Archives of Psychiatric Nursing最新文献

{"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}

{"title":"Enhancing warning signs of mental health literacy: Evaluating a digital base intervention for health profession students","authors":"Abeer Selim ,&nbsp;Christopher Newby ,&nbsp;Anwar Almutairy ,&nbsp;Abdulrahman Aldossari ,&nbsp;Fahad Alkabba ,&nbsp;Saeed Arabi ,&nbsp;Mohamed Ali Zoromba ,&nbsp;Mohamed Hussein Ramadan Atta ,&nbsp;Nashwa Ibrahim","doi":"10.1016/j.apnu.2025.01.005","DOIUrl":"10.1016/j.apnu.2025.01.005","url":null,"abstract":"<div><h3>Background</h3><div>Despite its importance, Mental health literacy (MHL) among nursing and other health profession students often remains inadequate, potentially impacting their future roles as healthcare providers. This inadequacy can lead to delayed or inappropriate care for individuals with mental health concerns, perpetuating adverse outcomes and increasing the burden on healthcare systems.</div></div><div><h3>Aim</h3><div>To evaluate a digital-based intervention designed to enhance the warning signs of mental health literacy among health profession students.</div></div><div><h3>Design</h3><div>A quasi-experimental, one-group pretest-posttest study design was used to conduct the current study.</div></div><div><h3>Methods</h3><div>A non-randomized trial was conducted using digital mental health literacy intervention about the warning signs of mental illness (DWS), involving a convenience sample of 493 undergraduate health profession students. Mental Health Literacy Survey About Warning Signs of Mental Illness was developed and validated to measure the participants' mental health literacy before and after the intervention.</div></div><div><h3>Results</h3><div>Almost all Warning Signs of Mental Illness Literacy items were significantly increased from pre- to post-intervention. Both sub-sums representing the knowledge subscale (items 1 to 11) and attitude subscale (items 12 to 15) significantly increased to 4.4 (CI 3.7, 5.0) and 0.7 (CI 0.5, 0.9), respectively. Differences were more extensive and significant on the knowledge subscale items 0.4 (CI 0.3, 0.5) than on the attitude subscale mean items 0.2 (CI 0.1, 0.2).</div></div><div><h3>Conclusion</h3><div>The DWS is an effective and easy-to-use education program for health profession students. The current study is an initial step toward building a body of knowledge about mental health literacy in the region.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"54 ","pages":"Pages 91-101"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143135485","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 influence of family resilience on non-suicidal self-injury among Chinese adolescents: The mediating roles of mindfulness and individual resilience","authors":"Guangzhe F. Yuan ,&nbsp;Shuang Zhong ,&nbsp;Caimeng Liu ,&nbsp;Jiaxin Liu ,&nbsp;Jufen Yu","doi":"10.1016/j.apnu.2025.01.003","DOIUrl":"10.1016/j.apnu.2025.01.003","url":null,"abstract":"<div><div>Previous research has documented that family-related supportive factors (e.g., family resilience) can protect adolescents from risky behaviors. However, the data regarding the potential psychological mechanism linking family resilience and non-suicidal self-injury (NSSI) remain scarce. This study aimed to explore the possible serial mediational roles of mindfulness and individual resilience in the relationship between family resilience and NSSI. A sample including 548 Chinese adolescents (<em>M</em>_age = 16.10, <em>SD</em> = 1.61; 50.9 % male) with a six-month interval and two waves (Time 1, T1 - September 25, 2023 – October 13, 2023; Time 2, T2 - March 9, 2024 – March 22, 2024) of follow-up was used in the present study. Results showed that, within the examined model, mindfulness at T2 mediated the relation between family resilience at T1 and NSSI at T2; individual resilience at T2 mediated the association between family resilience at T1 and NSSI at T2; and the relationship between family resilience at T1 and NSSI at T2 was fully serially mediated by mindfulness and individual resilience at T2. The findings suggest that family resilience may reduce the likelihood of NSSI by enhancing adolescents' mindfulness and individual resilience. Future interventions aimed at reducing NSSI may benefit from incorporating strategies to strengthen family resilience, promote mindfulness practices, and enhance individual resilience in adolescents.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"54 ","pages":"Pages 46-53"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143135816","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":"A community child and adolescent psychiatry fellowship for nurse practitioners","authors":"Alexandra Sietsma,&nbsp;Hilary Gould,&nbsp;Anna Pasternak,&nbsp;Emily Troyer,&nbsp;Steve Koh","doi":"10.1016/j.apnu.2024.12.002","DOIUrl":"10.1016/j.apnu.2024.12.002","url":null,"abstract":"<div><div>Over the past three decades, there has been a well-documented shortage of child and adolescent psychiatric medical providers while demand continues to rise. Youth from minority racial and ethnic backgrounds, low-income families, and rural settings are disproportionately affected, increasing disparity in access and quality of services. While psychiatric mental health nurse practitioners (PMHNP) can deliver a full range of mental health care services across the lifespan, there are discrepancies across training programs in exposure to child and adolescent cases and high quality training. To address workforce capacity needs and to improve access to psychiatric treatment for underserved youth, a PMHNP post-graduate fellowship program in community child and adolescent psychiatry was established in 2020. During the one-year program, fellows rotate in emergency settings, specialty partial hospitalization clinics, collaborative care settings, and outpatient clinics treating a wide range of psychiatric disorders. Psychiatric clinical training, didactic curriculum, and supervision cover core nurse practitioner competencies, child-adolescent, and community-public sector psychiatry. Implementation strategies are discussed in detail including financing, stakeholder input, sustainability, barriers, and successes.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"54 ","pages":"Pages 18-25"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143135820","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":"TOC","authors":"","doi":"10.1016/S0883-9417(25)00012-3","DOIUrl":"10.1016/S0883-9417(25)00012-3","url":null,"abstract":"","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"54 ","pages":"Pages i-ii"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143396214","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":"Uncertainty and our care of community","authors":"Emily J. Hauenstein","doi":"10.1016/j.apnu.2024.12.003","DOIUrl":"10.1016/j.apnu.2024.12.003","url":null,"abstract":"","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"54 ","pages":"Pages A1-A2"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143396210","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":"masthead, subscriber information","authors":"","doi":"10.1016/S0883-9417(25)00014-7","DOIUrl":"10.1016/S0883-9417(25)00014-7","url":null,"abstract":"","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"54 ","pages":"Page iv"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143396216","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}