{"title":"Comment on 'Effects of Online Acceptance and Commitment Therapy for Family Members of Individuals With Early Psychosis on Self-Stigma, Coping Strategies and Resilience: A Randomized Controlled Trial'.","authors":"Maajid Mohi Ud Din Malik","doi":"10.1111/jpm.70184","DOIUrl":"https://doi.org/10.1111/jpm.70184","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":"148594293","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 Fidelity: Health-Psychological Mechanisms Linking Safewards to Relational Safety.","authors":"Wen Zhang, Chang Hu","doi":"10.1111/jpm.70183","DOIUrl":"https://doi.org/10.1111/jpm.70183","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":"148594241","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 Physical Activity Advice: Integrating Sleep Health Into Mental Health Nursing Practice.","authors":"Seung-Taek Lim","doi":"10.1111/jpm.70179","DOIUrl":"https://doi.org/10.1111/jpm.70179","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585840","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":"Carers' Lived Experience of Witnessing the Mechanical Restraint of Their Loved One: A Dialogical Narrative Approach.","authors":"Tahani Hawsawi","doi":"10.1111/jpm.70176","DOIUrl":"https://doi.org/10.1111/jpm.70176","url":null,"abstract":"<p><strong>Background and aim: </strong>Mechanical restraint is the use of devices or equipment, such as bandages and ropes, to confine patients to a hospital bed, thereby restricting their movement. It is frequently employed in intensive care units to prevent falls and the removal of intravenous cannulas or other medical devices. Despite substantial empirical evidence of its adverse psychological and physiological effects, mechanical restraint remains a common practice, particularly among older adults experiencing delirium. Therefore, this dialogic narrative approach aimed to explore the lived experiences of a granddaughter witnessing the mechanical restraint of her beloved grandfather, who experienced delirium and was mechanically restrained on multiple occasions across two different hospitals.</p><p><strong>Methods: </strong>A descriptive qualitative design underpinned by social constructionism was employed, using multiple semi-structured interviews for data collection and a dialogic narrative approach to construct the granddaughter's narrative.</p><p><strong>Findings: </strong>This lived experience was conceptualised into five narratives: (1) Carers and the loved one, (2) Caring for the person, not the diagnosis, (3) Calling for the humanisation of ICUs, (4) Witnessing the tying up of my grandfather, (5) Exposing the status quo: Mechanical restraint as the first resort, and (6) Shattering the muscular man identity. The study used the Consolidated Criteria for Reporting Qualitative Research checklist.</p><p><strong>Discussion: </strong>The carer's narrative reveals compelling evidence of the complexity surrounding the use of mechanical restraint to control disturbing behaviours among elderly patients with delirium in ICU environments. Although many carers might relate this study to their lived experiences, the transferability of this dialogic narrative remains limited to Hana and her family context.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551338","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":"The Wounded Healer: The Lived Experience of a Clinical Psychologist With Mental Disorders.","authors":"Anindhita Parasdyapawitra Amaranggani, Audifa Swastriana Putri, Farah Fauziyah","doi":"10.1111/jpm.70178","DOIUrl":"https://doi.org/10.1111/jpm.70178","url":null,"abstract":"<p><strong>Introduction: </strong>Clinical psychologists living with mental disorders occupy a uniquely complex position within the mental health workforce. Despite their professional training, they confront a dual identity as both healers and help-seekers, rendering them vulnerable to stigma, role conflict and identity disruption. Understanding how these practitioners construct meaning in their lives and professions is therefore clinically and professionally significant.</p><p><strong>Aim: </strong>This study aims to explore the meaning of life for a clinical psychologist who is a survivor of mental disorders.</p><p><strong>Method: </strong>A qualitative approach was employed using Interpretative Phenomenological Analysis (IPA) within an idiographic, single-participant design (n = 1). Data were collected through a semi-structured in-depth interview.</p><p><strong>Results: </strong>The analysis yielded 13 superordinate themes, organised under four main themes: (1) The process of self-understanding, (2) Self-transformation, (3) The psychology profession as fulfilment and (4) The psychology profession as a stressor.</p><p><strong>Discussion: </strong>The participant's meaning of life emerged through a prolonged process of self-understanding and self-transformation following adverse experiences and mental disorders. Meaning was ultimately found through professional practice, interpersonal connection and self-disclosure. The findings are interpreted through the wounded healer framework as the primary theoretical lens, with additional contextualisation through relevant empirical literature.</p><p><strong>Implications: </strong>These findings provide insights into how an individual constructs meaning in life while navigating the dual roles of clinical psychologist and mental disorder survivor, with implications for clinical supervision, training and mental health nursing practice.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551348","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":"Methodological Considerations in Screen Time Research: A Comment on Alhalaiqa et al. (2026).","authors":"Meina Zhang","doi":"10.1111/jpm.70177","DOIUrl":"https://doi.org/10.1111/jpm.70177","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537553","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}
Antony Mullen, Brenda Happell, Bridget Hamilton, Stephanie Skinner
