{"title":"Cultivating resilience and community engagement through research within Indigenous populations","authors":"","doi":"10.1016/j.apnu.2024.07.019","DOIUrl":"10.1016/j.apnu.2024.07.019","url":null,"abstract":"","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141710166","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}
Mahsa Sadat Hayati , Jamal Shams , Sara Sadeghipour Meibodi , Amir Hossein Shafighi , Mona Shattell , Fataneh Ghadirian
{"title":"The effects of a telenursing scheduled intervention of brief behavioral activation therapy on depression and anxiety symptoms of patients with mixed depression and anxiety disorder: A randomized controlled trial","authors":"Mahsa Sadat Hayati , Jamal Shams , Sara Sadeghipour Meibodi , Amir Hossein Shafighi , Mona Shattell , Fataneh Ghadirian","doi":"10.1016/j.apnu.2024.07.014","DOIUrl":"https://doi.org/10.1016/j.apnu.2024.07.014","url":null,"abstract":"<div><h3>Background</h3><p>Although many studies have been conducted on the efficacy of behavioral activation in depression, few studies have evaluated the efficacy of this treatment in patients with mixed depression and anxiety through telecare.</p></div><div><h3>Aim</h3><p>To determine the effects of a telenursing scheduled intervention of brief behavioral activation therapy on depression and anxiety symptoms of patients with mixed anxiety and depression disorder (MADD).</p></div><div><h3>Design</h3><p>A randomized controlled trial.</p></div><div><h3>Methods</h3><p>Thirty subjects with MADD were randomly assigned to an intervention group and a control group. The eight-session person-centered behavioral activation intervention was delivered twice weekly via tele-nursing. Depression and anxiety symptom severity were assessed using the Hamilton Anxiety Rating Scale and the Hamilton Depression Rating Scale at baseline, at the end, and one month after the intervention. Data were analyzed by independent <em>t</em>-tests, chi-square tests, and repeated-measures tests using SPSS version 24.</p></div><div><h3>Results</h3><p>The results showed that after the implementation of the intervention, the depression score in the intervention group decreased from 19.86 (±8.56) to 17.21 (±6.71). In contrast, depression scores increased from 18.67 (±9.72) to 19.47 (±7.33) in the control group. For anxiety symptoms, there was a clinically significant decrease after the intervention only in the intervention group.</p></div><div><h3>Conclusion</h3><p>The results showed the effects of brief behavioral activation tele-nursing on a non-significant reduction in depression symptoms and a significant clinical reduction in anxiety symptoms after the intervention in MADD.</p></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141606473","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":"Melatonin hormone level in nurses and factors affecting it; Investigation according to shift working pattern","authors":"","doi":"10.1016/j.apnu.2024.07.006","DOIUrl":"10.1016/j.apnu.2024.07.006","url":null,"abstract":"<div><p>This study aimed to determine the relationship between melatonin hormone levels, sleep, and factors affecting sleep, psychological resilience, and depression in nurses working with a shift work system. Conducted between February 5–12, 2021, at the Training and Research Hospital in Ağrı province, the descriptive study included 41 night shift nurses and 35 day shift nurses, totaling 76 participants. Blood samples for melatonin analysis were collected and data were gathered using the Sociodemographic Information Form, Epworth Sleepiness Scale, Sleep Disorder Scale Short Form, Brief Psychological Resilience Scale, and Beck Depression Scale Short Form. Melatonin analysis was performed using the ELISA method. Statistical significance was set at <em>p</em> < 0.05. Results showed that sleep disorders were present in all nurses with <7 h of daily sleep. Factors such as the use of sleeping pills, marital status, age, and gender affected sleep disorders. Mean scores for melatonin levels were 67.82 ± 40.20 for night shift nurses and 68.08 ± 39.62 for day shift nurses, with no significant difference between shifts. Similarly, no significant differences were found in daytime sleepiness (7.49 ± 4.47 vs. 7.51 ± 4.65), sleep disturbance (24.71 ± 7.33 vs. 25.23 ± 6.64), psychological resilience (18.42 ± 4.19 vs. 17.89 ± 4.74), or depression (3.22 ± 2.60 vs. 3.49 ± 3.35). Nurses exhibited mild sleep disturbances, low depression tendencies, and moderate psychological resilience. Increased daytime sleepiness and sleep disorders correlated with higher depression tendencies and lower psychological resilience. Hospital management and education units are recommended to conduct interventions on sleep quality, depression, and psychological resilience to raise awareness among nurses.