Journal of the American Psychiatric Nurses Association最新文献_第9页

Factors Associated With Psychosocial Illness Impact Among Black/African American and Hispanic Older Women Living With HIV. 感染艾滋病毒的黑人/非裔美国人和西班牙裔老年妇女中与社会心理疾病影响相关的因素。

IF 2 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2024-01-01 Epub Date: 2021-11-19 DOI: 10.1177/10783903211058786

Evelyn Iriarte, Rosina Cianelli, Natalia Villegas, Giovanna De Oliveira, Christine Toledo, Lindsay Smith, Jose Guillermo Castro

{"title":"Factors Associated With Psychosocial Illness Impact Among Black/African American and Hispanic Older Women Living With HIV.","authors":"Evelyn Iriarte, Rosina Cianelli, Natalia Villegas, Giovanna De Oliveira, Christine Toledo, Lindsay Smith, Jose Guillermo Castro","doi":"10.1177/10783903211058786","DOIUrl":"10.1177/10783903211058786","url":null,"abstract":"Background: In 2018, one in six newly diagnosed individuals with HIV in the United States were adults aged 50 years and older, 24% were women, and 60% were Black/African American and Hispanic (42% and 18%, respectively).Aims: This study aims to examine the factors associated with HIV psychosocial illness impact among Black/African American and Hispanic older women living with HIV.Method: Guided by the socioecological model, a secondary data analysis design with cross-sectional data that included 138 Black/African American and Hispanic women aged 50 years and older was conducted.Results: Higher levels of avoidant coping, depressive symptoms, negative self-perception of health, and decreased social support were significant factors associated with HIV psychosocial illness impact among this sample.Conclusions: Findings from this study can contribute to identifying solutions to prevent and decrease these negative factors associated with HIV psychosocial illness impact among Black/African American and Hispanic older women.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"52-62"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39748323","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

Perceptions of ACT Team Members on the Implementation of Physical Health Services: A Qualitative Study. ACT团队成员对实施身体健康服务的看法:一项定性研究。

IF 2 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2024-01-01 Epub Date: 2022-02-26 DOI: 10.1177/10783903221079800

Brandy Reardon, Mark Toles, Gary Cuddeback, Debbie Travers

{"title":"Perceptions of ACT Team Members on the Implementation of Physical Health Services: A Qualitative Study.","authors":"Brandy Reardon, Mark Toles, Gary Cuddeback, Debbie Travers","doi":"10.1177/10783903221079800","DOIUrl":"10.1177/10783903221079800","url":null,"abstract":"Background: Adults with severe mental illnesses have mortality rates 2.5 to 3 times higher than the general population, largely due to medical illnesses. Those with the most profound mental illnesses are served by assertive community treatment (ACT) teams that provide intensive mental health care; however, there are no clearly established models to integrate physical health treatment into ACT and this is a critical gap in the literature.Aims: To describe perceptions of ACT team members regarding services provided for their clients to treat physical health, how those services can be improved, and what implementation strategies would likely be needed to promote uptake and sustainability of those services on ACT teams.Method: Qualitative interviews were conducted via Zoom using a semistructured interview guide with 19 employees from three ACT teams in a southeastern state. Interview transcripts were analyzed, using manifest content analysis, a form of qualitative analysis, to identify key themes in the interview transcripts.Results: ACT team members described limited physical health services for their clients. They reported (1) system-level barriers to improving physical health care, such as inadequate tools and training; and (2) patient-level barriers, such as limited awareness of physical care needs. ACT team members reported the need for additional medical staff and strengthened relationships with primary care providers. They also recommended changes in policy, education, and quality monitoring to implement new physical health care services.Conclusions: Findings suggest intervention components and implementation strategies for improving physical health care of ACT consumers.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":"1 1","pages":"108-120"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41888280","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

Telehealth and the Psychiatric Mental Health Nurse Practitioner: Beyond the COVID-19 Pandemic. 远程医疗与精神心理健康执业护士：超越 COVID-19 大流行。

