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

Homelessness and First-Episode Psychosis: An Integrative Review. 无家可归与首发精神病：一项综合综述。

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. 精神分裂症患者特质正念与抑郁严重程度的关系：公众对精神疾病的耻辱感的作用

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

Improving Medication Adherence in Psychiatric Patients With a Medication Adherence Program. 通过药物依从性计划改善精神病患者的药物依从性。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-01-30 DOI: 10.1177/10783903241310229

Whitney Peterson

{"title":"Improving Medication Adherence in Psychiatric Patients With a Medication Adherence Program.","authors":"Whitney Peterson","doi":"10.1177/10783903241310229","DOIUrl":"https://doi.org/10.1177/10783903241310229","url":null,"abstract":"Background: It's estimated that over 50% of patients prescribed antipsychotic medication are nonadherent to the prescribed treatment. Medication nonadherence impedes the patient's safety, leads to relapse, and the need for rehospitalization. Thus bolstering the importance of routine nursing follow-up interventions to improve adherence rates in patient with SMI.Aims: The purpose of this research is to address the significant impact that medication nonadherence has on patients with serious mental illness (SMI) and the positive impact that telephonic medication adherence programs have on improving patient outcomes through enhanced medication adherence.Methods: The literature was examined from the past 5 years (2016-2021) on the use of telephonic follow-up interventions to improve medication adherence in patients with psychiatric disorders and other chronic diseases at risk for mental illness. Databases (PubMed, CINAHL, ProQuest, and the Cochrane Library) were used. The inclusion criteria focused on psychiatric disorders, telephone calls to improve medication adherence, and the use of questionnaires to determine adherence.Results: The implementation of telephonic follow-up after discharge has proven to be an effective strategy to promote medication adherence in patients with mental illness and to provide additional support (emotional, side effect management, appointment reminders, and activity involvement) to improve the patient's well-being.Conclusions: Telephonic follow-up is an effective strategy to improve medication adherence in patients with SMI and other chronic diseases as a short-term intervention (less than 24 months). Further research is needed on the benefits of telephonic follow-up as a long-term intervention (beyond 24 months).","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903241310229"},"PeriodicalIF":1.5,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066713","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

Preparing for the Future While Honoring the Past. 为未来做准备，同时尊重过去。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-01-01 Epub Date: 2024-12-14 DOI: 10.1177/10783903241303179

Joyce M Shea

引用次数: 0

The Influence of Writers on Psychiatric Mental Health Care Policy and Practice. 作家对精神科精神卫生保健政策与实践的影响

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-01-01 Epub Date: 2024-12-18 DOI: 10.1177/10783903241303509

Michelle DeCoux Hampton

引用次数: 0

Self-Defense Training to Reduce Violence Against Women and Girls: An Integrative Review. 减少针对妇女和女童暴力的自卫训练：综合评论》。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-01-01 Epub Date: 2024-05-25 DOI: 10.1177/10783903241254308

Ashlyn M Johnson, Britt S Cole

{"title":"Self-Defense Training to Reduce Violence Against Women and Girls: An Integrative Review.","authors":"Ashlyn M Johnson, Britt S Cole","doi":"10.1177/10783903241254308","DOIUrl":"10.1177/10783903241254308","url":null,"abstract":"Background: Violence against women and girls (VAWG) is a serious threat to individual and public health with vast negative impacts, including numerous physical and mental health issues, as well as societal and economic consequences. Numerous women's self-defense interventions have been proposed to reduce the risk of victimization.Aims: The current integrative review, based on Whittemore and Knafl's framework, was completed to synthesize current evidence on women's self-defense training, the impact of such training on outcomes related to VAWG, and evaluate the strength of evidence for women's self-defense training interventions.Methods: A systematic literature search, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, was performed including a comprehensive computer-assisted database search, as well as citation searching and website searching for studies that included quantitative outcomes related to VAGW published between 2011 and 2023. Data were extracted and analyzed in accordance with Whittemore and Knafl's (2005) methodology, and the body of evidence was synthesized and best evidence recommendations developed based on the ©The Johns Hopkins Hospital/The Johns Hopkins University Evidence-Based Practice Model.Results: Ultimately, 19 publications met inclusion criteria and were included in this review. Key findings included strong evidence demonstrating that participants in women's self defense training reported fewer incidents of attempted rape, completed rape, and nonconsensual sexual contact compared to controls, as well as fewer postraumatic stress disorder (PTSD) symptoms, among other positive outcomes.Conclusions: Further research is needed in more diverse populations at risk for violence and to identify key characteristics of effective interventions, including optimal content and dose.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"23-45"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141093671","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