</p></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141622381","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 commercial tobacco and alcohol use intervention for urban Native American youth","authors":"","doi":"10.1016/j.apnu.2024.06.014","DOIUrl":"10.1016/j.apnu.2024.06.014","url":null,"abstract":"<div><h3>Objective</h3><p>Westernized alcohol and commercial tobacco use prevention approaches for Native Americans have not been effective, or sustainable. The overall objective of this study examined the effect of the culturally based Urban Talking Circle (UTC) intervention versus standard education (SE) program for the prevention of alcohol and commercial tobacco use among urban Native American youth.</p></div><div><h3>Design</h3><p>The study employed a 2-condition quasi-experimental design and utilized convenience and snowball sampling methods for recruiting 100 urban Native American youth participants in two urban Native American community program locations in Florida. Study participants were randomized by their urban Native American community program location to one of the 2-conditions. These included the standard education (SE) program used within United States school systems (drug abuse resistance education) and the Urban Talking Circle (UTC) intervention, culturally tailored and developed for urban Native American youth from the culturally based Talking Circle Intervention for rural Native American Youth. The Native American Alcohol Measure for Youth (NAAMY) and Native Reliance Questionnaire were utilized to collect participants' data. Participants' data was analyzed using multivariate analysis of variance to determine differences between the scores on all measures at pre/post-intervention for the 2-conditions.</p></div><div><h3>Results</h3><p>Study findings indicate that a culturally based intervention was more effective for the reduction of commercial tobacco and alcohol use than a non-culturally based intervention for urban Native American youth.</p></div><div><h3>Conclusion</h3><p>The study findings emphasized that the utilization of the culturally tailored UTC intervention reduced involvement associated with alcohol and commercial tobacco use.</p></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141705151","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":"Does sense of coherence buffer the effects of moral dilemmas faced by psychiatric nurses in Japan? A cross-sectional study","authors":"Kazuko Hisadomi , Taisuke Togari","doi":"10.1016/j.apnu.2024.07.017","DOIUrl":"https://doi.org/10.1016/j.apnu.2024.07.017","url":null,"abstract":"<div><p>Psychiatric nurses face moral dilemmas that affect their mental health. We investigated whether sense of coherence (SOC) buffers psychiatric nurses' perceived effects of moral dilemmas on their psychological distress. A total of 418 nursing professionals in 6 psychiatric hospitals in Japan completed self-administered questionnaires. A negative correlation was observed between “patient rights” (<em>r</em> = −0.24, <em>p</em> < 0.001), “relationships other than patient” (<em>r</em> = −0.28, <em>p</em> < 0.001), “nursing care” (<em>r</em> = −0.25, p < 0.001) of moral dilemmas and “manageability” of SOC. Additionally, a negative correlation was observed between “patient rights” (<em>r</em> = −0.22, <em>p</em> < 0.001), “relationships other than patient” (<em>r</em> = −0.21, p < 0.001) of moral dilemmas and “comprehensibility” of SOC.</p><p>Hierarchical multiple regression analysis used the Kessler Psychological Distress Scale-10 (K10), which assessed the degree of mental distress, as the dependent variable, and moral dilemmas and SOC as the independent variables, along with their interaction terms. The K10 scores significantly changed depending on the degree of moral dilemmas in the low SOC group, but not in the high SOC group. SOC buffers the effects of psychiatric nurses' perceived moral dilemmas on their psychological distress.</p></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141606005","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":"Where have all the pre-licensure psychiatric-mental health clinicals gone?","authors":"","doi":"10.1016/j.apnu.2024.07.018","DOIUrl":"10.1016/j.apnu.2024.07.018","url":null,"abstract":"","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141689663","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":"Eating attitudes, physical activity, and sleep quality levels of adolescents during the pandemic process","authors":"","doi":"10.1016/j.apnu.2024.07.009","DOIUrl":"10.1016/j.apnu.2024.07.009","url":null,"abstract":"<div><h3>Purpose</h3><p>The present study was conducted to determine the eating attitude, physical activity, and sleep quality levels of adolescents during the pandemic process.