{"title":"Facing the Crowd With a Racing Heart: A Lived Experience of Social Anxiety in Nursing Education","authors":"E. Shopijen","doi":"10.1111/jpm.70166","DOIUrl":"10.1111/jpm.70166","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Social phobia is a mental health condition often misunderstood as shyness and mostly undiagnosed. This condition significantly affects the academic performance, practical skills, and psychological well-being of individuals, resulting in reduced contribution to society and the nation's economy. The aim of this lived experience narrative is to present the experience of social phobia within nursing education and emphasize the implications for mental health nursing practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This is a first-person narrative to describe the personal experience with social phobia and its impact on personal, professional, and social life. This reflects the presentation of signs and symptoms, delayed diagnosis, therapeutic experience, pharmacological management, and adaptation related to the nursing education context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Social phobia is not a barrier to achievements, but it increases the psychological cost of performance. Early recognition and treatment can significantly improve the lives of individuals. Mental health nurses have an important role in providing compassionate care and support to individuals with social phobia to help them recover.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 5","pages":"871-874"},"PeriodicalIF":3.1,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.70166","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148310307","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}
Pierre Pariseau-Legault, Clara Lessard-Deschênes, Sophie Sergerie-Richard, Marie-Hélène Goulet, Marie-Claude Jacques, Carole Levis
{"title":"Allyship in Psychiatric and Mental Health Services: A Scoping Review and Thematic Analysis","authors":"Pierre Pariseau-Legault, Clara Lessard-Deschênes, Sophie Sergerie-Richard, Marie-Hélène Goulet, Marie-Claude Jacques, Carole Levis","doi":"10.1111/jpm.70165","DOIUrl":"10.1111/jpm.70165","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Psychiatric and mental health services have been increasingly scrutinized for sustaining coercive and epistemically unjust practices. Allyship, conceptualized as a commitment to power redistribution, has emerged as a strategy to address such injustices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study is to map the literature and current state of knowledge regarding allyship in psychiatry and mental health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A scoping review was carried out. Tirthy-four (<i>n</i> = 34) reports were subjected to a descriptive and thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analysis of the literature identifies four interrelated and complementary themes characterizing allyship: (1) the scope of allyship in mental health, (2) its general principles, (3) the qualities expressed by allies and (4) their repertoire of actions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Reviewed studies depict allies as reflexive agents aware of their privilege and advocating for patients. However, findings reveal ethical tensions between performative and effective allyship, with risks of reinforcing paternalistic structures rather than dismantling them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implication for Practice</h3>\u0000 \u0000 <p>The results highlight the ethical responsibility of psychiatric and mental health professionals to resist mere symbolic or performative allyship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Recommendations</h3>\u0000 \u0000 <p>This synthesis underscores the ethical imperative to anchor allyship in principles of social justice, epistemic humility, and mutual emancipation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Relevance to Mental Health Nursing</h3>\u0000 \u0000 <p>Allyship has been the subject of significant debate in psychiatric nursing. The results of this review inform nursing practice by identifying the principles, qualities, and defining actions of individuals who seek to become and act as allies. The findings presented also outline avenues for action aimed at adapting educational curricula to incorporate key dimensions of allyship, including the recognition of privilege, the redistribution ","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 5","pages":"875-894"},"PeriodicalIF":3.1,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.70165","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148320339","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}
Fadwa Alhalaiqa, Fadi Khraim, Ahmad Abu Raddaha, Mohammed Aldalaykeh, Waqas Sami, Noof Al-Kuwari, Muayyad Mustafa Ahmad
