Journal of Psychiatric and Mental Health Nursing最新文献

{"title":"Nurse-Led Physical Screening of Patients With Substance Use Disorders: A Cross-Sectional Study","authors":"J. F. M. Middeldorp,&nbsp;E. Krijnen-de Bruin,&nbsp;V. J. A. Buwalda,&nbsp;A. E. Goudriaan,&nbsp;B. van Meijel","doi":"10.1111/jpm.13124","DOIUrl":"10.1111/jpm.13124","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Somatic comorbidity is the main cause of reduced life expectancy in patients with substance use disorders (SUDs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aims to investigate somatic health challenges in patients with SUDs using the USS. Patient self-management of somatic health and quality of life were also assessed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>In our study, a stratified random sample of 136 clients who received treatment at a specialist addiction facility was drawn to investigate their physical health and lifestyle behaviours using the Utrecht Somatic Screening 2.0 (USS 2.0). The sample included three subgroups, that is, patients receiving outpatient treatment through Flexible Assertive Community Treatment (FACT), Heroin-Assisted Treatment (HAT) and Opioid Replacement Therapy (ORT). Pain, self-management and quality of life were also measured. Descriptive statistics were used to analyse the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The findings indicate that many patients experience a large number of somatic health problems, including pain and exhaustion. The most prevalent conditions in this study are cardiovascular disease (25%) and COPD (20%), underweight and poor oral health. Tobacco smoking is prevalent among 88% of patients. Fifty percent of the patients expressed a need for support in managing their physical health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Somatic health care and lifestyle promotion should be tailored to the specific characteristics of patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Patients with SUDs suffer from poor physical health and show unhealthy lifestyle behaviours, which demand the promotion of tailored somatic health.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 2","pages":"414-425"},"PeriodicalIF":2.6,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479360","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":"Qualitative Research Part 2: Conducting qualitative research","authors":"Marie Crowe,&nbsp;Jenni Manuel","doi":"10.1111/jpm.13123","DOIUrl":"10.1111/jpm.13123","url":null,"abstract":"&lt;p&gt;This paper follows the paper exploring the place of qualitative research in mental health nursing practice. It moves from the methodologies to the method of conducting qualitative research. It will explore three key components of the research process: developing a research question, data collection, and data analysis. It also considers some of the limitations of qualitative research.&lt;/p&gt;&lt;p&gt;All qualitative research processes pivot on the research question. The question will determine both the methodology and the method of conducting the research. It encapsulates the object of the research inquiry and facilitates the research process. Ideally, its focus would be the patient's experience of some aspect of mental health nursing practice. A good place to start is to identify an area of mental health nursing interest or consider those taken-for-granted aspects of practice e.g., the patient's experience of admission, treatment, a specific intervention, the relationship with nurses, and the psychiatric process. The next step is to explore the literature on the topic and what studies have been undertaken.&lt;/p&gt;&lt;p&gt;The research needs to contribute to new knowledge, so it is important to identify gaps in the literature. For example, your interest may be the use of observations in an acute inpatient setting as a strategy to manage risk. You would need to explore the nursing literature and the broader literature on observation and risk management and the mental health nursing literature. Most research raises further questions, and it is these unanswered questions that require further investigation. There will be relevant studies that have focused on observation and risk management, but your goal is to identify those aspects of the findings that raise further questions. Studies may have examined patients' experiences of observations from different perspectives, and your question may develop from those findings e.g., one study found that patients' sleep was disturbed by nursing observations at night (Veale et al. &lt;span&gt;2020&lt;/span&gt;). You may choose to develop a subsequent question around what patients think may be more helpful or the patients' experience of sleep deprivation and its impact on recovery.&lt;/p&gt;&lt;p&gt;Another strategy for developing a research question is to focus your exploration of the literature on systematic and integrative reviews and qualitative meta-syntheses. Observations may be regarded as a form of restrictive practice so you would need to look at the literature reviews on this topic. For example, an integrative review of patient preferences related to restrictive practices (Lindekilde et al. &lt;span&gt;2024&lt;/span&gt;) reported that factors such as environment, communication and duration were found to influence patients' preferences. After exploring a range of literature, a research question could be developed inquiring about the types of communication that patients would prefer when they are being observed, or what factors in the environment could impr","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 1","pages":"256-258"},"PeriodicalIF":2.6,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373406","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}

