Journal of Psychiatric and Mental Health Nursing最新文献

{"title":"Combined Exercise Programmes for Improving the Mood and Mental Health of Older People With Mild Cognitive Impairment","authors":"Eunjae Lee, Sang-Hyuk Park, Seung-Taek Lim","doi":"10.1111/jpm.13165","DOIUrl":"10.1111/jpm.13165","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 4","pages":"867-868"},"PeriodicalIF":2.6,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Generic Nursing in Through the Back Door? Concerns Around Nursing and Midwifery Council Processes for International Nurse Recruitment and Potential Impact on Mental Health Nursing in the UK","authors":"Dan Warrender","doi":"10.1111/jpm.13164","DOIUrl":"10.1111/jpm.13164","url":null,"abstract":"<p>This editorial discusses concerns raised through discussions among mental health nurse academics around the Nursing and Midwifery Council's (NMC) recruitment processes of international nurses who join the register as ‘registered nurse (mental health)’. However, given we exist in an age of political populism, where nuance can be reshaped into clickbait and potential for division is weaponised, it is first important to state what is not being said.</p><p>This piece takes aim at regulatory standards and processes around the recruitment of international nurses, not the international nurses themselves. This is not intended to overlook their valuable contribution to the NHS and other services in the United Kingdom (UK), nor to discourage international nurses from choosing to work in the UK. This is not intended to scapegoat international nurses for poor mental health care in the UK, which occurs plenty regardless of international recruitment. This does not suggest that international nurses are not well educated or incapable of being great mental health nurses. This is not right-wing propaganda nor anti-immigration. In writing, there is concern of being misrepresented as holding these attitudes, which contradict the values of the author and supporters. However, despite fears of being misunderstood or misconstrued, to say nothing about these issues feels worse, and to allow systemic issues that potentially dilute mental health nursing to go unchallenged feels negligent. Hopefully, these introductory paragraphs have set the tone intended before outlining legitimate concerns.</p><p>The current process for international recruitment has been in place since 2019, whereby “internationally trained professionals do not need to hold a specific mental health nursing qualification” to take a test of competence that would allow them to enter the NMC register as a mental health nurse (NMC <span>2024</span>). International nurses must take a multiple-choice computer-based test from their home countries and fulfil English language requirements through qualifications, recent practice or tests, before undertaking practical objective structured clinical examinations (OSCE) held at one of five test centres in the UK (NHS Employers <span>2024</span>, NMC <span>2025a</span>, <span>2025b</span>).</p><p>The NMC (<span>2024</span>) state that “before being able to join the register, internationally trained professionals must hold a qualification that will or has allowed them to register in their country of training”. However, the UK is in a minority of countries offering a direct entry mental health nurse education programme, with many others having a generic nurse education. This means the UK accepts international nurses with a general, generic or comprehensive nursing education, and allows these nurses onto the mental health part of the nursing register. Concerns raised through the work of international colleagues in Australia have noted limited mental health content in co","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 4","pages":"864-866"},"PeriodicalIF":2.6,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.13164","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Explorative Study on the Role of Family Members in Caring for Mental Health Care Users in South Africa","authors":"Mihloti Eunice Shimange,&nbsp;Hilda Nwamuhohova Shilubane,&nbsp;Tinyiko Nelly Rikhotso","doi":"10.1111/jpm.13161","DOIUrl":"10.1111/jpm.13161","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The ultimate custodians of Mental Health Care Users (MHCUs) when they get discharged from mental health institutions are their family members. Thus, the family members have a significant role in rendering comprehensive and multifaceted care to MHCUs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The study investigated the family members' role in the care of mental health care users in South Africa.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An explorative, descriptive design was utilised. Family members who cared for their loved ones suffering from mental illness were selected using purposive sampling. Individual, in-depth, unstructured interviews were conducted. Data analysis was done using Colaizzi's method. The COREQ checklist was used to prepare this publication.