Journal of Psychiatric and Mental Health Nursing最新文献

{"title":"The Effectiveness of a Theory-Based Integrated Intervention on Medication Adherence Among Community-Dwelling Individuals With Schizophrenia: A Quasi-Experimental Study.","authors":"I-Hsien Li, Wen-I Liu, Chien Yu Lai, Chiu-Yueh Yang, Chieh-Yu Liu, Yue-Ming Dai","doi":"10.1111/jpm.70208","DOIUrl":"https://doi.org/10.1111/jpm.70208","url":null,"abstract":"<p><strong>Introduction: </strong>Medication nonadherence remains a major recovery barrier for community-dwelling individuals with schizophrenia.</p><p><strong>Aim: </strong>To evaluate a theory-based integrated medication-adherence intervention.</p><p><strong>Method: </strong>This quasi-experimental study included 75 participants (39 experimental and 36 control). Medication adherence (Medication Adherence Rating Scale, MARS), psychiatric symptoms (Brief Psychiatric Rating Scale, BPRS), medication adherence motivation (University of Rhode Island Change Assessment, URICA) and medication attitudes (Drug Attitude Inventory-10, DAI-10) were assessed at baseline, 12 and 24 weeks. Repeated-measures ANOVA examined Group × Time interactions, change-from-baseline interaction contrasts and timepoint-specific between-group differences; rehospitalisation was assessed from medical records.</p><p><strong>Results: </strong>Group × Time interactions were significant for MARS (p = 0.035, η_p ² = 0.047), BPRS (p = 0.042, η_p ² = 0.045), URICA (p = 0.003, η_p ² = 0.087) and DAI-10 (p = 0.004, η_p ² = 0.082). Between-group differences in change from baseline to Week 24 were significant for all outcomes, whereas from baseline to Week 12, a significant difference in change was observed only for DAI-10. At Week 24, between-group differences favoured the experimental group for MARS (1.186, 95% CI [0.261, 2.111]), URICA (1.507 [0.625, 2.389]) and DAI-10 (3.923 [1.743, 6.103]); the BPRS CI included zero. No rehospitalisations occurred.</p><p><strong>Discussion: </strong>The intervention was associated with favourable medication-related outcomes; adherence effects were modest, symptom findings less conclusive and the non-randomised design limits causal inference.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185147","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 Effect of ACT-Based Psychoeducation on Hope, Resilience and Stress Levels in Individuals Experiencing Earthquake: A Randomized Controlled Trial.","authors":"Hacer Kabakoğlu, Nurgül Özdemir","doi":"10.1111/jpm.70214","DOIUrl":"https://doi.org/10.1111/jpm.70214","url":null,"abstract":"<p><strong>Introduction: </strong>Earthquakes can lead to serious psychological consequences such as reduced resilience, loss of hope, and post-traumatic stress. Effective interventions are needed to support the mental health of survivors.</p><p><strong>Aim: </strong>This study aimed to evaluate the effectiveness of Acceptance and Commitment Therapy (ACT)-based psychoeducation in improving resilience and hope, and reducing post-traumatic stress symptoms among earthquake survivors.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted with 80 participants (40 intervention, 40 control; 10 participants later withdrew) residing in container cities in southeastern Türkiye. Data were collected using the Brief Resilience Scale (BRS), Dispositional Hope Scale (DHS), and PTSD Scale (PTSD-S). The intervention group received ACT-based group psychoeducation over 8 weeks; the control group received no intervention. Assessments were conducted at baseline, post-intervention, and at a 3-month follow-up.</p><p><strong>Results: </strong>Pre-test scores showed no significant differences between the groups (p > 0.05). Post-test and 3-month follow-up results indicated significantly higher resilience and hope levels, and lower PTSD symptoms in the intervention group (p < 0.05). Within-group analysis revealed consistent improvements across all variables for the intervention group. In the control group, a slight increase in resilience and a limited reduction in post-traumatic stress symptoms were observed. The effects of the intervention were maintained at the 3-month follow-up; while hope levels remained stable (p > 0.05), PTSD symptoms in the intervention group continued to decrease significantly (p < 0.001). Resilience scores showed a decrease from post-test to follow-up (p < 0.001); however, follow-up resilience levels remained significantly higher than baseline levels (p < 0.001).</p><p><strong>Discussion: </strong>ACT-based psychoeducation appears effective in promoting psychological resilience and hope while reducing trauma symptoms among disaster-affected individuals. These findings support the use of structured ACT interventions in post-disaster mental health care. İMPLICATIONS: ACT-based psychoeducation can be effectively used by mental health professionals in disaster settings to enhance resilience and hope while reducing PTSD symptoms. Its structured group format makes it a practical and accessible intervention for post-disaster mental health care.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: NCT06536205.