Eva Rogers , Justine Anthony , Anthony Papathomas , Kieran Breen , Florence-Emilie Kinnafick
{"title":"Educating staff on physical activity promotion in secure psychiatric care: the development of a self-determination theory informed intervention","authors":"Eva Rogers , Justine Anthony , Anthony Papathomas , Kieran Breen , 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}
Xiaohong Yu , Jing Wang , Siyi Qin , Enjia Du , Yueheng Yin , Enfang Shan , Xianwen Li
{"title":"Dementia friendly communities: A concept analysis","authors":"Xiaohong Yu , Jing Wang , Siyi Qin , Enjia Du , Yueheng Yin , Enfang Shan , 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}
{"title":"The effect of the reflection method used in spiritual care education on the perception of spiritual care and spiritual well-being among nursing students in Turkey: A randomized controlled trial","authors":"Burcu Uslu , Tulay Sagkal Midilli","doi":"10.1016/j.apnu.2025.151894","DOIUrl":"10.1016/j.apnu.2025.151894","url":null,"abstract":"<div><h3>Purpose and background</h3><div>Reflection is a modern and innovative teaching approach. It is an effective method to increase the spiritual well-being of nursing students, improve their perception of spiritual care, teach the spiritual aspects of nursing and develop their knowledge, skills and attitudes. The aim of this study is to evaluate the spiritual care perceptions and spiritual well-being of undergraduate nursing students in Türkiye and to evaluate whether the use of reflective teaching method in spiritual care increases spiritual care perception and spiritual well-being.</div></div><div><h3>Methods</h3><div>This study was a randomized controlled trial conducted with 63 nursing students. They were assigned to an intervention group (n = 31) and a control group (n = 32). The intervention group received training in spiritual care and a reflection application, while the control group received no intervention. Data were collected as a result of pre-test, intervention and post-test. Personal Information Form, Spiritual Well-Being Scale, Spirituality and Spiritual Care Rating Scale and Form for Evaluating Students' Perceptions of Reflection Method were used to collect the data. Data were analyzed using descriptive and comparative statistical methods.</div></div><div><h3>Results</h3><div>In the intervention group, the total score of the Spiritual Well-being Scale increased after the training, and the increase in the total score of the Spiritual Care Rating Scale after the training was statistically significant (p < 0.05). In addition, the Spiritual Care Rating Scale's posttest was found to be statistically significant between groups (p < 0.05).</div></div><div><h3>Conclusions</h3><div>Training nursing students in spiritual care using the reflection method has an impact on their spiritual well-being and perception of spiritual care. The reflection method is an effective method for spiritual care education.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151894"},"PeriodicalIF":2.2,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144190083","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}
Javier Fernández-Sánchez , Ana Myriam Lavín-Pérez , Luis Lucio Lobato Rincón , Israel González García , Javier Vallejo Bermejo , Juan Carlos Rueda , Paloma Esteban Fernández , Sergio Soriano Carceller , Daniel Collado-Mateo
{"title":"Impact of dog-assisted therapy on biomechanical and functional parameters in adults with autism spectrum disorder: A non-randomized controlled trial","authors":"Javier Fernández-Sánchez , Ana Myriam Lavín-Pérez , Luis Lucio Lobato Rincón , Israel González García , Javier Vallejo Bermejo , Juan Carlos Rueda , Paloma Esteban Fernández , Sergio Soriano Carceller , Daniel Collado-Mateo","doi":"10.1016/j.apnu.2025.151891","DOIUrl":"10.1016/j.apnu.2025.151891","url":null,"abstract":"<div><div>Dog-assisted therapy (DAT) is a complementary therapy that can lead to several therapeutic benefits in different populations, but little investigation has been made about its benefits in adults with autism spectrum disorder (ASD). Thus, the present study aimed to explore the biomechanical and functional benefits of DAT in adults with ASD. The study was a non-randomized controlled clinical trial following the CONSORT guidelines, in which 25 adults with ASD participated. Twelve of them were involved in a dog-assisted intervention twice a week with a multidisciplinary team for 10 weeks. Results showed a within-group improvement in the gait (<em>p</em> = 0.041), balance (<em>p</em> = 0.020) and risk of falling (<em>p</em> = 0.022) of adults with ASD who completed dog-assisted intervention. However, no differences were found with the control group. Regarding the number of falls, all the adults who experienced a fall before de DAT decreased its number after the intervention. These results suggest the potential of DAT to address physical problems in groups of patients with difficulties or severe disabilities.