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>(1) Mental health care users' family support to ensure treatment adherence. (2) Promotion of hygiene for MHCUs. (3) Knowledge deficit regarding mental illness and (4) Challenges encountered regarding care and support are the themes that emerged from the analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Family members play a significant role in the treatment of their loved ones suffering from mental disorders. Female next of kin are primarily involved in the treatment of MHCUs. Support from psychiatric mental health nurses and other health professionals is needed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The involvement of more males would be more beneficial in the care of MHCUs in dealing with non-compliant users who may undermine females. Empowerment of family members by psychiatric mental health nurses requires priority. Further research on guidelines development to address the role issues among family members could enhance the care of MHCUs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 4","pages":"854-863"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.13161","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"At-Risk Mental State Services for Psychosis Should Not Be Delivered in Secondary Mental Health Services","authors":"Gary Payne,&nbsp;Tim Carter","doi":"10.1111/jpm.13162","DOIUrl":"10.1111/jpm.13162","url":null,"abstract":"&lt;p&gt;Traditionally, preventive approaches in mental health have lagged behind somatic medicine (Arango &lt;span&gt;2019&lt;/span&gt;); however, early detection and subsequent treatment for individuals who present with an At-Risk Mental State (ARMS) for psychosis are now firmly established worldwide (Yung et al. &lt;span&gt;1996&lt;/span&gt;; Murray et al. &lt;span&gt;2021&lt;/span&gt;; Fusar-Poli et al. &lt;span&gt;2021&lt;/span&gt;). Our understanding of ARMS (also referred to as prodromal; clinical high-risk; or ultra-high risk) has expanded significantly over the past two decades to capture a pre-psychotic construct (Oliver et al. &lt;span&gt;2024&lt;/span&gt;). ARMS individuals have a substantially greater risk of developing psychosis compared with the general population (Tandon et al. &lt;span&gt;2008&lt;/span&gt;; Dragioti et al. &lt;span&gt;2023&lt;/span&gt;), with research consistently demonstrating that individuals have a 22% probability of developing emerging psychotic disorders (Webb et al. &lt;span&gt;2015&lt;/span&gt;; Fusar-Poli et al. &lt;span&gt;2016&lt;/span&gt;, &lt;span&gt;2017&lt;/span&gt;) over a relatively short period of 2 years (Kotlicka-Antczak et al. &lt;span&gt;2020&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;Successful delivery of clinical services relies on efficient detection (WHO &lt;span&gt;2004&lt;/span&gt;; Oliver et al. &lt;span&gt;2020&lt;/span&gt;), accurate prognosis of outcome (Fusar-Poli et al. &lt;span&gt;2015&lt;/span&gt;; Bonnett et al. &lt;span&gt;2019&lt;/span&gt;; Salazar de Pablo et al. &lt;span&gt;2022&lt;/span&gt;) and effective preventive treatments (Bosnjak-Kuharic et al. &lt;span&gt;2019&lt;/span&gt;; Devoe et al. &lt;span&gt;2020&lt;/span&gt;; Catalan et al. &lt;span&gt;2021&lt;/span&gt;), which have all led to current national and international treatment guidelines for this population (NICE &lt;span&gt;2014&lt;/span&gt;; NHS England &lt;span&gt;2023&lt;/span&gt;; Schmidt et al. &lt;span&gt;2015&lt;/span&gt;) with substantial advancement of ARMS clinical services over the past 10 years.&lt;/p&gt;&lt;p&gt;Unfortunately, research into specific care pathways for ARMS individuals is sparse and neglected (Allan et al. &lt;span&gt;2021&lt;/span&gt;) with ARMS identification being complicated and under-recognised (Strelchuk et al. &lt;span&gt;2021&lt;/span&gt;). Maric et al. (&lt;span&gt;2018&lt;/span&gt;) found an unequal and inconsistent development of Early Intervention in Psychosis (EIP) services throughout Europe. Whilst Australia (pioneers of early detection services) has chosen to adopt a broader front-line context of providing ARMS provision within youth stepped-care mental health services (McGorry et al. &lt;span&gt;2007&lt;/span&gt;; Nieman and McGorry &lt;span&gt;2015&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;In England, frontline clinical services have received additional funding through transformation monies (NHS &lt;span&gt;2019&lt;/span&gt;) to help implement ARMS services. Some major cities across England have dedicated ‘stand-alone’ ARMS services, but for most, detection, prognosis, and treatment now fall within the remit of EIP services in secondary care (NICE &lt;span&gt;2016&lt;/span&gt;). This care pathway should involve the following steps: an initial referral to triage services or primary care liaison services (PCLS); a triaged referral to EIP services (if psychosis is indicat","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 4","pages":"850-853"},"PeriodicalIF":2.6,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.13162","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurses' Experiences