Journal of Psychiatric and Mental Health Nursing最新文献

{"title":"Navigating Mental Health Services as an (Im)Perfect Service User.","authors":"Suzette Jackson","doi":"10.1111/jpm.70001","DOIUrl":"10.1111/jpm.70001","url":null,"abstract":"<p><strong>Purpose: </strong>This paper reflects on my experiences as a Māori woman navigating addiction, family violence, and recovery in New Zealand. The paper also explores how psychiatric and mental health nurses can better support women who use drugs (WWUD) by embracing complexity and rejecting idealized recovery models.</p><p><strong>Background: </strong>WWUD who are also parenting and experiencing family violence face systemic stigma and exclusion from mental health and social services. Their experiences are shaped by intersecting barriers, including social judgment, fears around child protection, and a lack of appropriate services.</p><p><strong>Methods: </strong>Using Frank's (1995) narrative typologies-chaos, restitution, and quest-I reflect on my lived experiences and draw insights from my doctoral research with mothers in a residential drug treatment and parenting program.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340559","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}

{"title":"'What Was Going to Happen to Us?' Understanding the Need of Family Members After A First Episode Psychosis: A Qualitative Study From Turkey.","authors":"Duygu Özer","doi":"10.1111/jpm.70002","DOIUrl":"10.1111/jpm.70002","url":null,"abstract":"<p><strong>Introduction: </strong>Being diagnosed with first episode psychosis (FEP) can be a crisis for both individuals and family members in the early years. In this process, family life and interpersonal relationships may deteriorate, and stigmatisation may be observed. Learning about the feelings, experiences, and needs of families after the diagnosis of FEP will help in coping with the disease and in predicting its prognosis.</p><p><strong>Aim: </strong>This study aimed to determine the experiences and needs of family members after a diagnosis of FEP.</p><p><strong>Methods: </strong>This qualitative study was conducted with first-degree relatives of individuals diagnosed with FEP who the psychiatry outpatient clinic of a hospital in Turkey followed up. The sample of the study consisted of 17 participants. A semi-structured interview form was used to collect the data. N-Vivo12 program with thematic analysis method was used for data analysis and COREQ checklist was used for reporting.</p><p><strong>Results: </strong>It was found that 64.7% of the participants were in the role of mother, 64.7% were primary school/middle school graduates, and 29.4% had quit their jobs due to their caregiving role. As a result of the interviews, 4 main themes and 13 sub-themes were identified. The main themes are as follows: not knowing/not realising, mixed feelings, changing lives and need for help.</p><p><strong>Discussion: </strong>Interventions are needed to increase community mental health literacy and reduce stigmatising attitudes. Mental health professionals should be aware that cultural beliefs and spiritual values are effective in community mental health and should raise awareness of evidence-based treatments in the community.</p><p><strong>Implications for practice: </strong>These findings will raise awareness for mental health professionals that they should not overlook the family while providing health services to individuals diagnosed with FEP. In addition, psychiatric nurses can use the findings to create training and support programmes for families.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340560","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}

{"title":"The Exploration of Psychiatric Nurses' Perspectives on the Applications of Artificial Intelligence in Supporting Care: 'Patients Prefer Seeing a Human Over AI'.","authors":"Gülsüm Zekiye Tuncer, Zekiye Çetinkaya Duman","doi":"10.1111/jpm.70000","DOIUrl":"https://doi.org/10.1111/jpm.70000","url":null,"abstract":"<p><strong>Background: </strong>As artificial intelligence (AI) technologies rapidly evolve, psychiatric nurses need to be prepared for using and developing this technology in care delivery.</p><p><strong>Aim: </strong>The purpose of this research is to explore psychiatric nurses' perspectives regarding AI applications in supporting both direct and indirect care processes.</p><p><strong>Methods: </strong>A descriptive qualitative method was used in this study. The study sample consisted of 28 psychiatric nurses who agreed to participate in the research between April and October 2024, who had completed or were currently pursuing their master's or doctoral education. Data were collected through individual face-to-face/online meetings (via Google Meets application) with psychiatric nurses. Audio recordings were taken during the interviews. The audio recordings were transcribed verbatim and content analysis was performed.</p><p><strong>Results: </strong>In this study, psychiatric nurses' perspectives regarding AI applications in care support were categorised under five themes: (1) Limitations of artificial intelligence in meeting patient needs, (2) Enhancing psychiatric nursing care support, (3) Future Perspectives on enhancing psychosocial care, (4) The challenging path of integration into education and care, (5) Uncertainty, unknowns, risks and concerns.</p><p><strong>Conclusion: </strong>This study reveals psychiatric nurses' insights regarding the potential of AI, particularly in terms of developing psychosocial care, and their predictions about challenges that may be encountered in this process. Taking a pioneering role in integrating AI into care processes, psychiatric nurses may open the doors to a new era while contributing to the development of the profession.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318544","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}