{"title":"Secondary Traumatic Stress and Coping Experiences in Psychiatric Nurses Caring for Trauma Victims: A Phenomenological Study","authors":"Kübra Gülirmak Güler,&nbsp;Sevda Uzun,&nbsp;Elif Güzide Emirza","doi":"10.1111/jpm.13121","DOIUrl":"10.1111/jpm.13121","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>In this study, it was aimed to evaluate the secondary traumatic stress and coping experiences of psychiatric nurses who care for people who have experienced psychological trauma with a phenomenological approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Materials and Methods</h3>\u0000 \u0000 <p>In this study, semi-structured in-depth interviews were conducted with 18 psychiatric nurses residing in Turkey using the phenomenological research method. The criterion sampling method was used to reach the sample group. Interviews continued until data saturation was achieved, and all interviews were audio-recorded and then transcribed. The data were analysed using thematic analysis. The study was conducted and reported using the COREQ checklist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>In the analysis of the data, three themes (difficulties in caring for people who have experienced trauma, the effects of caring for people who have experienced trauma on the individual and coping, reflections of secondary trauma on the profession) and seven sub-themes (mental, physical, social, psychosocial difficulties and coping, quality of care, professional and organisational aspects) were identified.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>As a result of the study, it was determined that secondary traumatic stress was observed in psychiatric nurses caring for individuals who experienced psychological trauma. It was determined that caring for people who have experienced psychological trauma can negatively affect nurses psychosocially, and individuals have difficulty coping. In line with the results of the study, it is thought that necessary intervention programs should be created for nurses experiencing secondary traumatic stress.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 2","pages":"402-413"},"PeriodicalIF":2.6,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.13121","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373407","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}

{"title":"Leveraging a Global Partnership to Address COVID-19-Related Mental Health Challenges","authors":"Vinciya Pandian,&nbsp;Manoranjitham Sathiyaseelan,&nbsp;Angela Chang Chiu,&nbsp;Vinitha Ravindran,&nbsp;Karan Kverno,&nbsp;Sheela Durai,&nbsp;Patty Wilson,&nbsp;Alice Sony,&nbsp;Tamar Rodney,&nbsp;Katherine Rediger,&nbsp;Ida Nirmal,&nbsp;Bala Seetharaman,&nbsp;Natalie G. Regier,&nbsp;Helen Sujatha Charles,&nbsp;Maria Docal,&nbsp;Jason Farley,&nbsp;Vathsala Sadan,&nbsp;Nancy R. Reynolds","doi":"10.1111/jpm.13115","DOIUrl":"10.1111/jpm.13115","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The COVID-19 pandemic profoundly affected nurses globally. As frontline workers, nurses faced increased responsibilities amid challenges such as isolation, infection risks, family obligations and disrupted social support systems. Coping with these challenges was associated with adverse mental health outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim/Question</h3>\u0000 \u0000 <p>This perspective paper examines a collaboration between two schools of nursing in the United States and India to address these mental health challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Faculty from both institutions identified key mental health topics, leading to five webinars that delved into topics such as acute and long-term impacts of COVID-19 on nurse mental health, coping mechanisms, caregiving responsibilities and children's needs during the pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Impressively, over 11,000 nurses from 60 countries engaged, fostering a global platform for sharing evidence-based knowledge, experiences and strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>This partnership exemplifies the value of international collaboration. By pooling resources and expertise across cultural contexts, the initiative not only disseminated crucial knowledge but also cultivated a sense of global community among nurses. The success of this collaboration underscores the potential of such global partnerships for healthcare institutions worldwide, offering avenues to share best practices and enhance support systems for nurses confronting similar crises globally.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 2","pages":"391-401"},"PeriodicalIF":2.6,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.13115","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373405","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}

