International journal of mental health nursing最新文献_第5页

Barriers and Facilitators to Caring for People Presenting With Suicidal Distress in Rural Emergency Departments: A Qualitative Study. 农村急诊科照顾自杀困扰患者的障碍和促进因素：一项定性研究。

IF 3.3

International journal of mental health nursing Pub Date : 2026-06-01 DOI: 10.1111/inm.70269

Corina Modderman, Maria Veresova, Rachael McAleer, Lisa Hanson, Laura Hemming, Phil Maude, Evelien Spelten

{"title":"Barriers and Facilitators to Caring for People Presenting With Suicidal Distress in Rural Emergency Departments: A Qualitative Study.","authors":"Corina Modderman, Maria Veresova, Rachael McAleer, Lisa Hanson, Laura Hemming, Phil Maude, Evelien Spelten","doi":"10.1111/inm.70269","DOIUrl":"10.1111/inm.70269","url":null,"abstract":"This qualitative study explored rural emergency department (ED) staff experiences of caring for people presenting with suicidal thoughts and behaviours and examined perceived barriers and facilitators to providing best care. Semi-structured individual interviews and focus groups were conducted with 18 ED staff across two rural hospitals in Victoria, Australia. Participants included nurses (n = 15), mental health clinicians (n = 2) and a social worker (n = 1). Data were analysed using reflexive thematic analysis following Braun and Clarke's approach, and reporting was guided by the COREQ checklist. Four overarching themes were identified: the central role of people and relationships in shaping care; inadequate resourcing of rural EDs and community services to respond to suicidal presentations; current ED processes that hinder timely and responsive mental health care; and insufficient education and training regarding suicidal presentations. Staff described strong commitment and compassion in their care, alongside distress arising from long wait times, unsuitable ED environments, limited specialist support and gaps in follow-up care. Structural and systemic constraints were perceived to compromise both consumer safety and staff wellbeing. The findings highlight the challenges rural ED staff face in delivering timely, person-centred care to people in suicidal distress and demonstrate the need to strengthen environments, workforce capacity, care pathways and training to improve the quality and safety of care in rural ED settings.","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 3","pages":"e70269"},"PeriodicalIF":3.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13179427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147950453","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}

引用次数: 0

"Set up to Fail": Staff Experiences of Caring for Long-Stay Patients in Acute Mental Health Wards in England. “为失败而设”：英国急性精神卫生病房长期住院病人的护理经验。

IF 3.3

International journal of mental health nursing Pub Date : 2026-06-01 DOI: 10.1111/inm.70271

Laura Sambrook, Jason C McIntyre, Rajan Nathan, Oladayo Bifarin, Peter Wilson, Matthew Humphreys, Jackie Tait, Peter Ashley-Mudie, Pooja Saini

{"title":"\"Set up to Fail\": Staff Experiences of Caring for Long-Stay Patients in Acute Mental Health Wards in England.","authors":"Laura Sambrook, Jason C McIntyre, Rajan Nathan, Oladayo Bifarin, Peter Wilson, Matthew Humphreys, Jackie Tait, Peter Ashley-Mudie, Pooja Saini","doi":"10.1111/inm.70271","DOIUrl":"10.1111/inm.70271","url":null,"abstract":"Rising demand for mental health services worldwide has placed increasing pressure on acute inpatient services, where patient lengths of stay continue to grow. Long-stay admissions (> 60 days) are linked to demographic, diagnostic and service-related factors, with the United Kingdom reporting longer stays than other developed countries. National reforms aim to reduce unnecessary inpatient stays, but staff report high strain and burnout within current systems, reflecting systemic issues such as inadequate community support and limited discharge options. We aimed to examine staff experiences of working on acute mental health inpatient wards, focusing on long-stay patients, to drive improvements in care quality and workforce sustainability. Six focus groups were conducted with a range of clinical staff working on acute wards (n = 34). Themes were generated using inductive, reflexive thematic analysis, focusing on semantic content while also considering latent meanings. The following key themes were identified: (1) Structural and systemic conditions shaping care delivery, (2) Organisational processes constraining patient flow, (3) Emotional labour and burnout among staff, and (4) The cycle of institutionalisation and dependency. The findings evidenced that acute wards are under significant pressure, with long stays, delayed discharges, and repeat admissions driven not only by clinical need but also by gaps in housing, community services, and care coordination. Addressing these challenges requires investment in workforce development, stronger inter-agency collaboration, and expanded community provision, enabling acute wards to fulfil their intended role as short-term, recovery-focused settings that provide person-centred care for people in crisis.","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 3","pages":"e70271"},"PeriodicalIF":3.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147978013","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

