Archives of Psychiatric Nursing最新文献

{"title":"Posttraumatic embitterment and suicidality among unemployed adults in Korea: Buffering effects of self-compassion","authors":"Danbi Oh ,&nbsp;Young-Eun Jung ,&nbsp;Hyunjoo Na","doi":"10.1016/j.apnu.2025.151923","DOIUrl":"10.1016/j.apnu.2025.151923","url":null,"abstract":"<div><div>The significant increase in unemployment during the global pandemic led to heightened psychological distress among those who lost their jobs, underscoring the need to assess mental health in this population. This study employed secondary data analysis to identify levels of posttraumatic embitterment and suicidality among unemployed adults in Korea, examine their sociodemographic differences, and determine the buffering effects of self-compassion on the posttraumatic embitterment-suicidality relationship during the COVID-19 pandemic. The subjects were 624 unemployed adults in a region in South Korea. Self-report scales were used to measure posttraumatic embitterment, suicidality, and self-compassion. The data collected were analyzed with SPSS 27.0, and PROCESS macro Model 1 analysis was conducted to determine the moderating effect of self-compassion on the relationship between posttraumatic embitterment and suicidality. The study found that young adults and women exhibited higher levels of posttraumatic embitterment than older adults and men, with long-term unemployment further increasing both embitterment and suicidality. Self-compassion moderated the impact of posttraumatic embitterment on suicidality, suggesting that increased self-compassion buffers this effect. This study emphasizes the importance of proactive prevention strategies targeting high-risk groups, such as women, young adults, and the long-term unemployed. Additionally, the findings suggest that mental health providers should develop vocational and self-compassion-focused interventions tailored to high-risk unemployed individuals, particularly young adults, to enhance resilience and support suicide prevention efforts.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151923"},"PeriodicalIF":2.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330994","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":"Sex differences in the moderating effect of age on the relationship between social networking service use and self-esteem","authors":"Hyunjoo Na ,&nbsp;Il Hyun Lee ,&nbsp;Gyungjoo Lee","doi":"10.1016/j.apnu.2025.151917","DOIUrl":"10.1016/j.apnu.2025.151917","url":null,"abstract":"<div><div>The relationship between excessive Social Networking Service (SNS) usage and self-esteem is intricate, with ongoing research aiming to better understand this dynamic. This cross-sectional study aimed to examine whether the impact of SNS usage on self-esteem varies by age and sex. This study utilized a nationally representative survey from the 2020 Korea Media Panel Survey, including 9650 respondents aged 13 and older, comprising 4839 female (50.1 %) and 4811 male (49.9 %). To examine the moderated moderation effects of age and sex, Process Macro 4.0 Model 3 was employed. Findings revealed significant sex differences in the moderating effects of age on the relationship between SNS usage and self-esteem. Among women aged 20 and younger, the negative association between SNS usage and self-esteem became stronger as age decreased. Conversely, among women aged 33 years and older, the positive correlation between SNS usage and self-esteem strengthened as age increased. The moderating effect was not significant among men. These findings highlight the critical role of sex and age in the relationship between SNS usage and self-esteem, suggesting that adolescent girls are especially vulnerable to its adverse effects, whereas older women exhibit a positive association with SNS usage. This study provides valuable insights for nurses in designing interventions to mitigate the psychological harm of excessive SNS usage among vulnerable groups, such as adolescent girls, while also informing strategies to leverage SNS as a means of enhancing self-esteem among older women.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151917"},"PeriodicalIF":2.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338478","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 mediating effect of moral distress on workplace violence and compassion fatigue in psychiatric nurses","authors":"Li Jie ,&nbsp;Qiu Yuhua ,&nbsp;Shang Chaona ,&nbsp;Yan Fang","doi":"10.1016/j.apnu.2025.151911","DOIUrl":"10.1016/j.apnu.2025.151911","url":null,"abstract":"<div><h3>Aims</h3><div>To examine the associations among compassion fatigue, workplace violence, and moral distress in psychiatric nurses.</div></div><div><h3>Background</h3><div>The demanding environment of psychiatric departments, characterized by frequent exposure to workplace violence, may contribute to both moral distress and compassion fatigue among nurses. This reciprocal relationship underscores the necessity of interventions targeting both issues concurrently, with the goal of enhancing psychiatric nurses' well-being and retention.