{"title":"Depressive Symptom Patterns and Digital Screen Exposure Among Adults in Qatar: A Cross-Sectional Study With Implications for Psychiatric and Mental Health Nursing Practice","authors":"Fadwa Alhalaiqa, Fadi Khraim, Ahmad Abu Raddaha, Mohammed Aldalaykeh, Waqas Sami, Noof Al-Kuwari, Muayyad Mustafa Ahmad","doi":"10.1111/jpm.70159","DOIUrl":"10.1111/jpm.70159","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Depression is a major global health concern, yet population-based evidence on depressive symptom patterns and associated lifestyle factors in Qatar remains limited. Understanding symptom distribution is important for informing nurse-led prevention and early identification strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional secondary analysis was conducted using data from 1098 adults enrolled in the Qatar Biobank. Depressive symptoms were assessed using the nine-item Patient Health Questionnaire. Descriptive statistics summarized total scores, severity categories and individual symptoms. Bivariate analyses and hierarchical multivariable regression were conducted to examine associations between depressive symptoms and selected sociodemographic and behavioural variables including screen-based digital device exposure (television, mobile phone, tablet and computer).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean nine-item Patient Health Questionnaire (PHQ-9) score was 5.28, indicating overall low symptom severity. More than half of participants (52.7%) reported no depressive symptoms, while 30.9% reported mild symptoms. Moderate to severe symptoms were observed in a minority of participants. Low energy and sleep-related symptoms were most frequently reported, whereas suicidal ideation was least endorsed. Higher screen-based digital device use showed small but statistically significant associations with multiple depressive symptoms (<i>r</i>≈0.06–0.10), indicating small effect sizes with limited clinical significance, although these associations were not retained after adjustment in multivariable analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Depressive symptoms in this population were generally mild. The findings highlight the relevance of symptom-focused assessment and consideration of digital behaviours in psychiatric and mental health nursing practice, supporting nurse-led preventive and health promotion initiatives in Qatar.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Relevance to Psychiatric and Mental Health Nursing</h3>\u0000 \u0000 <p>Psychiatric and mental health nurses are central to early identification and prevention of depressive symptoms in primary care and community settings in Qatar. This study provides population-based evidence on depressive symptom patterns and their associations with screen-based digital device exposure among adults. Findings support symptom-focused screening beyond total depression scores and highlight the need to routinely assess digital behaviours, sleep-relate","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 5","pages":"813-823"},"PeriodicalIF":3.1,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254155","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":"Beyond Surveillance: Reframing Nursing Observation as Therapeutic Engagement in Psychiatric Care","authors":"Wanich Suksatan","doi":"10.1111/jpm.70163","DOIUrl":"10.1111/jpm.70163","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 5","pages":"798-799"},"PeriodicalIF":3.1,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148240486","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}
Sibel Çaynak, Yeliz Karaçar, Buket Şimşek Arslan, Ahmet Göktaş, Halil İbrahim Karaçar
{"title":"Self-Care Experiences of Psychiatric Nurses: A Phenomenological Study","authors":"Sibel Çaynak, Yeliz Karaçar, Buket Şimşek Arslan, Ahmet Göktaş, Halil İbrahim Karaçar","doi":"10.1111/jpm.70153","DOIUrl":"10.1111/jpm.70153","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Self-care is both a personal and professional responsibility for nurses; however, academic evidence in this area remains limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Psychiatric nurses' self-care experiences were examined.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This descriptive phenomenological study included 18 psychiatric nurses from a public hospital, using purposive sampling. Data were collected via semi-structured, individual, and in-depth face-to-face interviews conducted between May and June 2025. Analyses included Colaizzi's seven-stage phenomenological analysis conducted using MAXQDA software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four themes and 13 subthemes were elicited. Nurses reported increased self-care awareness, identified themselves as role models for patients, and emphasized the importance of physical, mental, social, spiritual, and professional self-care, as well as daily routines. Facilitators and barriers included motivation, work-life balance, and emotional burden as individual factors, and workplace experiences, shift work, and professional perspective as professional factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Psychiatric nurses' self-care awareness and strategies play a critical role in individual and professional well-being and in the quality of care, underscoring the need for support at both individual and institutional levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Training programs and institutional practices promoting self-care awareness and work-life balance may enhance nurses' well-being and the quality of patient care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Relevance Statement</h3>\u0000 \u0000 <p>This study explored psychiatric nurses' self-care experiences, highlighting factors that influence their well-being and professional practice, including workplace dynamics, shift patterns, and role expectations. Findings on facilitators and barriers to self-care provide valuable insights for designing educational programs and institutional strategies to support nurses' physical, mental, social, spiritual, and professional health. By addressing universal challenges, such as emotional burden and work-life balance, while considering context-specif","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 5","pages":"749-762"},"PeriodicalIF":3.1,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.70153","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989813","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}