Re: Maguire et al. (2025)-'Exploring the Utility of the Model for Understanding Inpatient Aggression for General Mental Health Settings'. 回复：Maguire等人(2025)-“探索理解住院攻击模型在一般心理健康环境中的效用”。

IF 3.3

International journal of mental health nursing Pub Date : 2026-06-01 DOI: 10.1111/inm.70292

Ali Rajabi Kouyakhi, Somayeh Pezhman

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Perceptions and Service Outcomes of a Nurse Practitioner Led Inpatient Psychiatric Consultant-Liaison Service in a Private Health Care Setting: A Prospective Observational Study. 一项前瞻性观察研究：执业护士领导的私人医疗机构住院精神病咨询联络服务的认知和服务结果。

IF 3.3

International journal of mental health nursing Pub Date : 2026-06-01 DOI: 10.1111/inm.70268

Damien Khaw, Julia Segal, Louise Alexander, Anastasia Hutchinson, Suzie Hooper

{"title":"Perceptions and Service Outcomes of a Nurse Practitioner Led Inpatient Psychiatric Consultant-Liaison Service in a Private Health Care Setting: A Prospective Observational Study.","authors":"Damien Khaw, Julia Segal, Louise Alexander, Anastasia Hutchinson, Suzie Hooper","doi":"10.1111/inm.70268","DOIUrl":"10.1111/inm.70268","url":null,"abstract":"Psychiatric consultant-liaison nurses play a crucial role in ensuring prompt and effective mental health care, though the volume of empirical research on nurse-led consultant-liaison models in the private sector is limited. This study evaluated the service activity and immediate service-level outcomes of a nurse-led Psychiatric Consultant-Liaison service within an Australian metropolitan private hospital. The study aimed to explore: (1) consumer case-mix; (2) trends in consumer referrals and outcomes; and (3) the perceived usefulness and acceptability of the service among referring nurses. A prospective, observational descriptive approach was employed, comprising evaluations of service activity between 2020 and 2023 and surveys of clinical nursing staff. The service was widely utilised, with 789 consumers referred for various mental health, neurological or psychosocial concerns. Depressive symptoms, anxiety, substance and self-harm risks were common and nurses reported positive perceptions of the service, particularly in the provision of enhanced support for behaviours of concern. Periods of state-wide COVID-19 restrictions were associated with increased presentations involving depressive symptoms, post-traumatic stress disorder and increased referrals to external providers. While the service facilitated effective management of complex mental health cases, general nursing staff reported continuing gaps in their mental health competencies. This study demonstrated that a nurse-led PCLN service was a highly utilised and valued model of care within the private acute hospital setting, supporting the assessment and management of complex mental health presentations. These findings highlight the expanded scope and relevance of the PCLN role in private healthcare and underscore the importance of ongoing mental health capability development among general nursing staff to maximise the effectiveness of liaison services.","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 3","pages":"e70268"},"PeriodicalIF":3.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147978020","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

Key Stakeholder Perspectives on Help-Seeking for Psychosis in South and Southeast Asia: A Systematic Mixed-Studies Review and Narrative Synthesis. 南亚和东南亚精神病寻求帮助的关键利益相关者视角：一项系统混合研究综述和叙事综合。

IF 3.3

International journal of mental health nursing Pub Date : 2026-06-01 DOI: 10.1111/inm.70270

Gading Ekapuja Aurizki, Robert Griffiths, Laoise Renwick

{"title":"Key Stakeholder Perspectives on Help-Seeking for Psychosis in South and Southeast Asia: A Systematic Mixed-Studies Review and Narrative Synthesis.","authors":"Gading Ekapuja Aurizki, Robert Griffiths, Laoise Renwick","doi":"10.1111/inm.70270","DOIUrl":"10.1111/inm.70270","url":null,"abstract":"Globally, in 2020, less than one-third of individuals with psychosis accessed mental health services. These services are essential for reducing distress and burden, improving symptoms, and preventing adverse outcomes. However, people may not benefit from these services if they do not seek help. Factors contributing to the help-seeking remain poorly understood in South and Southeast Asia, regions with a majority of low- and middle-income countries. We aimed to synthesise evidence reporting the views and experiences of key stakeholders towards help-seeking for psychosis in these regions. This is the first review in this topic area to employ a multiple-perspective approach and to focus on the understudied regions. The PRISMA checklist guided reporting. We systematically searched primary qualitative, quantitative, and mixed-method research in bibliographic databases (CINAHL, MEDLINE, PsycINFO, Embase, ASSIA, Scopus, and PQDT Global), from inception to March 2025. Each article was independently screened by two reviewers. Eligible articles were extracted and synthesised using narrative synthesis, with JBI checklists utilised for methodological quality assessments. We included 57 studies published across 62 articles, 80% of which were rated as moderate or low quality. We inductively developed five themes, comprising 11 subthemes, which highlighted factors influencing and experiences of help-seeking across multiple stakeholders, including perceptions of problems, service quality, stigma, structural circumstances, and social support. Carers' perspectives were dominant and differed slightly from those of service users in their perceptions of problems, suggesting the value of more widely adopting a multiple-perspective approach in help-seeking research.","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 3","pages":"e70270"},"PeriodicalIF":3.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147978001","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