</div></div><div><h3>Methods</h3><div>A convenience sample of 665 psychiatric nurses was recruited from two tertiary psychiatric hospitals in Beijing and Xinxiang City between July and September 2023. Participants completed the Workplace Violence Scale, the Chinese version of the Nurse Moral Distress Scale, and the Chinese version of the Compassion Fatigue Brief Scale. Data were analyzed using SPSS 25.0 for Spearman correlation analysis and Process v3.4 for mediation analysis.</div></div><div><h3>Results</h3><div>The incidence of workplace violence among psychiatric nurses was 91.9 %. The median (interquartile range) scores for moral distress and compassion fatigue were 45.00 (26.00, 74.00) and 31.00 (18.00, 46.00), respectively. Compassion fatigue was positively correlated with both moral distress and workplace violence (<em>P</em> &lt; 0.05). The mediating effect of moral distress between workplace violence and compassion fatigue was 0.189, representing 20.32 % of the total effect.</div></div><div><h3>Conclusion</h3><div>Moral distress partially mediates the relationship between workplace violence and compassion fatigue in psychiatric nurses. Hospital administrators should prioritize addressing workplace violence among psychiatric nurses, regularly assess and monitor moral distress, and implement evidence-based interventions informed by positive psychology to mitigate compassion fatigue.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151911"},"PeriodicalIF":2.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330996","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 the breakthrough: The practical hurdles of psychedelic therapy","authors":"F.N.U. Shahzaib ,&nbsp;Tariq Mehmood ,&nbsp;Arifa Arifa","doi":"10.1016/j.apnu.2025.151914","DOIUrl":"10.1016/j.apnu.2025.151914","url":null,"abstract":"","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151914"},"PeriodicalIF":2.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338479","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 relationship between self-efficacy, healthy lifestyle beliefs, and digital game addiction in adolescents: A structural equation modeling approach","authors":"Meltem Gürcan,&nbsp;Ayla Kaya","doi":"10.1016/j.apnu.2025.151920","DOIUrl":"10.1016/j.apnu.2025.151920","url":null,"abstract":"<div><h3>Aim</h3><div>This study aimed to investigate the relationship between self-efficacy, healthy lifestyle beliefs, and digital game addiction among adolescents.</div></div><div><h3>Methods</h3><div>The present study was conducted using a cross-sectional design, in accordance with STROBE guidelines. The study was conducted with 276 students at a high school in a provincial center in the southern region of Türkiye. Data were collected from adolescents aged 14–17 between December 2024 and January 2025. Data were collected using an Individual Introduction Form with demographic details and three valid scales: The Self-Efficacy Scale for Children, the Adolescent Healthy Lifestyle Belief Scale, and the Digital Game Addiction Scale for Children.</div></div><div><h3>Results</h3><div>It was found that adolescents had moderate self-efficacy levels, above-average health belief levels, and were at moderate risk of digital game addiction. Self-efficacy was positively related to healthy lifestyle beliefs, while healthy lifestyle beliefs had a negative relationship with digital game addiction. The structural equation modeling (SEM) analysis confirmed the validity of the model with acceptable goodness of fit values. Self-efficacy was a positive predictor of healthy lifestyle beliefs with high explanatory power in adolescents.</div></div><div><h3>Conclusion</h3><div>This study reveals a significant positive relationship was observed between self-efficacy and healthy lifestyle beliefs, while a significant negative relationship was found between healthy lifestyle beliefs and digital game addiction. Self-efficacy was a positive predictor of healthy lifestyle beliefs with high explanatory power in adolescents.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151920"},"PeriodicalIF":2.