International journal of mental health nursing最新文献

{"title":"What Is the Value of Lived Experience Within Mental Health Professionals, and How Can It Influence Practice? A Systematic Review.","authors":"Rebecca Davis, Nicola Clibbens","doi":"10.1111/inm.70321","DOIUrl":"10.1111/inm.70321","url":null,"abstract":"<p><p>With one in eight people living with a mental health condition as of 2019, it is reasonable to assume that this population would also include mental health professionals. Despite the global prevalence of lived experience of this nature, its integration into practice and professional roles has yet to be achieved on a wider scale, with its value underestimated and affixed with a significant level of stigma. This study aimed to explore the perceived and actualised value of lived experience among mental health professionals and its influence on practice. A qualitative approach utilising systematic review methodology identified and synthesised the findings of 10 relevant papers. Such an approach acknowledged the range and complexity, and thus the subjectivity, of identified experiences, creating the interpretive space necessary to promote a deeper understanding, from a phenomenological perspective, of how mental health professionals with lived experience utilise their unique knowledge and skills in practice and the value added. Thematic analysis generated two main themes, each with two sub-themes. These were the Intrapersonal and Interpersonal value of lived experience in terms of their influence on practice, the former with Attitudes, Values and Beliefs and Deeper Understanding as sub-themes; the latter with Connection and Approach to Practice as sub-themes. The results of this study have significant implications not only for policy and practice but also for research, calling for social change around mental health stigma. Ultimately, the results highlight the value of integrating lived experience within the healthcare workforce and clinical practice, and the unique perspective and insight it brings.</p>","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 4","pages":"e70321"},"PeriodicalIF":3.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13470147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Auditory Hallucination Simulation and Mental Health Stigma Among Nursing Students: How Clinical Practicum Experience Differentiates the Predictive Contributions of Knowledge, Attitudes, and Behaviours.","authors":"Seung-Woo Han, Eun-Hee Kim, Hyun-Ok Jung","doi":"10.1111/inm.70316","DOIUrl":"10.1111/inm.70316","url":null,"abstract":"<p><p>Stigmatising beliefs towards people with mental health disorders impede treatment-seeking and recovery. This study examined how the predictive contributions of knowledge, attitudes, and behaviours to stigmatising beliefs towards people with mental health disorders differed by clinical practicum experience among nursing students exposed to auditory hallucination simulation. A non-randomised comparative cross-sectional design was employed (Strengthening the Reporting of Observational Studies in Epidemiology guidelines). Nursing students (n = 363) from four Korean universities were allocated to groups with (n = 175) and without (n = 188) clinical practicum experience based on academic progression. All participants completed an auditory hallucination simulation programme followed by questionnaires measuring knowledge, attitudes, behaviours, and stigma. Stepwise multiple regression analyses revealed that among students without clinical experience, knowledge (β = -0.435, p < 0.001), attitudes (β = -0.259, p < 0.001), and behaviours (β = -0.144, p = 0.020) predicted stigma (Adjusted R² = 0.419). Among students with clinical experience, only knowledge (β = -0.455, p < 0.001) and attitudes (β = -0.287, p < 0.001) predicted stigma (Adjusted R² = 0.478); behaviours did not reach significance despite a stronger bivariate correlation in the experienced (r = -0.390) than inexperienced group (r = -0.332). This paradoxical pattern-a stronger zero-order association losing independent variance in the multivariate model-suggests clinical experience integrates the three stigma components such that behaviour's effect becomes fully mediated through knowledge and attitudes. These findings support a stage-sensitive model: direct behavioural strategies are most effective pre-practicum, while post-practicum intervention should prioritise cognitive-affective integration via structured debriefing.</p>","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 4","pages":"e70316"},"PeriodicalIF":3.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13397399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148582020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methodological Concerns About a Mental Health Nursing Curriculum Redesign: A Call for Empirical Evidence and Statistical Transparency.","authors":"Li Nannan, Cao Xiaofei, Wang Yilin, Zhang Linlin","doi":"10.1111/inm.70294","DOIUrl":"10.1111/inm.70294","url":null,"abstract":"","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 4","pages":"e70294"},"PeriodicalIF":3.