Journal of Psychiatric and Mental Health Nursing最新文献

{"title":"My Week of Denial and Disorientation: A Lived Experience Narrative of a Stay in a Psychiatric Emergency Department.","authors":"Emilie Hudson, Lewys Beames","doi":"10.1111/jpm.13167","DOIUrl":"https://doi.org/10.1111/jpm.13167","url":null,"abstract":"<p><strong>Background: </strong>Psychiatric emergency departments (EDs) are common settings in which patients receive crisis care, yet their experiences in these environments remain understudied.</p><p><strong>Aim: </strong>This lived experience narrative recounts the first author's week-long stay in a psychiatric ED, providing insight into the experiences and challenges of inpatient psychiatric care.</p><p><strong>Methods: </strong>The first author used a narrative approach to develop a series of vignettes that captured significant moments of her inpatient experience. Both authors reflected on these experiences, drawing on professional expertise and existing literature.</p><p><strong>Findings: </strong>The narrative reveals a lack of communication on the unit, power imbalances between patients and staff and the dismissal of patients' concerns, experiences and identities. It illustrates how patients' behaviours are often misinterpreted, contributing to further distress and disempowerment.</p><p><strong>Discussion: </strong>The authors examine systemic problems in mental health care, such as epistemic injustice, the dominance of the biomedical model and restrictive control over patient autonomy. They argue for the need to shift to a more compassionate, pluralistic and trauma-informed approach to mental health care.</p><p><strong>Conclusion: </strong>This narrative highlights the need for reforms in emergency psychiatric care. By centring patients' voices, mental health services can foster a more respectful and healing environment for people in crisis.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617707","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":"Combined Exercise Programmes for Improving the Mood and Mental Health of Older People With Mild Cognitive Impairment.","authors":"Eunjae Lee, Sang-Hyuk Park, Seung-Taek Lim","doi":"10.1111/jpm.13165","DOIUrl":"https://doi.org/10.1111/jpm.13165","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544392","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":"Generic Nursing in Through the Back Door? Concerns Around Nursing and Midwifery Council Processes for International Nurse Recruitment and Potential Impact on Mental Health Nursing in the UK.","authors":"Dan Warrender","doi":"10.1111/jpm.13164","DOIUrl":"https://doi.org/10.1111/jpm.13164","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544394","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":"An Explorative Study on the Role of Family Members in Caring for Mental Health Care Users in South Africa.","authors":"Shimange Mihloti Eunice, Shilubane Hilda Nwamuhohova, Rikhotso Tinyiko Nelly","doi":"10.1111/jpm.13161","DOIUrl":"https://doi.org/10.1111/jpm.13161","url":null,"abstract":"<p><strong>Background: </strong>The ultimate custodians of Mental Health Care Users (MHCUs) when they get discharged from mental health institutions are their family members. Thus, the family members have a significant role in rendering comprehensive and multifaceted care to MHCUs.</p><p><strong>Aim: </strong>The study investigated the family members' role in the care of mental health care users in South Africa.</p><p><strong>Methods: </strong>An explorative, descriptive design was utilised. Family members who cared for their loved ones suffering from mental illness were selected using purposive sampling. Individual, in-depth, unstructured interviews were conducted. Data analysis was done using Colaizzi's method. The COREQ checklist was used to prepare this publication.</p><p><strong>Results: </strong>(1) Mental health care users' family support to ensure treatment adherence. (2) Promotion of hygiene for MHCUs. (3) Knowledge deficit regarding mental illness and (4) Challenges encountered regarding care and support are the themes that emerged from the analysis.</p><p><strong>Discussion: </strong>Family members play a significant role in the treatment of their loved ones suffering from mental disorders. Female next of kin are primarily involved in the treatment of MHCUs. Support from psychiatric mental health nurses and other health professionals is needed.</p><p><strong>Implications for practice: </strong>The involvement of more males would be more beneficial in the care of MHCUs in dealing with non-compliant users who may undermine females. Empowerment of family members by psychiatric mental health nurses requires priority. Further research on guidelines development to address the role issues among family members could enhance the care of MHCUs.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532082","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":"At-Risk Mental State Services for Psychosis Should Not Be Delivered in Secondary Mental Health Services.","authors":"Gary Payne, Tim Carter","doi":"10.1111/jpm.13162","DOIUrl":"https://doi.org/10.1111/jpm.13162","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484510","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":"Nurses' Experiences of Using Coercion in Forensic and Non-Forensic Settings: A Constant Comparative Analysis.","authors":"Etienne Paradis-Gagné, David Pelosse, Pierre Pariseau-Legault, Louis Brisebois, Myriam Cader","doi":"10.1111/jpm.13159","DOIUrl":"https://doi.org/10.1111/jpm.13159","url":null,"abstract":"<p><strong>Introduction: </strong>Coercive measures are increasingly used in psychiatric settings, especially in forensic settings. Coercive measures such as seclusion, restraints and involuntary care cause negative outcomes for both people living with mental illness and nurses.