Journal of Psychiatric and Mental Health Nursing最新文献

{"title":"The Effects of Visual Art Therapy on Improving Anxiety Symptoms in Adults: A Systematic Review and Meta-Analysis.","authors":"Wei Huang, Taiyuan Luan, Li Li, Airong Zhang, Yu Mu, Yubo Sun, Kexin Huang, Rixin Qin, Wei Liu, Haiyan Guo","doi":"10.1111/jpm.70003","DOIUrl":"https://doi.org/10.1111/jpm.70003","url":null,"abstract":"<p><strong>Background: </strong>Anxiety is a common psychological disorder, which may affect daily life, including work, social and personal relationships, leading to a poor quality of life and social costs. Visual Art Therapy (VAT) is an increasingly recognised non-pharmacological intervention aimed at improving mental health through creative activities such as painting and sculpture.</p><p><strong>Objective: </strong>To examine the effectiveness of VAT in reducing anxiety symptoms in adults.</p><p><strong>Design: </strong>A systematic review and meta-analysis, including only randomised controlled trials (RCTs).</p><p><strong>Methods: </strong>Ten databases were systematically searched from inception to July 26, 2024. Standardised mean difference (SMD) was calculated using random effects models. Sensitivity, subgroup and meta-regression analyses were performed to explore potential sources of heterogeneity.</p><p><strong>Results: </strong>The pooled results of 35 studies showed VAT had a significant effect on improving anxiety symptoms (SMD = -1.31; 95% CI, -1.80 to -0.95; p < 0.001; 35 RCTs, 3167 participants; very low-quality evidence), compared to control group. Subgroup analysis revealed that the effect size was influenced by several factors, including the mean age, duration of the intervention, gender distribution, the presence of mental health problems in adults and the types of interventions used.</p><p><strong>Conclusion: </strong>VAT may be a potentially effective alternative approach for managing anxiety symptoms in adults, particularly in the context of mental health nursing. Designing and providing this programme for adults with anxiety symptoms could offer a valuable, non-pharmacological intervention that mental health nurses can integrate into their practice.</p><p><strong>Trial registration: </strong>PROSPERO number: CRD42023462477 (December 7, 2023).</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700223","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 Impact of Coercive Measures on the Therapeutic Relationship Between Patients and Nurses in the Acute Psychiatric Care. An Integrative Review.","authors":"Florian Wostry, Sabine Hahn, Berta Schrems","doi":"10.1111/jpm.70012","DOIUrl":"https://doi.org/10.1111/jpm.70012","url":null,"abstract":"<p><strong>Introduction: </strong>The reduction of coercion requires a stable therapeutic relationship. It is generally assumed that coercive measures have a negative effect on the therapeutic relationship, but little is known about the specific impact.</p><p><strong>Question: </strong>What is the impact of coercive measures in acute psychiatric care on the therapeutic relationship between nurses and patients?</p><p><strong>Method: </strong>An integrative review and a thematic analysis were undertaken.</p><p><strong>Results: </strong>Theme 1, labelled 'Destructive effects', encompasses three subthemes: 'Loss of trust', 'Power imbalance' and 'Engagement reduction' and highlights the negative impact on the therapeutic relationship. Theme 2, entitled 'Nursing dilemma', with the subtheme 'Dehumanisation' discusses the inherent conflicts faced by mental health nurses. Theme 3, 'Reinforcement', suggests potential enhancements in therapeutic relationships.</p><p><strong>Discussion: </strong>Key characteristics of the therapeutic relationship, such as providing support, meeting at eye level, empathy and trust, can suffer damage from coercive measures and diminish a fundamental aspect of psychiatric nursing. Moreover, the absence of a therapeutic relationship can foster behaviours that prompt additional coercive measures, creating a negative cycle with adverse effects for all involved.</p><p><strong>Implications for practice: </strong>Nurses need to be aware of the effects of coercive measures on therapeutic relationships and use coercive measures as a last resort.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638584","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":"Patient-Reported Outcomes, Influencing Factors, Nursing Care/Intervention(s) and Measurement Scales of Psychiatric and/or Mental Health Nursing in Hospitals: A Systematic Review.","authors":"Karel Desmet, Bruce Vrancken, Jochen Bergs, Ann Van Hecke, Eddy Deproost, Piet Bracke, Sofie Muylaert, Sofie Verhaeghe","doi":"10.1111/jpm.70006","DOIUrl":"https://doi.org/10.1111/jpm.70006","url":null,"abstract":"<p><strong>Introduction: </strong>The assessment of patient-reported outcomes of psychiatric and/or mental health nursing remains understudied, limiting understanding of what matters to patients.</p><p><strong>Aim: </strong>To identify, appraise and synthesise available evidence on patient-reported outcomes, influencing factors, nursing care/interventions and measurement scales of mental health nursing in hospitals.</p><p><strong>Method: </strong>Ovid MEDLINE, CINAHL, EMBASE, APA PsychARTICLES, Scopus and Web of Science were searched from conception to April 2024 (update March 2025). Two reviewers independently screened and selected the studies based on a predefined PICO framework in a two-stage process. Quality assessment was conducted using the Johanna Briggs Institute (JBI) guidelines.