Journal of Psychiatric and Mental Health Nursing最新文献

{"title":"The Light of Care in Dark Times.","authors":"Hafiz Muhammad Ihsan Zafeer","doi":"10.1111/jpm.70147","DOIUrl":"10.1111/jpm.70147","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":"703-706"},"PeriodicalIF":3.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147964975","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":"Healthcare Experiences and Expectations of Atheists, Deists and Agnostics in Türkiye: A Qualitative Study of Mental Well-Being.","authors":"Güven Soner, Emel Güven, Ercan Tunç","doi":"10.1111/jpm.70148","DOIUrl":"10.1111/jpm.70148","url":null,"abstract":"<p><strong>Introduction: </strong>Understanding how belief systems, or their absence, shape healthcare experiences is crucial for developing equitable and inclusive healthcare services.</p><p><strong>Aim: </strong>This study aimed to explore the healthcare experiences and expectations of atheists, deists and agnostics residing in Türkiye, with a focus on their mental well-being.</p><p><strong>Methods: </strong>A qualitative study was conducted in Samsun, Türkiye, between June and August 2025. Purposive sampling was used and in-depth, semi-structured face-to-face interviews were conducted with 17 participants. Data were analysed using Colaizzi's phenomenological method and participants' direct quotations supported the identified themes and subthemes. The study adhered to the COREQ criteria for reporting qualitative research.</p><p><strong>Findings: </strong>Five main themes emerged: (1) Holistic Perception of Health, (2) Identity and Invisibility, (3) Dual Experiences in Healthcare Services, (4) Contextual Vulnerability in Mental Well-Being and (5) Expectations for an Egalitarian and Professional System. Many participants avoided disclosing their non-religious identity to healthcare professionals; those who did often encountered judgemental attitudes or unsolicited religious advice. Such experiences appear to contribute to decreased trust and, in some cases, avoidance of healthcare services.</p><p><strong>Conclusion: </strong>The findings of this study suggest that atheists, deists and agnostics may experience forms of invisibility within healthcare settings in this context, which can adversely affect their mental well-being. Providing neutral, equitable and empathy-based care, improving access to mental health services and training healthcare professionals, including nurses and physicians, to be sensitive to diverse belief systems are critical steps towards developing inclusive and human-centred health policies in Türkiye.</p><p><strong>Relevance statement: </strong>This study is relevant to psychiatric mental health nursing as it addresses the overlooked mental health experiences of atheists, deists and agnostics, a group often rendered invisible within healthcare systems. By exploring how stigma, exclusion and religious bias influence their psychological well-being and trust in care providers, the study contributes to understanding the social determinants of mental health. The findings emphasise the need for nurses to deliver non-judgemental, empathy-based and culturally competent care that acknowledges diverse belief systems. Integrating such inclusive approaches into mental health nursing practice can enhance therapeutic communication, trust and overall psychological safety for all patients.</p><p><strong>Implications for practice: </strong>Healthcare professionals often overlook the needs of non-religious individuals, resulting in reduced trust, avoidance of care and weakened mental well-being. This study highlights the importance of empathy","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":"715-730"},"PeriodicalIF":3.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13341048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989828","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":"Establishing an International Psychoanalytic Nurses Alliance [IPNA].","authors":"G Winship, S Allen, T Dale, A Hawks-Feldman, C Forchuk, C Foster, N Dorcelly, S M Ramsey, B A Finley","doi":"10.1111/jpm.70136","DOIUrl":"10.1111/jpm.70136","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":"700-702"},"PeriodicalIF":3.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147964641","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":"Coping Taxonomies and Positive Emotional Blackmail: A Methodological Rejoinder.","authors":"Meina Zhang","doi":"10.1111/jpm.70151","DOIUrl":"10.1111/jpm.70151","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":"713-714"},"PeriodicalIF":3.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13341071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984168","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":"Free the Crazy Horse: Franco Basaglia's Revolution in Mental Health and in Society Franco Basaglia and the Treatment of People With Mental Disorders.","authors":"Davide Orsini, Francesco Brigo, Alessio Zizzi, Paolo Peloso, Mariano Martini","doi":"10.1111/jpm.70141","DOIUrl":"10.1111/jpm.70141","url":null,"abstract":"<p><strong>Background: </strong>Franco Basaglia was a central figure in the Italian psychiatric reform of the 20th century, whose work radically challenged the institutional and biomedical foundations of psychiatry. His thought, rooted in phenomenology and existentialism, redefined the meaning of mental illness and the role of the psychiatrist within society.