Journal of Psychiatric and Mental Health Nursing最新文献

{"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":"https://doi.org/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}

{"title":"The Mediating Role of Mindfulness Between Impulsive Sensation Seeking and Readiness for Change Among Clients With Substance Use Disorders.","authors":"Ayman Mohamed El-Ashry, Heba Mohamed Abdelaal","doi":"10.1111/jpm.13172","DOIUrl":"https://doi.org/10.1111/jpm.13172","url":null,"abstract":"<p><strong>Objective: </strong>Examine the mediating role of mindfulness between impulsive sensation seeking and readiness for change.</p><p><strong>Design: </strong>A cross-sectional descriptive correlational study was conducted.</p><p><strong>Methods: </strong>A convenient sample of 200 clients with substance use disorders was recruited. Data were collected using the Five Facet Mindfulness Questionnaire, the Impulsive Sensation Seeking scale, and the Stages of Change Readiness and Treatment Eagerness Scale.</p><p><strong>Results: </strong>A significant positive correlation was found between mindfulness and readiness for change (r = 0.174, p = 0.014), and a significant negative correlation between readiness for change and impulsive sensation seeking (r = -0.219, p = 0.002). Impulsivity (mean percent score = 80.25%) and sensation-seeking traits (mean percent score = 78.73%) negatively impacted readiness for change. Mindfulness partially mediated the relationship between impulsive sensation seeking and readiness for change (indirect effect = -0.056, p = 0.005).</p><p><strong>Conclusion: </strong>Mindfulness-based interventions show potential to enhance readiness for change by mitigating impulsivity. Addressing the interplay between impulsive sensation seeking, mindfulness, and readiness for change may promote recovery in clients with substance use disorders. While sustained recovery was not longitudinally assessed, findings suggest pathways for future investigation.</p><p><strong>Nursing implications: </strong>Psychiatric nurses must incorporate mindfulness interventions, regular assessments of impulsivity, and tailored care plans in their care for clients with substance use disorders. Educating patients on mindfulness benefits and providing continuous support through the change process might improve substance use disorders treatment outcomes. By integrating these strategies, psychiatric nurses can significantly enhance the effectiveness of substance use disorders treatments.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804629","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 Relationship Between Insomnia and Depressive Symptoms in a Sample of Patients With Schizophrenia: Do Psychotic Symptoms Play a Mediating Role?","authors":"Abdallah Abu Khait, Austin Menger, Mohammed Munther Al-Hammouri, Ayat ALhamdan, Esra'a Issa, Harshita Rayapureddy, Shaher H Hamaideh","doi":"10.1111/jpm.13175","DOIUrl":"https://doi.org/10.1111/jpm.13175","url":null,"abstract":"<p><strong>Introduction: </strong>Depressive symptoms, bidirectionally associated with insomnia, are common comorbidity among patients with schizophrenia. The current literature lacks conclusive evidence about the mediating role of either positive or negative symptoms in the relationship between insomnia and depressive symptoms.</p><p><strong>Aim/question: </strong>This study aimed to examine the mediating role of psychotic symptoms on the relationship between insomnia and depression in a sample of patients with schizophrenia.</p><p><strong>Methods: </strong>A cross-sectional, mediational design was used in this cross-sectional study, using a convenience sampling method to recruit 279 patients with schizophrenia.</p><p><strong>Results: </strong>Insomnia total score ( <math> <semantics><mrow><mi>β</mi></mrow> <annotation>$$ beta $$</annotation></semantics> </math> = 0.351, p < 0.001), work status ( <math> <semantics><mrow><mi>β</mi></mrow> <annotation>$$ beta $$</annotation></semantics> </math> = 3.053, p < 0.001), living arrangement ( <math> <semantics><mrow><mi>β</mi></mrow> <annotation>$$ beta $$</annotation></semantics> </math> = -2.071, p = 0.019), number of previous suicide attempts ( <math> <semantics><mrow><mi>β</mi></mrow> <annotation>$$ beta $$</annotation></semantics> </math> = 1.087, p < 0.001) and medication adherence ( <math> <semantics><mrow><mi>β</mi></mrow> <annotation>$$ beta $$</annotation></semantics> </math> = -1.456, p = 0.031) explained 41.9% of the variability in depression total score (F = 41.14, p < 0.001). Negative psychotic symptoms positively (partially) mediated the relationship between insomnia and depression (p < 0.001).</p><p><strong>Discussion: </strong>The indirect effect for the negative psychotic symptom total score was significant and positive. This finding implies that, on average, higher insomnia total scores increase negative psychotic symptom total scores, which then increase depression scores.</p><p><strong>Implications for practice: </strong>The study highlights the significance of early detection and management of insomnia by integrating sleep assessments into standard mental health care to mitigate the negative impact of insomnia on both psychotic and depressive symptoms. Furthermore, this proactive approach may help mental health nurses improve patients' long-term outcomes by addressing these comorbidities before they escalate.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804631","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":"Artificial Intelligence in Mental Health Nursing: Balancing Clinical Efficiency and the Human Touch-A Quest for a New Synthesis.","authors":"Erman Yıldız","doi":"10.1111/jpm.13173","DOIUrl":"https://doi.org/10.1111/jpm.13173","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI) applications are increasingly being integrated into mental health nursing, presenting opportunities alongside challenges.</p><p><strong>Aim: </strong>This article aims to examine the complex balance between leveraging AI for clinical efficiency and preserving indispensable human elements such as empathy and the therapeutic relationship in mental health nursing.