International journal of mental health nursing最新文献_第3页

Development and Psychometric Properties of the Therapeutic Relationship Assessment Scale-Patient (TRAS-Patient). 患者治疗关系评估量表（TRAS-Patient）的开发和心理测量特性。

International journal of mental health nursing Pub Date : 2024-10-09 DOI: 10.1111/inm.13422

Joana Catarina Ferreira Coelho, Joana Isabel Ferreira Ribeiro, Ana Rita Martins Ribeiro, Ana Carolina Gonçalves Trindade, Carlos Alberto da Sequeira, Juan Francisco Roldán Merino, Antonio Rafael Moreno Poyato, Francisco Miguel Correia Sampaio

{"title":"Development and Psychometric Properties of the Therapeutic Relationship Assessment Scale-Patient (TRAS-Patient).","authors":"Joana Catarina Ferreira Coelho, Joana Isabel Ferreira Ribeiro, Ana Rita Martins Ribeiro, Ana Carolina Gonçalves Trindade, Carlos Alberto da Sequeira, Juan Francisco Roldán Merino, Antonio Rafael Moreno Poyato, Francisco Miguel Correia Sampaio","doi":"10.1111/inm.13422","DOIUrl":"https://doi.org/10.1111/inm.13422","url":null,"abstract":"The therapeutic relationship plays a crucial role in nursing care for people with mental illness. Adopting a systemic and person-centred approach that considers the individual experiences and needs of the person is paramount. However, no instruments were found in the literature designed to evaluate the nurse-patient therapeutic relationship from the perspective of a person with mental illness. This study aimed to develop and evaluate the psychometric properties of an instrument for assessing the quality of the nurse-patient therapeutic relationship from the patient's perspective. An e-Delphi study was conducted to develop the assessment tool, and a psychometric study was carried out to examine its psychometric properties. The sample comprised 240 adults with mental illness. Internal consistency was assessed using Cronbach's alpha and the Omega coefficient. The final structure of the assessment instrument included 24 items distributed across two factors, explaining 64.2% of the variance. Cronbach's alpha was 0.94, and the Omega coefficient was 0.96. The intraclass correlation coefficient was 0.84 (95% CI: 0.66-0.92). The therapeutic relationship assessment scale (TRAS-Patient) shows good psychometric properties. This is a relevant tool for assessing the quality of the nurse-patient therapeutic relationship from the patient's perspective, thus promoting a patient-centred approach and responding to the patient's needs. Mental health nurses can access a tool for evaluating the nurse-patient therapeutic relationship centred on disciplinary knowledge. This enables patient involvement in care, enhanced care and person-centred practice.","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142396317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improving the Use of Sensory Approaches in an Acute Inpatient Mental Health Unit Using a Co-Designed Multifaceted Implementation Strategy. 利用共同设计的多层面实施策略，改善感官疗法在急诊精神疾病住院病房中的应用。

International journal of mental health nursing Pub Date : 2024-10-06 DOI: 10.1111/inm.13438

Lisa Wright, Pamela Meredith, Sally Bennett, Emmah Doig

{"title":"Improving the Use of Sensory Approaches in an Acute Inpatient Mental Health Unit Using a Co-Designed Multifaceted Implementation Strategy.","authors":"Lisa Wright, Pamela Meredith, Sally Bennett, Emmah Doig","doi":"10.1111/inm.13438","DOIUrl":"https://doi.org/10.1111/inm.13438","url":null,"abstract":"Despite the therapeutic benefits of sensory approaches being well documented, little research has focused on improving their implementation in acute mental health units. The use of implementation frameworks to improve the use of evidence-based practices has shown promising results in healthcare; however, there is little evidence for their use in acute mental health units. A pre-post comparison design was used to determine the effect of an 11-month co-designed theory-informed multifaceted implementation strategy on the use of sensory approaches and the use of seclusion/restraint in one acute mental health ward. This study was guided by Integrated Knowledge Translation (IKT) and informed by the Behaviour Change Wheel (BCW) approach. Implementation strategies were co-designed and included provision of sensory materials/resources; education/training; prompts/reminders; modelling; audit and feedback; workplace coalition; and facilitation. Data were collected through pre- and post-project questionnaires (pre- n = 37, post- n = 40) and routine clinical data. Data were analysed using SPSS and thematic analysis. Data for matched pairs (n = 19) revealed significant improvements between pre- and post-perceived levels of knowledge and confidence in using sensory approaches. Significant increases were found in the use of sensory kits, weighted modalities and sensory assessment/plans. Post participants' recommendations to sustain the use of sensory approaches in their unit included ongoing training; funding; maintenance and supply of sensory equipment; increased staffing; and support from colleagues. This is the first study to use the IKT and BCW to design, facilitate and evaluate a co-designed, theory-informed implementation strategy to improve the use of sensory approaches in an acute mental health unit.","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142383067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nurses' Experiences and Perspectives Caring for People With Substance Use Disorder and Their Families: A Qualitative Descriptive Study. 护士护理药物使用障碍患者及其家人的经验和观点：定性描述研究。