</p><p><strong>Aim: </strong>This paper aims to explore the revolutionary contributions of Basaglia to psychiatry and mental health care, emphasizing the socio-political, ethical, and philosophical dimensions of his approach.</p><p><strong>Approach: </strong>Through a historical and theoretical analysis, the article examines Basaglia's critique of psychiatric institutions, his redefinition of the concept of the person in care, and the political implications of his reformist project leading to Law 180 (1978). The discussion integrates philosophical sources and socio-political contexts to elucidate his notion of psychiatry as a \"practice of freedom.\"</p><p><strong>Main arguments: </strong>Basaglia's thought transcended the clinical field, presenting psychiatry as an instrument of social change. By challenging exclusion and advocating for patients' rights and dignity, he aligned psychiatric reform with broader struggles for democracy and social justice. The paper highlights both the transformative potential and the later institutional neutralization of his legacy.</p><p><strong>Conclusions: </strong>Basaglia's vision remains profoundly relevant to contemporary debates on mental health, citizenship, and care ethics. Revisiting his work invites a rethinking of mental health care as a practice grounded in inclusion, human rights, and the recognition of subjectivity.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":"707-712"},"PeriodicalIF":3.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13341023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976823","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":"Workplace Violence Prevention in Forensic Psychiatric Nursing: A Five-Year Qualitative Content Analysis of Incident Reports From a Finnish Forensic Psychiatric Hospital.","authors":"Matias Karvonen, Riitta Askola, Emilia Laukkanen, Anssi Kuosmanen, Lauri Kuosmanen","doi":"10.1111/jpm.70152","DOIUrl":"10.1111/jpm.70152","url":null,"abstract":"<p><strong>Introduction: </strong>Forensic psychiatric nursing staff are exposed to workplace violence, which harms well-being and may undermine safe care.</p><p><strong>Aim/question: </strong>To identify preventive factors for workplace violence on forensic psychiatric wards as reported in incident reports by nursing staff and nurse managers.</p><p><strong>Method: </strong>Qualitative inductive content analysis of workplace violence incident reports over 5 years at one Finnish forensic psychiatric hospital, focusing on prevention-oriented free-text fields. Categories were descriptively quantified as the number (%) of reports containing each category.</p><p><strong>Results: </strong>Incident reports portrayed workplace violence prevention as a layered entity covering clinical stabilisation, staffing and work organisation, anticipatory routines, therapeutic interaction and de-escalation, environmental and technological safety measures, restrictions and external-risk control, and information flow, debriefing and organisational learning.</p><p><strong>Discussion: </strong>Clinical, organisational and environmental factors were intertwined in prevention. Incident report narratives and measures may provide a qualitative source for examining prevention-related practices and follow-up actions in forensic psychiatric care.</p><p><strong>Limitations: </strong>Single-hospital data, possible underreporting and a nursing-only focus limit transferability.</p><p><strong>Implications for practice: </strong>Following recommendations emerging from incident reports, such as ensuring adequate staffing, providing training and maintaining safe work environments, may support workplace violence prevention.</p><p><strong>Recommendations: </strong>Forensic psychiatric inpatient services may benefit from strengthening layered prevention strategies and from using incident report narratives to inform local policy and practice.</p><p><strong>Relevance statement: </strong>Workplace violence is a persistent occupational hazard in forensic psychiatric nursing, yet little is known about how prevention is described in workplace violence incident reports. This study analyses prevention-oriented incident report entries from a Finnish forensic psychiatric hospital to examine how nursing staff and nurse managers describe workplace violence prevention. Prevention was described as a layered entity involving clinical stabilisation, staffing and competence, anticipatory practices, therapeutic interaction, environmental and safety measures, restrictions and external-risk control, and post-incident information flow, debriefing and follow-up actions. These findings may inform use of incident reports and prevention planning in similar secure forensic inpatient settings.