress and depression symptoms of children who experienced the Kahramanmaraş earthquakes in Turkey.Methods: The research, designed as a descriptive and relational type, was conducted with 636 children in the 10 to 18 age group who experienced the earthquake. Data were obtained through the Child Information Form, the Child Posttraumatic Stress Disorder Reaction Index (CPTSD-RI), and the Depression Inventory for Children.Results: According to the scale scores, 100% of the children had depression symptoms, while 23% had severe trauma and 77% had very severe posttraumatic stress symptoms. It was revealed that children's posttraumatic stress reactions explained 71% of their depression (p < .001). It has been determined that the most important triggers affecting children's posttraumatic stress reactions were being trapped under debris and the problems they experienced in reaching shelter and assistance (B: -3.706; B: -1.547; B: 3.969).Conclusions: It was determined that there was a strong relationship between posttraumatic stress reactions and depression symptoms of children who experienced the earthquake. It has been observed that the experiences of children during and after the earthquake can have an impact on their trauma situations.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"165-175"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141788488","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

Beyond Crisis: Enhancing Behavioral Response Through a Conceptual Framework.

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-03-01 Epub Date: 2025-02-02 DOI: 10.1177/10783903251315947

Alirio Olmedo, Jane Muir

{"title":"Beyond Crisis: Enhancing Behavioral Response Through a Conceptual Framework.","authors":"Alirio Olmedo, Jane Muir","doi":"10.1177/10783903251315947","DOIUrl":"10.1177/10783903251315947","url":null,"abstract":"ObjectiveThe objective was to present a conceptual model informed by existing literature surrounding behavioral health crises and response teams.MethodThe 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.ResultsThe 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.ConclusionThe 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.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"111-120"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","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}

引用次数: 0

Keeping Our Patients and Ourselves Safe: Evidence-Based Knowledge to Prevent and Manage Violence in PMH Nursing Care. 保证病人和我们自身的安全：在 PMH 护理中预防和管理暴力的循证知识。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-03-01 Epub Date: 2025-03-12 DOI: 10.1177/10783903251318342

Linda S Beeber, Kathleen R Delaney, Angel Johann Solorzano Martinez

引用次数: 0

PMH Care: A Changing Field in Search of Leaders. PMH 护理：不断变化的领域，寻找领导者。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-03-01 Epub Date: 2025-02-22 DOI: 10.1177/10783903251316576

Joyce M Shea

引用次数: 0

Improving Access to Mental Health Care in Residents of Long-Term Care Living Facilities.

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-02-28 DOI: 10.1177/10783903251320663

Robin Arends, Victoria Walker, Muriel Engbrecht

{"title":"Improving Access to Mental Health Care in Residents of Long-Term Care Living Facilities.","authors":"Robin Arends, Victoria Walker, Muriel Engbrecht","doi":"10.1177/10783903251320663","DOIUrl":"https://doi.org/10.1177/10783903251320663","url":null,"abstract":"Objective: Residents of long-term care facilities have reduced access to mental health care due to the availability of providers, transportation, and staff or family members who must accompany the resident. As a result, many residents wait up to 6 months for a first appointment with a psychiatric provider or utilize their primary care provider to meet their mental health care needs.Methods: To increase access to mental health care, tablets were placed in long-term care facilities to access telehealth visits with mental health providers. Psychiatric visits were conducted via telehealth to assess, diagnose, and treat residents of the facilities. Psychiatric Mental Health Nurse Practitioners also worked to ensure the correct diagnosis and treatment were applied to each resident. In addition, there was a focus on prescribing psychotropic medications such as antipsychotics and benzodiazepines only when clinically indicated and at the lowest effective doses and ensuring gradual dose reduction efforts were being conducted safely.Results: Results of this project showed a decrease in time to first appointment from 6 months to 20 days, an increase in the application of clinical criteria to determine diagnoses, improvement in initiating gradual dose reduction requirements when clinically indicated, and resident, staff, and family satisfaction with care.Conclusions: The results of this project show that it is feasible and safe to provide mental health visits to residents of long-term care facilities through telehealth and should be considered to improve access to mental health care services for this population.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903251320663"},"PeriodicalIF":1.5,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523726","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

Pitfalls and Platforms in Workplace Violence Prevention.