International journal of mental health nursing Pub Date : 2024-09-30 DOI: 10.1111/inm.13435

Erin Kitt-Lewis, Marianne T Adam

{"title":"Nurses' Experiences and Perspectives Caring for People With Substance Use Disorder and Their Families: A Qualitative Descriptive Study.","authors":"Erin Kitt-Lewis, Marianne T Adam","doi":"10.1111/inm.13435","DOIUrl":"https://doi.org/10.1111/inm.13435","url":null,"abstract":"Substance use disorder is a public health crisis that is a financial strain to many healthcare systems and communities, but more importantly, it costs lives. Nurses interact with people experiencing substance use disorders and their families in many settings. Nurses can provide insights into the experiences of working with this population. This descriptive qualitative study aimed to examine nurses' experiences and perspectives on caring for people with substance use disorder and their families. After receiving institutional review approval, purposive sampling was used to recruit registered nurses (n = 16) who worked in a variety of settings, and interviews were conducted. Constant comparison analysis was conducted concurrently with data collection until saturation was reached. Code development and refinement was an iterative process. Three themes were generated from the data. Personal Experiences Affect Professional Practice represented participants varied personal experiences and included two subthemes: Reflecting on Personal Experiences and Seeing the Person Beyond the Substance Use Disorder. A second theme is Professional Experiences Affect Professional Practice, which included two subthemes: Professional Experiences are Stressful and Rewarding and Substance Use Disorder Education Increases Confidence. Finally, Stigma Affects Substance Use Disorder Care is the third theme. Future implications range from the individual engaging in self-reflection, to nursing leadership establishing a framework to incorporate reflection and creating a culture that supports and reinforces these activities. The findings of this study support the need for stigma awareness/reduction education starting in undergraduate nursing programmes, throughout practice, with extension to inter-professional groups and the community.","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Managing Challenging Behaviour in the Adolescent Inpatient Environment. 管理青少年住院环境中的挑战行为。

International journal of mental health nursing Pub Date : 2024-09-30 DOI: 10.1111/inm.13444

Matteo Zuccala, Roman Kielich, Sophie O'Keefe, Shannon Webb

引用次数: 0

Homelessness: A Health and Social Crisis. 无家可归：健康与社会危机。

International journal of mental health nursing Pub Date : 2024-09-30 DOI: 10.1111/inm.13437

Debra Jackson, Kim Usher

引用次数: 0

Reasons Explaining High Emergency Department Use in Patients With Mental Illnesses: Different Staff Perspectives. 精神疾病患者频繁使用急诊科的原因：不同工作人员的观点。

International journal of mental health nursing Pub Date : 2024-09-27 DOI: 10.1111/inm.13442

Marie-Josée Fleury, Francine Ferland, Lambert Farand, Guy Grenier, Armelle Imboua, Firas Gaida