{"title":"Bridging Gaps in Shared Decision-Making for Anxiety Disorders: A Commentary on Villena et al.","authors":"Chia-Wei Chen,&nbsp;Lien-Chung Wei,&nbsp;Hsien-Jane Chiu","doi":"10.1111/jpm.13120","DOIUrl":"10.1111/jpm.13120","url":null,"abstract":"<div>\u0000 \u0000 <p>This commentary reflects on the recent study by Villena et al., which addresses the need for enhanced shared decision-making (SDM) for individuals with anxiety disorders. As a psychiatrist with expertise in anxiety management, I commend the study's emphasis on patient involvement and its alignment with real-world clinical challenges. The findings, particularly regarding patients' preferences for psychological interventions and the current trend towards pharmacological treatments, highlight the need to better align treatment approaches with evidence-based guidelines. Additionally, the study underscores the importance of psychoeducation and active coping strategies like exposure techniques. These insights offer valuable contributions towards improving patient-centred care and SDM in anxiety disorder treatment.</p>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 2","pages":"389-390"},"PeriodicalIF":2.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331390","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":"Recovered or Not Recovered? A First Person Narrative Case for Non-Abstinent Recovery","authors":"Peter Tomlinson","doi":"10.1111/jpm.13122","DOIUrl":"10.1111/jpm.13122","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The purpose of this paper was to explore interlocking questions relating to how we deal with drugs and medication in crisis residential mental health settings. In particular, it examines issues related to overly medical and simplistic explanations of the relationship between cannabis and psychosis, the positive effects of drugs, the effects of having standard rules for diverse groups of people and the concept of non-abstinent recovery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>I have used mental health and addiction services for 25 years and I have 6 years' experience as a peer worker, working with many people who use drugs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This is an opinion piece built around a first-person narrative.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Keypoints</h3>\u0000 \u0000 <p>Drugs can have positive effects and an appreciation and understanding of these effects is essential to understanding persistent drug use. How can we integrate non-abstinent recovery as a valid and positive choice of recovery pathway?</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 2","pages":"384-388"},"PeriodicalIF":2.6,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.13122","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331403","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}

{"title":"Qualitative Research Part 1: Understanding Its Place in Mental Health Nursing Practice","authors":"Marie Crowe,&nbsp;Jenni Manuel","doi":"10.1111/jpm.13118","DOIUrl":"10.1111/jpm.13118","url":null,"abstract":"&lt;p&gt;Qualitative research methods complement mental health nursing practice—with a focus on the lived experience. These methods do not work from pre-determined categories applied to the person's experience but rather seek to find and interpret the categories and themes from within the collected data Qualitative research fits with the skills embedded in mental health nursing practice, qualitative research because it is well-suited to the investigation of the complexities of human responses and experiences that are integral to everyday practice. Mental health nurses who practice a recovery-focused model of care have a unique perspective on the complexities of mental health distress and the patient's needs for connectedness, hope, identity, meaning and empowerment that promotes recovery (Leamy et al. &lt;span&gt;2011&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;Qualitative research methods are oriented towards understanding meanings and experiences. They are therefore potentially very useful in the mental health context because they can provide new insights and knowledge in poorly understood and complex areas, such as understanding subjective experiences of mental disorders and their treatments (Fossey et al. &lt;span&gt;2002&lt;/span&gt;). The subjective experience is needed to inform the interpersonal, socio-cultural and political context of mental distress, treatment and service delivery. While quantitative and statistical research methods enable deduction and prediction irrespective of context, qualitative research enables contextualised understandings of subjective experiences.