Journal of Psychiatric and Mental Health Nursing最新文献

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Core Purposes of Mental Health Peer Work: Empowerment, Stigma Reduction, Relational Safety and Walking Alongside People. 心理健康同伴工作的核心目的:赋权、减少耻辱、关系安全和与人同行。
IF 2.9 4区 医学
Journal of Psychiatric and Mental Health Nursing Pub Date : 2025-08-27 DOI: 10.1111/jpm.70027
Nicholas Haines
{"title":"Core Purposes of Mental Health Peer Work: Empowerment, Stigma Reduction, Relational Safety and Walking Alongside People.","authors":"Nicholas Haines","doi":"10.1111/jpm.70027","DOIUrl":"https://doi.org/10.1111/jpm.70027","url":null,"abstract":"<p><strong>Background: </strong>Mental health peer work harnesses personal experience of distress and recovery to support others. While growing evidence highlights its benefits, little is known about how individual narratives map onto core peer work functions in everyday practice.</p><p><strong>Aim: </strong>To present an autoethnographic narrative that embodies four fundamental purposes of mental health peer work-empowerment, stigma reduction, relational safety and walking alongside-in a manner that is instructive to mental health nurses who have peer workers as colleagues.</p><p><strong>Approach: </strong>Drawing on my lived experience-from a year of my childhood in France to severe illness as a university student, through diverse roles culminating in peer work-I use illustrative client vignettes to show how shared experience fosters connection and recovery.</p><p><strong>Findings: </strong>(1) Empowerment: Gentle, consistent support enabled a woman with complex trauma to participate in art shows. (2) Stigma reduction: Normalising lithium use helped a young man face bipolar disorder treatment with confidence. (3) Relational safety: Incorporating client-led rituals (e.g., tarot readings) built the trust needed for deeper conversations. (4) Walking alongside: Presence and honest advocacy offered meaning to a man grappling with poverty and despair.</p><p><strong>Conclusion: </strong>Lived experience is a unique resource that enriches mental health teams. Sharing peer principles with mental health clinicians can facilitate the process of integrating peer workers into mental health teams.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976783","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}
引用次数: 0
Patient-Centered Care Competence in High-Security Forensic Psychiatric Nurses: The Role of Professional Self-Efficacy and Attitudes Toward Forensic Patients. 高安全性法医精神科护士以病人为中心的护理能力:专业自我效能感与法医病人态度的作用。
IF 2.9 4区 医学
Journal of Psychiatric and Mental Health Nursing Pub Date : 2025-08-26 DOI: 10.1111/jpm.70024
Belgin Varol, Miray Aksu, Emine Özer Küçük
{"title":"Patient-Centered Care Competence in High-Security Forensic Psychiatric Nurses: The Role of Professional Self-Efficacy and Attitudes Toward Forensic Patients.","authors":"Belgin Varol, Miray Aksu, Emine Özer Küçük","doi":"10.1111/jpm.70024","DOIUrl":"https://doi.org/10.1111/jpm.70024","url":null,"abstract":"<p><strong>Background: </strong>Patient-centered care is a fundamental element in healthcare and nursing services. In units where complex healthcare services are provided, such as high-security forensic psychiatry hospitals, patient-centered care becomes even more critical.</p><p><strong>Aims: </strong>This study aimed to examine the relationship between professional self-efficacy, attitudes toward forensic patients and patient-centered care competencies among nurses working in high-security forensic psychiatric hospitals (HSFPHs).</p><p><strong>Method: </strong>The study population consisted of 220 nurses employed in six HSFPHs in Turkiye. The sample size was determined by power analysis, and the study was completed with 122 nurses. Data were collected using the Descriptive Information Form, Patient-Centered Care Competency Scale (PCCCS), Nursing Profession Self-Efficacy Scale (NPSES) and Nurses' Attitudes Toward Forensic Psychiatric Patients Scale (NAFPPS). This study was conducted in accordance with the STROBE guidelines.</p><p><strong>Findings: </strong>A strong positive correlation was found between PCCCS and NPSES (r = 0.650, p < 0.001). A weak but significant positive correlation was observed between PCCCS and NAFPPS (r = 0.256, p = 0.005). No significant correlation was found between NPSES and NAFPPS (r = 0.138, p = 0.129).</p><p><strong>Conclusion: </strong>This study emphasises that improving nurses' self-efficacy and attitudes is key to strengthening patient-centered care in HSFPHs. Sustainable training programmes and supportive leadership are essential for maintaining this approach.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976767","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}