</p><p><strong>Aim: </strong>The aim of this paper is to compare the perspectives of nurses who experience the use of coercive measures in forensic and general psychiatric care.</p><p><strong>Method: </strong>Grounded theory was used as a qualitative methodology. We used the constant comparative method to analyse the data. Individual interviews were conducted with nurses from general psychiatry (n = 9) and forensic psychiatry (n = 9).</p><p><strong>Results: </strong>Four categories were determined: (1) Towards a contextual understanding of coercion; (2) Justifications for the use of coercion; (3) Maintaining a relationship of trust; and (4) Influence of the culture of control.</p><p><strong>Discussion: </strong>Nurses providing care in a coercive context-whether in general psychiatric or forensic settings-face important ethical dilemmas. Several factors can influence the application of coercion, including a paternalistic culture of risk management.</p><p><strong>Implications for practice: </strong>A considerate and empathetic approach, grounded in a posture of advocacy, helps to prevent the use of coercion.</p><p><strong>Relevance statement: </strong>This paper may raise awareness among mental health nurses working with patients who are involved in the justice system. Psychiatric nurses are particularly affected by the application of coercion in their clinical practice. The theoretical framework used in this article is well suited to an exploration of the dual roles imposed on psychiatric nurses (care and control). Last, this paper highlights the need to stimulate discussion and critical reflection among nurses regarding the duality of control and care and the ongoing application of coercion in clinical settings.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484512","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":"Unveiling Hidden Trauma: A Cross-Sectional Study of Violence Exposure and Its Impacts on Entrapment, Self-Stigma and Empathic Care Among Psychiatric Nurses.","authors":"Mohamed Hussein Ramadan Atta, Rasha Salah Eweida, Ali Albzia, Ahmed Hashem El-Monshed, Mona Mohamed Abdelaziz Barakat","doi":"10.1111/jpm.13160","DOIUrl":"https://doi.org/10.1111/jpm.13160","url":null,"abstract":"<p><strong>Background: </strong>Psychiatric nurses often work in high-stress environments where they are frequently exposed to various forms of violence and aggression from patients. While the immediate physical consequences of violence are usually recognised, the psychological impacts, such as feelings of entrapment, self-stigma and diminished empathy, are less understood but equally critical.</p><p><strong>Aims: </strong>This study aimed to fill this gap by examining how different forms of violence exposure affect entrapment, self-stigma and empathic care among psychiatric nurses, providing insights that can inform both practice and policy.</p><p><strong>Design: </strong>This study utilised a descriptive correlational research design.</p><p><strong>Method: </strong>This study was conducted in two prominent psychiatric hospitals in Egypt, namely the Mental Health Hospital and Addiction in Benha City and Elmaamora for Psychiatric Medicine and Addiction in Alexandria. A convenience sample of 246 psychiatric nurses who filled out the Perception of Prevalence Aggression Scale, the Impact of Event Scale-Revised, the Empathetic Care Scale, the Scale for Assessing the Stigma of Mental Illness in Nursing and the Entrapment Scale was used for the study. Data collection spanned 3 months, from June to August 2024.</p><p><strong>Findings: </strong>The findings reveal that perceived aggression is positively correlated with the impact of events (r = 0.513, p < 0.001) and entrapment (r = 0.160, p = 0.012) and negatively correlated with empathy (r = -0.232, p < 0.001). The regression analyses show that verbal aggression, threatening verbal aggression, aggressive splitting behaviour, severe self-directed violence and suicides are significant predictors of empathy, increasing its levels (R² = 0.509, p < 0.001). Stigma is negatively influenced by threatening verbal aggression, provocative aggressive behaviour, severe physical violence, mild violence against self and suicides but positively by passive-aggressive behaviour (R² = 0.377, p < 0.001).</p><p><strong>Conclusion: </strong>These results underscore the importance of addressing aggression in psychiatric settings to promote the well-being and professional functioning of nurses.</p><p><strong>Reporting method: </strong>STROBE is the relevant reporting method that has been adhered to.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476963","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":"Care Tasks and Caregiver Burden Among Family Caregivers of Patients With Mental Disorders in China: Illness Perception as a Mediator and Social Support as a Moderator.","authors":"Zhuoer Huang, Qifeng Yi, Hao Yao, Kunmei Li, Chuan Li, Yimeng Shi, Shuang Hu, Jianhua Chen, Yifeng Xu","doi":"10.1111/jpm.13156","DOIUrl":"https://doi.org/10.1111/jpm.13156","url":null,"abstract":"<p><strong>Introduction: </strong>Caring for a family member with mental disorders is burdensome, which may not only damage the caregivers' well-being and health, but also hinder patients' recovery. It is critical to investigate the underlying mechanisms for caregiver burden.</p><p><strong>Aim: </strong>To examine the mediating effect of illness perception and the moderating function of social support on the association between care tasks and caregiver burden.