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Collaboration With Clinicians in Inpatient Mental Healthcare: A Qualitative Investigation of Consumer Perspectives.","authors":"Joel Sebastian Zugai, Katherine Gill, Grant Kinghorn, Lucie Ramjan, Yenna Salamonson, Luke Molloy","doi":"10.1111/inm.70324","DOIUrl":"10.1111/inm.70324","url":null,"abstract":"<p><p>Collaboration is a foundational characteristic of ethical mental healthcare. However, inpatient mental healthcare often fails to espouse the practices and principles that would establish meaningful collaborative care, with coercion and restrictive practices an ongoing aspect of consumers' lived experience. This qualitative descriptive study aimed to understand consumers' perspectives of collaboration with clinicians in the inpatient mental health setting. One-on-one semi-structured interviews were conducted with 12 people who have experienced involuntary inpatient mental healthcare; data were analysed by thematic analysis. The participants of this study valued collaborative inpatient mental healthcare. However, they reported that their own perspectives were not sufficiently sought or considered. Clinicians' default scepticism compounded participants' experiences of inconsideration. In contrast, genuinely caring interpersonal relationships with clinicians were valued, establishing a sense of safety and collaboration. The failure to establish collaboration requires systemic reform and the resolution of micro-cultures that disenfranchise the perspectives of people receiving inpatient mental healthcare. Notably, the participants of this study reported that interpersonal relationships with clinicians facilitated meaningful collaboration. Collaboration relies on the presence of strong interpersonal care; the culture, policy and structures of inpatient mental healthcare must be oriented to be interpersonal.</p>","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 4","pages":"e70324"},"PeriodicalIF":3.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13434664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethnic Disparities in Clinical Decision-Making for Rapid Tranquillisation in Adult Forensic Mental Health Inpatient Settings: A Qualitative Study.","authors":"Martin Locht Pedersen, John Baker, Trine Munk-Olsen, Frederik Alkier Gildberg","doi":"10.1111/inm.70323","DOIUrl":"10.1111/inm.70323","url":null,"abstract":"<p><p>Rapid tranquillisation is a widely used restrictive practice, but evidence suggests that ethnic minorities are disproportionately exposed compared with majority populations. This retrospective qualitative multiple-case study explored how staff clinical decision-making regarding rapid tranquillisation, as reflected in clinical documentation, may vary by ethnicity in adult forensic mental health inpatient settings. Nineteen cases involving rapid tranquillisation use between 01 Jul 2021 and 31 Jan 2025 were purposively selected using paper-based forensic registration forms and electronic health records. Cases were categorised dichotomously by ethnicity using country of birth (ethnic minorities vs. the majority population), and data from clinical documentation were analysed using content analysis, guided by a four-component framework of clinical decision-making, examining similarities and differences within and between cases. The SRQR standards were used for reporting. Overall patterns of rapid tranquillisation use were broadly similar across groups. However, differences were reported in the temporal unfolding of situations leading to rapid tranquillisation, negotiation and planning processes and the documentation of distress, severity and risk. Escalating distress and behaviour tended to be recognised later among ethnic minorities, often shortly before rapid tranquillisation, whereas escalation among the majority population was more frequently documented over longer periods. Documentation of proactive planning, voluntary medication negotiation and debriefing was limited overall but less visible for ethnic minorities. Clinical decision-making appeared iterative and cyclical, with repeated rapid tranquillisation use occurring across both groups. Ethnicity may influence clinical decision-making regarding rapid tranquillisation, with disparities emerging through cumulative, process-oriented variations in practice. Further research is required to confirm these findings.</p>","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 4","pages":"e70323"},"PeriodicalIF":3.