引用次数: 0
Nurses' Perspectives on Communication in Acute Psychiatric Care: A Qualitative Descriptive Study. 急性精神科护理中护士沟通的视角:一项定性描述研究。
IF 2.9 4区 医学
Journal of Psychiatric and Mental Health Nursing Pub Date : 2025-08-21 DOI: 10.1111/jpm.70026
Lina Xiang, Conghong Li, Qi Gao, Li Li, Zhongying Shi
{"title":"Nurses' Perspectives on Communication in Acute Psychiatric Care: A Qualitative Descriptive Study.","authors":"Lina Xiang, Conghong Li, Qi Gao, Li Li, Zhongying Shi","doi":"10.1111/jpm.70026","DOIUrl":"https://doi.org/10.1111/jpm.70026","url":null,"abstract":"<p><strong>Background: </strong>Effective communication is essential for accurately assessing psychiatric symptoms and improving patient outcomes in acute psychiatric care. However, little is known about the challenges that nurses face in interacting with these patients and their perspectives.</p><p><strong>Aims: </strong>To explore the perspectives of nurses in regard to communicating with patients in acute psychiatric care.</p><p><strong>Methods: </strong>Seventeen psychiatric ward nurses were purposively sampled and participated in face-to-face semistructured interviews. The data were analysed using thematic analysis.</p><p><strong>Results: </strong>Two themes were identified. Regarding Theme 1, the perceived challenges in communication included four subthemes: perceived ineffectiveness in communication, entangled relationships and corresponding trust crisis, disempowerment related to professional identity and limited human resources and institutional constraints. Regarding Theme 2, the employed communication coping strategies included four subthemes: proactive preparation and identifying entry points, boundary setting and empathy regulation, utilising personal strengths and emotional resources and experiencing positive emotions and value.</p><p><strong>Discussion: </strong>Nurses in acute psychiatric care face communication challenges due to patients' acute psychiatric symptoms, insufficient communication skills and an uneven workforce distribution. Even when coping strategies are employed, these factors hinder effective communication.</p><p><strong>Implications: </strong>The results indicate that a well-organised and effective communication approach tailored to the symptoms of acute psychiatric patients in China is necessary. Such an approach should incorporate nurses' practical communication skills to improve their communication abilities.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976815","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}
引用次数: 0
Insight Into the Role of Protestant Christianity in the Experience of Living With a Suicidal Relative: A Constructivist Grounded Theory Study. 新教基督教在与自杀亲属生活经验中的作用:一项基于建构主义的理论研究。
IF 2.9 4区 医学
Journal of Psychiatric and Mental Health Nursing Pub Date : 2025-08-21 DOI: 10.1111/jpm.70025
Christina Hennipman-Herweijer, Joke van Nieuw Amerongen-Meeuse, Janneke de Man-van Ginkel, Nynke Boonstra, Hanneke Schaap-Jonker
{"title":"Insight Into the Role of Protestant Christianity in the Experience of Living With a Suicidal Relative: A Constructivist Grounded Theory Study.","authors":"Christina Hennipman-Herweijer, Joke van Nieuw Amerongen-Meeuse, Janneke de Man-van Ginkel, Nynke Boonstra, Hanneke Schaap-Jonker","doi":"10.1111/jpm.70025","DOIUrl":"https://doi.org/10.1111/jpm.70025","url":null,"abstract":"<p><strong>Introduction: </strong>Living with a suicidal relative impacts multiple life aspects. However, it is not known how religious beliefs and meaning-making influence relatives' experiences.</p><p><strong>Aim: </strong>This study aimed to develop a theoretical framework to understand the role of religion in the experiences of Christian relatives living with a suicidal loved one.</p><p><strong>Methods: </strong>A constructivist grounded theory study was conducted, adhering to the COREQ checklist. Fifteen interviews were conducted with seventeen Christian relatives of suicidal individuals.</p><p><strong>Results: </strong>Four themes emerged-acceptance of suicidality, seeking and experiencing God's help, surrendering to God, and religion's influence on relationships-forming a framework on how relatives' religious convictions about suicide and the intensity of their personal relationship with God influenced to what extent religion was helpful or harmful.