&lt;/p&gt;&lt;p&gt;Quantitative research is focused on the experimental examination of an intervention in terms of quantity, amount, intensity or frequency and is supposedly objective but the choice of what is examined and how is always a subjective process. Qualitative researchers study things in their natural setting, attempting to make sense of or interpret phenomena in terms of the meanings people bring to them (Denzin and Lincoln &lt;span&gt;2011&lt;/span&gt;). It does not obscure the subjective nature of the research process but acknowledges that there can be multiple interpretations of the data. An audit trail identifies how the interpretations were developed.&lt;/p&gt;&lt;p&gt;While qualitative research makes no claims to objectivity it does follow rigorous processes based on theoretical paradigms and epistemologies. These need to be clearly stated within the paper because they determine the characteristics of the study aim and its methods of data collection and analysis. The most commonly used methods are phenomenology, grounded theory, discourse analysis and interpretative thematic analysis. These methods are supported by explicit theoretical paradigms underpinned by ontological and epistemological assumptions of the nature of reality and the nature of experience.&lt;/p&gt;&lt;p&gt;The following section provides an overview of some of the core methodologies. This is not an exhaustive list but reflects the papers submitted to this Journal.&lt;/p&gt;&lt;p&gt;A phenomenolo","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"31 6","pages":"1230-1233"},"PeriodicalIF":2.6,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.13118","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331402","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}

{"title":"The Risks of Artificial Intelligence in Mental Health Care","authors":"Ceylon Dell","doi":"10.1111/jpm.13119","DOIUrl":"10.1111/jpm.13119","url":null,"abstract":"&lt;p&gt;Artificial intelligence (AI) has increasingly integrated into various aspects of healthcare, including diagnostics, care planning and patient management. In psychiatric healthcare specifically, conversational AI is seen as a potential solution to support psychiatric nurses in the assessment of psychiatric illnesses (Rebelo, Verboom, and Santos &lt;span&gt;2023&lt;/span&gt;). However, it is important that the oversight of a psychiatric nurse is needed when integrating conversational AI into psychiatric care. This editorial explores the risk of using conversational AI for psychiatric assessments and emphasises the need for human intervention in AI-driven processes.&lt;/p&gt;&lt;p&gt;In community mental health settings, psychiatric nurses play a crucial role in managing a wide range of conditions. The increasing demand for care, driven by factors such as heightened public awareness and reduction of stigmatisation for psychiatric illnesses, has led to longer waiting times for services (British Medical Association &lt;span&gt;2024&lt;/span&gt;). Conversational AI systems have been proposed to alleviate this pressure by streamlining the psychiatric assessment process (Rollwage et al. &lt;span&gt;2024&lt;/span&gt;). One of the key benefits of AI is its potential to triage and prioritise those with the most urgent needs, thereby ensuring that critical cases are addressed promptly (Lu et al. &lt;span&gt;2023&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;Psychiatric assessments require a deep understanding of the patient's presentation, psychiatric symptoms and the context of patient behaviour. Conversational AI systems are based on language learning models (LLM) and analyse data they have been trained on previously, which is mainly in written format and often derived from patients' electronic health records initially, advises Yang et al. (&lt;span&gt;2022&lt;/span&gt;). Electronic health records contain all patient notes relevant to the episode of care the patient is receiving. It can include quantitative data sets such as diagnoses, charts, patient demographics and patient-led questionnaires based on symptomology or more nuanced qualitative data sets, such as psychiatric nursing observations of patient behaviour and caregiver views (Goldstein et al. &lt;span&gt;2022&lt;/span&gt;). These data points help to construct a picture of a patient's presentation as part of an assessment before a patient is spoken to. Indeed, the psychiatric nurse will often review referrals, previous history and information to gain some knowledge of the patient before assessing the needs for that episode of care. However, an AI could face significant challenges in interpreting patient information with the depth and nuance that a psychiatric nurse could, suggests Elyoseph, Levkovich, and Shinan-Altman (&lt;span&gt;2024&lt;/span&gt;), potentially resulting in inaccuracies in assessment, which can lead to inaccurate severity assessment and poor treatment outcomes.&lt;/p&gt;&lt;p&gt;The notion of bias in AI systems is a significant issue in psychiatric care, particularly because these biases often originate fro","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 2","pages":"382-383"},"PeriodicalIF":2.6,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.13119","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331405","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}