{"title":"Effect of Horticultural Therapy Program on Psychological Wellbeing, Hope and Social Adjustment Among Patients With Psychotic Disorders: A Nursing Perspective.","authors":"Mohamed Hussein Ramadan Atta, Ehab A A Salama, Reem Farag Mahrous Menessy","doi":"10.1111/jpm.13180","DOIUrl":"https://doi.org/10.1111/jpm.13180","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to assess the impact of the HCT on psychological well-being, hope and social adjustment among patients with psychotic disorders.</p><p><strong>Background: </strong>Patients with psychotic disorders frequently encounter challenges related to their psychological well-being, which encompasses a range of negative emotions such as depression, hopelessness and a lack of adjustment to social situations. As a non-pharmacological intervention, Horticulture Therapy (HCT) can be viewed as a supportive approach to psychiatric treatments, aiming to enhance both physical and mental health.</p><p><strong>Method: </strong>The study utilised a randomised controlled trial research design. A study and control group of 60 patients with a psychotic disorder was established. The research took place at El-Ma'mora Hospital for Psychiatric Medicine, Alexandria, Egypt.</p><p><strong>Findings: </strong>The IG exhibited significantly higher HHI scores compared to the CG, highlighting a notable improvement in hope among those who participated in the intervention. Regarding the Psychological Wellbeing Scale (PWBS), the IG scored significantly higher than the CG, indicating enhanced autonomy in the intervention group. The Modified Social Adjustment Scale (MSAS) scored significantly higher, indicating superior social adjustment in various domains of life for the intervention group.</p><p><strong>Implication: </strong>The integration of horticultural therapy as a therapeutic intervention, the recognition of holistic care, the need for interdisciplinary collaboration, the promotion of patient-centered care, the importance of education and training and the encouragement of evidence-based practice.</p><p><strong>Relevance statement: </strong>The research findings highlight the potential benefits of horticultural therapy in improving the mental health and social adjustment of individuals with psychotic disorders.</p><p><strong>Trial registration: </strong>NCT06077279. https://register.</p><p><strong>Clinicaltrials: </strong>gov/prs/app/action/SelectProtocol?sid=S000DM1R&selectaction=Edit&uid=U0006S6B&ts=2&cx=n4w92t.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295242","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}