The Attrition Paradox and the Hidden Burden of Non-Random Follow-Up in Mental Health Transition Nurse Research. 心理健康转型护士非随机随访的损耗悖论与隐性负担研究。

IF 3.3

International journal of mental health nursing Pub Date : 2026-06-01 DOI: 10.1111/inm.70296

Meina Zhang, Huyan Ke

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Professional Responsibility Governed by a Risk-Oriented Care Logic: Nursing Staff's Experiences of Caring for Persons With Anorexia Nervosa in General Psychiatric Inpatient Care. 风险导向护理逻辑下的职业责任：普通精神科住院护理人员对神经性厌食症患者的护理经验。

IF 3.3

International journal of mental health nursing Pub Date : 2026-06-01 DOI: 10.1111/inm.70297

Anna Sandsten, Maria Strömbäck, Sebastian Gabrielsson, Git-Marie Ejneborn Looi, Britt-Marie Lindgren

{"title":"Professional Responsibility Governed by a Risk-Oriented Care Logic: Nursing Staff's Experiences of Caring for Persons With Anorexia Nervosa in General Psychiatric Inpatient Care.","authors":"Anna Sandsten, Maria Strömbäck, Sebastian Gabrielsson, Git-Marie Ejneborn Looi, Britt-Marie Lindgren","doi":"10.1111/inm.70297","DOIUrl":"10.1111/inm.70297","url":null,"abstract":"Mental health nursing in inpatient psychiatry is shaped by control and standardisation, yet little is known about how these conditions are sustained in everyday care for persons with anorexia nervosa. This study aimed to explore how nursing staff experience and understand care for persons with anorexia nervosa within general psychiatric inpatient care settings, with particular attention to the conditions shaping what comes to count as legitimate nursing practice. Nine nursing staff with experience caring for persons with anorexia nervosa in general psychiatric inpatient care in Sweden participated in the study. Data were collected in 2025 using semi-structured qualitative interviews and were subjected to qualitative content analysis with a Foucauldian-inspired abductive approach. Findings are presented as two themes, Nursing practice governed by a risk-oriented care logic and Responsibility as a burden and a possibility within nursing practices. Within those themes are five sub-themes, Making sense of AN through risk and stabilisation; Enacting control through routines and treatment plans; Normalising coercion in everyday care; Navigating responsibility under unstable care conditions and Producing alternative care practices through relational work. Findings suggest that discourses of risk and stabilisation organise nursing practice through a risk-oriented care logic that shapes what is recognised as legitimate care and professional competence. Within these conditions, relational and individualised nursing practices become difficult to sustain while responsibility and coercive measures are framed as necessary responses to risk. This study is reported in accordance with the COREQ guidelines.","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 3","pages":"e70297"},"PeriodicalIF":3.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13284724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148298067","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}

引用次数: 0

Comment on 'Self-Reported Burden Among Informal Caregivers of Patients Receiving Psychiatric Hospital Treatment: A National Cross-Sectional Study' (Thygesen et al. 2025). 对“接受精神病院治疗的病人的非正式照顾者自我报告的负担：一项全国横断面研究”的评论（Thygesen et al. 2025）。

IF 3.3

International journal of mental health nursing Pub Date : 2026-04-01 DOI: 10.1111/inm.70250

Dujuan Xie, Zhiqiang Zhang, Lirong Zheng

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Is the Prejudice Towards People With Borderline Personality Disorder Model Reflective of Lived Experience? 对边缘型人格障碍患者的偏见模型是否反映了生活经验？

IF 3.3

International journal of mental health nursing Pub Date : 2026-04-01 DOI: 10.1111/inm.70258