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338477","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 an open or enclosed nursing station better, and for whom? A scoping review","authors":"Sydney Long,&nbsp;Annette M. Bourgault,&nbsp;Mona Shattell","doi":"10.1016/j.apnu.2025.151913","DOIUrl":"10.1016/j.apnu.2025.151913","url":null,"abstract":"<div><div>The benefits of enclosed versus open nursing stations are frequently discussed among inpatient nurses and hospital administrators. This scoping review synthesizes the state of the science on architectural best practices for inpatient psychiatric units and identifies gaps in the literature about enclosed versus open nursing stations. Nine peer reviewed articles from PubMed, CINAHL and EBSCO, and Web of Science were extracted for review. These articles were written in English and published between 2015 and 2024. All included studies occurred on adult inpatient psychiatric units. Qualitative and one mixed method study whose sample included inpatient nurses, nursing staff, patients, and their caregivers were included. Findings suggest a preference for an open nursing station by patients and caregivers; however, only some nurses and nursing staff may prefer open nursing stations. Nurses and nursing staff who are averse to open nursing stations express anxiety regarding a lack of a patient-free space, and anxiety regarding staff-directed violence by patients, and fear of breaching patient confidentiality. Nursing stations with a physical plexiglass barrier were reported to feel less inviting and stigmatizing by patients. The therapeutic alliance was reportedly better in units with open nursing stations because staff interacted more positively and frequently with patients, patient needs were more promptly attended to, and patients perceived the milieu as warmer. Further research is needed to identify a standard of practice for optimal architectural designs of adult inpatient units, especially nursing stations.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151913"},"PeriodicalIF":2.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144604800","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":"Systematic review: The integration of artificial intelligence-powered cognitive-behavioural therapy for autonomous mental health management","authors":"Li-Ting Chen ,&nbsp;Li-Ching Yang ,&nbsp;Fang-Yi Lin ,&nbsp;Yueh-Hsiu Lin","doi":"10.1016/j.apnu.2025.151916","DOIUrl":"10.1016/j.apnu.2025.151916","url":null,"abstract":"<div><h3>Background</h3><div>Depression is a widespread mental health disorder that affects quality of life, with traditional treatments often resource-intensive. Studies have demonstrated the effectiveness of CBT-based AI in alleviating depressive symptoms through autonomous mental health management.</div></div><div><h3>Purpose</h3><div>To evaluate the effect and the integration level of Cognitive-Behavioural Therapy-based artificial intelligence (AI) on autonomous health management in depressive symptoms care.</div></div><div><h3>Methods</h3><div>This systematic review used the PRISMA methodology and a mixed-methods appraisal tool. Studies included randomized controlled trials using artificial intelligence interventions for depression, analysing theoretical frameworks, intervention designs, and outcomes. Reviews and protocols were excluded. Data sources were searched in the Cochrane Library, CINAHL Plus with Full Text, and PubMed for articles published between October 2019 and October 2024.</div></div><div><h3>Results</h3><div>Five studies demonstrated that artificial intelligence designs incorporating the Cognitive-Behavioural Therapy guidance framework specifically indicated short-term intervention effectiveness. Of these AI interventions, only partial integration of 54 % implemented a theoretical framework in AI design. Nevertheless, findings revealed a significant 60 % decrease in depressive symptoms among participants who engaged with the AI-based autonomous mental health management, particularly those with moderate-to-severe depression, when grounded in a strong theoretical foundation.</div></div><div><h3>Conclusion</h3><div>Cognitive-Behavioural Therapy-based artificial intelligence interventions have demonstrated effectiveness in decrease depressive symptoms through patient self-management platforms. The theory-driven approach not only guides the development of AI applications but also facilitates the implementation of automated mental health interventions, thereby reducing the workload of nursing staff. This integration of CBT-guided AI technology empowers patients with self-management tools while optimizing nursing resources in mental health settings.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151916"},"PeriodicalIF":2.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365222","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":"Reflections and lessons learned from a journal and research club in advanced mental health nursing practice","authors":"Louise Murphy ,&nbsp;Owen Doody ,&nbsp;Mary Russell ,&nbsp;Jill Sheridan ,&nbsp;Orla Hegarty ,&nbsp;Anne Marie Sloane ,&nbsp;Trudy Dunworth ,&nbsp;Mary Synnott ,&nbsp;Pauline Walsh ,&nbsp;Margaret Graham","doi":"10.1016/j.apnu.2025.151910","DOIUrl":"10.1016/j.apnu.2025.151910","url":null,"abstract":"<div><h3>Objectives</h3><div>This quality improvement initiative aimed to establish a journal and research club to support advanced nurse practitioners (ANP) in mental health in transitioning to the ANP role in mental health services.