</p><p><strong>Discussion: </strong>Christian faith provided peace of mind and support to relatives who had a personal relationship with God and believed their loved one would go to heaven. Relatives who believed their loved one would go to hell due to suicide and lacked a relationship with God experienced guilt and fear, making them vulnerable to harm from religion.</p><p><strong>Implications for practice: </strong>Educational institutions and policymakers should specifically empower nurses to discuss spiritual issues when supporting relatives of suicidal individuals.</p><p><strong>Relevance statement: </strong>This study offers valuable insight into the role of religious beliefs and meaning-making influencing the experiences of Christian relatives living with a suicidal loved one. It highlights religion's role in their coping processes. The findings equip mental health nurses with a deeper understanding of religious coping strategies, enabling them to provide better support to relatives. Integrating spirituality/religion into support allows nurses to respond more holistically to relatives' needs, potentially improving their well-being and resilience. Spiritual care is a part of nursing, but nurses feel unprepared. It is recommended that education and policy focus on nurses to better support relatives.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976753","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}
引用次数: 0
Co-Design in the Adaptation of a Clinical Decision Support System to Aid Violence Risk Assessment and Management: A Case Study. 共同设计在临床决策支持系统的适应,以帮助暴力风险评估和管理:个案研究。
IF 2.9 4区 医学
Journal of Psychiatric and Mental Health Nursing Pub Date : 2025-08-21 DOI: 10.1111/jpm.70023
Minna J Anttila, Maria K Ameel, Tinja Rautiainen, Jenni Anttila, Tessa Maguire, Michael Daffern, Tella Lantta
{"title":"Co-Design in the Adaptation of a Clinical Decision Support System to Aid Violence Risk Assessment and Management: A Case Study.","authors":"Minna J Anttila, Maria K Ameel, Tinja Rautiainen, Jenni Anttila, Tessa Maguire, Michael Daffern, Tella Lantta","doi":"10.1111/jpm.70023","DOIUrl":"https://doi.org/10.1111/jpm.70023","url":null,"abstract":"<p><strong>Introduction: </strong>The electronic application of a clinical decision support system (CDSS) conjoining the Dynamic Appraisal of Situational Aggression and the Aggression Prevention Protocol has been shown to be effective in reducing coercion and workplace violence in forensic settings in Australia. However, there is currently a lack of knowledge on the successful implementation of CDSSs across different cultural environments.</p><p><strong>Aim: </strong>To describe the use of co-design in the adaptation of a CDSS, the eDASA+APP-FI in Finland.</p><p><strong>Method: </strong>This qualitative case study followed a co-design framework involving a variety of methods, including analysing project data, rapid ethnography, and analysing the notes from co-design workshops.</p><p><strong>Results: </strong>The adaptation of the CDSS into the local context included changes to the training programme and in the frequency of use of the CDSS, as well as linguistic adjustment.</p><p><strong>Discussion: </strong>The co-design framework was valuable in identifying adaptation needs and in providing a sense of ownership among staff and consumers.</p><p><strong>Limitations: </strong>Co-design can be time-consuming in clinical environments.</p><p><strong>Implications: </strong>The results emphasise the importance of co-design in the identification of adaptation needs as part of the implementation process of a CDSS.</p><p><strong>Recommendations: </strong>Co-design can be used as a framework when aiming to create a feasible CDSS.</p><p><strong>Trial registration: </strong>NCT anonymised.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976791","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}
引用次数: 0
Cross-Cultural Reflections on Community Mental Health Centres: Lessons From Turkey for Taiwan and Beyond. 社区心理健康中心的跨文化反思:土耳其对台湾及其他地区的启示。
IF 2.9 4区 医学
Journal of Psychiatric and Mental Health Nursing Pub Date : 2025-08-20 DOI: 10.1111/jpm.70020
Wen-Ling Chen, Lien-Chung Wei
