Journal of Psychiatric and Mental Health Nursing最新文献

{"title":"Identifying Barriers to Seamless Mental Health Care Transitions: A Mixed Methods Study Exploring the Lead-Up to Unplanned Psychiatric Admissions.","authors":"Nicola Geffen, Idalia Rodriguez, Marianne Wyder, Manaan Kar Ray","doi":"10.1111/jpm.70036","DOIUrl":"https://doi.org/10.1111/jpm.70036","url":null,"abstract":"<p><strong>Introduction: </strong>The overcrowded and overstimulating Emergency Department (ED) is ill-suited to the needs of people experiencing a mental health crisis and risks exacerbating distress. To reduce ED presentations and facilitate care transitions, the role of Transition Coordinator (TC) nurse was created. However, people receiving case management continued to attend ED, experiencing mental distress and needing admission.</p><p><strong>Aim/question: </strong>This mixed methods study explores the lead-up to these admissions to identify barriers to proactive care transitions.</p><p><strong>Method: </strong>Retrospective review of community mental health service clinical records for the 12 months preceding all unexpected admissions via ED in 2023.</p><p><strong>Results: </strong>Themes included difficulty engaging with services, gaps in knowledge of case managers, support workers, and systemic issues including limited hours of service and recent hospital discharge.</p><p><strong>Discussion: </strong>The study highlights the need for integration between hospital and community mental health services, the importance of crisis management planning, and the need for services to work together to smooth care transitions.</p><p><strong>Implications: </strong>Understanding factors associated with unexpected mental health deterioration allows care providers to modify practice and develop services that facilitate seamless care transitions and provide care matched to individual need.</p><p><strong>Recommendations: </strong>Integrated mental health services should consider the quality of care transitions, communication between different arms of the service, early identification of people at risk of mental health crisis, and access to services outside business hours.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240161","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":"Ethical Big Data for Personalised Mental Health Nursing: A P4 and Systems View.","authors":"Erman Yıldız","doi":"10.1111/jpm.70038","DOIUrl":"https://doi.org/10.1111/jpm.70038","url":null,"abstract":"<p><strong>Background: </strong>Mental health nursing faces transformation through big data and metadata integration. These technologies create new opportunities but introduce ethical and practical complexities. Digital adoption accelerated during COVID-19, making it essential to understand implications for nursing practice.</p><p><strong>Aim: </strong>This perspective paper aims to critically examine the transformative potential and ethical dilemmas of leveraging big data in mental health nursing, guided by systems biology and P4 (Predictive, Preventive, Personalised, and Participatory) medicine principles. It seeks to define the evolving roles of mental health nurses in this new digital landscape.</p><p><strong>Method: </strong>This perspective essay utilises a focused literature review of key studies in nursing, psychiatry, informatics, and ethics, alongside theoretical approaches including systems biology, P4 medicine, and a personalist ethical framework. The analysis explores the integration of big data, focusing on potential benefits, risks, and ethical considerations.</p><p><strong>Results: </strong>Big data contributes meaningfully to early diagnosis, personalised treatments, and prevention strategies. However, these contributions must supplement, not substitute, traditional nursing approaches. AI diagnostic tools and digital phenotyping for relapse prediction demonstrate practical applications. Excessive algorithmic dependence risks damaging patient-nurse relationships. Data privacy, algorithmic bias, and access inequities present significant ethical challenges requiring careful attention.</p><p><strong>Conclusion: </strong>Big data implementation should enhance, not replace, human interaction in mental health nursing. A new synthesis is proposed where data-driven insights support efficiency, allowing nurses more time for complex emotional needs. Key recommendations include strengthening data literacy in nursing education, developing robust data governance policies, and establishing comprehensive ethical principles to preserve the essential human dimension of care and ensure equitable access.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145226332","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 Person-Centred Care Practices of Mental Health Nurses: A Cross-Sectional Study.","authors":"Chantille Isler, Joy Maddigan, Donna Moralejo, Alice Gaudine, Robin Burry, Ahmad Deep, Hensley Mariathas","doi":"10.1111/jpm.70033","DOIUrl":"https://doi.org/10.1111/jpm.70033","url":null,"abstract":"<p><strong>Introduction: </strong>Person-centred care can result in improved patient satisfaction and health outcomes; however, operationalisation has been challenging in mental health settings.</p><p><strong>Aim: </strong>To describe person-centred mental health nursing practices and associated factors.</p><p><strong>Methods: </strong>The study was underpinned by The Person-Centred Practice Framework. All mental health and addictions registered nurses in one Canadian province were invited to complete the Person-centred Practice Inventory-Staff (PCPI-S) and a short demographic questionnaire. EQUATOR network recommendations for quantitative (STROBE) data were followed.</p><p><strong>Results: </strong>Nurses scored all three domains of the PCPI-S favourably, indicating strong evidence for person-centred practices; the practice environment domain was rated the lowest. There was a moderate, positive, statistically significant (r_s = 0.451, p < 0.001) association between the practice environment domain score and the person-centred process domain score, which was the measure of delivery of person-centred care. A regression model explained 76.1% of the variance in delivery of person-centred care. Significant predictors were: (1) the prerequisites domain score of the PCPI-S, (2) the environment domain score of the PCPI-S and (3) nurses' relationship with their manager.