IF 2 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2024-01-01 Epub Date: 2021-09-05 DOI: 10.1177/10783903211045119

Jessica L Zemlak, Patty Wilson, Brigit VanGraafeiland, Tamar Rodney

引用次数: 0

Effectiveness of a Sexual Health Care Training to Enhance Psychiatric Nurses' Knowledge, Attitude, and Self-Efficacy: A Quasi-Experimental Study in Southern Taiwan. 性健康护理培训对提高精神科护士知识、态度和自我效能的效果：台湾南部的一项准实验研究。

IF 2 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2024-01-01 Epub Date: 2021-09-17 DOI: 10.1177/10783903211045733

Mei-Jou Lu, Jin-Biau Li, Chia-Yi Wu, Pham Thi Thu Huong, Pei-Chen Hsu, Chiou-Rong Chang

{"title":"Effectiveness of a Sexual Health Care Training to Enhance Psychiatric Nurses' Knowledge, Attitude, and Self-Efficacy: A Quasi-Experimental Study in Southern Taiwan.","authors":"Mei-Jou Lu, Jin-Biau Li, Chia-Yi Wu, Pham Thi Thu Huong, Pei-Chen Hsu, Chiou-Rong Chang","doi":"10.1177/10783903211045733","DOIUrl":"10.1177/10783903211045733","url":null,"abstract":"Background: Sexual health is a taboo issue in some societies. Limited assessments were conducted during nursing care in mental health services. It is unknown whether psychiatric nurses' competencies would be enhanced through short training courses.Aims: The present study employed a quasi-experimental design to evaluate the effectiveness of an 8-hour sexual health care training for psychiatric nurses to improve sexual health knowledge, attitude, and self-efficacy in a teaching psychiatric hospital in southern Taiwan.Method: Volunteered psychiatric nurses were randomly assigned to the experimental or control group. The 8-hour training program contained sexual health knowledge and attitudes, case discussion, role play, and sexual identity or harassment issues. Each nurse received a pretest and a posttest in the 1-month period between August and September 2019. Descriptive and multivariate statistical analyses were used to evaluate the effects.Results: Among the 75 psychiatric nurses, 43 were in the control group and 32 were in the experimental group. The two groups were not significantly different in the working year, gender, education, marriage, and other psychosocial variables. After the training, the overall performance of sexual health care knowledge, attitudes, and self-efficacy of the experimental group improved significantly than the controls.Conclusions: The sexual health care training program enhanced psychiatric nurses' confidence and generally improved their sexual knowledge and attitudes. It is suggested that sexual health care needs to be highlighted during in-job training to augment the well-being and life quality of psychiatric patients.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"17-29"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39425150","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

Involving Persons With Lived Experience to Improve Vocational Students' Stigmatizing Attitudes Toward Mental Disorders: A Quasi-Experimental Study. 有生活经验者介入改善中职学生对精神障碍污名化态度的准实验研究。

IF 2 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2024-01-01 Epub Date: 2022-04-26 DOI: 10.1177/10783903221090528

Concepción Martínez-Martínez, Vanessa Sánchez-Martínez, Laura Aguilar-Gascón, Ángela María Ortega-Galán, Juan Diego Ramos-Pichardo

