Archives of Psychiatric Nursing最新文献

{"title":"Schizophrenia and cancer: Insights into psychiatric nursing care","authors":"Harumi Arai ,&nbsp;Chong Guan Ng ,&nbsp;Weng Hou Siew ,&nbsp;Aya Ahmed Abousheishaa","doi":"10.1016/j.apnu.2025.01.006","DOIUrl":"10.1016/j.apnu.2025.01.006","url":null,"abstract":"<div><h3>Introduction</h3><div>Few studies have applied Benner's nursing theory in evaluating psychiatric nursing care for patients with schizophrenia and the complication of cancer. Further study and training are needed in the management of these diseases.</div></div><div><h3>Objectives</h3><div>(1) To elucidate and categorize psychiatric nursing expertise in schizophrenia and cancer according to the five stages of Benner's nursing theory. (2) To identify stage-specific learning needs for the psychiatric nursing care of schizophrenia and cancer, and to propose tailored educational programs. (3) To clarify the differences in the roles and training of psychiatric nurses in Malaysia and Japan.</div></div><div><h3>Methods</h3><div>A qualitative descriptive design was adopted. Semi-structured interviews were conducted with a total of 20 psychiatric nurses in Malaysia and Japan. The data were thematically analyzed and categorized with Benner's theory.</div></div><div><h3>Results</h3><div>Benner's five stages of proficiency were: Novices followed pre-established routines; advanced beginners focused on psychiatric symptoms and behavior; competent nurses determined and prioritized methods of care; proficient nurses flexibly adjusted care to the patient's condition; and experts lent extensive experience to the team and patients. The following learning needs were identified: Novices struggled with identifying physical and psychiatric symptoms; advanced beginners had difficulties understanding ambiguous patient statements; competent nurses needed to improve emergency response skills; proficient nurses faced ethical challenges; and experts sought to pass on their knowledge. Stage-appropriate educational programs, such as a Visual Pain and Psychiatric Symptoms Evaluation Sheet, were proposed accordingly.</div></div><div><h3>Discussion</h3><div>Further investigations should assess the effectiveness of these educational programs, Japanese–Malaysian cultural differences, and psychiatric liaison nursing.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"54 ","pages":"Pages 102-109"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143135812","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 problems and risk factors of refugee children exposed to the 2023 earthquakes in Turkey","authors":"Hatice Ünver,&nbsp;Neşe Perdahlı Fiş","doi":"10.1016/j.apnu.2025.01.001","DOIUrl":"10.1016/j.apnu.2025.01.001","url":null,"abstract":"<div><h3>Background</h3><div>Thousands of refugee children who survived the 2023 earthquakes in Turkey are at risk of developing psychiatric disorders.</div></div><div><h3>Aim</h3><div>Therefore, the aim of this study was to identify the mental health problems of refugee survivors in an early period after the 2023 earthquake in Turkey and to examine the risk factors they face.</div></div><div><h3>Results</h3><div>A total of 72 Syrian refugee survivors (2–17 years old, 10.50 ± 3.96 years, 41.7 % female) participated in this study. Fifty-six (77.8 %) patients were diagnosed with at least one psychiatric disorder, while 16 (22.2 %) children did not meet the diagnostic criteria for any psychiatric disorder. Twenty-five (44.6 %) patients were diagnosed with post-traumatic stress disorder, 14 (25 %) patients with acute stress disorder, 17 (30.3 %) patients with adjustment disorder. Risk factors were grouped by the researchers as pre-quake, peri-quake and post-quake. Mental complaints and psychiatric diagnoses were significantly higher in girls (χ² = 4.445, <em>p</em> = 0.032). A positive significant correlation was found between pre-earthquake risk factors and psychiatric diagnoses (<em>r</em> = 0.242, <em>p</em> = 0.041). The total number of pre-earthquake risk factors predicted the number of psychiatric complaints by linear regression analysis (β = 0.407, <em>t</em> = 2484, adjusted R² = 0.164; <em>p</em> = 0.016). With increasing age, pre-earthquake risk factors increased (<em>r</em> = 0.448, <em>p</em> = 0.001). As resettlement time increased, the disease severity score also increased (<em>r</em> = 0.377, <em>p</em> = 0.005).</div></div><div><h3>Conclusions</h3><div>Efforts are needed to support earthquake-affected refugee children, especially those with pre-existing risk factors.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"54 ","pages":"Pages 39-45"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143135815","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":"Efficacy and safety evaluation of olanzapine treatment for schizophrenia patients: A retrospective data analysis","authors":"Jingyuan Li,&nbsp;Fangyu Chen","doi":"10.1016/j.apnu.2024.12.005","DOIUrl":"10.1016/j.apnu.2024.12.005","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to comprehensively evaluate the efficacy and safety of olanzapine in the treatment of individuals with schizophrenia.</div></div><div><h3>Methods</h3><div>A retrospective study was conducted on 150 individuals with schizophrenia treated with olanzapine at a tertiary psychiatric hospital from January 2015 to December 2020. The efficacy was assessed using the Positive and Negative Syndrome Scale (PANSS), Clinical Global Impression-Severity (CGI-S), Personal and Social Performance (PSP) scale, and Brief Psychiatric Rating Scale (BPRS). Safety was evaluated based on the incidence of adverse events. Data were analyzed using descriptive statistics, paired <em>t</em>-tests, chi-square tests, and multiple regression analysis.