{"title":"Reasons Explaining High Emergency Department Use in Patients With Mental Illnesses: Different Staff Perspectives.","authors":"Marie-Josée Fleury, Francine Ferland, Lambert Farand, Guy Grenier, Armelle Imboua, Firas Gaida","doi":"10.1111/inm.13442","DOIUrl":"https://doi.org/10.1111/inm.13442","url":null,"abstract":"For patients with mental illnesses (MIs), emergency departments (EDs) are often the entry point into the healthcare system, or their only resort for quickly accessing mental health treatment. A better understanding of the various barriers justifying high ED use among patients with MIs may help recommend targeted interventions that better meet their needs. This explorative qualitative study aimed to identify such barriers and the solutions brought forth to reduce ED use based on the perspectives of clinicians and managers working in EDs, other hospital departments or the community sector. Interviews were conducted between April 2021 and February 2022; 86 mental health professionals (22% were nurses) from four large urban ED sites in Quebec (Canada) were interviewed. Barriers were identified in relation to patient profiles, healthcare system and organisational features and professional characteristics. The key barriers that were found to explain high ED use were patients having serious MIs (e.g., psychotic disorders) or social issues (e.g., poverty), lack of coordination and patient referrals between EDs and other health services, insufficient access to mental health and addiction services and inadequacy of care. Very few solutions were implemented to improve care for high ED users. Better deployment of ED interventions in collaboration with outpatient care may be prioritised to reduce high ED use for patients with MIs. Improvements to the referral and transfer processes to outpatient care, particularly through care plans and case management programs, may be implemented to reduce high ED use and improve outpatient care among patients with multiple health and social needs.","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Young People Transitioning From Child and Adolescent to Adult Mental Health Services: A Qualitative Systematic Review. 从儿童和青少年向成人心理健康服务过渡的年轻人：定性系统回顾。

International journal of mental health nursing Pub Date : 2024-09-27 DOI: 10.1111/inm.13439

Robyn Rosina, Rose McMaster, Victoria Lovecchio, Chiung-Jung Wu

{"title":"Young People Transitioning From Child and Adolescent to Adult Mental Health Services: A Qualitative Systematic Review.","authors":"Robyn Rosina, Rose McMaster, Victoria Lovecchio, Chiung-Jung Wu","doi":"10.1111/inm.13439","DOIUrl":"https://doi.org/10.1111/inm.13439","url":null,"abstract":"To critically synthesise the literature on the lived experience of young adults about their transition to adult mental health services including the perspectives of key people in their world: parents, carers and clinicians. Young people within child and adolescent mental health services are usually required to transition to adult mental health services at the age of 18, despite evidence showing cognitive and emotional development impacted by childhood trauma, illness and adverse life events. This qualitative systematic review searched relevant electronic databases, policy documents, grey literature and theses examining original qualitative peer-reviewed studies published from 2009 to 2022 in English. The process utilised the PRISMA guidelines and the quality of papers assessed by the JBI critical appraisal tool. Nine papers met the criteria for inclusion in the review. The results indicate that qualitative research listening to the voices of young people transitioning to adult mental health services is a rarity. Even fewer papers examine the perspectives of key people in their lives: this review has critically synthesised the literature on the lived experience of young adults about their transition to adult mental health services including the perspectives of key people in their world: parents, carers and clinicians. The main themes identified include: age 18 is not a helpful trigger to transition; young people want more individualised planning; parents want more involvement and clinicians open up about a challenging nexus with adult mental health services.","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nurses' Perspectives on Fostering Therapeutic Relationships While Working With Clients Who Display Conflict Behaviour. 护士在与有冲突行为的客户共事时促进治疗关系的观点。

International journal of mental health nursing Pub Date : 2024-09-27 DOI: 10.1111/inm.13441

Nick Overpelt, Nienke Kool-Goudzwaard, Barbara Stringer, Berno van Meijel

{"title":"Nurses' Perspectives on Fostering Therapeutic Relationships While Working With Clients Who Display Conflict Behaviour.","authors":"Nick Overpelt, Nienke Kool-Goudzwaard, Barbara Stringer, Berno van Meijel","doi":"10.1111/inm.13441","DOIUrl":"https://doi.org/10.1111/inm.13441","url":null,"abstract":"Therapeutic relationships are critical in the treatment of mental health disorders. Some clients experiencing mental health disorders display conflict behaviour-for example, suicidal or self-harming behaviour, threats of or actual aggression, and various psychotic behaviours-which presents significant challenges for care professionals. In inpatient mental health units, where interactions with mental health nurses are frequent, managing conflict behaviour is crucial to maintaining care quality and fostering therapeutic progress. This study aims to describe nurses' perspectives on fostering therapeutic relationships while working with clients who display conflict behaviour. Qualitative research was conducted in a specialised treatment setting for such clients by means of individual semi-structured interviews and a focus group interview with nurses. The results show that the nurses' primary focus is on cooperating with clients and colleagues. Regardless of conflict behaviour, nurses consistently invite clients to cooperate. To do so, they must manage their own emotions and expectations, emphasise the clients' responsibility and reduce the opportunities for conflict behaviour. The unit structure helps nurses by reducing ambiguity regarding treatment policies and inconsistencies in nurse-client interactions and allows nurses and clients to experience feelings of safety. To work with conflict behaviour, nurses need to feel valued and supported by their colleagues and have adequate time and resources. In conclusion, this study shows how nurses foster therapeutic relationships with clients who display conflict behaviour by focusing on cooperation, structure and safety.","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recovery From Severe Mental Illnesses: The Influence of Personal and Psychosocial Factors in Community Settings. 从严重精神疾病中康复：社区环境中个人和社会心理因素的影响》。