{"title":"Involving Persons With Lived Experience to Improve Vocational Students' Stigmatizing Attitudes Toward Mental Disorders: A Quasi-Experimental Study.","authors":"Concepción Martínez-Martínez, Vanessa Sánchez-Martínez, Laura Aguilar-Gascón, Ángela María Ortega-Galán, Juan Diego Ramos-Pichardo","doi":"10.1177/10783903221090528","DOIUrl":"10.1177/10783903221090528","url":null,"abstract":"Background: Mental health problems are estimated to affect one in six individuals in the European Union. Fifty percent of mental disorders start in adolescence, around the age of 14. The stigma associated with having a mental health problem is one of the main barriers to seeking help for psychiatric and psychological disorders among adolescents and young adults. Interventions to reduce social stigma could contribute to increased help-seeking behavior in this population. AIMS: To assess the effectiveness of a direct contact intervention in the classroom by persons with lived experience to reduce vocational students' stigmatizing attitudes. METHOD: One person with lived experience and one first-degree relative implemented a classroom intervention lasting 90 min. Its effectiveness was measured using a quasi-experimental study with a pretest-posttest design and within-subject control. RESULTS: A total of 128 students from three different Vocational and Technical Schools from Spain participated in the study. After the intervention, statistically significant differences were observed in the scores of 11 of the 13 dimensions measured with the Spanish Mental Illness Stigma Attribution Questionnaire (AQ-27-E) and the Community Attitudes toward Mental Illness (CAMI) questionnaires. No differences associated with gender or familiarity with the mental disorder were observed. CONCLUSION: Vocational students' negative attitudes and emotions can be improved through a direct contact intervention in the classroom involving people who have experienced a mental disorder themselves. The age range for optimal results with this type of intervention appears to be 18 to 20 years.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":"1 1","pages":"160-168"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42649403","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

Psychological Resilience and Suicide Attempt in Patients With Bipolar Disorder: An Exploratory Study. 双相情感障碍患者的心理复原力与自杀企图：一项探索性研究

IF 2 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2024-01-01 Epub Date: 2021-10-29 DOI: 10.1177/10783903211050682

María Luisa Fernández-Rocha, Mariano García-Izquierdo, María Isabel Ríos-Rísquez

{"title":"Psychological Resilience and Suicide Attempt in Patients With Bipolar Disorder: An Exploratory Study.","authors":"María Luisa Fernández-Rocha, Mariano García-Izquierdo, María Isabel Ríos-Rísquez","doi":"10.1177/10783903211050682","DOIUrl":"10.1177/10783903211050682","url":null,"abstract":"Background: Patients with bipolar affective disorder (BPAD) have a suicide risk of up to 30 times higher than the general population. There is increasing interest in analyzing the effects of resilience in psychiatric diseases and its relationship to other factors such as suicide risk.Aim: The main objective of this study was to analyze the relationship between psychological resilience and suicide attempts, along with other relevant clinical and sociodemographic variables in euthymic patients with BPAD.Methods: Eighty six outpatients, more than 18 years old, mostly men (60.5%) with BPAD type 1, 2, mixed, and unspecified, in euthymic phase receiving antidepressant and/or euthimizing treatment, participated in the study. Sociodemographic and clinical variables were assessed by means of a questionnaire and psychological resilience by means of Connor-Davidson's 10-item Resilience Scale.Results: Patients with previous autolytic attempts scored significantly lower in resilience than those who had not attempted suicide (T = 3.30; p ≤ .001; 20.61 ± 6.58 vs. 26.52 ± 7.29). Patients diagnosed with BPAD scored significantly lower than other samples of university participants, workers, and the unemployed. The number of depressive episodes experienced was negatively and significantly associated with resilience scores (r = -.28; p < .01).Conclusions: Patients diagnosed with BPAD who had made autolytic attempts had lower resilience scores than those who had not made them and lower scores than other general nonpsychiatric samples. The promotion of resilience in patients diagnosed with BPAD would facilitate a more adaptive and positive coping with the disease and their recovery process.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"44-51"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39663059","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

Board of Directors' Column: Building Connection Competence. 董事会专栏：建立连接能力。

IF 2 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2024-01-01 Epub Date: 2023-12-13 DOI: 10.1177/10783903231216734

Lora Peppard

引用次数: 0

Mental Health Nurses' Perceptions of Their Role in Physical Screening and Lifestyle Coaching for Patients With a Severe Mental Illness: A Qualitative Study. 心理健康护士对其在严重精神疾病患者身体筛查和生活方式指导中的作用的认知:一项定性研究

IF 2 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2024-01-01 Epub Date: 2022-04-20 DOI: 10.1177/10783903221085596

Nienke T Y G van der Voort, Nikki C Klaessen, Irina E Poslawsky, Berno van Meijel