</div></div><div><h3>Results</h3><div>The mean PANSS total score significantly decreased from 92.3 ± 13.8 at baseline to 56.9 ± 11.5 after 12 weeks of treatment (<em>p</em> &lt; 0.001). Significant improvements were observed in positive symptoms, negative symptoms, and general psychopathology subscales (<em>p</em> &lt; 0.001). CGI-S, PSP, and BPRS scores also demonstrated significant enhancements in overall clinical status, social functioning, and psychiatric symptoms (<em>p</em> &lt; 0.001). The most common adverse events were weight gain (28 %), somnolence (22 %), dizziness (18 %), and dry mouth (15 %). Mild elevations in metabolic parameters were observed. The incidence of EPS was low (6 %), and prolactin levels increased mildly. Higher baseline symptom severity and younger age as predictors of greater improvement in PANSS scores (<em>p</em> &lt; 0.01).</div></div><div><h3>Conclusions</h3><div>Olanzapine demonstrated significant efficacy in reducing a wide range of schizophrenia symptoms, improving clinical status, enhancing social functioning, and alleviating overall psychiatric symptoms. The safety profile was generally manageable, with mild to moderate adverse events.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"54 ","pages":"Pages 26-30"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143135819","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":"ISPN News","authors":"","doi":"10.1016/S0883-9417(25)00016-0","DOIUrl":"10.1016/S0883-9417(25)00016-0","url":null,"abstract":"","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"54 ","pages":"Pages vi-viii"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143396209","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":"editor's page/editorial board","authors":"","doi":"10.1016/S0883-9417(25)00013-5","DOIUrl":"10.1016/S0883-9417(25)00013-5","url":null,"abstract":"","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"54 ","pages":"Page iii"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143396215","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":"Effect of assertiveness skills training on nursing students' competencies","authors":"Reyhan Eskiyurt ,&nbsp;Neşe Uysal","doi":"10.1016/j.apnu.2025.01.008","DOIUrl":"10.1016/j.apnu.2025.01.008","url":null,"abstract":"<div><h3>Background</h3><div>Healthcare services require effective interaction with patients, their relatives, and members of the multidisciplinary team in complex and dynamic environments. Health professionals need well-developed communication skills to ensure that these interactions promote and maintain patient safety.</div><div>Aim</div><div>This study aimed to develop a cognitive behavioral therapy based assertiveness training program to improve the nursing students' competencies and to evaluate its effectiveness.</div></div><div><h3>Methods</h3><div>This study was conducted using a control group experimental design based on the pre-test and post-test model. The study was completed with 53 students, 28 and 25 in the training and the control groups, respectively. The cognitive behavioral therapy based assertiveness training applied in this study were conducted online via Zoom twice a week for a total of eight sessions. Survey data were analyzed using descriptive statistics, paired <em>t</em>-tests and independent sample t-test method.</div></div><div><h3>Results</h3><div>The assertiveness scores of the students in the training group increased significantly (<em>p</em> = 0.004), there was no significant change in the scores of those in the control group (<em>p</em> = 0.922). There was no statistically significant improvement in self-confidence (<em>p</em> = 0.180) and self-esteem levels after the training (<em>p</em> = 0.519).</div></div><div><h3>Conclusions</h3><div>The results showed that the training program provided a decrease in the passive behaviors of nursing students and an improvement in their assertive behaviors. Individuals can be enabled to recognize their needs and desires in communication, reject unrealistic requests, and express their feelings in a direct way with assertiveness training. Studies with larger sample groups and longer follow-up evaluations are recommended to be conducted in the future.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"54 ","pages":"Pages 84-90"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143135484","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":"Is artificial intelligence an opportunity or a threat in nursing care?: An in-depth phenomenological study","authors":"Seval AĞAÇDİKEN ALKAN ,&nbsp;Neslihan DUMAN KIRMACI ,&nbsp;Zeliha KOÇ","doi":"10.1016/j.apnu.2025.01.009","DOIUrl":"10.1016/j.apnu.2025.01.009","url":null,"abstract":"<div><h3>Introduction</h3><div>In the contemporary landscape, the use of artificial intelligence (AI) in nursing care has sparked ongoing debates regarding its merits and drawbacks.</div></div><div><h3>Aim</h3><div>This study endeavored to elucidate the perceptions of nurses regarding whether AI should be construed as an opportunity or a threat in the context of patient care delivery.</div></div><div><h3>Methods</h3><div>A qualitative, descriptive, phenomenological design was used. The study was conducted at a university hospital from December 15, 2023, to January 1, 2024. Employing a purposive sampling method, the study achieved data saturation after interviews with 13 nurses. Qualitative data were gathered using a semi-structured interview form, and content analysis was conducted following the procedural steps outlined in Colaizzi's phenomenological data analysis.</div></div><div><h3>Results</h3><div>In the course of the study, four distinct categories emerged: “Nursing Care Practices”, “Diagnosis and Treatment Processes”, “Management in Nursing”, and “Nursing Education and Research”. Within the category of “Nursing Care Practices”, a detailed examination revealed three overarching themes, each encompassing 15 sub-themes. These themes were “ethical and legal dimensions”, “positive thoughts”, and “negative thoughts”.