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149185169","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":"Strengthening the Carer Without Shifting the Burden: Mindfulness-Based Stress Reduction Alongside Social Support.","authors":"Andi Ratu Boelqiah Assaad, Retno Putri, Faa'iz Mu'aafii Hibatullah, Annisa Ramadhana Apparesya, Raup Padillah","doi":"10.1111/jpm.70212","DOIUrl":"https://doi.org/10.1111/jpm.70212","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138977","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":"Testing Relational Fidelity in Recovery-Oriented Suicide Safety Planning.","authors":"Matenneh A Kenneh, Rajesh Prasad Jayaswal","doi":"10.1111/jpm.70209","DOIUrl":"https://doi.org/10.1111/jpm.70209","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117810","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":"A Lived Experience Perspective on Digital Regulatory Practices.","authors":"Holly Coole, Grace Gatera, Ellen Thomas","doi":"10.1111/jpm.70204","DOIUrl":"https://doi.org/10.1111/jpm.70204","url":null,"abstract":"<p><p>The paper reflects on a Wellcome-funded project led by the Medicines and Healthcare products Regulatory Agency (MHRA) in collaboration with the National Institute for Health and Care Excellence (NICE). Initiated in 2023, the project aimed at developing guidance and regulatory frameworks for digital mental health technologies (DMHTs), emphasising meaningful lived experience involvement throughout the process to ensure accessibility, inclusivity, and accountability. It details methods of engagement, key insights on best practices for lived experience involvement, challenges such as overcoming technical jargon and provides recommendations for broader adoption of lived experience integration, improved public awareness, cross-sector collaboration, and equitable digital futures in mental health regulation and innovation. The paper offers a hybrid narrative approach in which the details of the project are presented and are followed by the lived experience insights of the contributing authors. This highlights the collaborative nature of the project itself and the outputs but gives space for the considered reflections of what it felt like to be part of this initiative. The paper considers recommendations for how lived experience should be incorporated into similar projects in future. The paper articulates the benefit of lived experience for projects that have an impact on the way in which DMHTs are regulated. In this instance the outputs, informed by lived experience, help ensure that DMHTs are safe and effective and will be reflected in what technologies are integrated into mental health nursing practice. It is also important to note that DMHTs are often accessed outside of mental health service settings, and so practitioner awareness of their risks and benefits should be encouraged.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117718","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":"From Population Averages to Individual Realities: A Debate on Using Intensive Longitudinal Methods in Mental Health Nursing Research.","authors":"Babak Alfred Saatchi","doi":"10.1111/jpm.70210","DOIUrl":"https://doi.org/10.1111/jpm.70210","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117802","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":"Implementing Reserved Therapeutic Space in Acute Mental Health Nursing: From Protected Time to Protected Relational Practice.","authors":"Pei-Chen Li, Lien-Chung Wei","doi":"10.1111/jpm.70174","DOIUrl":"10.1111/jpm.70174","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":"933-934"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13551104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413594","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}

{"title":"From 'Lack of Insight' to Being a Knower: A Personal Turning Point in Psychiatric Inpatient Care.","authors":"Jennie Moberg","doi":"10.1111/jpm.70175","DOIUrl":"10.1111/jpm.70175","url":null,"abstract":"<p><strong>Background: </strong>At times, the psychiatric inpatient system pathologizes patient perspectives as 'lack of insight', framing survival strategies as DSM symptoms. In these moments, power imbalances emerge that risk silencing patients' experiential knowledge.</p><p><strong>Purpose: </strong>This autoethnography reflects on my journey from invalidated patient to 'knower' to underscore the need for curiosity-driven, person-centred practices that validate lived wisdom in mental health recovery.</p><p><strong>Methods: </strong>A first-person autoethnographic narrative draws on lived experience of inpatient care, including periods of compulsory treatment during severe anorexia and post-ECT amnesia, combined with retrospective reflection and critical engagement with psychiatric literature and power dynamics.</p><p><strong>Findings: </strong>When patients' voices are ignored, recovery stalls, risking internalized illness identities. Reclaiming narrative through writing enables 'double recovery'-from suffering and systemic marginalization. This fosters equality through questions like 'How do you understand your experience?'-a stark contrast to DSM's symptom-focused framing.</p><p><strong>Relevance to mental health nursing: </strong>Drawing on my experience of inpatient care, mental health nursing can help shift psychiatric practice towards a more collaborative approach that actively incorporates patients' own explanations into assessment, documentation and care planning. This can begin by asking how patients understand what is happening, recording their own explanations alongside clinical observations and co-designing goals that align with patients' priorities. In doing so, staff can better recognize survival strategies as meaningful responses to distress and strengthen trust through more person-centred practice.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":"935-938"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13551267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425902","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}