Saudi Arabian Nurses' Motivations and Barriers to Employment in Inpatient Mental Health Facilities: A Qualitative Investigation. 沙特阿拉伯护士在精神健康住院机构就业的动机和障碍：定性调查。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-01-01 Epub Date: 2024-06-21 DOI: 10.1177/10783903241260734

Seham Mansour Alyousef

{"title":"Saudi Arabian Nurses' Motivations and Barriers to Employment in Inpatient Mental Health Facilities: A Qualitative Investigation.","authors":"Seham Mansour Alyousef","doi":"10.1177/10783903241260734","DOIUrl":"10.1177/10783903241260734","url":null,"abstract":"Background: The shortage of inpatient psychiatric mental health care nurses in Saudi Arabia represents an important health care challenge.Aim: The aim of this study was to illuminate perspectives of psychiatric mental health nurses employed in psychiatric inpatient settings about their employment experiences.Method: This study adopted an exploratory qualitative approach using thematic content analysis. Ten professional nurses with psychiatric inpatient caring experience participated in two focus groups composed of Master of Nursing students.Results: Four main themes emerged: inadequate professional skills and knowledge for psychiatric mental health care practice, negative public attitudes toward psychiatric/mental health nurses, concerns for personal safety, and alternatives and advantages. The findings of this study suggest that nurses' lack of interest in working in psychiatric units is not merely personal but also social and organizational.Conclusions: The study findings may encourage managers and authorities to develop measures to attract more mental health nurses to work in psychiatric units. Such strategies may include modification of nurses' skills, training, and professional knowledge, collegial supervision, mentoring, and working conditions and environment.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"64-75"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141432219","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

Thoughts on Connections and Control: A Letter From 2024 APNA Award for Distinguished Service Recipient, Dr. Diane Allen. 关于联系和控制的思考：一封来自2024年APNA杰出服务奖获得者戴安·艾伦博士的信。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-01-01 Epub Date: 2024-11-29 DOI: 10.1177/10783903241301783

Diane E Allen

引用次数: 0

Improving Mental Health Literacy and Stigma Among the Hmong. 提高苗族人的心理健康素养和耻辱感。

IF 1.5 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2025-01-01 Epub Date: 2024-09-05 DOI: 10.1177/10783903241277344

Mayche Vang-Kue, Cynthera McNeill, Umeika Stephens

{"title":"Improving Mental Health Literacy and Stigma Among the Hmong.","authors":"Mayche Vang-Kue, Cynthera McNeill, Umeika Stephens","doi":"10.1177/10783903241277344","DOIUrl":"10.1177/10783903241277344","url":null,"abstract":"Introduction: One in five adults in the United States suffers from mental illness. Negative social influences in the Hmong community stigmatize those who have mental health challenges and mental health outcomes are impacted by poor mental health literacy. Language barriers, conflicting traditional beliefs, and Western concepts of health contribute to low mental health literacy and willingness to seek professional mental health services among the Hmong.Aims: The aim of this project was to successfully implement Mental Health First Aid (MHFA) to a group of 30 or more Hmong adult church leaders in a faith-based setting.Methods: A pretest posttest project design was used. The project implementation process was guided by the Plan-Do-Study-Act (PDSA) model and took place from June 2023 to August 2023. Participants were recruited from three local Detroit Hmong churches. Indicator measures included the Mental Health Literacy Scale (MHLS) and Community Attitudes toward Mental Illness (CAMI) Scale before and immediately after training. One final survey was administered at 6 weeks post MHFA training to measure information retention, stigma, and utilization of MHFA skills.Results: Results reflect the existing body of literature regarding MHFA and the positive impacts on mental health literacy, confidence level, mental health awareness, and decreasing stigma.Conclusion: MHFA continues to demonstrate successful implementation across many settings and populations, especially for this project among Hmong adult church leaders. More research is needed to expand on mental health and the Hmong.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"83-88"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142140422","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