{"title":"Cross-Cultural Reflections on Community Mental Health Centres: Lessons From Turkey for Taiwan and Beyond.","authors":"Wen-Ling Chen, Lien-Chung Wei","doi":"10.1111/jpm.70020","DOIUrl":"https://doi.org/10.1111/jpm.70020","url":null,"abstract":"<p><strong>Background: </strong>Salik et al.'s phenomenological study documents the emotional, social and economic challenges faced by Turkish service-users of Community Mental Health Centres (CMHCs).</p><p><strong>Objective: </strong>To contextualise those findings within Taiwan's CMHC system and highlight universal priorities for culturally responsive care.</p><p><strong>Content: </strong>Drawing on Taiwanese qualitative studies and regional literature, the letter underscores persistent stigma, limited vocational opportunities and fragmented continuity of care. Evidence from Taiwan mirrors Turkish operational barriers, while employment research and deinstitutionalisation analyses reinforce the need for family-inclusive, vocationally oriented interventions. International data on religiosity in caregiving and psychosocial skills training illustrate transferable strategies for stigma reduction and functional recovery.</p><p><strong>Implications: </strong>CMHCs worldwide should integrate anti-stigma campaigns, spiritual or cultural supports and structured vocational rehabilitation to enhance recovery and social inclusion.</p><p><strong>Conclusion: </strong>Shared challenges demand globally informed yet locally adapted community mental health policies.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976801","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}
引用次数: 0
Exploring the Perceptions of Young Persons at Risk of Suicide Regarding Suicide and Suicide Prevention: A Phenomenological Study. 青少年自杀风险与自杀预防之认知探讨:现象学研究。
IF 2.9 4区 医学
Journal of Psychiatric and Mental Health Nursing Pub Date : 2025-08-19 DOI: 10.1111/jpm.70022
Fan-Ko Sun, Ann Long, Mei-Jou Lu, Pai-Mei Lin, Chun-Ying Chiang
{"title":"Exploring the Perceptions of Young Persons at Risk of Suicide Regarding Suicide and Suicide Prevention: A Phenomenological Study.","authors":"Fan-Ko Sun, Ann Long, Mei-Jou Lu, Pai-Mei Lin, Chun-Ying Chiang","doi":"10.1111/jpm.70022","DOIUrl":"10.1111/jpm.70022","url":null,"abstract":"<p><strong>Introduction: </strong>Globally, the number of young persons who die by suicide has increased rapidly. However, research exploring young persons' perceptions of suicide is rare.</p><p><strong>Aims: </strong>To explore the perceptions of young persons at the risk of suicide regarding suicide and suicide prevention.</p><p><strong>Method: </strong>A phenomenological research approach was employed using semi-structured interviews. Purposive sampling was conducted, recruiting 46 participants from hospitals and clinics in Taiwan between 2022 and 2024. Data were analysed using Colaizzi's (1978) seven-step framework.</p><p><strong>Results: </strong>Four main themes emerged from the data: (1) the impact of multiple external pressures; (2) struggles with internal negative self-thoughts; (3) support from the external environment; (4) inner self-regulation.</p><p><strong>Discussion: </strong>Young persons' experience multiple external pressures, especially bullying. It is important to build a bullying-free environment for young persons. Everyone encounters stress; therefore, it is essential to assist young persons in accessing substantial support systems and provide psychoeducation on self-regulation to help reduce their suicidal ideation.</p><p><strong>Implication for practice: </strong>Nursing professionals could use these findings as reference to further understand the external and internal pressures endured by young people. Concurrently, nursing professionals could ensure that young persons get the external support they need and provide psychoeducation on internal self-regulation, hence encouraging the self-soothing of their suicidal ideations.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876532","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}
引用次数: 0
Safeguarding Experiences of People in Mental Distress, Police and Healthcare Practitioners: An Integrative Review 保护精神痛苦的人的经验,警察和保健从业人员:综合审查。
IF 2.9 4区 医学
Journal of Psychiatric and Mental Health Nursing Pub Date : 2025-08-14 DOI: 10.1111/jpm.70014
Inga Heyman, Catriona Kennedy, Aileen Grant, Andrew Wooff