{"title":"Contributing Factors to Severe Workplace Violence in Forensic Psychiatry: A Longitudinal Retrospective Analysis of Incident Reports.","authors":"Matias Karvonen, Riitta Askola, Emilia Laukkanen, Anssi Kuosmanen, Lauri Kuosmanen","doi":"10.1111/jpm.70173","DOIUrl":"10.1111/jpm.70173","url":null,"abstract":"<p><strong>Background: </strong>Psychiatric nurses in forensic psychiatric units encounter high levels of workplace violence, but less is known about how ward routines and environmental factors relate to incident severity.</p><p><strong>Aim/question: </strong>To identify temporal, routine-related, work-related and environmental factors associated with severe reported workplace violence incidents in a Finnish forensic psychiatric hospital.</p><p><strong>Method: </strong>This longitudinal retrospective study analysed 956 workplace violence reports from 2020-2024 using descriptive statistics, chi-square tests with Benjamini-Hochberg FDR correction and inductive content analysis of narratives from incidents involving outdoor activities.</p><p><strong>Results: </strong>Severe reported incidents were associated with time of day (FDR-adjusted p = 0.030, V = 0.12), incidents involving outdoor activities (FDR-adjusted p = 0.030, V = 0.08), incident location (FDR-adjusted p < 0.001, V = 0.28) and ward (FDR-adjusted p < 0.001, V = 0.46). Incidents involving outdoor activities were more often classified as severe and frequently involved physical violence.</p><p><strong>Discussion: </strong>Daytime and afternoon periods, incidents involving outdoor activities and specific ward locations were associated with a higher proportion of severe reported incidents, suggesting that routine and environmental factors shape incident severity.</p><p><strong>Limitations: </strong>Limitations include the single-site retrospective design, voluntary reporting, possible repeated incidents involving the same patients and subjective classification of some reports.</p><p><strong>Implications for practice: </strong>Targeted nurse-led prevention should focus on incidents involving outdoor activities, afternoon peaks and location-specific controls to support safety in forensic psychiatric wards.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":"922-932"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13551209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413572","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}

{"title":"Managing Emotion in Clinical Supervision Through Oller-Vallejo's Model of Ego States.","authors":"Paul Linsley, John Hurley","doi":"10.1111/jpm.70161","DOIUrl":"10.1111/jpm.70161","url":null,"abstract":"<p><strong>Aim: </strong>This paper examines the value of Oller-Vallejo's (2001) ego state model as a framework for understanding emotional dynamics in mental health nursing clinical supervision, and its integration with Proctor's (1986) model of supervision.</p><p><strong>Background: </strong>Mental health nursing is characterised by high emotional demand, relational complexity and exposure to psychological distress. Clinical supervision is increasingly recognised as essential for supporting emotional well-being, professional development and safe practice. However, there remains a need for more psychologically informed frameworks to better understand the emotional processes occurring within supervisory relationships.</p><p><strong>Method: </strong>This paper adopts a conceptual, theory-informed approach, drawing on published literature relating to ego state theory and clinical supervision models. A narrative synthesis is used to explore how these frameworks can be integrated to enhance understanding of emotional processes in supervision.</p><p><strong>Discussion: </strong>The ego state concepts of caregiving, caregetting and individuating are used to explore emotional roles and relational dynamics within supervision. These are considered alongside Proctor's (1986) restorative, formative and normative functions of supervision. The integration of these models provides a structured way to understand emotional containment, dependency, autonomy and professional development within supervisory relationships in mental health nursing.</p><p><strong>Conclusion: </strong>The paper proposes that combining ego state theory with established supervision models offers a psychologically informed framework for enhancing clinical supervision. This has implications for supporting emotional resilience, improving reflective practice and strengthening workforce well-being and sustainability in mental health nursing.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":"898-906"},"PeriodicalIF":3.1,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13551198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340958","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}