International Journal of Mental Health Nursing最新文献

Māori, the Indigenous people of Aotearoa New Zealand, experience higher rates of mental health admissions, seclusions and poorer outcomes. Current mental health services are largely based on Western models of care and do not address the needs of Māori. This integrative review aimed to identify, critically appraise and synthesise evidence on Māori models of inpatient mental health services. Whittemore and Knafl's integrative review procedure was used. Pubmed, PsycINFO, EMBASE, CINAHL, Proquest and Google were searched for records published between 2014 and 2024 in English or the Māori language. Included studies had to refer to Māori models of adult inpatient mental health services or aspects of such services relevant to Māori. Studies were critically appraised using the Joanna Briggs tools and evaluated for Māori responsiveness using the Te Ara Tika Guidelines. This review is consistent with the PRISMA guidelines. Twenty-five publications were included and comprised qualitative and quantitative studies, reviews and policy articles. Eight studies used kaupapa Māori research methods. One hundred and nine Māori participants were included across the studies, of which 21 were service users, three were family members and the remainder were healthcare professionals. The current evidence base on Māori models of care for inpatient mental health services in Aotearoa New Zealand is very limited. Four main themes were identified, which included an urgent need to transform inpatient mental health services for Māori, to embed cultural processes and values throughout such services, to involve service users and family in the co-design of services and to increase Māori research on inpatient mental health services.

Personal recovery among individuals with schizophrenia reflects a subjective perception of how much individuals regain purpose and meaning in their lives despite disabilities. Recovery-oriented care centres on empowerment for individuals acquiring or regaining a capacity to work, manage resources, rebuild meaningful social interactions and community and restore hope and well-being. In Thailand, healthcare providers would benefit from a conceptually-based instrument to evaluate personal recovery. This cross-sectional study, guided by the CHIME framework, used a methodological and developmental design to construct and test an instrument assessing the personal recovery of community-dwelling Thai individuals with schizophrenia. A total of 521 outpatients from five northeastern provinces in Thailand participated from March 2023 through January 2025, completing both the 17-item Personal Recovery Scale and the Herth Hope Index. Results showed that less than 10% of participants lived alone, while a majority lived with their parents, a spouse, or members of an extended family. A moderate correlation between the two scales supported convergent validity (r = 0.686, p < 0.001). Principal axis factoring with a Promax rotation identified three components of recovery: (i) self-confidence in living day-to-day, (ii) self-management of daily activities and (iii) social support sustains daily living. With Cronbach's alpha at 0.925 and McDonald's omega at 0.923, the Personal Recovery Scale exhibits strong reliability. Although living independently is often recognised as a criterion of recovery, individuals in Thai society are more likely to live in extended family networks. Being independent may be more appropriate than living independently and is measured by achieving self-confidence to live well and the ability to self-manage daily activities. The Personal Recovery Scale demonstrates promising validity and reliability, indicating its potential value in assessing the multifaceted concept of personal recovery among Thai individuals with schizophrenia.

Over the past decade, research has increasingly addressed the support needs of carers in mental health settings and their involvement in care and treatment. However, service users' perspectives have received comparatively limited attention, despite the importance of their preferences as a key starting point for carer involvement. Furthermore, existing evidence remains scattered across smaller qualitative studies. The aim of this qualitative evidence synthesis of adult mental health inpatient service users' experiences and perceptions of carer support and involvement in care and treatment. Systematic searches were conducted in CINAHL, PubMed, APA PsycINFO and Scopus for literature published between January 1, 2000 and January 3, 2025. Grey literature was identified through OpenGrey, GreyGuide, ProQuest Dissertations & Theses Global, Google, Google Scholar and relevant websites. Eligible studies underwent quality appraisal and were analysed using a thematic approach. Fourteen studies were included, encompassing findings from 632 service users. Five themes were developed: (1) eagerness versus hesitations towards involvement of carers in care planning, care and treatment; (2) the significance of receiving support from carers in coping with mental illness; (3) the necessity of supporting carers—recognising needs and burdens; and (4) institutional barriers to carer support and involvement. These four themes are interrelated with an overarching theme five: (5) relationship between service users and carers. The overarching theme reveals that service users' perceptions of whether carer involvement and support were meaningful depended on the significance and quality of the relationship, which in turn was shaped by carers' knowledge and understanding of mental illness.

This two-year follow-up study evaluated the sustained impact of the AIMS suicide prevention pathway, a structured, short-term intervention delivered by the Wellbeing Team (WBT) in a large Australian metropolitan mental health service. The retrospective cohort included 232 individuals who engaged with the WBT for at least 2 weeks and were discharged to primary care. Re-presentation to public mental health services was examined across three thresholds: any service contact (Condition 1), secondary care involvement (Condition 2) and sustained case management (Condition 3). At 24 months, 66.4% of participants had not re-presented to any public mental health service. Only 8.2% required further engagement with secondary services, and just 3.0% transitioned into longer-term case management. Survival analysis showed no statistically significant differences based on prior service contact, suggesting the AIMS pathway was broadly effective across diverse clinical histories. These findings indicate that AIMS supports not only crisis stabilisation but sustainable recovery. Its dual emphasis on clarity and growth is foundational: clarity through structured clinical actions, Assessment, Intervention, Monitoring and Step Up/Down (AIMS) and growth through guided discovery, values alignment, and peer support. The model is further strengthened by integration of the SAFE framework for dynamic safety planning and the HOPE framework for values-based recovery, both of which are embedded in the Safe Life Guide mobile application. By meeting individuals where they are and addressing both immediate safety and long-term purpose, AIMS offers a system-level reimagining of crisis care, one that reduces dependency, restores direction, and fosters life in motion.

Psychological capital (PsyCap) is a valuable psychological resource that is associated with improved job performance and reduced stress in the workplace. Despite its importance, the relationship between nurses' PsyCap, perceived quality of care and adverse events (AEs) is poorly understood. The aim of this study was therefore to investigate the effects of PsyCap on nurses' perceptions of the quality of care and AEs. A cross-sectional survey was conducted at Buraidah Central Hospital in the Qassim region of Saudi Arabia, in which 169 nurses took part. The data were collected using sociodemographic data and working conditions, the Psychological Capital Questionnaire (PCQ-12), self-rated quality of patient care (5 items) and estimates of AEs. Pearson correlation and binary logistic regression were used to analyse the associations between study variables. A significant proportion of studied nurses reported high perceived quality of care, with 82.7% never making mistakes with negative consequences and 66.1% maintaining consistent care quality. The least reported AEs included patient falls (22.6%) and infusion/transfusion reactions (26.2%), while pressure ulcers (45.8%) and verbal abuse (42.3%) were the most frequent. Significant negative correlations were observed between PsyCap and AEs (e.g., pressure ulcers: r = −0.350, p < 0.001; medication errors: r = −0.405, p < 0.001). PsyCap was also positively related to indicators of quality of care (p ≤ 0.001). Logistic regression showed that higher PsyCap was associated with a reduced odds of AEs such as pressure ulcers (OR = 0.927, 95% CI = 0.885–0.970) and medication errors (OR = 0.884, 95% CI = 0.835–0.937) (p ≤ 0.001). The results show that higher PsyCap in nurses is associated with better perceptions of the quality of patient care and fewer reported AEs. Targeted interventions to improve psychological resources such as stress management programmes, self-efficacy workshops and resilience training have significant potential to strengthen nurses' mental health, increase resilience in the workplace and improve the quality of patient care while reducing the incidence of AEs.