{"title":"Safeguarding Experiences of People in Mental Distress, Police and Healthcare Practitioners: An Integrative Review","authors":"Inga Heyman,&nbsp;Catriona Kennedy,&nbsp;Aileen Grant,&nbsp;Andrew Wooff","doi":"10.1111/jpm.70014","DOIUrl":"10.1111/jpm.70014","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Introduction&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Globally, there is demand on police and emergency health services to respond to people in mental distress. Research at this intersect has focused on decriminalisation of people with severe mental health disorders, police custody care or interagency collaborative models. There is little understanding of the experiences of stakeholders where mental distress is not associated with a severe mental disorder or criminal offence.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To determine current knowledge about safeguarding of people in mental distress supported by police and healthcare practitioners.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Method&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A rigorous integrative review with 10 databases was searched January 2002 to January 2024.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The search filtered 12,451 titles and abstracts with 41 full-text articles appraised. Three overarching themes emerged: Safeguarding and care experiences of people in mental distress; intoxication, self-harm and aggression; professional perspectives and responses to people in mental distress.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Discussion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Experiences are varied. Whilst there is evidence of compassion, many reported negative experiences when self-harm and intoxication are involved, inconsistent professional responses and gaps in emergency police and mental health systems.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for Practice&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Unscheduled care and community mental health nurses have a vital role to play in identifying and influencing interdisciplinary gaps in out-of-hours emergency health and police processes to support people in mental distress to prevent repetitive distress cycles. This calls for an urgent re-imagining of unscheduled care mental health pathways, Specifically, where practice gaps impact on people who are intoxicated yet do not require inpatient care.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Relevance to Mental Health Nursing (for Peer Reviewers and Editors Only)&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;People in mental distress (PiMD) who come to police attention often require an interdisciplinary response. Unscheduled care and community mental health nurses play a key role in this support. This integrative review suggests there are systems gaps and variety i","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 5","pages":"1262-1274"},"PeriodicalIF":2.9,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.70014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856842","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}
引用次数: 0
Against Coercion in Community Mental Health Services 反对社区精神卫生服务中的强迫行为。
IF 2.9 4区 医学
Journal of Psychiatric and Mental Health Nursing Pub Date : 2025-08-14 DOI: 10.1111/jpm.70021
Anthony J. O'Brien
{"title":"Against Coercion in Community Mental Health Services","authors":"Anthony J. O'Brien","doi":"10.1111/jpm.70021","DOIUrl":"10.1111/jpm.70021","url":null,"abstract":"&lt;p&gt;In 2018, the New Zealand Government accepted a recommendation from a national inquiry into mental health and addiction to repeal and replace the country's mental health legislation, the Mental Health (Compulsory Assessment and Treatment) Act (1992) (The Act) New Zealand Government (&lt;span&gt;2018&lt;/span&gt;). The Act was widely considered to be out of step with international human rights standards and current practice in mental health. Developed in the era of deinstitutionalisation, the Act helped to facilitate the closure of stand-alone psychiatric hospitals through the creation of community treatment orders (CTOs). It also introduced procedural protections in the process of civil commitment (Dawson and Gledhill &lt;span&gt;2013&lt;/span&gt;). A phenomenological definition of “mental disorder” was introduced, meaning that any one of a specified list of changes in mental functioning, rather than psychiatric diagnosis, became the clinical criterion for compulsory treatment. Medical practitioners were no longer the sole group of clinicians involved in making decisions. Nurses became involved in the committal process through the statutory role of a duly authorised officer (Street and Walsh &lt;span&gt;1998&lt;/span&gt;) and later as responsible clinicians (McKenna et al. &lt;span&gt;2006&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;An unintended consequence of New Zealand's adoption of CTOs was that numbers of people placed under CTOs grew rapidly under the new legislation. By 2013, New Zealand had one of the world's highest rates of CTOs (O'Brien &lt;span&gt;2014&lt;/span&gt;). That high rate of CTO usage has continued over the past decade (Lees et al. &lt;span&gt;2023&lt;/span&gt;). Not only are rates of CTO use very high, they are used disproportionately with New Zealand's indigenous Māori population (Ministry of Health &lt;span&gt;2023&lt;/span&gt;). They are also more likely to be used in geographical regions of high social deprivation (O'Brien et al. &lt;span&gt;2012&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;Reform, therefore, appeared to offer an opportunity to utilise the lever of legislation to promote greater equity and decrease the overall use of compulsion in mental health services. A Ministry of Health discussion document (Ministry of Health &lt;span&gt;2021&lt;/span&gt;) set the tone of high expectations for reform. Optimistically titled “&lt;i&gt;Transforming our Mental Health Law&lt;/i&gt;”, the document declared the aspirational goals of reducing the use of compulsion, reducing inequities, and introducing a Te Ao Māori worldview in the operation of mental health legislation. Perhaps such lofty ideals were always going to lead to disappointment. In this editorial, I focus on one aspect of the new legislation, the use of compulsory community treatment.&lt;/p&gt;&lt;p&gt;After a long process of consultation, submissions from the public and advice from an expert committee, the Mental Health Bill (Bill) emerged in 2024. The Bill is now wending its way through the process of select committee submissions, political negotiations and redrafting towards adoption in late 2027 (New Zealand Government &lt;span&gt;2025","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 5","pages":"1259-1261"},"PeriodicalIF":2.9,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.70021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856841","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}
引用次数: 0
Development of the Caring Competence Scale for Family Caregivers of Persons With Mental Disorders 精神障碍家庭照顾者照顾能力量表的编制。
IF 2.9 4区 医学
Journal of Psychiatric and Mental Health Nursing Pub Date : 2025-08-05 DOI: 10.1111/jpm.70015
Won Hee Jun
{"title":"Development of the Caring Competence Scale for Family Caregivers of Persons With Mental Disorders","authors":"Won Hee Jun","doi":"10.1111/jpm.70015","DOIUrl":"10.1111/jpm.70015","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Although family care is crucial for the recovery of persons with mental disorders, no tool is available to measure the caring competence of family caregivers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This methodological study aimed to develop a scale that reflects the caring competence of family caregivers of persons with mental disorders and to verify its validity and reliability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Fifty initial items were derived on the basis of a previous study that analysed the concept of caring competence among family caregivers of persons with mental disorders. The initial items were revised based on content validity, and 48 preliminary items were selected. Data were collected from 361 families of persons with mental disorders. Data were analysed using factor analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The caring competence scale for family caregivers of persons with mental disorders consisted of five sub-factors and 22 items. The five sub-factors were compassionate relationship formation (six items), skilful disease management (four items), respecting the patient (four items), self-care (four items), and hope (four items). The developed scale had high reliability, with a Cronbach's alpha of 0.93. Verifying the criterion validity of the developed scale revealed that the correlation between the criterion scale (caregiving self-efficacy scale) and the developed scale was statistically significant, with a correlation coefficient of 0.63.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This study presents empirical evidence for the reliability and validity of the caring competence scale for family caregivers of persons with mental disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>This scale provides reference for mental health nurses to evaluate the caring competence of family caregivers of persons with mental disorders.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 5","pages":"1248-1258"},"PeriodicalIF":2.9,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785832","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}
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