{"title":"The Development of Violence Research in Psychiatric Nursing: A Bibliometric Perspective.","authors":"Mustafa Durmuş, Deniz Pamuk, Yusuf Durmuş, Ayşin Çetinkaya Büyükbodur, Ayşe Okanlı","doi":"10.1111/jpm.13182","DOIUrl":"https://doi.org/10.1111/jpm.13182","url":null,"abstract":"<p><strong>Background: </strong>There is a growing emphasis on violence-related research in psychiatric nursing, with an annual increase rate of 2.12% in publications and the highest number of publications occurring in 2024. This trend underscores the escalating importance of addressing violence in mental health settings.</p><p><strong>Aim: </strong>This study aims to demonstrate the quantitative and qualitative features of violence publications in the field of psychiatric nursing from a bibliometric perspective. Web of Science was used during the research.</p><p><strong>Methods: </strong>This study employed bibliometric analysis, a methodological approach for delineating the scope of information and assessing productivity within a specific domain. The data were searched with the keyword combination 'violence and psychiatric nursing', including studies published until December 2024, the study date, without a time limit.</p><p><strong>Results: </strong>In this study, 464 violence research/reviews in the field of nursing were identified between 2001 and 2025, and the research was completed with 438 violence studies in line with the exclusion criteria. 1493 authors wrote 390 research and 48 review/systematic review articles, with an average of 22.14 citations for each publication. Most were published in 2024.</p><p><strong>Discussion: </strong>There is an apparent increase in the involvement of psychiatric nurses in studies pertaining to violence. It is proposed that nursing professionals should undertake further research to investigate violence processes and develop ethically sound approaches to patients and healthy individuals, taking into account biopsychosocial factors.</p><p><strong>Implications for practice: </strong>These findings collectively suggest that while progress is being made in understanding and addressing violence in psychiatric nursing, there remains a critical need for ongoing research, policy development and practical interventions to ensure the safety and well-being of both nurses and patients in mental health settings.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259285","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}

{"title":"Beyond Barriers: Illuminating Pathways to Effective Self-Harm Treatment for Diverse Young People.","authors":"Emma G Lindquist, Diana W Woodward, Lauren Oh, Amy E West","doi":"10.1111/jpm.13178","DOIUrl":"https://doi.org/10.1111/jpm.13178","url":null,"abstract":"<p><strong>Introduction: </strong>Self-harming young people face barriers in accessing effective treatment, including stigmatisation and negative reactions from trusted adults and clinicians. Understanding barriers and facilitators of treatment is crucial for improving help-seeking behaviours and treatment outcomes.</p><p><strong>Aim: </strong>Explore the lived experiences of diverse young people engaged in self-harm to identify the barriers and facilitators in their help-seeking process.</p><p><strong>Method: </strong>Interview 20 young people aged 16-24 from the greater Los Angeles area using semi-structured focus groups. Thematic analysis was conducted using Braun & Clark's six-phase framework in NVivo20.</p><p><strong>Results: </strong>Participants described an iterative help-seeking process. Key barriers included stigmatisation, logistical challenges, negative parental responses, and negative treatment experiences. Key facilitators included trust, coping skills and providers' deep understanding of self-harm.</p><p><strong>Discussion: </strong>Findings highlight the complex nature of help-seeking for self-harm among diverse young people, highlighting the need for enhanced clinical training and patient-centred treatment approaches.</p><p><strong>Limitations: </strong>The study's generalisability is limited by its focus on young people from the Los Angeles area and those with prior professional treatment experience.</p><p><strong>Implications: </strong>Increased education and training about self-harm for laypersons and mental health professionals is essential. Implementing patient-centered approaches can build trust, validate experiences and tailor interventions to individual needs, improving treatment efficacy and reducing stigma.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058588","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}

{"title":"Correction to \"Staff Perspectives of Emergency Department Pathways for People Attending in Suicidal Crisis: A Qualitative Study\".","authors":"","doi":"10.1111/jpm.13179","DOIUrl":"10.1111/jpm.13179","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042672","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}

{"title":"'Practice Nearness' in Qualitative Mental Health Research.","authors":"Philip John Archard, Michelle O'Reilly, Johanna de Lafargue, Sewanu Awhangansi, Stephanie Lindsay","doi":"10.1111/jpm.13177","DOIUrl":"https://doi.org/10.1111/jpm.13177","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056101","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}