</p><p><strong>Discussion: </strong>Findings from our study provide strong support for the use of the Person-centred Practice Framework in mental health nursing, particularly in the context of Canadian mental health and addictions services. Study results align with existing evidence that also reported generally favourable PCPI-S scores with comparatively lower scores in the practice environment domain.</p><p><strong>Recommendations: </strong>To address practice environment concerns, future research should focus on the context within which care takes place and its impact on the delivery of person-centred care.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092720","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 Correlation Between Suicide Risk and Emotion Regulation Strategies in Patients With Bipolar Disorder: A Cross-Sectional Study.","authors":"Sedef Tonaydin, Sibel Polat Olca","doi":"10.1111/jpm.70034","DOIUrl":"https://doi.org/10.1111/jpm.70034","url":null,"abstract":"<p><strong>Introduction: </strong>Emotional dysregulation is among the psychological factors involved in the risk of suicide among patients with psychiatric disorders.</p><p><strong>Aim: </strong>The present study aimed to examine the correlation between cognitive reappraisal and suppression-two strategies for emotional regulation-and the risk of suicide among patients diagnosed with bipolar disorder.</p><p><strong>Method: </strong>This study was conducted as a cross-sectional, descriptive and correlational study. A simple random sample of 100 patients meeting the inclusion criteria and providing informed consent comprised the study sample. The Suicide Probability Scale (SPS), Emotional Regulation Questionnaire (ERQ), Young Mania Rating Scale (YMRS) and Beck Depression Inventory (BDI) were used to collect data.</p><p><strong>Results: </strong>The participants' mean scores for reappraisal and suppression subscales of ERQ were 26.84 ± 5.8 and 14.22 ± 3.65, respectively. The SPS total mean score of the participants was 90.84 ± 5.5. The mean score of the participants who attempted suicide on the suppression subscale of the ERQ was higher than the score of those who did not attempt suicide.</p><p><strong>Discussion: </strong>The results of the study showed that patients with euthymic bipolar disorder who were hospitalised in a psychiatric clinic and were at the discharge stage had a high risk of suicide.</p><p><strong>Implications for practice: </strong>Planning and implementing clinical procedures by mental health and psychiatric nurses to improve patients' emotional regulation strategies and prevent suicide will help manage suicide risk.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088003","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":"Reducing the Length of Time Psychiatric Patients Who Are Assessed as Requiring an Adult Mental Health Inpatient Bed Spend in the Emergency Department; a Systemic Quality Improvement Journey.","authors":"Louise Hunter, Deborah McSparron","doi":"10.1111/jpm.70028","DOIUrl":"https://doi.org/10.1111/jpm.70028","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Presenting problem: &lt;/strong&gt;There are significant pressures on Adult Mental Health Crisis and Inpatient Services, which is a complex and fragile system. This has led to psychiatric patients spending protracted waits in emergency departments (ED) for access to a mental health inpatient bed. This paper describes a large-scale improvement project that adopts a systemic approach to understanding the problem and testing change ideas generated by staff to bring about improvement. The SQUIRE guidelines were followed in writing this paper.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Tests of change: &lt;/strong&gt;The change ideas tested were: Testing of a 7 Day Assessment Centre to provide an alternative pathway for low risk patients waiting in ED. This facilitates a longer period of assessment for the patient and enables the provision of short-term intervention, stabilising the patient and decreasing the reliance on an inpatient admission. Testing of the Side by Side Model, which promotes joint assessment and care planning for mental health patients presenting in the ED experiencing a crisis. Adult Mental Health and ED professionals work collaboratively, thereby reducing the length of time the patient is waiting in ED to determine an assessment outcome and to find the right care pathway. Improved Interface working between Inpatient and Community Services to facilitate timely discharge and address the delayed discharge position, improving overall flow in the system.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Outcomes: &lt;/strong&gt;Quality improvement methodologies were adopted to engage staff in the process and to measure the impact of change ideas. There has been evidence of improvement in the system with regards to: a reduction in the length of time that psychiatric patients are waiting in ED to complete their assessment and determine the right care pathway, a reduction in admissions to our adult mental health inpatient wards and reduced bed occupancy, an increase in patients discharged on a community pathway, a reduction in the number of patients waiting in ED, a reduction in the delayed discharge position and the number of patients becoming delayed in adult mental health inpatient wards through better interface working. This has led to overall decreased pressures on the ED system, better utilisation of resources and improved staff and patient experience. This quality improvement journey has given staff an opportunity to build confidence in the use of QI methodology and tools, to test ideas that they believe will and have made a difference, to give them a voice in the process, to inspire hope around what the future service might look like, to celebrate success in their achievements and to allow them to express what matters to them. All of this has contributed to fostering an improvement culture across adult mental health services and re-energised staff working in really challenging and pressurised environments.