</p><p><strong>Results: </strong>Analysis of 22 studies identified 25 patient-reported outcomes, measured by 30 unique scales, clustered into three categories: 'symptoms & complaints-based patient-reported outcomes', 'psycho-emotional patient-reported outcomes', and 'functional patient-reported outcomes'. Ten influencing factors emerged from two studies. Nursing care/interventions compromised four clusters: nurse-delivered group programme (n = 8), one-to-one nursing therapy or interaction (n = 8), group and individual nursing sessions (n = 1) and interpersonal relationship (n = 5).</p><p><strong>Conclusion: </strong>Patient-reported outcomes serve as robust validators for advancing psychiatric and/or mental health nursing within hospital settings. Findings emphasise the importance of well-conceptualised nurse-sensitive patient outcomes using valid and reliable scales to recognise the full psychotherapeutic potential of mental health nursing.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602144","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":"Perspectives of Nurses and Adolescents About Pro Re Nata Treatment in Adolescent Inpatient Psychiatric Units: A Qualitative Study.","authors":"Augustin Behaghel, Elise Jean, Hélène Cipel, Émilie Manolios, Christian Ponsard, Anne Révah-Levy, Jordan Sibeoni","doi":"10.1111/jpm.70011","DOIUrl":"https://doi.org/10.1111/jpm.70011","url":null,"abstract":"<p><strong>Introduction: </strong>'Pro re nata' (PRN) treatment, commonly prescribed in adolescent psychiatric inpatient units, is administered on an ad hoc basis to address specific symptoms. It is prescribed in advance and delivered by nurses when the situation requires it.</p><p><strong>Question: </strong>This study aims to explore the lived experience of adolescents and nurses during the use of PRN treatment in adolescent psychiatric inpatient settings and to cross these perspectives.</p><p><strong>Method: </strong>This qualitative study used a specific qualitative research method called Inductive Process to analyse the Structure of lived Experience (IPSE), a five-stage descriptive phenomenological approach based on an inductive process. IPSE was specifically designed for health research by methodologists with extensive experience in qualitative health research. The study followed the SRQR guidelines for qualitative research. Data was collected through semi-structured interviews.</p><p><strong>Results: </strong>The study included 14 adolescents and 12 nurses. Data analysis revealed a structure of experience with three axes: individual, relational and group.</p><p><strong>Discussion: </strong>PRN treatment in inpatient settings contributes to the development of agency and empowerment for both adolescents and nurses.</p><p><strong>Limitations: </strong>This study was conducted in France, where PRN is referred to as 'si besoin' (if necessary), and was carried out within the unique context of an inpatient setting.</p><p><strong>Recommendations: </strong>The efficacy of PRN treatment should be evaluated not only for its therapeutic effects but also in consideration of the institutional and developmental factors surrounding its use.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602145","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":"Living Well With Bipolar Disorder: The Approaches Required to Achieve Long-Term Stability.","authors":"Hannah Hamilton, Maree Inder","doi":"10.1111/jpm.70004","DOIUrl":"https://doi.org/10.1111/jpm.70004","url":null,"abstract":"<p><strong>Introduction and aim: </strong>Bipolar disorder is a lifelong condition where many individuals experience difficulty getting well and staying well with ongoing symptoms and frequent relapses reflecting the limitation of current treatment approaches. Living with bipolar disorder touches every aspect of the individual's life and access to more effective treatments is necessary. The aim of this paper is to describe the impact of receiving a bipolar specific psychological intervention, Interpersonal and Social Rhythm therapy.</p><p><strong>Methods: </strong>This paper is a first-person narrative that reflects my experience of bipolar disorder including the different treatment approaches and their impact.</p><p><strong>Findings: </strong>This Lived Experience Narrative reflects the significant limitations of medication focused and crisis short-term driven treatment which created an imbalanced approach limiting my ability to achieve significant periods of wellness. Having access to Interpersonal and Social Rhythm therapy fundamentally changed the approach to managing bipolar disorder. Over time this led to me having an increased sense of control, where bipolar disorder was something to work with rather than an external force controlling life and decisions, resulting in greater periods of wellness and stability.</p><p><strong>Discussion: </strong>This narrative highlights the critical importance of having access to bipolar disorder specific interventions that go beyond medication and acute treatment approaches. Interpersonal and Social Rhythm therapy provides an understanding and approach that enables the individual with bipolar disorder to implement strategies and tools to more effectively manage their condition and to navigate a meaningful future.