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13416811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148610659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI Mental Health in Asia: Cultural Misalignment, Clinical Risks and the Critical Role of Psychiatric Nursing.","authors":"Jonathan Han Loong Kuek, Oliver Suendermann, Yong-Shian Goh","doi":"10.1111/inm.70328","DOIUrl":"10.1111/inm.70328","url":null,"abstract":"","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 4","pages":"e70328"},"PeriodicalIF":3.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13463106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recovery-Oriented Care Planning in Mental Healthcare Services: A Combined Concept Analysis and Scoping Review.","authors":"Natthapon Inta, Prapan Phetlerthirunkul, Jirada Kaewchuchuen, Chonmanan Khanthavudh, Wilailak Sakharang","doi":"10.1111/inm.70337","DOIUrl":"10.1111/inm.70337","url":null,"abstract":"<p><p>Recovery-oriented care planning is increasingly promoted within international mental health policy and practice; however, the concept remains inconsistently defined and operationalised across the literature. This study aimed to clarify the concept of recovery-oriented care planning using Walker and Avant's concept analysis method alongside a scoping review. Literature was systematically searched across six electronic databases: MEDLINE, EMBASE, PsycINFO, CINAHL, ProQuest One Academic and Scopus. Data were analysed across 28 included papers to identify antecedents, defining attributes, consequences, empirical referents and model cases of recovery-oriented care planning. The findings demonstrated that recovery-oriented care planning emerged from broader philosophical and policy shifts away from paternalistic and symptom-focused models towards collaborative, person-centred and recovery-oriented mental healthcare. Defining attributes included collaboration and shared decision-making, strengths-based and person-centred approaches, recovery-focused goal setting, empowering therapeutic relationships and viewing care planning as an ongoing and dynamic process. Recovery-oriented care planning was associated with increased empowerment, hope, autonomy, therapeutic alliance, self-management and more holistic and individualised care. Empirical referents included recovery-oriented care planning tools, collaborative planning processes and recovery-focused outcome and fidelity measures. This concept analysis provides greater conceptual clarity regarding recovery-oriented care planning and may support future research, education, policy development and implementation of recovery-oriented mental healthcare practices.</p>","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 4","pages":"e70337"},"PeriodicalIF":3.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13490880/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148803548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing Group Clinical Supervision for Mental Health Nurses in Acute Adult Inpatient Wards. A Qualitative Descriptive Study.","authors":"Whitney Johnson, Michael Kelly, Bridget Poole, Jas Ulger, Liza Hopkins","doi":"10.1111/inm.70336","DOIUrl":"https://doi.org/10.1111/inm.70336","url":null,"abstract":"<p><p>Clinical supervision for health care workers is well established across many disciplines; however, supervision for nurses has proven more difficult to implement and sustain. The purpose of this study was to evaluate the experience of establishing regular, ongoing group clinical supervision for mental health nurses in two acute adult inpatient wards. The study took a qualitative descriptive approach to data collection, gathering and triangulating data from nurses who took part in the supervision sessions, as well as supervision facilitators and ward managers. Data were collected through a brief anonymous online survey with open text options (n = 21) followed up with one-on-one semi-structured interviews (n = 10). Interview questions covered issues such as the experience of taking part in group supervision sessions, barriers and facilitators to implementation, enabling environmental factors, and ways to overcome challenges and build psychological safety for participants as well as a sustainable program. Quantitative survey data were analysed using simple counting, while qualitative data from open-ended survey responses and interviews were coded independently by the authors using an inductive grounded theory approach to identify emergent themes. The study found that successful implementation of group supervision required careful attention to the design and development of the program prior to and during establishment, with support from all levels of management as well as addressing administrative and logistic requirements. Sustainability was ensured through enabling attendance for all staff working the relevant shift, as well as by ensuring skilled facilitation of the sessions. Broader cultural change ensured the meaning, relevance, and value of supervision for nurses was built over time. In addition, a positive experience during the group supervision sessions meant that nurses felt more confident and better supported in their care of patients.