{"title":"Mental Health Nurses' Responses to Consumers' Experiences of Safewards in Acute Inpatient Mental Health Units: A Qualitative Exploratory Study.","authors":"Antony Mullen, Brenda Happell, Bridget Hamilton, Stephanie Skinner","doi":"10.1111/jpm.70171","DOIUrl":"https://doi.org/10.1111/jpm.70171","url":null,"abstract":"<p><strong>Introduction: </strong>Safewards effectively reduces restrictive practices within acute inpatient mental health units. Consumers' experiences of Safewards impact on broader experiences within these settings. Given the influence mental health nurses have on consumers' experiences, nurses' responses to these experiences require further exploration.</p><p><strong>Aim: </strong>To explore the responses of mental health nurses to consumers' experiences of Safewards within acute inpatient mental health units.</p><p><strong>Methods: </strong>A qualitative exploratory method was used for this study, involving semi-structured focus groups with mental health nurses from two acute inpatient mental health units. Participants were asked to respond to a summary of themes about consumers' experiences of Safewards.</p><p><strong>Results: </strong>Thematic analysis uncovered three themes: (1) Prioritising respectful communication and investing time with consumers; (2) Relating Safewards to everyday work with consumers; (3) Safewards and its impact on restrictive practices.</p><p><strong>Discussion: </strong>Participants acknowledged consumers' experiences of Safewards and their frustrations when mental health nurses were unavailable. Some participants expressed uncertainty about the suitability of Safewards, despite consumers' endorsement, highlighting a possible discrepancy between mental health nurses' and consumers' views. Most participants perceived Safewards to be effective but inconsistently applied, in part due to varying acceptance and understanding of Safewards.</p><p><strong>Limitations: </strong>Differences between the units may not be captured in combined data analyses and other views about the consumers' experiences of Safewards may not be represented. Researcher bias may have influenced the way in which data were collected, analysed and reported.</p><p><strong>Implications for practice: </strong>Safewards requires partnership between mental health nurses and consumers, and a more nuanced understanding of its application within an acute inpatient mental health setting to realise its full potential. Task-based approaches that hinder mental health nurse engagement with consumers may impact Safewards' effectiveness.</p><p><strong>Recommendations: </strong>Discrepancies between the views of mental health nurses and consumers' experiences require further exploration. Increasing consumers' involvement in the everyday application of Safewards should be considered.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473970","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":"Broadening the Understanding of De-Escalation in Acute Mental Health Units: From Individual Nursing Skill to Relational Responsiveness","authors":"Xuesong Han, Yifei Wang","doi":"10.1111/jpm.70133","DOIUrl":"10.1111/jpm.70133","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 4","pages":"616-617"},"PeriodicalIF":3.1,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787856","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":"Cognitive Safety in Personalised Mental Health Nursing: A Structured Debates Essay on Minimum Viable Data for Safer Decisions and Lower Burnout Risk","authors":"Erman Yıldız","doi":"10.1111/jpm.70142","DOIUrl":"10.1111/jpm.70142","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Mental health nurses now work with growing volumes of measures, documentation screens, alerts and automated scores. More information does not always mean better decisions. When key cues are hard to find, nurses may spend more time searching, checking and reconciling, with less time available for judgement, continuity and therapeutic work.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim/Question</h3>\u0000 \u0000 <p>How can digital information be organised so that the most important cues are easier to see and use at the point of care without adding burden?</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This structured debates essay draws on literature on sociotechnical safety, measurement-based care, electronic record workload and burnout, and governance for clinical decision support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A five-gate Cognitive Firewall is proposed to shape what is shown at the point of decision: Relevance, Prioritisation, Trust, Context and Actionability. Together, these gates produce a task-specific Minimum Viable Data decision view. The aim is to reduce low-value noise, searching and verification work while keeping the full record available.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Cognitive safety is framed as a practical mental health nursing concern, not only a technical design issue. The framework treats information overload as a safety problem that can be reduced through clear local rules and governance that do not add further burden.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The framework can support safer, clearer work in triage, handover, discharge and follow-up by making recent change, current risk and next steps easier to see.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Recommendations</h3>\u0000 \u0000 <p>Local services should pilot the gate rules in one high-burden workflow, co-design the decision view with frontline nurses and lived-experience perspectives, and evaluate workload, usability and safety before wider adoption.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 4","pages":"667-676"},"PeriodicalIF":3.1,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.70142","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935135","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}
Dominikus David Biondi Situmorang, Muqaffi, Hendrik Tuaputimain, M. Solehuddin
{"title":"Artificial Intelligence and Mental Health: Toward a Pancasila-Based Ethical Foundation for AI-Counselling Practice in Indonesia","authors":"Dominikus David Biondi Situmorang, Muqaffi, Hendrik Tuaputimain, M. Solehuddin","doi":"10.1111/jpm.70063","DOIUrl":"10.1111/jpm.70063","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"33 4","pages":"567-568"},"PeriodicalIF":3.1,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551557","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}