International Journal of Mental Health Nursing最新文献

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.

High numbers of young people in the United Kingdom (UK) experience mental health difficulties. Referrals to Child and Adolescent Mental Health Services (CAMHS) have increased and young people often face lengthy waits before accessing treatment, during which time young people's mental health can deteriorate further. Safety Nets was developed to support young people on CAMHS waiting lists. It is a social prescribing intervention that runs for 2 h a week for 8 weeks at local professional sports clubs. Sessions include 1 h of psychoeducation and 1 h of physical activity co-delivered by a CAMHS clinician and sports club coach. The aim of this qualitative work was to explore the experiences of young people who attended and staff who delivered Safety Nets, to inform future delivery and research. Qualitative semi-structured interviews were conducted with 25 participants, including young people who attended Safety Nets (n = 6), their parents/carers (n = 6) and delivery staff (n = 14). Interviews explored the acceptability and suitability of the intervention and recommendations for future delivery. A thematic analysis identified four themes and one sub-theme from the data: (1) Motivations to attend or deliver Safety Nets, (2) Positive experiences of Safety Nets, (3) Perceived positive impact of Safety Nets (sub-theme ‘Staff development opportunity’) and (4) Application of skills learned. Overall, qualitative data indicated the Safety Nets programme was well received and highlighted important aspects of delivery for implementation. Future research, such as large-scale evaluation of the efficacy and cost-effectiveness of Safety Nets, is warranted.

This scoping review examined the views of multidisciplinary clinicians on the implementation of recovery-oriented practice (ROP) in public mental health services. ROP is mandated in Victoria, Australia, and is being increasingly utilised worldwide. Multidisciplinary clinicians' views are of utmost importance as they are at the forefront of service delivery. Arksey and O'Malley's (2005) framework guided the systematic scoping review using five electronic databases: CINHL, EMBASE OVID, MEDLINE OVID, PSYCHINFO and WEB OF SCIENCE. A total of 30 studies were included. Data were summarised and thematically analysed. Nine were mixed methods, 18 were qualitative, and three were quantitative studies. Similarities and differences arose, and themes were drawn out. There were 10 themes regarding implementation approaches, barriers, and enablers that emerged in examining multidisciplinary clinicians' perspectives. Major findings included the need for organisational commitment to ROP and the importance of targeted training for clinicians—particularly those with longer service—to update knowledge, challenge biomedical assumptions, and strengthen shared decision-making and positive risk-taking. Successful implementation of ROP empowered service users and promoted professional equality for lived experience workers while highlighting persistent power imbalances between multidisciplinary clinicians and service users. Definitions of ROP are varied and can be confusing. Service users are most positively affected by successful implementation of ROP through empowerment and equal treatment. Lived experience workers gain professional equality. Clinicians have long held professional power relative to service users. Mental health services could, prioritise translating research into practice through ongoing professional development and cultural competency training. This review differentiates from the authors' previous studies by demonstrating an evolution in clinicians' attitudes towards ROP since prior data were collected.

Nearly a quarter of children worldwide have a parent with mental illness, with impacts on the entire family. Healthcare practitioners can help address the needs of these children and families through family-focused practice. The aim for this proof-of-concept evaluation was to assess the effectiveness and feasibility of a newly developed learning module on the family-focused EASE© (Engage, Assess, Support, Educate) framework, in an undergraduate nursing program. Changes in students' knowledge and confidence in family-focused practice were assessed as well as their overall views of the learning module. A pre/post-online survey was administered to students immediately prior to and 1 week following module delivery. Pre-surveys were completed by 805 students, with 556 (69%) completing post-surveys. Students reported significantly greater knowledge and confidence in working with families and using EASE©. Those who read the pre-reading and had prior experience of working in a mental health service had significantly greater levels of knowledge and confidence. Students with prior experience of working in family services also reported significantly more knowledge. In respect to feasibility, most students (85%) were satisfied with the module. In open-ended responses (n = 168), students described the EASE© framework as easy to understand and important to building confidence in family-focused practice. They acknowledged their limited understandings of child and family needs where parents have mental illness and made recommendations for further development of the module. The findings indicate potential for wider implementation of the EASE© family-focused module across undergraduate healthcare disciplines and development of attendant learning resources for healthcare practitioners.