</p><p><strong>Method: </strong>A total of 1169 family caregivers of patients with mental disorders were recruited via convenience sampling across China. Data were collected using acceptable reliability scales (Cronbach's α > 0.6). The relationships among care tasks, illness perception, social support and caregiver burden were examined in the SPSS PROCESS macro.</p><p><strong>Results: </strong>Illness perception partially mediates the relationship between care tasks and overall caregiver burden, personal strain and role strain, while social support only alleviates the impact of care tasks on personal strain but not on role strain.</p><p><strong>Discussion: </strong>Care tasks could positively predict caregiver burden. As a mediating moderating mechanism, illness perception and social support could further explain how care tasks affect caregiver burden.</p><p><strong>Implications for practice: </strong>Psychiatric nurses should provide psychoeducation for family caregivers of patients with mental illness to improve their negative illness perception, as well as increase their social support.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450822","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":"Advance Directives in Mental Health Service: A Qualitative Study on Stakeholders' Perspectives","authors":"Ína Rós Jóhannesdóttir,&nbsp;Helga Sif Fridjónsdóttir,&nbsp;Marianne Elisabeth Klinke","doi":"10.1111/jpm.13157","DOIUrl":"10.1111/jpm.13157","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Advance directives in mental health services aim to reduce coercion, enhance adherence, and prevent violence by giving patients a voice during relapses. However, their use is limited due to diverse stakeholder perspectives and insufficient familiarity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To explore stakeholders' perspectives on advance directives in Icelandic mental health services, focusing on potential benefits and implementation challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were gathered via focus groups with purposively sampled mental health service users and providers. Using a multiple category design allowed for constant comparative and interpretive analysis of data collected from these two groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study involved 19 individuals divided into four focus groups, with service users comprising one group (<i>n</i> = 4) and service providers comprising three groups (<i>n</i> = 15). Participants had limited familiarity with advance directives and had not used them. While both service users and providers viewed advance directives favourably, significant differences emerged: users valued the opportunity for self-expression and autonomy, whereas providers, though supportive of user empowerment, struggled with relinquishing control in the therapeutic relationship, thereby preserving power imbalances.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Implementing advance directives in mental healthcare requires in-depth dialogue to align stakeholder expectations. A strategy should focus on education, stakeholder engagement, and co-created interventions to reconcile diverse perspectives.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 3","pages":"800-810"},"PeriodicalIF":2.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442592","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":"Conceptualisation of Mental Health Recovery by Health Professionals and Students in Southeast Asia: A Qualitative Systematic Review and Meta-Aggregation","authors":"Rinlita Chatwiriyaphong,&nbsp;Ritin Fernandez,&nbsp;Rebecca Bosworth,&nbsp;Grant Kinghorn,&nbsp;Lorna Moxham","doi":"10.1111/jpm.13158","DOIUrl":"10.1111/jpm.13158","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>While the recovery approach is gaining recognition in non-Western countries, it remains underexplored in Southeast Asia. This study addressed this gap by examining how health professionals and students conceptualised recovery, providing insights for enhancing mental health practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To synthesise how health professionals and students in Southeast Asian countries understand mental health recovery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A search across CINAHL, MEDLINE, PsycINFO, Scopus, and the Web of Science identified ten qualitative studies (2006–2024). Data extraction, quality appraisal, and synthesis were conducted following the JBI methodology.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The findings highlighted a medically driven and determined return to normal functioning for individuals living with mental illness. This was classified into six categories: return to being a ‘normal person’, symptom-free status, medication adherence, access to mental health services, living with residual symptoms, and holistic care with a psychosocial focus.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Medical-oriented practices have dominated mental health care, creating a power imbalance. Training, education, culture, socioeconomic status, and stigma have shaped the understanding of recovery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice and Recommendations</h3>\u0000 \u0000 <p>Shared decision-making and formal training prioritising lived experiences are vital to reducing power imbalances. A shift towards recovery-oriented approaches is critically needed to enhance mental health practices in Southeast Asia.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 3","pages":"783-799"},"PeriodicalIF":2.6,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.13158","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442596","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}