Eliane Bourgeois, Ahmed Benaiche, Maryvonne Decroix, Richard Flahaut, Abdelhamed Haddouche, Julia Poprawa, Antoine Lamer, Marielle Wathelet
{"title":"Consequences of the COVID-19 Pandemic on Nurses' Mental Health: A Multicentre Cross-Sectional Study in Northern France","authors":"Eliane Bourgeois, Ahmed Benaiche, Maryvonne Decroix, Richard Flahaut, Abdelhamed Haddouche, Julia Poprawa, Antoine Lamer, Marielle Wathelet","doi":"10.1111/jpm.70146","DOIUrl":"10.1111/jpm.70146","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Nurses are at high risk for mental health problems, including anxiety and depression, as well as burnout symptoms. The COVID-19 pandemic intensified these challenges, yet little is known about its long-term impact.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To assess the prevalence of burnout symptoms, anxiety, depression and suicidal ideation among nurses in Northern France 2 years after the pandemic began, and to identify their risk and protective factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The COSMIN study is a multicentre cross-sectional survey conducted in eight public hospitals in Hauts-de-France. Data were collected via an anonymous online questionnaire (May–October 2022), using validated scales (Copenhagen Burnout Inventory, <i>State–Trait Anxiety Inventory</i>, Beck Depression Inventory). Logistic regression identified associated factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 632 respondents, 25% had at least one clinically significant mental health problem: 16.5% anxiety, 2.5% depression, 13.9% burnout and 4.4% suicidal ideation. Burnout included professional (13.0%), personal (8.7%) and relational (5.1%) forms. Despite a decline from earlier phases, vigilance-level symptoms remained common. History of mental health problems increased risk, while institutional supports, especially multidisciplinary meetings, were protective. Personal impacts included increased conflict and breakups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Mental health symptoms remain prevalent among nurses post-pandemic. Supportive measures appear beneficial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implication for Practice</h3>\u0000 \u0000 <p>Reinforcing institutional support and mental health resources is essential to address ongoing distress and protect care quality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Relevance to Mental Health Nursing</h3>\u0000 \u0000 <p>This study highlights the enduring psychological impact of the COVID-19 pandemic on nurses, revealing high rates of burnout, anxiety, depression and suicidal ideation 2 years after the crisis began. It underscores the critical role of institutional support—such as multidisciplinary meetings and supervision—in protecting staff well-being. These findings are directly relevant to mental health nursing by informing strategies to support nurses' psychological health, improve working conditions, and maintain the quality of patient c","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 5","pages":"841-852"},"PeriodicalIF":3.1,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273081","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}
Heba Abdelfatah Ahmed, Nadia Mohamed Ibrahim Wahba, Ahmed Abdellah Othman, Elsayeda Hamdy Abdelhalim, Huda Gaber Hamzaa
{"title":"Breaking the Retention Crisis: Cognitive Rumination and Psychological Fortitude as Predictors of Departure Inclination Among Psychiatric Nurses in Egypt","authors":"Heba Abdelfatah Ahmed, Nadia Mohamed Ibrahim Wahba, Ahmed Abdellah Othman, Elsayeda Hamdy Abdelhalim, Huda Gaber Hamzaa","doi":"10.1111/jpm.70164","DOIUrl":"10.1111/jpm.70164","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Psychiatric nurses are essential to the provision of mental health care, but they are especially prone to workplace stressors, causing an escalating retention crisis worldwide and negatively affecting their mental health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive cross-sectional correlational research design was conducted among psychiatric nurses working in Port Said and New Damietta Mental Health and Addiction Treatment Hospitals, Egypt. A convenience sample of 265 nurses was recruited. Data were collected using three standardised tools: the Fortitude Questionnaire (20 items, four-point Likert scale ranging from does not apply to applies very strongly), the Ruminative Response Scale (10 items comprising two subscales: brooding and reflection; responses rated on a four-point Likert scale from 1 = ‘never’ to 4 = ‘always’), and the Turnover Intention Scale (3 items rated on a five-point Likert scale from 1 = ‘strongly disagree’ to 5 = ‘strongly agree’). Data were collected over a three-month period from July to September 2025.