</p></div><div><h3>Method</h3><p>This descriptive study was completed by 987 adolescents. Data were collected by using the Adolescent Descriptive Characteristics Form, the Dutch Eating Behavior Questionnaire (DEBQ), the International Physical Activity Evaluation Questionnaire (IPAQ-Short Form), and the Pittsburgh Sleep Quality Index (PSQI).</p></div><div><h3>Results</h3><p>It was found that the mean age of the adolescents who participated in the study was 16.30 ± 1.30 and 23.1 % of them were male. During the pandemic process, adolescents consumed pastries, sugary foods and beverages, french fries, chips, etc. consumption was found to increase (41.7 %, 42.2 %, 45.2 %, respectively). It was also found that the mean DEBQ score of the adolescents was 75.13 ± 19.65 and the mean PSQI score was 10.99 ± 4.22. In the IPAQ, 29.9 % of the adolescents were found to be inactive, 44.7 % minimally active, and 25.4 % very active. It was determined that BMI, PSQI, gender, pastry, and sugary food consumption were important predictors of eating behavior. When the increase in consumption of pastries and sugary foods was added, it was seen that BMI, PSQI, and gender explained 7 % of the change in DEBQ and when the increase in pastry and sugary foods was added, it explained 11 % of the change in DEBQ. It was found that BMI, PSQI (p < 0.001), and gender (p = 0.001) had significant effects on students' eating behavior scores.</p></div><div><h3>Conclusion</h3><p>Adolescents' eating out, emotional eating, and restrictive eating scores were found to be high during the COVID-19 pandemic. Adolescents were also found to have inadequate physical activity levels and poor sleep quality. It is recommended that projects and intervention studies be performed to help adolescents with these matters.</p></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141623805","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":"Relationship between awareness of digital game addiction, health literacy, and sociodemographic characteristics of mothers: A structural equation modeling analysis","authors":"Fahriye Pazarcikci , Hatice Ağrali","doi":"10.1016/j.apnu.2024.07.011","DOIUrl":"https://doi.org/10.1016/j.apnu.2024.07.011","url":null,"abstract":"<div><h3>Aim</h3><p>Mothers' digital game addiction awareness and their health literacy levels are critical factors for addiction prevention strategies in children. Therefore, the present study is significant. This study examines the relationship between awareness of digital game addiction, health literacy, and the sociodemographic characteristics of mothers.</p></div><div><h3>Method</h3><p>This cross-sectional study was conducted with 457 mothers of children aged 5–11 years in Turkey. The data were collected using a personal information questionnaire, the Awareness of Digital Game Addiction Scale, and the Health Literacy Scale between May and September 2021.</p></div><div><h3>Results</h3><p>This study revealed that mothers are highly aware of digital game addiction and have high health literacy. Furthermore, health literacy was determined to significantly and directly affect awareness of digital gaming addiction. Awareness of digital gaming addiction significantly and directly affects children owning their own technological devices and how much time mothers spend with their children.</p></div><div><h3>Conclusion</h3><p>The study's results confirmed that mothers' health literacy had a positive and statistically significant effect on awareness of digital gaming addiction. As the health literacy levels of mothers increased, the internal and external awareness of digital gaming addiction increased. It is recommended to design intervention programs that increase mothers' awareness of digital game addiction. These programs should be planned according to the health literacy levels of mothers.</p></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141606006","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 mixed-method study to develop and evaluate a structured therapeutic communication module on psychological distress and perceived needs among caregivers of critically ill patients in Critical Care Units","authors":"","doi":"10.1016/j.apnu.2024.07.008","DOIUrl":"10.1016/j.apnu.2024.07.008","url":null,"abstract":"<div><h3>Aims and objectives</h3><p>To develop and evaluate the effectiveness of a structured therapeutic communication module on psychological distress and perceived needs among caregivers of critically ill patients.