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Relevance statement: &lt;/strong&gt;This paper discusses change ideas that front line st","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088018","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":"Getting Real: How Intersectionality Challenges the 'One Size Fits All' Approach to Global Mental Health.","authors":"Zaqia Rehman, Paul Illingworth","doi":"10.1111/jpm.70031","DOIUrl":"https://doi.org/10.1111/jpm.70031","url":null,"abstract":"<p><p>This paper offers an intersectional perspective to enable inclusivity when addressing global mental health challenges, whilst also tackling social exclusion and vulnerability. Examples are given from purposefully selected countries to demonstrate the effectiveness of exploring issues through an intersectional approach. The authors conclude that a 'one size fits all' approach, when working towards universal mental health, is not the best approach and cannot provide a solution for all. They suggest the WHO, UN, governments and mental health agencies need to view global mental health differently to achieve alternative and better targeted solutions.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082243","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":"Understanding Privatisation of Mental Health Services: Insights From Karl Marx's Capital.","authors":"Myles Balfe","doi":"10.1111/jpm.70032","DOIUrl":"https://doi.org/10.1111/jpm.70032","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071024","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":"Resilience, Qualitative Enquiry, and Global Perspectives in Violence Research: A Needed Agenda.","authors":"Dominikus David Biondi Situmorang, Rina Nurhudi Ramdhani, Ipah Saripah","doi":"10.1111/jpm.70035","DOIUrl":"https://doi.org/10.1111/jpm.70035","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066177","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":"Investigation of the Role of Perceived Stigma on Family Resilience in Family Members of People With A Chronic Mental Illness: A Cross-Sectional Study.","authors":"Ayşe Sarı, Figen Şengün İnan, Zekiye Çetinkaya Duman, Erkan Ünsal","doi":"10.1111/jpm.70029","DOIUrl":"https://doi.org/10.1111/jpm.70029","url":null,"abstract":"<p><strong>Introduction: </strong>In the provision of comprehensive care, it is important to identify factors that affect the resilience of family caregivers of people with a chronic mental illness.</p><p><strong>Aim: </strong>This study was aimed at investigating the association between perceived family stigma and family resilience among family caregivers of people with a chronic mental illness.</p><p><strong>Method: </strong>In the study, the cross-sectional, correlational design was used. The sample consisted of 158 family caregivers of individuals diagnosed with a chronic mental illness (schizophrenia and bipolar disorder) who were attending an outpatient unit of a university hospital. Data were collected using the stigma section of the Family Interview Schedule (FIS), and Family Hardiness Index and Sociodemographic Characteristics Form. Multiple linear regression analysis was used to analyse the data. In the reporting of the study, the STROBE checklist was used.</p><p><strong>Results: </strong>Family stigma (β = -0.564, p = 0.001) and duration of caregiving (β = -0.396, p = 0.001) were associated with family resilience. In the model, family stigma and duration of caregiving accounted for 30% of the variance in family resilience (Adjusted R² = 0.300) (F = 33.142, p = 0.001).</p><p><strong>Conclusion: </strong>Perceived stigma of the family and duration of caregiving are important determinants of family resilience. There was a significant negative relationship between family stigma and family resilience.</p><p><strong>Limitations: </strong>The fact that the study was conducted in a single hospital may have affected the generalisability of the results in terms of sample diversity. The hospital where the research was conducted is a university hospital and thus it is thought that supportive services for caregivers are relatively better. The other limitation is that a cross-sectional design was used, making it impossible to identify causal relationships.</p><p><strong>Recommendations: </strong>It is recommended that the long-term effects of perceived stigma of caregivers on family resilience be investigated in future studies. It is recommended that mental health nurses plan nursing interventions to reduce the family's perceived stigma in order to increase family resilience.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042061","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":"Enhancing Mental Health Care Through Religious Beliefs: Insights and Future Directions.","authors":"Chang Hu","doi":"10.1111/jpm.70030","DOIUrl":"https://doi.org/10.1111/jpm.70030","url":null,"abstract":"<p><strong>Background: </strong>The study by Hennipman-Herweijer et al. documents the experiences of Dutch Protestant Christians living with a suicidal relative, revealing the complex role of religious beliefs in coping with suicidality.</p><p><strong>Objective: </strong>To contextualise these findings within the global mental health care framework and highlight the universal importance of addressing religious beliefs in mental health care.</p><p><strong>Content: </strong>Drawing on Dutch studies and international literature, this letter underscores the dual role of religious beliefs in coping with suicidality. The study finds that religious beliefs can provide support and comfort to Christian relatives of suicidal individuals but may also induce guilt and fear due to religious interpretations of suicide. International studies indicate that the role of religion in mental health care is universal, and strategies targeting religious coping and spiritual support can significantly improve the quality of mental health care.</p><p><strong>Implications: </strong>Mental health care providers worldwide should integrate religious beliefs and spiritual support, develop training programmes targeting religious coping strategies, and offer structured psychosocial skills training to enhance mental health care outcomes for individuals with religious backgrounds.</p><p><strong>Conclusion: </strong>Shared challenges demand globally informed yet locally adapted mental health policies to better meet the needs of individuals with religious backgrounds.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034414","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}