</div></div><div><h3>Conclusion</h3><div>This study reveals that the nurses believed that “AI can support, facilitate, and enhance nursing care when implemented within defined parameters and under appropriate oversight.” The same participants conceptualized AI as a positive tool that augments clinical decision-making processes. These findings suggest that the integration of AI, when guided by ethical considerations and patient safety protocols, is a promising avenue for advancing the delivery of nursing care.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"54 ","pages":"Pages 54-62"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143135817","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":"Tools used to measure the therapeutic relationship between staff and service users in adult mental health care: A scoping review","authors":"Jade Robinson ,&nbsp;Ruth Abrams ,&nbsp;Owen Price ,&nbsp;Elizabeth Barley","doi":"10.1016/j.apnu.2025.01.007","DOIUrl":"10.1016/j.apnu.2025.01.007","url":null,"abstract":"<div><h3>Background</h3><div>Therapeutic relationships are key to both service user recovery and the safety of staff and service users in adult mental health care. However, staff over-involvement (crossing professional boundaries including sexual and emotional exploitation) and under-involvement (staff disinterest, avoidance or neglect) is often a cause for concern within mental health care. Little is known about measuring and assessing over / under involvement. This scoping review provides a broad understanding of existing tools used to measure this in adult mental health care.</div></div><div><h3>Objective</h3><div>To explore what measures are used, and the characteristics of the identified measures, to understand the therapeutic relationship between staff and adult service users in mental health care settings.</div></div><div><h3>Design</h3><div>Scoping review.</div></div><div><h3>Setting(s)</h3><div>Adult mental health settings.</div></div><div><h3>Participants</h3><div>Service users and staff.</div></div><div><h3>Methods</h3><div>This review is guided by Levac et al.'s six stage methodology of scoping review frameworks. The reporting of this review has been guided by the PRISMA-ScR.</div></div><div><h3>Results</h3><div>Of 2863 papers found, 23 were eligible for inclusion. The papers identified 14 scales. No tool specifically measured over- or under- involvement. Finally, data indicates that scales should be specific to their intended setting as the nature of therapeutic relationships may vary by setting.</div></div><div><h3>Conclusions</h3><div>Definitions of therapeutic relationships and over- and under-involvement relevant to different settings are needed. There is a need to develop setting-specific scales to measure therapeutic involvement and definitions for over- and under- involvement. This would enhance care provided to service users and encourage staff members to challenge their own boundary setting practices.</div></div><div><h3>Registration</h3><div><span><span>https://osf.io/93dxp/</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"54 ","pages":"Pages 73-83"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143135813","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":"Cyberbullying, psychosocial problems and affecting factors among adolescents","authors":"Fatma Özlem Öztürk,&nbsp;Mahsa Tamaddon,&nbsp;Ayfer Tezel","doi":"10.1016/j.apnu.2024.12.001","DOIUrl":"10.1016/j.apnu.2024.12.001","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of the study is to examine cyberbullying, psychosocial problems and the factors affecting them among adolescents.</div></div><div><h3>Design and methods</h3><div>A cross-sectional study was conducted in Türkiye. The population of the study consisted of 5th, 6th, 7th, and 8th-grade students from a public middle school. Data were collected through a descriptive characteristics questionnaire, Cyberbullying Scale, and Pediatric Symptom Checklist.</div></div><div><h3>Results</h3><div>Both psychosocial problems and cyberbullying levels were found to be significantly higher in students who were male, in the 7th and 8th grades, and who used the internet for 3 h or more per day (<em>p</em> &lt; .05). It was found that the level of psychosocial problems was significantly higher in students who had chronic diseases, who used medication regularly, and whose parents had a high school education or lower (<em>p</em> &lt; .05). A weak positive correlation was found between the Pediatric Symptom Checklist and Cyberbullying Scale (<em>r</em> = 0.169, <em>p</em> &lt; .001). Daily internet usage time and cyberbullying explained 7.6 % of psychosocial problems.</div></div><div><h3>Conclusions</h3><div>The study found that adolescents' psychosocial problems were associated with the level of cyberbullying, and that gender, grade level, and daily internet use duration affected psychosocial problems and cyberbullying, while the presence of a chronic disease and the level of parental education affected psychosocial problems. Daily internet usage time and cyberbullying were predictors of psychosocial problems. It is recommended that educational programs on safe internet use be provided, especially for male adolescents in grades 7–8 who spend more than 3 h a day on the internet.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"54 ","pages":"Pages 12-17"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143135821","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 2024 election: A call for unity and reflection","authors":"Christopher Lance Coleman","doi":"10.1016/j.apnu.2024.12.004","DOIUrl":"10.1016/j.apnu.2024.12.004","url":null,"abstract":"","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"54 ","pages":"Pages A3-A4"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143396211","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}