of Using Coercion in Forensic and Non-Forensic Settings: A Constant Comparative Analysis","authors":"Etienne Paradis-Gagné,&nbsp;David Pelosse,&nbsp;Pierre Pariseau-Legault,&nbsp;Louis Brisebois,&nbsp;Myriam Cader","doi":"10.1111/jpm.13159","DOIUrl":"10.1111/jpm.13159","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Coercive measures are increasingly used in psychiatric settings, especially in forensic settings. Coercive measures such as seclusion, restraints and involuntary care cause negative outcomes for both people living with mental illness and nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this paper is to compare the perspectives of nurses who experience the use of coercive measures in forensic and general psychiatric care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Grounded theory was used as a qualitative methodology. We used the constant comparative method to analyse the data. Individual interviews were conducted with nurses from general psychiatry (<i>n</i> = 9) and forensic psychiatry (<i>n</i> = 9).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four categories were determined: (1) Towards a contextual understanding of coercion; (2) Justifications for the use of coercion; (3) Maintaining a relationship of trust; and (4) Influence of the culture of control.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Nurses providing care in a coercive context—whether in general psychiatric or forensic settings—face important ethical dilemmas. Several factors can influence the application of coercion, including a paternalistic culture of risk management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>A considerate and empathetic approach, grounded in a posture of advocacy, helps to prevent the use of coercion.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Relevance Statement</h3>\u0000 \u0000 <p>This paper may raise awareness among mental health nurses working with patients who are involved in the justice system. Psychiatric nurses are particularly affected by the application of coercion in their clinical practice. The theoretical framework used in this article is well suited to an exploration of the dual roles imposed on psychiatric nurses (care and control). Last, this paper highlights the need to stimulate discussion and critical reflection among nurses regarding the duality of control and care and the ongoing application of coercion in clinical settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 4","pages":"838-849"},"PeriodicalIF":2.6,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.13159","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unveiling Hidden Trauma: A Cross-Sectional Study of Violence Exposure and Its Impacts on Entrapment, Self-Stigma and Empathic Care Among Psychiatric Nurses","authors":"Mohamed Hussein Ramadan Atta,&nbsp;Rasha Salah Eweida,&nbsp;Ali Albzia,&nbsp;Ahmed Hashem El-Monshed,&nbsp;Mona Mohamed Abdelaziz Barakat","doi":"10.1111/jpm.13160","DOIUrl":"10.1111/jpm.13160","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Psychiatric nurses often work in high-stress environments where they are frequently exposed to various forms of violence and aggression from patients. While the immediate physical consequences of violence are usually recognised, the psychological impacts, such as feelings of entrapment, self-stigma and diminished empathy, are less understood but equally critical.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aims&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study aimed to fill this gap by examining how different forms of violence exposure affect entrapment, self-stigma and empathic care among psychiatric nurses, providing insights that can inform both practice and policy.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study utilised a descriptive correlational research design.&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;This study was conducted in two prominent psychiatric hospitals in Egypt, namely the Mental Health Hospital and Addiction in Benha City and Elmaamora for Psychiatric Medicine and Addiction in Alexandria. A convenience sample of 246 psychiatric nurses who filled out the Perception of Prevalence Aggression Scale, the Impact of Event Scale-Revised, the Empathetic Care Scale, the Scale for Assessing the Stigma of Mental Illness in Nursing and the Entrapment Scale was used for the study. Data collection spanned 3 months, from June to August 2024.