{"title":"Mental Health Nurses' Perceptions of Their Role in Physical Screening and Lifestyle Coaching for Patients With a Severe Mental Illness: A Qualitative Study.","authors":"Nienke T Y G van der Voort, Nikki C Klaessen, Irina E Poslawsky, Berno van Meijel","doi":"10.1177/10783903221085596","DOIUrl":"10.1177/10783903221085596","url":null,"abstract":"Background: The life expectancy of patients with severe mental illness (SMI) is estimated to be 20 to 30 years shorter than in the general population due to avoidable physical illnesses. This gap is widening. Health care professionals' performance with regard to physical health and lifestyle appears to be suboptimal.Aims: The purpose of this study is to formulate recommendations to enhance physical care for patients with an SMI.Methods: A generic descriptive qualitative study was conducted. Fifteen mental health nurses (MHNs) working in community mental health care in the Netherlands were interviewed. Thematic analysis of the data was performed.Results: Most MHNs perceived physical screening and lifestyle interventions to be an important part of their professional role. However, they recognize discrepancy between their perception and actual practice. Most MHNs focus in particular on the psychiatric illness and its consequences for daily living, and they defined the provision of physical health care as a secondary concern. Participants described building a therapeutic relationship as a crucial, however, difficult part of the process of working on physical health promotion. Many MHNs tend to formulate goals and necessary behavioral changes on behalf of their patients, rather than helping them formulate their own goals and activities for themselves.Conclusions: Building a good therapeutic relationship with patients and supporting patients in defining their own lifestyle goals can enhance nursing physical care. Support by other team members (such as NPs) and managers is needed. In training and education for professionals, the lessons learned in this study should be included.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":"1 1","pages":"141-148"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47017761","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

Managing the Barrage: Secondary Trauma After Media Exposure to Violence. 管理炮火：媒体暴力事件后的二次创伤。

IF 2 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2024-01-01 DOI: 10.1177/10783903231216706

Geraldine S Pearson

引用次数: 0

Text Analysis of Suicide Risk in Adolescents and Young Adults. 青少年自杀风险文本分析。

IF 2 4区医学

Journal of the American Psychiatric Nurses Association Pub Date : 2024-01-01 Epub Date: 2022-02-08 DOI: 10.1177/10783903221077292

Jia-Wen Guo, Julianne Kimmel, Lauri A Linder

{"title":"Text Analysis of Suicide Risk in Adolescents and Young Adults.","authors":"Jia-Wen Guo, Julianne Kimmel, Lauri A Linder","doi":"10.1177/10783903221077292","DOIUrl":"10.1177/10783903221077292","url":null,"abstract":"Objective: Suicide is of primary public concern for adolescents and young adults (AYAs) who commonly use social media platforms to express their suicidal thoughts and behaviors. Understanding how AYAs communicate their suicide-related thoughts and behaviors in texts can support early detection of suicide risk from their social media posts. Therefore, this study sought to identify themes relevant to suicide risk in AYAs and explore words or terms used by AYAs when they described suicidal thoughts and behaviors.Method: This secondary data analysis utilized an existing data set collected from 255 AYAs between 12 and 25 years of age, who provided brief descriptions of how they and their peers expressed their experiences of self-harm, suicidal thinking, and attempts. Text analysis was conducted using KH Coder software. Three-step theory of suicide was used to guide a content analysis to explore the key themes from the narratives.Results: A word co-occurrence network with 24 clusters of words was generated from the text analysis. These word clusters were further grouped into pain or hopelessness, connectedness, and capacity to attempt suicide in the content analysis. Six subthemes corresponding to these three themes were identified to provide detailed information: psychological or physical pain, hopelessness, relationship, help seeking, methods, and outcomes. Moreover, several slang terms and acronyms (e.g., Kermit Sewage Slide, KMS) were also identified.Conclusions: The findings of this study, including themes and slang terms and acronyms, are valuable to facilitate the use of terms or phrases within social media texts to identify suicide risk in AYAs.","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"169-173"},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9362958/pdf/nihms-1828297.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9955894","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