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Findings revealed that cognitive rumination was positively correlated with turnover intention and negatively correlated with psychological fortitude. Regression analysis indicated that both cognitive rumination and psychological fortitude significantly predicted turnover intention. Regarding demographic variables, significant differences were observed in cognitive rumination, psychological fortitude, and turnover intention based on personal characteristics. Specifically, nurses living in rural areas reported higher cognitive rumination and turnover intention, and lower psychological fortitude compared to those living in urban areas (<i>p</i> < 0.05). In addition, sex, age, education level, and years of experience were also significantly associated with the study variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study addresses a critical gap in the literature on psychiatric nurses in Egypt by highlighting the significant interplay between cognitive rumination, psychological fortitude, and turnover intention. The findings suggest that higher levels of maladaptive cognitive rumination are associated with lower psychological fortitude, whereas greater psychological fortitude is associated with reduced turnover intention. These results underscore the importance of psychological resilience-building interventions to reduce turnover risk among psychiatric nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Relevance to Mental Health Nursing</h3>\u0000 ","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 5","pages":"853-862"},"PeriodicalIF":3.1,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279598","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":"Expanding the Social Network Lens: Integrating Community and Mental Health Workers for Collaborative Care in the Digital Era","authors":"Dominikus David Biondi Situmorang, Nadiya Kurniati, Tiara Anggun Mauladi, Dian Munawarah","doi":"10.1111/jpm.70086","DOIUrl":"10.1111/jpm.70086","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 5","pages":"745-746"},"PeriodicalIF":3.1,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858912","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}
Dominikus David Biondi Situmorang, Nadiya Kurniati, Cece Rakhmat
{"title":"The Philosophical Tensions Between Educational Ideals and Mental Health Realities in Lived Experience Teaching","authors":"Dominikus David Biondi Situmorang, Nadiya Kurniati, Cece Rakhmat","doi":"10.1111/jpm.70108","DOIUrl":"10.1111/jpm.70108","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 5","pages":"747-748"},"PeriodicalIF":3.1,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146158953","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}
Evans F. Kyei, Dorothy Wilson, Grace K. Kyei, Rockson Ansong, Mercy N. Mumba
{"title":"Beyond the Law: A Qualitative Socio-Ecological Study of Substance Use Treatment Barriers and Adaptations in Ghana","authors":"Evans F. Kyei, Dorothy Wilson, Grace K. Kyei, Rockson Ansong, Mercy N. Mumba","doi":"10.1111/jpm.70150","DOIUrl":"10.1111/jpm.70150","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Ghana's response to substance use has long been dominated by criminalisation, yet limited research has examined how this policy environment shapes addiction treatment delivery. This study explored the perspectives of mental health nurses providing care to people who use drugs (PWUDs) using a socio-ecological framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An exploratory qualitative study was conducted with 20 mental health nurses in the Kumasi Metropolitan Area between April and July 2024. Participants were purposively recruited from diverse healthcare facilities. Semi-structured interviews explored factors influencing treatment provision at individual, interpersonal, organisational, community and policy levels. Interviews were audio-recorded, transcribed verbatim and analysed using Braun and Clarke's six-stage thematic analysis. A deductive approach informed by the socio-ecological framework was combined with inductive theme development. Reporting followed the Consolidated Criteria for Reporting Qualitative Research (COREQ).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four themes emerged: (1) structural and systemic barriers, including fragmented treatment pathways, limited rehabilitation facilities and resource inequities; (2) economic and access barriers shaped by financial constraints and family systems; (3) societal attitudes and criminalisation, where stigma and punitive policies discouraged treatment engagement while corruption enabled drug access and (4) adaptation and resilience, reflecting how providers and patients navigated system limitations through creative strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Mental health nurses deliver addiction care within significant structural constraints. A socio-ecological framework revealed how barriers operate across multiple levels, underscoring the need for public health-oriented drug policies, expanded treatment infrastructure and targeted workforce development to improve addiction care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 5","pages":"766-779"},"PeriodicalIF":3.1,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.70150","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148037249","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}