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576838","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":"Psychosocial Interventions for Families Caring for Mental Health Care Users: A Nominal Group Technique.","authors":"Takalani Ellen Mbedzi, Anna Elizabeth van der Wath, Miriam Mmamphamo Moagi","doi":"10.1111/jpm.70008","DOIUrl":"https://doi.org/10.1111/jpm.70008","url":null,"abstract":"<p><strong>Introduction: </strong>In light of the rising global prevalence of mental illness and the need for deinstitutionalised care, families are required to provide community-based care to mental healthcare users. Family members need to be prepared and supported to undertake this role.</p><p><strong>Aim: </strong>The aim was to develop psychosocial interventions to ease the burden of family caregivers of mental healthcare users.</p><p><strong>Method: </strong>Using convenience sampling, 21 stakeholders were selected. The participants had at least 2 years' experience and/or expertise in the care of family members of mental healthcare users. During a workshop, a nominal group technique was used to collect data. The six steps of Braun and Clarke guided the data analysis.</p><p><strong>Results: </strong>Three themes were identified, namely, interventions to provide mental health education, interventions to promote social support for families and interventions to ensure effective psychological support for families and mental healthcare users.</p><p><strong>Discussion: </strong>The nominal group technique allowed healthcare and community stakeholders to become aware of their role in supporting family caregivers of mental healthcare users. Healthcare providers need to be empowered to use basic family counselling skills.</p><p><strong>Implications for practice: </strong>Implementation of the developed interventions might lead to a reduction in relapse rates and relieve the caregiver burden.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561789","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 Dependency Levels in Psychiatric Hospitalizations by Psychiatric Nurses: A Retrospective Study in France.","authors":"Alexis Dias, Antoine Teston, Chloé Saint-Dizier, Angela Vera, Cécile Collet, Gwladys Acoulon, Emmanuel Chazard, Maxime Bubrovszky, Antoine Lamer, Paul Quindroit","doi":"10.1111/jpm.70007","DOIUrl":"https://doi.org/10.1111/jpm.70007","url":null,"abstract":"<p><strong>Background: </strong>Understanding patients' functional independence is essential in psychiatric care. Activities of daily living (ADL) scales, widely used in geriatrics and rehabilitation, are increasingly relevant for psychiatric patients to assess both physical and behavioural dependencies. Despite their integration into French psychiatric practices, their usage remains underexplored in large-scale studies.</p><p><strong>Objective: </strong>This study aims to evaluate and describe the dependency levels among adults hospitalised for psychiatric care in France between 2013 and 2022, leveraging medico-administrative data from the French National Health Data System (SNDS).</p><p><strong>Methods: </strong>We conducted a retrospective cohort study using SNDS data, analysing ADL scores collected during psychiatric admissions. Dependency levels were categorized into six levels based on established criteria, with specific focus on physical (e.g., mobility, continence) and relational dimensions (e.g., behavioural interactions). Descriptive statistics and trends were analysed over time. The study adheres to the STROBE checklist for cohort studies.</p><p><strong>Results: </strong>A significant heterogeneity in dependency levels was observed, highlighting distinct profiles based on patient demographics, psychiatric diagnoses and care settings. Changes in dependency patterns over the studied decade reflected evolving care practices and patient management strategies in French psychiatry.</p><p><strong>Conclusion: </strong>ADL assessments provide a comprehensive framework for understanding psychiatric patients' needs, enabling tailored interventions and optimizing resource allocation. This study emphasizes the importance of standardized dependency evaluation tools in psychiatric care and offers insights into dependency trends in a large national sample.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555576","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":"Construct Validity and Reliability of the Continuing Bonds Scale in a Sample of Bereaved Costa Rican Men.","authors":"Daniel Martínez-Esquivel, Derby Muñoz-Rojas, Pedro Ruymán Brito-Brito, Martín Rodríguez-Álvaro, Alfonso Miguel García-Hernández","doi":"10.1111/jpm.70010","DOIUrl":"https://doi.org/10.1111/jpm.70010","url":null,"abstract":"<p><strong>Introduction: </strong>There is a dearth of research investigating grief as continuing bonds in men, and the psychometric properties of the Continuing Bonds Scale have not been specifically evaluated in male populations.</p><p><strong>Aim: </strong>To evaluate the psychometric properties of construct validity and reliability of the Continuing Bonds Scale in bereaved Costa Rican men.</p><p><strong>Method: </strong>A methodological study was conducted. A sample of 170 participants completed a self-administered online questionnaire. Variables included sociodemographic characteristics, mediators of mourning and continuing bonds measured by the Continuing Bonds Scale. Descriptive analysis, factor analysis and Cronbach's Alpha coefficient were performed.</p><p><strong>Results: </strong>Factor analysis confirmed the distribution of items into two factors: internalised and externalised continuing bonds. The total variance explained was 53.03%. Confirmatory factor analysis supported the two-factor solution. Cronbach's Alpha coefficient indicated good internal consistency (α = 0.898).