Journal of the American Psychiatric Nurses Association最新文献_第3页

Call for Papers for Special Issues. 特刊征稿。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-06-01 Epub Date: 2025-04-29 DOI: 10.1177/10783903251339658

引用次数: 0

Seclusion Rates and Workplace Violence on a Psychiatric Emergency Department Unit. 精神病急诊科单位的隔离率和工作场所暴力。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-05-26 DOI: 10.1177/10783903251338043

Joshua D Moran Jimenez, Christa Walden, Alexa Carey, Jennifer Miller, Kerry Keyes Young, Lynnette Morris, Tammy Erbaio

{"title":"Seclusion Rates and Workplace Violence on a Psychiatric Emergency Department Unit.","authors":"Joshua D Moran Jimenez, Christa Walden, Alexa Carey, Jennifer Miller, Kerry Keyes Young, Lynnette Morris, Tammy Erbaio","doi":"10.1177/10783903251338043","DOIUrl":"https://doi.org/10.1177/10783903251338043","url":null,"abstract":"Introduction: Actions of physical violence, harassment, or other threatening and intimidating behavior characterize workplace violence, often subsequently followed by seclusion to maintain safety in emergency department (ED) and psychiatric settings. Though there is no universally identified benchmark of acceptable rates of seclusion, April to September 2023 preintervention rate of seclusion hours on a psychiatric ED unit at a public state hospital in the southeast was 5.57/1,000 patient care hours, exceeding current comparison data from Centers for Medicare and Medicaid Services (CMS) for calendar year 2022 with a state average, 0.26/1,000 patient care hours and national average, 0.35/1,000 patient care hours.Aim: This project aimed to reduce seclusion rates through the implementation of a violence risk identification and management protocol.Methods: Interventions included brief training and implementation of a violence risk protocol using the Violence Assessment Tool (VAT) and seclusion debriefing.Results: Reports of workplace violence decreased by 25% in the psychiatric ED and 17% across the adult psychiatric inpatient units, and there was a cumulative decrease in Inpatient Psychiatric Facility Quality Reporting seclusion rates by 5% across the adult psychiatric inpatient units where the components of the VAT were communicated in report from the psychiatric ED.Conclusion: Early identification of violence risk, patient-specific agitation factors, and de-escalation preferences in the ED setting may have the potential to improve safety through reduced seclusion and workplace violence events. Future research could study patient perspectives of the VAT as a patient-centered tool in de-escalation to reduce seclusion.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903251338043"},"PeriodicalIF":1.5,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142874","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 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 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub 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":"https://doi.org/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":"10783903251341546"},"PeriodicalIF":1.5,"publicationDate":"2025-05-26","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

Responding to Escalating Behaviors on a Child Inpatient Unit: Five Elements Often Missing in De-escalation Dialogs. 应对儿童住院病房的升级行为：在降级对话中经常缺失的五个要素。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-05-26 DOI: 10.1177/10783903251341557

Kathleen R Delaney

{"title":"Responding to Escalating Behaviors on a Child Inpatient Unit: Five Elements Often Missing in De-escalation Dialogs.","authors":"Kathleen R Delaney","doi":"10.1177/10783903251341557","DOIUrl":"https://doi.org/10.1177/10783903251341557","url":null,"abstract":"Objectives: This discussion paper elaborates the elements of patient engagement and teamwork that support the effective use of de-escalation during tense situations marked by increasing threat, lability, or hostility. Staff training often involves de-escalation techniques which equip staff with important basic skills. Yet what often fails to be explained during training are subtle elements operating on inpatient child/adolescent milieus that are critical to the effectiveness of this intervention.Methods: Synthesis of practice experience and the literature on select elements such as milieu leadership, teamwork, and relationship leverage which supports de-escalation efforts on child inpatient psychiatric units.Results: Five elements of inpatient practice were identified: teamwork, charge nurse leadership, staff holding a common understanding of behavior and a sense of the underlying dynamics of aggression, and use of relationship leverage. How these elements support de-escalation is briefly discussed. Included in the elaboration of these elements are the strategies unit managers might draw upon to cultivate these critical team and engagement elements.Conclusion: Unit leadership should find opportunities to cultivate knowledge and skills related to teamwork, a shared understanding of a youth's behavior, the dynamics underlying aggression, and building engagement. These dimensions of practice are nuanced and often involve implicit aspects of teamwork and unit culture. Yet they are critical to keeping units safe and supporting de-escalation. These elements and how they support de-escalation should be articulated and cultivated with novice staff and new team hires.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903251341557"},"PeriodicalIF":1.5,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142903","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 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub 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":"https://doi.org/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":"10783903251341548"},"PeriodicalIF":1.5,"publicationDate":"2025-05-22","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