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-02-26 DOI: 10.1177/10783903251320377

Ellen W Blair, Diane E Allen, Kathleen R Delaney, Ruthy Lindvall, Amanda McGill, Michael Polacek, Lisa Schneider, David Sharp, Tamsyn Weaver

{"title":"Pitfalls and Platforms in Workplace Violence Prevention.","authors":"Ellen W Blair, Diane E Allen, Kathleen R Delaney, Ruthy Lindvall, Amanda McGill, Michael Polacek, Lisa Schneider, David Sharp, Tamsyn Weaver","doi":"10.1177/10783903251320377","DOIUrl":"https://doi.org/10.1177/10783903251320377","url":null,"abstract":"Objective: To identify common pitfalls of workplace violence (WPV) prevention programs, as well as platforms for effective WPV prevention and management. This discussion paper elaborates on these pitfalls and platforms, sharing ideas on how to maintain safety and provide support for both colleagues and patients.Methods: The American Psychiatric Nurses Association (APNA) Council for Safe Environment (CSE) members met monthly to discuss WPV prevention, guided by evidence-based information, clinical expertise, and scholarly work. Concepts around WPV prevention were organized into common pitfalls in WPV prevention programs and optimum WPV prevention platforms. Pitfalls include reliance on attempts to control patients through strict rules, restrictions, and risk identification and monitoring. Alternatively, effective platforms include engagement-focused, relationship-based, trauma-informed and recovery-oriented practices. Education to develop staff skills and expertise beyond crisis prevention training and violence assessment is highlighted, giving voice to nurses' intuitive expertise in preventing, identifying, and diverting aggressive behaviors. Peer and organizational support interventions for nurse victims of violence are also examined.Results: Safe environments are enhanced when staff are actively engaged in efforts to discern and meet individual needs, engage with the patient, build trust, and communicate hope for recovery. Organizational cultures founded on concepts of trauma-informed care can provide the support victims of violence need to recover and develop resilience and post-traumatic strength.Conclusion: Risk management strategies alone are ineffective means of preventing WPV in psychiatric settings. Organizations must strike a balance between ensuring safety and providing a therapeutic atmosphere.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903251320377"},"PeriodicalIF":1.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143502136","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

Homelessness and First-Episode Psychosis: An Integrative Review.

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-02-24 DOI: 10.1177/10783903251314873

Jessica Lewczyk

{"title":"Homelessness and First-Episode Psychosis: An Integrative Review.","authors":"Jessica Lewczyk","doi":"10.1177/10783903251314873","DOIUrl":"https://doi.org/10.1177/10783903251314873","url":null,"abstract":"Background: About 115,000 young people in the United States experience a first episode of psychosis (FEP) annually. FEP is associated with functional decline and long-term executive functioning impairment. Schizophrenia is a risk factor for homelessness with up to 20% of individuals diagnosed experiencing homelessness. Homelessness conveys many burdens including higher rates of victimization, incarceration, and substance use. The intersection of homelessness and FEP represents a uniquely vulnerable population undergoing the compounding effects of two highly stigmatizing burdensome experiences that negatively impact health outcomes, treatment engagement, and life expectancy.Aims: This study reviews the literature to explore what is currently known about the impacts of homelessness on individuals with FEP, knowledge gaps, directions for research, and recommendations for action.Methods: An integrative review was conducted in April 2023 with APAPsychInfo, APAPsychArticle, Medline, and CINAHL.Results: This is the first known review to examine available literature on homelessness and FEP. Current literature examines aspects of FEP and homelessness, but not the likely compounding and interacting relationships between multiple variables. Although the associations among variables such as FEP, homelessness, substance use, legal involvement, family involvement, and treatment engagement have not been studied, the literature available may be suggestive of a compounding negative effect on FEP outcomes.Conclusion: FEP programs should define homelessness, report rates of homelessness, and conduct research examining the compounding effects of homelessness and FEP as well as other factors like race and ethnicity. Research and policy should support housing interventions for homeless individuals to improve treatment engagement and health outcomes.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903251314873"},"PeriodicalIF":1.5,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143492577","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 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub 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":"10783903251319789"},"PeriodicalIF":1.5,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Relationship Between Trait Mindfulness and Depression Severity Among People With Schizophrenia: The Role of Perceived Public Stigma Toward Mental Illness.

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-01-30 DOI: 10.1177/10783903241312682

Ahmad Rayan

{"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":"Background: 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.Aims: 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.Methods: 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.Results: 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.Conclusion: Anti-stigma programs could be combined with mindfulness-based interventions to reduce depression in people diagnosed with schizophrenia.","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}

引用次数: 0