</div></div><div><h3>Methods</h3><div>Following the SQUIRE 2.0 framework for publication of quality improvement studies, written reflections (<em>n</em> = 70) from seven ANPs were analysed using content framework analysis to identify lessons learned.</div></div><div><h3>Outcomes</h3><div>Four themes revealed: research capabilities, expanding the ANP role and practice, learning through reflective practice, and group synergy.</div></div><div><h3>Conclusions</h3><div>This initiative enhanced ANPs research confidence and skills, effectively facilitating their transition to the ANP role.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151910"},"PeriodicalIF":2.2,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330995","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":"Educating staff on physical activity promotion in secure psychiatric care: the development of a self-determination theory informed intervention","authors":"Eva Rogers ,&nbsp;Justine Anthony ,&nbsp;Anthony Papathomas ,&nbsp;Kieran Breen ,&nbsp;Florence-Emilie Kinnafick","doi":"10.1016/j.apnu.2025.151909","DOIUrl":"10.1016/j.apnu.2025.151909","url":null,"abstract":"<div><h3>Background</h3><div>Healthcare assistants (HCAs) are well placed to promote physical activity (PA) in secure hospitals, though multiple barriers limit these opportunities. Using a Medical Research Council (MRC) commissioned framework, this study aimed to develop a self-determination theory (SDT) informed e-learning module for HCA's.</div></div><div><h3>Methods</h3><div>The development process included three phases. (1) a preparatory phase involved a scoping review, immersive fieldwork and 15 patient interviews. (2), a development phase involved establishing an intervention development team, selecting appropriate theory (SDT) and collecting pilot data (3) a user testing phase exploring intervention acceptability through a staff survey.</div></div><div><h3>Results</h3><div>The outputs from each phase informed the production of an e-learning educational module. The first section of the module incorporated information on: the importance of PA and consequences of prolonged inactivity in inpatient settings, benefits of PA in secure settings and the role of ward staff in PA promotion. The second section, underpinned by the tenets of SDT, outlined the three basic needs, highlighted the importance of these needs in motivating behaviour change and provided specific practical examples of how HCAs can adopt need supportive behaviours. The final section provided interactive case studies where HCAs identified strategies to meet patients individualised needs regarding PA engagement. Following preliminary testing, 71 % of staff reported changing PA promotion practices after the training.</div></div><div><h3>Conclusions</h3><div>Following MRC guidelines on the development phase of an intervention allowed for exploration of both population and environmental considerations and provided a strategy to develop an intervention that can be integrated into routine care.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151909"},"PeriodicalIF":2.2,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144204813","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":"Dementia friendly communities: A concept analysis","authors":"Xiaohong Yu ,&nbsp;Jing Wang ,&nbsp;Siyi Qin ,&nbsp;Enjia Du ,&nbsp;Yueheng Yin ,&nbsp;Enfang Shan ,&nbsp;Xianwen Li","doi":"10.1016/j.apnu.2025.151895","DOIUrl":"10.1016/j.apnu.2025.151895","url":null,"abstract":"<div><h3>Objectives</h3><div>To conceptualize the concept of dementia friendly communities.</div></div><div><h3>Methods</h3><div>Walker and Avant's method of concept analysis was used to identify the concept, antecedents, attributes and consequences of dementia friendly communities.</div></div><div><h3>Results</h3><div>Four dimensions of dementia friendly communities' attributes were identified around target population, social life involvement, socio-cultural environment, living space and physical environment. Antecedents of dementia friendly communities were reduced physical and mental health, increased stigma and social isolation of people with dementia and caregivers, required dementia-supportive physical environment and mismatch between supply and demand of care resources. Consequences of dementia friendly communities were increased personal empowerment, reduced financial burden, promotion of dementia inclusion and healthy aging.</div></div><div><h3>Conclusion</h3><div>The result of the analysis provided a clearer definition of dementia friendly communities, which can be further tested and used to develop guide future research and interventions.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151895"},"PeriodicalIF":2.2,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144196463","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}