{"title":"Analysis of Compassion Fatigue Among Psychiatric Nurses and Its Effect on Spiritual and Competent Care.","authors":"Huda Gaber Hamzaa, Mona Hassan Abdelaal, Mohamed Hussein Ramadan Atta, Hoda Sayed Mohamed Abdelnaby, Ahmed Abdellah Othman","doi":"10.1111/jpm.13174","DOIUrl":"https://doi.org/10.1111/jpm.13174","url":null,"abstract":"<p><strong>Background: </strong>Psychiatric nurses are exposed to patients experiencing severe emotional, psychological and behavioural challenges, which can lead to diminished empathy, compassion and overall well-being. Compassion fatigue, primarily work-related burnout, stems explicitly from the emotional strain of caregiving. The increasing prevalence of compassion fatigue among psychiatric nurses is a significant issue that threatens their ability to deliver competent and compassionate care.</p><p><strong>Aim: </strong>This study seeks to explore the relationship between compassion fatigue, spiritual care and the competence of psychiatric nurses, emphasising the effect of compassion fatigue on spiritual and competent care.</p><p><strong>Method: </strong>This study employed a cross-sectional and correlational design on 322 psychiatric nurses from four hospitals in Alexandria, Sohag, Portsaid and Cairo, selected using convenience sampling. Data were collected through anonymous self-administered questionnaires distributed from March to May 2024. The instruments used included the Compassion Fatigue Self-Test (CFST) scale, the Spirituality and Spiritual Care Rating Scale (SSCRS), the Self-Liking and Competence Scale-Revised Version (SLCS-R) and a demographic questionnaire.</p><p><strong>Findings: </strong>The study's findings revealed significant relationships between compassion fatigue, spirituality, spiritual care and competence among psychiatric nurses. Nurses reported a mean compassion fatigue score of 128.22, and the analyses showed that compassion fatigue negatively correlated with both spirituality and spiritual care (r = -0.411, p < 0.001) and competence (r = -0.196, p < 0.001). Additionally, spirituality and spiritual care were positively correlated with competence (r = 0.357, p < 0.001). Also, linear regression analyses indicated that compassion fatigue negatively impacted spirituality and spiritual care (β = -0.196, p < 0.001).</p><p><strong>Implication: </strong>Enhancing nurses' spiritual care competence through training and support can foster a more compassionate and spiritually supportive environment for patients, which is crucial in psychiatric care settings where patients often face complex emotional and mental health challenges.</p><p><strong>Conclusion: </strong>These findings suggest that psychiatric nurses can improve their ability to deliver spiritually and professionally competent care by mitigating compassion fatigue, thus improving patient outcomes and nurse well-being.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051890","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}

{"title":"Prevention of Violence in an Acute Psychiatric Unit: Spanish Validation of the Brøset Violence Checklist and Assessment of Its Predictive Capacity for Physical Restraint.","authors":"Vera Arenas, Estibaliz Muñoz, Amaia Barroeta, Marisa Oreja, Urko Aguirre, Leire Erkoreka","doi":"10.1111/jpm.13176","DOIUrl":"https://doi.org/10.1111/jpm.13176","url":null,"abstract":"<p><strong>Background: </strong>The management of violence and restrictive practices in acute mental health units poses a challenge for the design of clinical nursing protocols that combine the safety of professionals and the dignified care of patients. Many of the strategies aimed at reducing seclusion and restraint practices include the use of standardised risk assessment instruments, preferably conducted by the nursing staff. Among them, the Brøset Violence Checklist (BVC) is one of the most widely supported tools.</p><p><strong>Aim: </strong>To conduct the Spanish validation of the BVC and to explore its predictive validity for violence and for the use of restraint.</p><p><strong>Methods: </strong>Prospective data from 115 patients consecutively admitted to an acute unit of a general university hospital were gathered to validate the instrument. The role of risk factors for violence such as gender, age, substance use or the involuntariness of the admission was analysed, both in relation to the BVC score and to the need for physical restraint in the short and middle term (72 h and 1 week).</p><p><strong>Results: </strong>The Spanish version of the BVC maintains its predictive validity for imminent violence and guarantees excellent inter-rater reliability among mental health nurses. The score in the first shift after admission is significantly associated with increased odds of restraint at 72 h (OR = 7.272), and age with decreased odds (OR = 0.903), with no significant effect of the rest of the variables.</p><p><strong>Discussion: </strong>The BVC is a reliable tool that seems to capture the risk for violence intrinsic to other factors, such as the involuntariness of admission. Its role in the design of non-restraint policies is discussed.</p><p><strong>Implications for practice: </strong>BVC is a useful and freely available instrument. Its Spanish version opens up its use in the fourth most widely spoken language.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050714","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}