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151891"},"PeriodicalIF":2.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144146871","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":"Evaluating the impact of the Minimization of Aggression and Violence (MoAV) intervention on mechanical restraint use in Qatar's acute mental health setting","authors":"Ananth Nazarene , Amal Salman S.M. Alobaidli , Sejo Varghese , Deborah Nelson , Ashishkumar Ramesh Badanapurkar , Shiju Ramapurath , Abeir Khamis Mohamed Hassan , Divya Cecilia Dsouza , Shuja Mohd Reagu , Maryam Hussain Siddiqui , Franclin Garcia Pineda , Majid Ali Y.A. Al-Abdulla , Kalpana Singh","doi":"10.1016/j.apnu.2025.151890","DOIUrl":"10.1016/j.apnu.2025.151890","url":null,"abstract":"<div><h3>Background</h3><div>In inpatient psychiatric units, around 50 % of patients exhibit aggressive symptoms, with aggression and violence being common issues. While mechanical restraint is least preferred by patients and is considered a last resort by healthcare professionals, its use might be preventable. Minimization of Aggression and Violence (MoAV) intervention in acute mental health services offers a comprehensive assessment, comprehensive staff training in de-escalation, and the implementation of evidence-based, proactive, and non-invasive measures can help reduce the need for restraints.</div></div><div><h3>Aim</h3><div>To assess the impact of the MoAV intervention introduced in 2017 across acute inpatient mental health services, focusing on its effect on physical restraint incidents. A retrospective analysis compared data from 2016 (pre-intervention) and 2021 (post-intervention).</div></div><div><h3>Result</h3><div>There was a significant reduction in the number of restraints from 253 in 2016 to 47 in 2021. The percentage of restrained patients decreased from 25 % to 4 %, p = (<0.001). The mean duration of restraint incidents slightly increased from 59.1 min in 2016 to 61.3 min in 2021, though this change was not statistically significant.</div></div><div><h3>Conclusion</h3><div>Overall, the MoAV intervention appears to have made significant strides in reducing restraint use in acute mental health settings. Further research and continuous evaluation are essential to build on these findings and enhance patient care and safety.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151890"},"PeriodicalIF":2.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144168655","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}
Elton Brás Camargo Júnior , Leticia Furtado Alves , Ana Carolina Andrade , Julio Ruiz Marrara , Maria Neyrian de Fátima Fernandes , Jie Hu , Edilaine Cristina da Silva Gherardi-Donato
{"title":"The influence of childhood trauma on postpartum depression: A prospective cohort study","authors":"Elton Brás Camargo Júnior , Leticia Furtado Alves , Ana Carolina Andrade , Julio Ruiz Marrara , Maria Neyrian de Fátima Fernandes , Jie Hu , Edilaine Cristina da Silva Gherardi-Donato","doi":"10.1016/j.apnu.2025.151892","DOIUrl":"10.1016/j.apnu.2025.151892","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to analyze the influence of childhood trauma on postpartum depression (PPD) through a prospective longitudinal evaluation.</div></div><div><h3>Methods</h3><div>A prospective cohort study was conducted with women evaluated at two postpartum periods: the immediate postpartum period and between the middle and end of the third month. Data were collected using the Childhood Trauma Questionnaire (CTQ) which assesses five types of trauma (emotional abuse, physical abuse, sexual abuse, emotional neglect, and physical neglect), and the Edinburgh Postnatal Depression Scale (EPDS). Generalized Estimating Equations (GEE) and adjusted multinomial logistic regressions were performed.</div></div><div><h3>Results</h3><div>This study included 153 women who completed both assessments. The type of childhood trauma evaluated significantly influenced PPD symptoms at both time points. The PPD symptoms remained stable over time, with no significant interaction between trauma exposure and time. Emotional abuse, physical abuse, sexual abuse, emotional neglect, and physical neglect were found to be significant predictors of chronic PPD. Emotional abuse, physical abuse, and emotional neglect are also associated with early onset PPD. For late-onset PPD, only emotional neglect and sexual abuse remained as significant predictors. Emotional abuse was the most influential predictor of both early-onset and chronic PPD, while emotional neglect had the greatest impact on late-onset PPD.