{"title":"Mental Health Status and the Intention to Leave the Profession of Nurses Employed Across Catalonia, Spain: A Cross-Sectional Study","authors":"David Giménez-Díez,&nbsp;Juan M. Leyva-Moral,&nbsp;Carolina E. Watson,&nbsp;Maria Dolors Bernabeu-Tamayo","doi":"10.1111/jpm.13116","DOIUrl":"10.1111/jpm.13116","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The relationship between nurses' mental well-being and intention to leave the profession remains a pressing issue.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To determine the mental health status and the intention to leave the profession of nurses employed across diverse healthcare sectors in Catalonia, Spain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study included 1051 Registered Nurses in Catalonia, Spain, using convenience sampling through social media platforms and personal contacts. Participants completed four standardised instruments online to measure anxiety, insomnia, depression and posttraumatic stress disorder, along with an ad hoc sociodemographic questionnaire. The methodology of this study was guided by the STROBE checklist.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The analysis revealed that a significant proportion of participants exhibited mental health issues: 44% showed moderate to severe anxiety, 31% experienced moderate to severe insomnia, 40% suffered from moderate to severe depression and 42% had moderate to severe posttraumatic stress disorder. Participants who had worked in COVID hospital units were 1.38 times more likely to experience poor mental health status. Although not all associations were statistically significant, nurses working in primary healthcare, intensive care units and nursing homes had increased odds of poor mental health. Additionally, 53% of participants had reconsidered their working status, with 69% of them expressing an intention to leave the nursing profession.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Limitations</h3>\u0000 \u0000 <p>The evolving nature of the pandemic and the adaptation of healthcare workers to the new scenario may have influenced their experiences during data collection.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications</h3>\u0000 \u0000 <p>Highlights the increase in mental health-related needs and high rates of psychiatric symptoms among nurses nowadays.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Recommendations</h3>\u0000 \u0000 <p>Addressing mental health needs is crucial to mitigate the intention of nurses to abandon the profession.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 2","pages":"371-381"},"PeriodicalIF":2.6,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.13116","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331401","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}

{"title":"A Mixed-Methods Study to Evaluate Depression and Anxiety Among Undergraduate Nursing Students","authors":"Li-Hua Yan,&nbsp;Meng-Yi Xie,&nbsp;Qiu Yang","doi":"10.1111/jpm.13117","DOIUrl":"10.1111/jpm.13117","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>As the backbone of future healthcare delivery, the mental health of undergraduate nursing students can have a direct impact on patients' perceptions of health and the quality of their healthcare learning. However, there has been little qualitative research on the factors influencing the mental health of undergraduate nursing students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study investigated the current status and factors influencing depression and anxiety in undergraduate nursing students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Questionnaires were administered to third-year nursing students at a medical college university using the Self-Assessment Scale for Anxiety (SAS) and the Self-Depression Scale (SDS). The students who suffered from anxiety or depression were selected for qualitative interviews and the results of the interviews were analysed by using the seven-step Koretz analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>(1) SAS and SDS scores of undergraduate nursing students were higher than the national average. (2) The qualitative interviews revealed that five themes, including childhood experience, body image, interpersonal relationships, professional identity and career planning, influenced mental health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Undergraduate nursing students exhibited a high prevalence of anxiety and depression. The colleges should establish a proactive educational model centred on teaching quality, professional identity, career planning and mental health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implication for Practice</h3>\u0000 \u0000 <p>This study found that the mental health of undergraduate nursing students was influenced by a variety of factors, which require diverse and constant interventions. School, family and social resources should collaborate to develop a systematic approach for better mental health education in undergraduate nursing students.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 2","pages":"364-370"},"PeriodicalIF":2.6,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331389","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}