Hannah Sheppard, Elizabeth Huxley, Boris Bizumic, Alison L Calear

{"title":"Is the Prejudice Towards People With Borderline Personality Disorder Model Reflective of Lived Experience?","authors":"Hannah Sheppard, Elizabeth Huxley, Boris Bizumic, Alison L Calear","doi":"10.1111/inm.70258","DOIUrl":"10.1111/inm.70258","url":null,"abstract":"The high levels of stigma faced by people with borderline personality disorder (BPD) is well recognized but inconsistently operationalized within the literature through the use of multiple instruments that measure different prejudicial attitudes. The Prejudice towards People with Borderline Personality Disorder (PPBPD) framework was developed to provide a comprehensive model and psychometrically sound scale for measuring prejudice. The four PPBPD subscales encompass the different prejudicial attitudes measured across other existing instruments, namely Fear/Avoidance, Malevolence, Authoritarianism, and Unpredictability. The PPBPD framework, however, was developed in isolation of the lived experience. To address this, we conducted online interviews with 13 Australians with BPD to investigate if the PPBPD's four-factor model reflects the attitudes they have experienced. The interviews discussed participants' experiences of support and prejudice and their impacts, the PPBPD model, and help-seeking. Participants felt the model was an accurate representation of the prejudice they had experienced, and all participants identified experiences that related to each of the four dimensions. Important sources and impacts of each dimension of prejudice were also identified. The results suggest that the PPBPD model and scale are useful tools for measuring and understanding prejudice towards people with BPD and contextualizing it within lived experiences. Consulting people who have BPD is a key step in providing evidence for the usefulness of the PPBPD model and scale. Using the PPBPD model can provide a more comprehensive understanding of the attitudes underlying the stigma faced by people with BPD and support the development of appropriate stigma reduction interventions.","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 2","pages":"e70258"},"PeriodicalIF":3.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13088927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147701361","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}

引用次数: 0

Influence of a Co-Designed Alcohol and Other Drug Education Program on Clinician Attitudes Toward People Who Use AOD: A Quantitative Evaluation. 共同设计的酒精和其他药物教育计划对临床医生对使用AOD的人的态度的影响：定量评估。

IF 3.3

International journal of mental health nursing Pub Date : 2026-04-01 DOI: 10.1111/inm.70246

Shohreh Razavy, Vasiliki Betihavas, Jo River, Suzanne Sheppard-Law, Megan Moses, Catherine Smith, Euan Macleay, Fiona Orr, Jane Currie, Kevin Street, Maureen Steele, Olivia Hollingdrake, Robert Mason, Susan Colman, Veronica Morton, Mark Goodhew

{"title":"Influence of a Co-Designed Alcohol and Other Drug Education Program on Clinician Attitudes Toward People Who Use AOD: A Quantitative Evaluation.","authors":"Shohreh Razavy, Vasiliki Betihavas, Jo River, Suzanne Sheppard-Law, Megan Moses, Catherine Smith, Euan Macleay, Fiona Orr, Jane Currie, Kevin Street, Maureen Steele, Olivia Hollingdrake, Robert Mason, Susan Colman, Veronica Morton, Mark Goodhew","doi":"10.1111/inm.70246","DOIUrl":"10.1111/inm.70246","url":null,"abstract":"Health professional can hold stigmatising attitudes toward people who use alcohol and other drugs (AOD), affecting therapeutic engagement and health outcomes. Evidence suggests that education can challenge health professionals' bias. However, education is only one strategy, and its impact depends on broader system and organisational factors. Yet AOD education remains limited and rarely incorporates lived-experience perspectives. Co-designed and co-delivered AOD education offers a way to support clinicians to reflect on stigma and strengthen collaborative, person-centred care. This study aimed to assess whether a co-designed AOD education program, delivered by lived experience educators, influenced clinicians' attitudes toward people who use AOD. Using a quantitative, non-randomised pre-post quasi-experimental design, this paper reports quantitative findings from a pre-post survey that captured clinician demographics and attitudes using a modified version of the Australian National Centre for Education and Training on Addiction (NCETA) AOD Attitudinal Brief Scale. Post-education survey results indicated that the education was associated with significant improvements in attitudes, including greater recognition of social and structural influences on substance use and reduced endorsement of personal blame, anger, disappointment, and punitive views (all p < 0.01). Overall, the program contributed to a reduction in stigma and more positive clinician attitudes toward collaborative decision-making with people who use AOD, underscoring the value of embedding lived experience in clinician education.","PeriodicalId":94051,"journal":{"name":"International journal of mental health nursing","volume":"35 2","pages":"e70246"},"PeriodicalIF":3.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13100461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793095","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}

引用次数: 0