</p><p><strong>Method: </strong>Utilizing a review of literature, theoretical approaches, and insights from field observations, this debate essay explores the integration of AI, focusing on potential benefits, risks, and ethical considerations.</p><p><strong>Results: </strong>Findings indicate that while AI offers undeniable contributions to diagnostic processes and care coordination, its role should be complementary, not substitutive. Excessive reliance on algorithms risks damaging the patient-nurse relationship, potentially reducing individuals to data points. Significant ethical issues, including data privacy and algorithmic bias, require careful consideration.</p><p><strong>Conclusion: </strong>AI should be implemented to enhance, not replace, human interaction in mental health nursing. A new synthesis is proposed where AI systems support efficiency, thereby allowing nurses more time to address patients' complex emotional needs. Key recommendations include restructuring nursing education, creating robust feedback channels, and establishing comprehensive ethical principles to preserve the essential human dimension of care.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755119","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":"Film Therapy and Anxiety Disorders, Self-Esteem and Quality of Life. Report From Research.","authors":"Armen Mekhakyan, Agata Szulc","doi":"10.1111/jpm.13166","DOIUrl":"https://doi.org/10.1111/jpm.13166","url":null,"abstract":"<p><strong>Background: </strong>The article explores the applicability of film therapy in anxiety disorders, focusing on its role in enhancing self-esteem and improving quality-of-life assessments in patients. Anxiety is characterized as a serious clinical issue occurring in the context of numerous mental and emotional disorders.</p><p><strong>Aims: </strong>This study aims to analyze the theoretical foundations and research findings regarding film therapy as a psychotherapeutic method, with a particular focus on its impact on anxiety reduction, self-esteem, and quality of life.</p><p><strong>Materials and methods: </strong>The study presents key theoretical considerations, tools used, and research methodology. A selection of self-esteem issues and their significance for mental health is examined. The research process includes an evaluation of film therapy's effectiveness through specific assessment tools.</p><p><strong>Results: </strong>The findings indicate that film therapy significantly contributes to reducing anxiety, improving self-esteem, and enhancing quality-of-life measures. The therapeutic process involving film therapy is particularly effective in a long-term perspective.</p><p><strong>Discussion: </strong>The study highlights the key tenets of film therapy and its integration into psychotherapeutic practice. The interconnections between film therapy and broader psychological and emotional processes are examined.</p><p><strong>Conclusion: </strong>Film therapy is a valuable therapeutic method that plays a crucial role in anxiety management, self-esteem improvement, and quality-of-life enhancement. Future studies should explore its broader applications and long-term benefits.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677370","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 Role of Acceptance of Aversive Experiences and Perceived Social Support on the Probability of Relapse Among Patients With Substance Use Disorders.","authors":"Heba Mohamed Abdelaal, Ayman Mohamed El-Ashry, Mira Naguib Abdelrazek","doi":"10.1111/jpm.13170","DOIUrl":"https://doi.org/10.1111/jpm.13170","url":null,"abstract":"<p><strong>Background: </strong>Substance use disorders are prevalent and pose significant challenges to successful treatment outcomes, with high rates of relapse being a major obstacle. Perceived social support and acceptance of aversive experiences have been identified as potential factors influencing relapse outcomes among patients with substance use disorders. However, their combined influence and mediating effects remain less explored in the literature.</p><p><strong>Aim: </strong>Examine the role of acceptance of aversive experiences and perceived social support on the probability of relapse among patients with substance use disorders.</p><p><strong>Design and methods: </strong>A descriptive correlational study was conducted on 200 patients with substance use disorders who were recruited to complete the Acceptance and Action Questionnaire-II, the Multidimensional Scale of Perceived Social Support, and the Advance WArning of RElapse Questionnaire.</p><p><strong>Results: </strong>The findings revealed a significant positive correlation between acceptance of aversive experiences and social support. Additionally, a significant negative correlation was observed between the probability of relapse and acceptance of aversive experiences, as well as between the probability of relapse and total social support. Most patients exhibited a high level of acceptance of aversive experiences, and a substantial proportion had a low probability of relapse. The study also identified that all variables, except perceived social support from friends and essential people, significantly predicted the probability of relapse.</p><p><strong>Conclusion: </strong>The study emphasises the significant roles of acceptance of aversive experiences and perceived social support in reducing the likelihood of relapse among patients with substance use disorders. It suggests that incorporating acceptance-based coping strategies and strengthening social support networks can enhance treatment outcomes and prevent relapse. These findings have important implications for the training and education of psychiatric nurses involved in the treatment of patients with substance use disorders.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677363","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}