</p>","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 4","pages":"e70336"},"PeriodicalIF":3.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13498433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148803589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Senior Nurses' Perspectives on Kawa Whakaruruhau and Cultural Safety for Māori Accessing Adult Mental Health Services in Aotearoa-New Zealand.","authors":"S Reweti, T R Kake","doi":"10.1111/inm.70333","DOIUrl":"https://doi.org/10.1111/inm.70333","url":null,"abstract":"<p><p>Māori, the indigenous people of Aotearoa New Zealand have poorer outcomes and experiences when accessing adult mental health services (MHS), including higher rates of seclusion and compulsory treatment. These inequities for Māori represent a breach of Te Tiriti o Waitangi, the constitutional foundation of Aotearoa New Zealand, and stem from over a 100 years of European colonisation involving massive confiscation of Māori land, population decline, and suppression of Māori identity and culture. The recent New Zealand mental health Inquiry, He Ara Oranga, emphasised the need to transform the cultural responsiveness of mental health services for Māori. Similar issues were highlighted by Dr. Irihapeti Ramsden who pioneered the concept of cultural safety for Māori in nursing practice, which when applied to Māori consumers is referred to as 'Kawa Whakaruruhau'. This qualitative study explored 10 Māori and non-Māori senior nursing leaders' perspectives on the status of Kawa Whakaruruhau and Cultural Safety for Māori consumers (tāngata whaiora) and their family (whānau) accessing adult MHS in Aotearoa-New Zealand. The participants came from four health regions and a national mental health nursing organisation. Key themes focussed on Kawa Whakaruruhau and Cultural Safety as either cultural competence or power relationships between nurses and Māori, and there were many opportunities for improving Kawa Whakaruruhau in services. The results suggested that from a nursing perspective, the status of Kawa Whakaruruhau and Cultural Safety in adult mental health services for tāngata whaiora Māori and their whānau is highly problematic. This report is adherent with the COREQ checklist.</p>","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 4","pages":"e70333"},"PeriodicalIF":3.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13474444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitating Personal Recovery in Individuals With Mental Illness: A Longitudinal Qualitative Interview Study of a Person-Centred Group Intervention.","authors":"Kattie Legaard Hostrup, Kira Jensen, Flavia Maria Maties, Rikke Jørgensen","doi":"10.1111/inm.70329","DOIUrl":"10.1111/inm.70329","url":null,"abstract":"<p><p>This study explored how participation in a person-centred group intervention influenced the personal recovery process of individuals with mental illness at the end of the intervention and 3 months after. Using a qualitative longitudinal design, the study was conducted in an outpatient clinic at the Psychiatric Department of the North Denmark Region. Seventeen participants completed the 12-week intervention, which included two Discovery group sessions and 10 Guided Self-Determination method sessions. Participants were interviewed post-intervention and at three-month follow-up. Data were analysed using reflexive thematic analysis by Braun and Clarke and the CHIME framework with a deductive approach. The intervention positively influenced participants' personal recovery process across all CHIME categories. Being among peers fostered a sense of belonging, trust and mutual understanding leading to greater openness and confidence in relationships within and beyond mental health services. Participation in the intervention enhanced self-understanding, hope and optimism about the future, though some participants emphasized the need for ongoing support to sustain these gains. Engagement in the group promoted self-acceptance and openness about mental illness, increased awareness of factors affecting well-being and encouraged focus on opportunities and quality of life. Participants also reported greater self-reflection, self-esteem and responsibility, leading to a stronger sense of control over their lives. Overall, the person-centred group intervention supported participants' personal recovery process by strengthening connectedness, hope, identity, meaning and empowerment. Continued professional support was viewed as essential to sustain and integrate these positive changes.</p>","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 4","pages":"e70329"},"PeriodicalIF":3.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13470149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}