</p><p><strong>Discussion: </strong>The results suggest that the Continuing Bonds Scale is a valid and reliable instrument for measuring the ongoing internal relationship between the bereaved person and the deceased in bereaved Costa Rican men, allowing for appropriate research and clinical use.</p><p><strong>Implications: </strong>Mental health nurses can utilise the Continuing Bonds Scale to assess men's continuing bonds expressions and develop individualised care plans to support their adaptation to loss.</p><p><strong>Relevance statement: </strong>Given the frequent interaction between mental health nurses and bereaved individuals, the availability of contextually appropriate instruments is essential for improving professional practice. The Continuing Bonds Scale can enhance the effectiveness of mental health interventions by clarifying the real needs of bereaved individuals from diverse societies and cultures. Furthermore, NANDA-I has proposed diagnoses on adaptive and maladaptive grieving. These diagnoses align with recent perspectives that integrate the natural occurrence of continuing bonds into the grieving process. By challenging traditional grief models, these nursing diagnoses position mental health nurses within a more compassionate framework that is sensitive to continuing bonds expressions.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530792","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 Compassionate Care in Acute Psychiatric Settings: A Phenomenological Study From the Perspectives of Patients With Psychiatric Diagnoses.","authors":"Tuğba Pehlivan Saribudak, Besti Üstün, Nesiba Kalyoncu, Müge Bozkurt, Irmak Polat","doi":"10.1111/jpm.70009","DOIUrl":"https://doi.org/10.1111/jpm.70009","url":null,"abstract":"<p><strong>Introduction: </strong>Despite the increasing body of research exploring the role of compassionate care in inpatient experiences and the growing emphasis on compassion as a key component of high-quality healthcare, a significant gap remains in understanding compassionate care from the perspectives of psychiatric patients. Furthermore, no studies have specifically examined this issue within the context of acute psychiatric settings in Türkiye.</p><p><strong>Aim: </strong>This qualitative study aimed to explore psychiatric patients' perceptions and experiences of compassionate care.</p><p><strong>Method: </strong>Fourteen phenomenological, semi-structured interviews were conducted with psychiatric patients between October 2024 and February 2025.</p><p><strong>Results: </strong>The data were analysed using Colaizzi's seven-step descriptive analysis method, revealing five key themes: (Bond et al. 2022) Compassionate Care, (Bond et al. 2024) Non-Compassionate Care, (Brown et al. 2014) The Healing Power of Compassion, (Camenzuli-Chetcuti and Haslam 2021) Perceptions of Compassionate Care Barriers and (Creswell 2012) Suggestions for Improvement.</p><p><strong>Discussion: </strong>As reported by participants, compassionate care primarily includes therapeutic communication skills and a responsive, attentive approach to patients' needs. In contrast, non-compassionate care is characterised by ineffective communication, as well as practices such as coercive treatment and the use of restraints. The findings suggest that compassionate care plays a crucial role in facilitating the recovery process of psychiatric patients. Absence of compassion, on the other hand, can prevent effective communication, exacerbate psychiatric symptoms, delay treatment adherence and ultimately worsen patient prognosis.</p><p><strong>Implications for practice: </strong>Psychiatric nurses should be provided with continuous professional development opportunities designed to enhance their understanding of compassionate care and cultivate the skills necessary for effective delivery. Institutional leaders are also responsible for reducing patient-nurse ratios, monitoring for signs of compassion fatigue among psychiatric nurses, and implementing strategies for coping with and preventing compassion fatigue.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530793","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":"Losing a Mother Battling Cancer: Perspectives of an Academic Psychiatric Nurse.","authors":"Merve Uğuryol Ünal","doi":"10.1111/jpm.70005","DOIUrl":"https://doi.org/10.1111/jpm.70005","url":null,"abstract":"<p><strong>Purpose: </strong>This paper aimed to share the subjective experiences of an academic psychiatric nurse who lost her mother to terminal cancer and to reveal the impact of this loss on her professional identity and nursing practices.</p><p><strong>Background: </strong>The terminal cancer process affects not only patients but also their family members emotionally. Especially caregiving family members may experience emotional stages similar to the grieving process. Although psychiatric nurses develop emotional resilience through their professional knowledge and skills, they may struggle to balance their professional and personal identities when caring for their relatives. These overlapping roles can deepen the grieving process and directly influence coping mechanisms.</p><p><strong>Methods: </strong>This study is a first-person narrative based on my personal experiences as a psychiatric nurse caring for a terminally ill parent.</p><p><strong>Keypoint: </strong>This narrative offers a unique and profound perspective on the personal grief experience shaped by the intersection of caregiving roles.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144499028","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}