Previous reviews have indicated that family psychoeducation (FPE) improves depressive symptoms in patients with major depressive disorder (MDD) and enhances the wellbeing of family members. With recent research advances and new pharmacotherapy options for MDD, current evidence on the effectiveness of FPE on key patient outcomes was needed. This systematic review aimed to evaluate the evidence on the impact of FPE on antidepressant adherence (primary outcome), as well as on depressive symptoms, personal recovery, medication beliefs and concerns, and components of FPE for MDD (secondary outcomes). Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, five electronic databases were searched for experimental studies, including randomised controlled trials (RCTs) and non-randomised trials with pre-post designs. Only articles in English, published up to December 13th, 2024, that met the inclusion criteria were included. The risk of bias in each study was assessed using the Joanna Briggs Institute checklist for RCTs or quasi-experimental studies, depending on the study type. Out of the 2154 records identified, four (three RCTs and one quasi-experimental study) met the inclusion criteria and were included in the review. None of the studies assessed antidepressant adherence. Three studies reported improvements in patients' depressive symptoms. Due to limited and heterogeneous studies, a descriptive synthesis of results was used rather than a meta-analysis. This review highlights a significant gap in research on FPE for MDD and the limited evidence currently available. Further research is needed to evaluate its effectiveness on both clinical (e.g., adherence and severity of depressive symptoms) and non-clinical outcomes (e.g., personal recovery and beliefs and concerns about antidepressants) in individuals with MDD.

Systematic Review Registration: PROSPERO CRD42024587967

Parents of children with autism spectrum disorder (ASD) face unique mental health challenges. Systematic mental health screening could identify parents in need of timely support; however, parental perceptions toward this have not been adequately explored. This qualitative descriptive study aimed to explore parental knowledge and attitudes toward mental health screening among parents of children with ASD in Singapore. Adult parents, who were primary caregivers of children with ASD aged between 2 and 18 years, were invited to participate in semi-structured individual online interviews. A purposive sample of 14 mothers was recruited from a tertiary paediatric developmental clinic between July and November 2024. Data were analysed using thematic analysis. The Consolidated Criteria for Reporting Qualitative Studies (COREQ) checklist was used for reporting. Three themes identified as follows: (1) Understanding and Acceptance of Mental Health Screening, (2) Navigating Barriers to Mental Health Support, and (3) Shaping Effective Mental Health Services. Our findings indicate that while mothers recognise the benefits of mental health screening, stigma, lack of awareness and logistical challenges remain significant barriers. Effective implementation of mental health screening and follow-up support requires collaboration between healthcare, schools, government and community organisations to ensure a non-judgmental and accessible screening process.

Mainstream mental health practitioners view psychosis as enduring, and recovery tends to be limited to symptoms' alleviation. We conducted an earlier study on perspectives of mental health professionals (including nurses) on mental health recovery; results revealed that the concept of functional recovery predominated nurses' insights. The current study aims at reaching a consensus among nurses on the key factors contributing to mental health recovery of individuals experiencing psychosis using the Delphi approach. A purposive sample of 21 mental health nurses with different skills mix was recruited. To gauge consensus, three iterative online Delphi rounds were conducted, and the average percentage of majority opinions was followed to determine consensus. Questions with a consensus rate below 69.7% were included in the next round. Consensus among nurse experts has increased across rounds for the following items: Provision of Person-Centred Care Approach, Therapeutic and Empowering Mental Health Nursing Care, Consumer Related Factors, Promoting Social Inclusion and Advocacy and Enhancing family involvement in Service User's Recovery Journey. The identified attributes have the potential to optimise resource allocation and prioritisation, steering efforts toward recovery-oriented mental health care with an emphasis on psychosocial interventions and community support.