International Journal of Mental Health Nursing最新文献

There are worldwide shortages in the mental health nursing workforce. Transition-to-practice programs are a vital avenue for recruiting and supporting nurses entering the mental health sector. There is little evidence, however, on the psychosocial and work-related outcomes of mental health transition nurses (registered and enrolled) during their transition into this specialty field. The overall aim of this study was to investigate mental health transition nurses' perceived stress, well-being, resilience, work satisfaction, turnover intention and mental health stigma attitudes at 6 months into their program and examine changes in these outcomes between a baseline assessment at 4 weeks into transition and follow-up at 6 months. At follow-up, perceived stress, well-being and resilience scores were moderate, turnover intention was low and work satisfaction of n = 49 nurses was high. Higher work satisfaction predicted greater well-being, less stigmatising attitudes predicted higher resilience and lower work satisfaction predicted increased turnover intention. Only turnover intention significantly increased from baseline to 6 months. Nurses with scores indicating poor well-being (n = 10) had significantly higher perceived stress and turnover intention and lower work satisfaction and stigma. These findings highlight the need for targeted support over the initial transition period to promote nurses' mental health, well-being and retention as they transition into the field. Addressing factors such as work satisfaction and stigma in transition programs may be essential for reducing nurses' stress and turnover intentions, particularly for nurses experiencing reduced well-being.

Trauma-Informed Care (TIC) aims to reduce re-traumatization in healthcare settings, with nurses playing a key role in its delivery. This scoping review sought to map existing research on nurses' knowledge, attitudes and practices related to TIC. Guided by Arksey and O'Malley's framework and PRISMA-ScR, six databases (PubMed, Medline, Scopus, ProQuest, Web of Science and Cochrane Library) were searched for English-language studies published between 2011 and 2025. Twenty-one studies met inclusion criteria. Using a pre-defined thematic mapping approach, findings were grouped into: (1) nurses' attitudes toward TIC, (2) knowledge gaps across nursing specialties, (3) barriers and facilitators influencing TIC practices. While nurses generally endorsed TIC principles, gaps in knowledge and inconsistent clinical application were noted. The review highlights the influence of factors such as training, time constraints, clinical experience, healthcare settings, and interprofessional collaboration. Future research should focus on developing standardised, specialty-specific training programs and evaluating their long-term impact on nursing practice.

Understanding the context and challenges of psychiatric nursing care is essential for optimising patient outcomes and ensuring effective suicide prevention. While mental health nurses play a pivotal role in caring for inpatients with suicidal behaviours, research on their experiences and perspectives remains fragmented. This study aimed to synthesise qualitative studies on the experiences of mental health nurses in providing care to inpatients with suicidal behaviours. Manual searches were performed across five electronic databases. Nine eligible studies were identified and analysed using the thematic meta-synthesis approach proposed by Thomas and Harden. Four main themes were identified, as follows: (a) clinical challenges and limitations in managing suicidal behaviours; (b) negative emotional responses and strategies to cope with patient suicidal behaviours; (c) a strong sense of responsibility for patient safety as mental health nurses; and (d) a patient-centred approach in psychiatric nursing practice for patients with suicidal behaviour. This meta-synthesis highlights the critical role of mental health nurses in providing care to patients with suicidal behaviours, emphasising challenges such as unpredictable suicide risk, perceived lack of professional competence, emotional distress and the struggles of patient safety. Enhancing the effectiveness of mental health nurses' suicide prevention services may require implementing structured training for suicide behaviour management, establishing institutional support systems, adopting a patient-centred nursing care approach, and fostering multidisciplinary collaboration focused on psychiatric care and patient outcomes.

Transgender and gender diverse (TGD) adults face higher rates of psychiatric conditions and suicidality compared to cisgender people. Additionally, they confront gender identity-related barriers in accessing and receiving behavioural health care (BHC). Inpatient level of BHC is unique both in terms of treatment milieu and patient acuity. However, little is known about the gender identity-related experiences of TGD adults in psychiatric inpatient settings. The aim of this study is to describe and quantify the lived BHC experiences of TGD adult psychiatric inpatients. Participants were 50 TGD adult inpatients who were interviewed regarding (1) previous gender identity-related barriers accessing BHC and (2) negative and positive experiences during their current inpatient stay. Interviews were audio-recorded and transcribed. Content analysis was performed to identify and quantify themes. Out of the 50 participants, 27 (54%) reported experiencing gender identity-related barriers to accessing previous BHC, the most common of which was services being grouped by gender binary categories. With respect to their time on the inpatient unit, 37 (74%) reported at least one negative gender identity-related experience and 45 (90%) reported at least one positive gender identity-related experience. Common inpatient experience themes included chosen name/pronoun use, working with uninformed providers and barriers accessing gender-affirming items. Results highlight the pervasiveness and nature of gender identity-related BHC disparities as well as identify positive, gender-affirming interactions. These results may be used to inform best practices to help cultivate improved BHC experiences and outcomes for TGD adults.

This grounded theory study aimed to understand the trajectory of the experience of family caregivers of a relative during the early stages of dementia over 2 years. Thirty family caregivers were purposively recruited; data were collected with face-to-face semi-structured interviews. Transcribed interviews were analysed with open, axial, and selective coding. The COREQ checklist was utilised for reporting. The core category that captured the trajectory of the caregiving process was ‘Navigating anomie: Finding light during the caregiving journey’. ‘Anomie’ encompassed a sense of alienation and anxiety surrounding symptoms and behaviours of their relative. The trajectory involved three phases, which employed unique strategies to help caregivers understand the dynamic nature of the progression of dementia. Phase 1, ‘chaotic orientation and sense making’, occurred as caregivers developed an ‘evolving awareness’ of that behaviours and symptoms of their relative were an indication of early stages dementia. Phase 2, ‘zigzag stabilisation and course setting’, involved strategies of ‘transitional steering’, which shifted caregiving from making sense of their relative's unpredictable behaviours to seeking guidance on treatment and establishing a care plan. Phase 3, ‘confident execution and reflection’, resulted from ‘course-correcting tactics’, which helped caregivers reassess perspectives on caregiving and their expectations about the long-term needs of their relative with dementia. Navigating anomie describes the trajectory of caregiving for a with early-stage dementia from the initial feelings of confusion to an understanding of the importance of their caregiving role. Mental health nurses should provide support interventions tailored to each phase of the trajectory, which could improve outcomes for caregivers.