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Findings&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The findings reveal that perceived aggression is positively correlated with the impact of events (&lt;i&gt;r&lt;/i&gt; = 0.513, &lt;i&gt;p&lt;/i&gt; &lt; 0.001) and entrapment (&lt;i&gt;r&lt;/i&gt; = 0.160, &lt;i&gt;p&lt;/i&gt; = 0.012) and negatively correlated with empathy (&lt;i&gt;r&lt;/i&gt; = −0.232, &lt;i&gt;p&lt;/i&gt; &lt; 0.001). The regression analyses show that verbal aggression, threatening verbal aggression, aggressive splitting behaviour, severe self-directed violence and suicides are significant predictors of empathy, increasing its levels (&lt;i&gt;R&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 0.509, &lt;i&gt;p&lt;/i&gt; &lt; 0.001). Stigma is negatively influenced by threatening verbal aggression, provocative aggressive behaviour, severe physical violence, mild violence against self and suicides but positively by passive-aggressive behaviour (&lt;i&gt;R&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; = 0.377, &lt;i&gt;p&lt;/i&gt; &lt; 0.001).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;These results underscore the importance of addressing aggression in psychiatric settings to promote the well-being and professional functioning of nurses.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 ","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 4","pages":"823-837"},"PeriodicalIF":2.6,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Care Tasks and Caregiver Burden Among Family Caregivers of Patients With Mental Disorders in China: Illness Perception as a Mediator and Social Support as a Moderator","authors":"Zhuoer Huang,&nbsp;Qifeng Yi,&nbsp;Hao Yao,&nbsp;Kunmei Li,&nbsp;Chuan Li,&nbsp;Yimeng Shi,&nbsp;Shuang Hu,&nbsp;Jianhua Chen,&nbsp;Yifeng Xu","doi":"10.1111/jpm.13156","DOIUrl":"10.1111/jpm.13156","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Caring for a family member with mental disorders is burdensome, which may not only damage the caregivers' well-being and health, but also hinder patients' recovery. It is critical to investigate the underlying mechanisms for caregiver burden.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine the mediating effect of illness perception and the moderating function of social support on the association between care tasks and caregiver burden.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A total of 1169 family caregivers of patients with mental disorders were recruited via convenience sampling across China. Data were collected using acceptable reliability scales (Cronbach's <i>α</i> &gt; 0.6). The relationships among care tasks, illness perception, social support and caregiver burden were examined in the SPSS PROCESS macro.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Illness perception partially mediates the relationship between care tasks and overall caregiver burden, personal strain and role strain, while social support only alleviates the impact of care tasks on personal strain but not on role strain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Care tasks could positively predict caregiver burden. As a mediating moderating mechanism, illness perception and social support could further explain how care tasks affect caregiver burden.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Psychiatric nurses should provide psychoeducation for family caregivers of patients with mental illness to improve their negative illness perception, as well as increase their social support.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 4","pages":"811-822"},"PeriodicalIF":2.6,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advance Directives in Mental Health Service: A Qualitative Study on Stakeholders' Perspectives","authors":"Ína Rós Jóhannesdóttir,&nbsp;Helga Sif Fridjónsdóttir,&nbsp;Marianne Elisabeth Klinke","doi":"10.1111/jpm.13157","DOIUrl":"10.1111/jpm.13157","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Advance directives in mental health services aim to reduce coercion, enhance adherence, and prevent violence by giving patients a voice during relapses. However, their use is limited due to diverse stakeholder perspectives and insufficient familiarity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To explore stakeholders' perspectives on advance directives in Icelandic mental health services, focusing on potential benefits and implementation challenges.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were gathered via focus groups with purposively sampled mental health service users and providers. Using a multiple category design allowed for constant comparative and interpretive analysis of data collected from these two groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study involved 19 individuals divided into four focus groups, with service users comprising one group (<i>n</i> = 4) and service providers comprising three groups (<i>n</i> = 15). Participants had limited familiarity with advance directives and had not used them. While both service users and providers viewed advance directives favourably, significant differences emerged: users valued the opportunity for self-expression and autonomy, whereas providers, though supportive of user empowerment, struggled with relinquishing control in the therapeutic relationship, thereby preserving power imbalances.