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":"731-743"},"PeriodicalIF":3.1,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13341054/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989800","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":"Associations Between the Nurse Work Environment and Job Outcomes Among Inpatient Psychiatric Mental Health Registered Nurses: A Cross-Sectional Observational Study.","authors":"Justinna Dixon, Hyunmin Yu, Ann Kutney-Lee, J Margo Brooks Carthon","doi":"10.1111/jpm.70189","DOIUrl":"https://doi.org/10.1111/jpm.70189","url":null,"abstract":"<p><strong>Introduction: </strong>Psychiatric Mental Health Registered Nurses (PMH-RNs) are the largest group of healthcare providers working within inpatient mental health settings. Despite longstanding concerns about the emotional demands and safety of nurses practicing in these settings, few studies have examined associations between organizational factors and nurse job outcomes among inpatient PMH-RNS.</p><p><strong>Aim/question: </strong>To examine burnout, job dissatisfaction and intent to leave among PMH-RNs employed in inpatient psychiatric units and how these job outcomes are associated with the quality of their nurse work environments.</p><p><strong>Method: </strong>This cross-sectional study combined data from the 2023/2024 Penn Nurses4All and 2023 American Hospital Association (AHA) survey data.</p><p><strong>Results: </strong>Approximately 4 out of 10 inpatient PMH-RNs experience high burnout as well as high levels of job dissatisfaction and intent to leave their roles. More favourable nurse work environments were associated with reduced negative job outcomes among inpatient PMH-RNs.</p><p><strong>Discussion: </strong>Our findings provide insight into the current state of the PMH-RN workforce and how the nurse work environment may represent a modifiable factor to improve nurse wellbeing, job satisfaction and job retention among this group. Policymakers and administrators should prioritize this vital group of health care professionals by improving interdisciplinary teamwork, promoting adequate staffing levels and creating a safe and inclusive environment for PMH-RNs.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632489","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":"Legislating for Madness: Legal Exceptionalism and the Professional Identity of UK Mental Health Nursing. A Discussion Paper.","authors":"Victoria Sweetmore","doi":"10.1111/jpm.70182","DOIUrl":"https://doi.org/10.1111/jpm.70182","url":null,"abstract":"<p><strong>Background: </strong>Mental health nursing in the United Kingdom has developed along a distinctive historical and legal trajectory shaped by statutory frameworks governing mental distress, detention, capacity and coercion. While adult/general nursing largely professionalised through Nightingalean reform, biomedicine and public health, mental health nursing evolved within institutional and legislative systems that positioned nurses within overlapping roles of care, control, advocacy and legal accountability.</p><p><strong>Aim: </strong>To examine how these historical and legal developments continue to influence contemporary mental health nursing identity, education, workforce preparation and policy and to advance the concept of bounded legal exceptionalism as a framework for understanding the profession's distinctive statutory role.</p><p><strong>Discussion: </strong>This discussion paper argues that statutory responsibilities remain a significant influence on mental health nursing while recognising that professional identity extends beyond legal powers alone. The concept of bounded legal exceptionalism describes the continuing significance of statutory and coercive frameworks while emphasising that such powers should remain critically scrutinised, rights-based and tightly circumscribed. International comparisons demonstrate that no single educational model guarantees strong professional identity or workforce preparedness; however, tensions relating to curriculum dilution, specialist preparation and professional visibility remain evident within generic systems.</p><p><strong>Implications for practice: </strong>Mental health nursing requires sustained preparation in relational practice, trauma-informed care, legal literacy and ethical decision-making. The paper argues that the continuing legal and statutory dimensions of mental health care provide an important rationale for maintaining field-specific preparation while strengthening supervision, workforce development and rights-based practice within increasingly integrated healthcare systems.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632614","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":"Advancing Complementary Insights on Self-Care Practice Among Psychiatric Nurses.","authors":"Yiqi Guo, Ran Xing","doi":"10.1111/jpm.70186","DOIUrl":"https://doi.org/10.1111/jpm.70186","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148609643","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":"On Reciprocal Insecurities and Ontological Evasion: Understanding the Urgent Need for Phenomenological Supervision and Reflection in Crisis Care.","authors":"Michael Haslam","doi":"10.1111/jpm.70185","DOIUrl":"https://doi.org/10.1111/jpm.70185","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148609679","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}