International journal of mental health nursing Pub Date : 2024-09-27 DOI: 10.1111/inm.13440

Jie Fu, Jianwen Zhu, Jiajia Dong, Yang Wang, Sizhe Wang, Xia Zhang, Lu Wen, Hong Fan

{"title":"Recovery From Severe Mental Illnesses: The Influence of Personal and Psychosocial Factors in Community Settings.","authors":"Jie Fu, Jianwen Zhu, Jiajia Dong, Yang Wang, Sizhe Wang, Xia Zhang, Lu Wen, Hong Fan","doi":"10.1111/inm.13440","DOIUrl":"https://doi.org/10.1111/inm.13440","url":null,"abstract":"Severe mental illnesses (SMIs) represent a significant public health challenge with substantial personal, economic and societal burdens. Despite treatment advances, recovery outcomes for SMI patients remain variable. This study aimed to investigate the influence of personal and psychosocial factors on recovery among SMI patients in community health settings. This cross-sectional study was conducted in 23 community health service centres in Nanjing, China. We recruited 924 participants diagnosed with SMIs, using a random sampling method. The relationships between individual, psychosocial factors and patients' recovery status were analysed by multiple linear regression. The mediation effect of medication adherence was further tested by the Sobel test with bootstrapping. The mean score of the Morningside Rehabilitation Status Scale (MRSS) of 924 patients with SMIs was 49.82 ± 41.52. The main influencing personal factors of recovery status were age, marital status, education, average annual income and duration of illness. Patients who were accepted by their families tended to have better recovery outcomes, while stigma and social impairment may hinder recovery. Medication adherence played a mediating role between psychosocial factors and recovery status. This study highlights the crucial role of psychosocial factors in the treatment and recovery of SMI patients. Furthermore, medication adherence emerged as a mediating factor. Implementing targeted interventions and policies addressing identified psychosocial barriers can offer promising avenues for improving recovery outcomes for SMI patients in community settings.","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Harm Reduction as a Form of 'Wrap-Around' Care: The Nursing Role. 减低伤害是一种 "全方位 "护理：护理角色。

International journal of mental health nursing Pub Date : 2024-09-20 DOI: 10.1111/inm.13436

Marissa D Abram, Adrian Jugdoyal, Paolo Seabra, Dana Murphy-Parker, Adam Searby

{"title":"Harm Reduction as a Form of 'Wrap-Around' Care: The Nursing Role.","authors":"Marissa D Abram, Adrian Jugdoyal, Paolo Seabra, Dana Murphy-Parker, Adam Searby","doi":"10.1111/inm.13436","DOIUrl":"https://doi.org/10.1111/inm.13436","url":null,"abstract":"In addiction treatment, harm reduction is a philosophy that aims to reduce the harms from ongoing alcohol and other drug use. Although abstinence may be the 'gold standard' in reducing harm from ongoing alcohol and other drug use, harm reduction recognises that abstinence may not be achievable for certain individuals. Accordingly, harm reduction is used to enable medical or mental health treatment for individuals who continue to use alcohol and other drugs, providing a form of care which meets individuals where they present to healthcare facilities. Harm reduction accepts ongoing alcohol and other drug use, while providing a traditionally marginalised cohort of individuals access to healthcare services. In this perspective paper, we argue that the role of nurses in promoting and utilising harm reduction as part of their regular practice is essential to both reducing harm from alcohol and other drug use, engaging individuals who use alcohol and other drugs in healthcare services, and providing a means to accept individuals as they are to build trust and rapport for engagement in addiction treatment when they are ready, and at their own pace. Nurses, by virtue of their role and number in the healthcare landscape (approximately 28 million globally), are ideally placed to implement harm reduction in their practice to achieve better outcomes for individuals who use alcohol and other drugs.","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142304871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0