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Implementing advance directives in mental healthcare requires in-depth dialogue to align stakeholder expectations. A strategy should focus on education, stakeholder engagement, and co-created interventions to reconcile diverse perspectives.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 3","pages":"800-810"},"PeriodicalIF":2.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conceptualisation of Mental Health Recovery by Health Professionals and Students in Southeast Asia: A Qualitative Systematic Review and Meta-Aggregation","authors":"Rinlita Chatwiriyaphong,&nbsp;Ritin Fernandez,&nbsp;Rebecca Bosworth,&nbsp;Grant Kinghorn,&nbsp;Lorna Moxham","doi":"10.1111/jpm.13158","DOIUrl":"10.1111/jpm.13158","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>While the recovery approach is gaining recognition in non-Western countries, it remains underexplored in Southeast Asia. This study addressed this gap by examining how health professionals and students conceptualised recovery, providing insights for enhancing mental health practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To synthesise how health professionals and students in Southeast Asian countries understand mental health recovery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A search across CINAHL, MEDLINE, PsycINFO, Scopus, and the Web of Science identified ten qualitative studies (2006–2024). Data extraction, quality appraisal, and synthesis were conducted following the JBI methodology.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The findings highlighted a medically driven and determined return to normal functioning for individuals living with mental illness. This was classified into six categories: return to being a ‘normal person’, symptom-free status, medication adherence, access to mental health services, living with residual symptoms, and holistic care with a psychosocial focus.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Medical-oriented practices have dominated mental health care, creating a power imbalance. Training, education, culture, socioeconomic status, and stigma have shaped the understanding of recovery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice and Recommendations</h3>\u0000 \u0000 <p>Shared decision-making and formal training prioritising lived experiences are vital to reducing power imbalances. A shift towards recovery-oriented approaches is critically needed to enhance mental health practices in Southeast Asia.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 3","pages":"783-799"},"PeriodicalIF":2.6,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.13158","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comfort in Providing Care and Associations With Attitudes Towards Substance Use: A Survey of Mental Health Clinicians at an Urban Hospital in Vancouver, Canada","authors":"Angela Russolillo,&nbsp;Megan Davies,&nbsp;Michelle Carter,&nbsp;Trevor Goodyear,&nbsp;Emily Jenkins","doi":"10.1111/jpm.13152","DOIUrl":"10.1111/jpm.13152","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Stigma is a major driver of harms associated with substance use and can interfere with the provision of high-quality, effective healthcare for people who use drugs. Our study aimed to explore the relationship between mental health clinicians' comfort in providing substance use care and their attitudes towards substance use.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this cross-sectional study, the Brief Substance Abuse Attitudes Survey was administered among a convenience sample of mental health clinicians [<i>N</i> = 71] working in an acute care setting in Vancouver, Canada. One-way ANOVA and the Kruskal–Wallis test were used to examine the association between three levels of comfort and five predefined attitude subgroups. STROBE checklist for cross-sectional studies was used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Level of comfort was significantly associated with attitudes towards substance use across three subscales: permissiveness, nonstereotyping and treatment optimism. In pairwise comparisons, the neutral group held significantly less permissive attitudes when compared to the comfortable group. However, the neutral group held more stereotypical views and less optimism about treatment outcomes, when compared to the comfortable and uncomfortable groups, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Our findings highlight that mental health clinicians who are undecided or neutral about their comfort in providing substance use care are more likely to have negative views towards people with substance use disorders. Future work should explore, implement and evaluate education and training to reduce substance use disorder-related stigma among mental health clinicians and other health professionals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 3","pages":"774-782"},"PeriodicalIF":2.6,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.13152","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415960","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}