</p></div><div><h3>Background</h3><p>Caregivers of critically ill patients experience intense psychological distress, and their needs often go unexpressed or unidentified. Structured therapeutic communication enables nurses to explore and fulfill these needs.</p></div><div><h3>Method</h3><p>A mixed-method study was conducted among 30 caregivers of critically ill patients. During phase one, a qualitative interview was conducted, and a structured therapeutic communication module was developed based on Hildegard Peplau's Interpersonal Relations Theory. In the second phase, one group pre-test and post-test design was adopted. The Hospital Anxiety and Depression Scale (HADS) and a Semi-structured interview schedule were used to assess psychological distress and perceived needs, respectively.</p></div><div><h3>Results</h3><p>Half of (50 %) the caregivers reported a high level of anxiety before intervention, with a mean of 11.30 (SD: 4.0), and 66.7 % of them had a high level of depression, with a mean of 12.03 (SD: 0.08). There was a statistically significant difference in anxiety (CI: 0.451–2.016) and depression (CI: 0.261–1.538) before and after the intervention. The qualitative analysis revealed unmet needs perceived by caregivers.</p></div><div><h3>Conclusion</h3><p>Using a structured therapeutic communication module helps nurses to alleviate the psychological distress experienced by caregivers of CCU patients.</p></div><div><h3>Relevance to clinical practice</h3><p>Nurses need to be sensitive to the unexpressed needs of caregivers of critically ill patients. The structured therapeutic communication modules can be integrated into routine nursing care practice to ensure family-centered care.</p></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141714036","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}
Eva García-Carpintero Blas , Esperanza Vélez-Vélez , Cristina Gómez-Moreno , Alejandro Martínez-Arce , Alberto Tovar-Reinoso , Paloma Rodriguez-Gómez , Laura Vaquero Velerdas , Inmaculada López-Martín
{"title":"Simulation with a standardised patient to reduce stigma towards people with schizophrenia spectrum disorder among nursing students: A quasi-experimental study","authors":"Eva García-Carpintero Blas , Esperanza Vélez-Vélez , Cristina Gómez-Moreno , Alejandro Martínez-Arce , Alberto Tovar-Reinoso , Paloma Rodriguez-Gómez , Laura Vaquero Velerdas , Inmaculada López-Martín","doi":"10.1016/j.apnu.2024.07.015","DOIUrl":"https://doi.org/10.1016/j.apnu.2024.07.015","url":null,"abstract":"<div><h3>Objectives</h3><p>This study examined the effectiveness of simulation with a standardised patient on the perception of stigma associated with schizophrenia among undergraduate nursing students. It also assessed the reliability of the AQ-27 questionnaire in this context.</p></div><div><h3>Method</h3><p>A quasi-experimental study without a control group was conducted on a non-probabilistic sample. The simulation programme used a standardised patient portrayed by a nurse with mental health experience.</p></div><div><h3>Results</h3><p>After simulation, statistically significant stigma improvements were found in six out of nine dimensions; anger and help obtained larger effect sizes (<em>r</em> = 0.392 and 0,307, respectively). Regarding gender, the intragroup analysis revealed that simulation improved stigma among women in six dimensions and among men in four dimensions, with anger and fear showing the highest effect size (<em>r</em> = 0.414 and 0.446, respectively).</p><p>Regarding previous contact with mental illness among the study participants, the intergroup analysis did not show differences. In the intragroup analysis, simulation improved fear only in the contact group (<em>p</em> = 0,040, <em>r</em> = 0.353). In contrast, simulation changed the response in six dimensions in the no-contact group, similar to the entire group.</p></div><div><h3>Conclusion</h3><p>Simulation with a standardised patient is an effective teaching tool for reducing the stigmatisation of people with schizophrenia, thus reducing people's perception of internal causal attribution. It allows for experiencing situations that may be anticipated in clinical practice and reflectively addressing emerging aspects during simulation.</p></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141606447","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}