</div></div><div><h3>Conclusion</h3><div>This study highlighted the significant influence of childhood trauma on PPD. Furthermore, PPD symptoms remained stable over time. Early screening for PPD in postpartum women and the identification of childhood trauma during pregnancy are essential to mitigate PPD risk factors.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151892"},"PeriodicalIF":2.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144146870","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":"Self-neglect, anxiety and depression among empty nesters in China: A network analysis","authors":"Xiao Wang , Jianying Fu , Xiuhong Wang","doi":"10.1016/j.apnu.2025.151893","DOIUrl":"10.1016/j.apnu.2025.151893","url":null,"abstract":"<div><div>Previous studies have shown that anxiety and depression are important factors affecting self-neglect among empty nesters and are a prerequisite for the occurrence of self-neglect. However, there is still little data on the potential mechanism of influence between anxiety, depression and self-neglect. This study aimed to construct a network structure to investigate the connections between self-neglect, anxiety and depression in Chinese empty nesters, identifying core and bridge symptoms in the network and analyze the mechanisms that influence their connection. We analyzed data from 4985 empty nesters aged 60 and above in the CLHLS 2017–2018. Questionnaire items were selected to assess self-neglect, while depression and anxiety were measured using the CESD-10 and GAD-7 scales. Network analysis was conducted using R software to explore the relationships between self-neglect, anxiety, and depression. Network analysis identified central nodes (e.g., GAD2, CESD3) and bridge nodes (e.g., SN1, GAD1, CESD1) that link self-neglect, anxiety, and depression symptoms. Central symptoms (e.g., uncontrollable worry, felt sadness) and key bridge symptoms (e.g., lifestyle, nervousness or anxiety, bother by things) could serve as intervention targets for empty nesters experiencing self-neglect, anxiety, and depression.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151893"},"PeriodicalIF":2.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144168669","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 role of smoking cessation motivation in overcoming nicotine dependence and cessation challenges among male smokers: A mixed study","authors":"Shaimaa Mohamed Amin , Mohamed Ali Zoromba , Heba Emad El-Gazar , Mohamed Gamal Noaman Malek , Mohamed Hussein Ramadan Atta","doi":"10.1016/j.apnu.2025.151888","DOIUrl":"10.1016/j.apnu.2025.151888","url":null,"abstract":"<div><h3>Background</h3><div>Nicotine dependence and smoking-related behaviors remain significant public health challenges worldwide. In the Arab region, limited studies explore the factors influencing nicotine addiction and smoking cessation, especially regarding gender differences and psychological factors such as stress and coping strategies.</div></div><div><h3>Aim</h3><div>This study aims to explore the level of nicotine dependence among smokers in Egypt, examine the relationship between nicotine dependence and smoking cessation, and identify the psychological and coping factors that influence smoking behaviors.</div></div><div><h3>Methods</h3><div>A mixed-methods convergent parallel design was used. The quantitative component included a cross-sectional survey with 327 adult smokers, using the 21-item challenges to stopping smoking (CSS-21) scale, the Glover-Nilsson Smoking Behavioral Questionnaire (GN-SBQ), and the French Smoking Cessation Motivation Scale (F-SCMS). Descriptive and inferential statistics, including Pearson's correlation and regression analyses, were used to analyze the data. The qualitative component involved semi-structured interviews with 19 smokers, which were analyzed thematically. The study adhered to the STROBE and COREQ guidelines for reporting.</div></div><div><h3>Results</h3><div>The survey revealed that 60 % of participants were categorized as highly nicotine dependent, with a mean CSS-21 score of 3.4 ± 0.8. A significant positive correlation was found between nicotine dependence and coping strategies (<em>r</em> = 0.45, <em>p</em> < 0.01). Psychological stress was identified as a major barrier to smoking cessation (<em>t</em> = 2.3, <em>p</em> = 0.03). Qualitative data indicated that smokers often experienced stress-related triggers, with coping mechanisms ranging from avoidance to smoking as a means of stress relief.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151888"},"PeriodicalIF":2.2,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138128","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}