The Value of an Educational Intervention on Knowledge, Attitudes, and Practices Related to Seclusion and Restraint Use in a Psychiatric/Mental Health Setting. 在精神病学/心理健康环境中，对隔离和约束使用相关的知识、态度和实践进行教育干预的价值

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-05-22 DOI: 10.1177/10783903251338589

Charles Kevin Bryant, Debra Hampton, Marc A Woods, Chizimuzo Zim Okoli

{"title":"The Value of an Educational Intervention on Knowledge, Attitudes, and Practices Related to Seclusion and Restraint Use in a Psychiatric/Mental Health Setting.","authors":"Charles Kevin Bryant, Debra Hampton, Marc A Woods, Chizimuzo Zim Okoli","doi":"10.1177/10783903251338589","DOIUrl":"https://doi.org/10.1177/10783903251338589","url":null,"abstract":"ObjectivesThe use of seclusion and restraint is common in hospitals, particularly in adult psychiatric settings. This pilot evaluation project assessed the impact of a web-based educational intervention on the knowledge, practices, and attitudes of front-line nurses concerning seclusion and restraints and on the actual use of restraints and seclusion in an inpatient psychiatric hospital setting.MethodsA quasi-experimental, pre- and postassessment design was used to evaluate the impact of a 20-min targeted education intervention on knowledge, practices, and attitudes toward the use of seclusion and restraint among 40 psychiatric-mental health providers.ResultsAttitudes regarding the use of seclusion and restraints, including a greater willingness to acknowledge patients' rights and the emotional impact of seclusion and restraint use significantly improved posteducational intervention. Improvements were also observed in the comprehension of appropriate seclusion and restraint practices and the effects of staffing levels on seclusion and restraint utilization. Hospitalwide seclusion rates decreased by 35%, and restraint rates posteducational intervention decreased by 58%.ConclusionThis pilot evaluation study demonstrated that targeted education significantly improved attitudes and practices related to seclusion and restraint among psychiatric-mental health nurses and providers. Mean attitude scores increased from 32.7 to 36.8 postintervention (p = .002), and mean practice scores improved from 33.9 to 35.2 postintervention (p = .004). The decrease in hospitalwide seclusion and restraint rates postintervention indicates the intervention could be effective for reducing the reliance on restrictive interventions.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903251338589"},"PeriodicalIF":1.5,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120089","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 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub 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":"https://doi.org/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":"10783903251338450"},"PeriodicalIF":1.5,"publicationDate":"2025-05-21","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

Call for Papers for Special Issues. 特刊征稿。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-04-29 DOI: 10.1177/10783903251339658

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 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub 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":"https://doi.org/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":"10783903251335980"},"PeriodicalIF":1.5,"publicationDate":"2025-04-24","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

A Narrative Review of Strategies and Interventions to Mitigate Microaggressions as a Form of Workplace Violence. 减轻微侵犯作为一种形式的工作场所暴力的策略和干预的叙述回顾。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-04-21 DOI: 10.1177/10783903251333380

Patricia Marie Fletcher, Christian Paige Owen, Maja Djukic

{"title":"A Narrative Review of Strategies and Interventions to Mitigate Microaggressions as a Form of Workplace Violence.","authors":"Patricia Marie Fletcher, Christian Paige Owen, Maja Djukic","doi":"10.1177/10783903251333380","DOIUrl":"https://doi.org/10.1177/10783903251333380","url":null,"abstract":"Background: Workplace violence is an urgent issue for psychiatric mental health nurses. While physical workplace violence is overt, microaggressions are covert. Microaggressions are brief, daily offenses that communicate negativity. An estimated 90% of healthcare providers report experiencing microaggressions. However, evidence-based strategies and interventions for mitigating microaggressions in healthcare settings are not well established.Aims: The purpose of the review was to identify strategies and interventions for addressing microaggressions that are applicable to nurses.Method: The evidence-based literature review was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Databases included Web of Science, Embase, CINAHL, and PubMed. Published articles from 2010 to 2024 were included if they: (a) discussed strategies or interventions for reducing microaggressions and (b) included health professions students, educators, healthcare workers, or first responders in the sample. After a preliminary review, deduplication and eligibility criteria screening of 102 articles, 17 articles were included in the review.Results: Of the 17 articles, seven reported on communication strategies and eight on interventions. Four articles highlighted microinterventions as a strategy to address microaggressions. Seven of the eight intervention studies used a descriptive, pre/post-test design. All intervention studies targeted medicine professionals and none nurses. Most interventions effectively raised awareness and the ability to recognize microaggressions, but the effectiveness to reduce microaggressions was not measured.Conclusions: Findings suggest further research is needed on strategies and interventions addressing microaggressions, particularly for nurses.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903251333380"},"PeriodicalIF":1.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971310","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