International Journal of Mental Health Nursing最新文献

In 2025, the film One Flew Over the Cuckoo's Nest turned 50 years old. Although the film has been subject to analysis over the years, its role in shaping the perceptions of professionals working in mental health has not yet been fully explored. The aim of this paper is to explore mental health staff's perspectives onOne Flew Over the Cuckoo's Nest on its 50th anniversary. Semi-structured interviews were conducted with 15 participants. The study was guided by a qualitative descriptive approach. Reflexive thematic analysis was used to analyse data. Five Themes were identified: Personal Reflections on First Viewing One Flew Over the Cuckoo's Nest, Consolidating Stereotypes and Reinforcing Stigma, The Shadow of Nurse Ratched, We Have Come a Long Way but We Still Have a Long Way to Go and The Legacy of One Flew Over the Cuckoo's Nest Today. Although the film's direct influence is waning, it still has some hold over the public's negative views of mental health care. Media campaigns, similar to those used to dispel myths about mental health challenges, should be used to promote better images of mental health staff and care environments, reducing stigma. While mental health care has come a long way since the release of One Flew Over the Cuckoo's Nest, further improvements are warranted, with an emphasis on reducing power dynamics and more focused mental health education.

The use of seclusion and restraints in mental health care is a significant international concern. Although these practices are perceived to de-escalate volatile situations and provide physical protection for those involved, they raise critical issues such as the violation of human rights, physical and emotional harm. Despite the crucial role of carers in recovery, care and protection for persons with lived experience of mental health conditions, few studies have explored their perspectives on seclusion and restraints. This integrative literature review explored carers' perceptions of these practices. A systematic search of four electronic databases, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, was conducted without time limitations, resulting in 10 final studies. The synthesis of the literature revealed that carers and persons with lived experience of mental health conditions have negative experiences of seclusion and restraints. However, while carers desire the elimination of seclusion and restraints, some do support the limited use, such as a ‘last resort’. Importantly, many carers want to be involved before, during and after these events. Current evidence suggests that empathy is a key in de-escalation that is planned with persons with lived experience and their carers. Healthcare providers should prioritise carers' needs for engagement, emotional support and access to related information for effective reduction and elimination of seclusion and restraints. Training on de-escalation should focus on empathy, therapeutic relationships and communication during crisis. Empirical research should explore the role of carers in developing de-escalation plans.

This study aimed to explore the perceptions of climate change and environmental resilience among adults living with mental illness. A qualitative descriptive design was used for this study. To explore themes, 20 participants, from a community organisation that supports adults living with mental illness, were recruited to engage in focus groups. A semi-structured interview guide was used to facilitate the focus group discussion. Data analysis utilised the rigorous and accelerated data reduction (RADaR) technique. Guided by the Health Belief Model's core concepts, we learned that this population's perspectives on climate change varied based on their experiences, their vulnerabilities due to mental illness and socioeconomic conditions, and what they have seen and heard from external sources, including a related scientific seminar. Among the explored concepts, “Barriers to making positive changes to address climate change” was the most robust. Furthermore, although participants perceived multiple barriers to mitigate climate change, they identified diverse ways to take action and reduce its harmful impact. To better serve this vulnerable group, both individual-level interventions and policy and organisational changes are required to combat climate change and lessen its impacts among adults living with mental illness.

Healthcare concepts shape the way mental health care is conceived, delivered, experienced and evaluated. Person-centred care and consumer-directed care are two distinct but intertwined concepts that aim to redistribute knowledge and power between healthcare providers and consumers to ensure that healthcare is meeting the needs of consumers. However, despite many years of Australian services attempting to deliver person-centred and consumer-directed care, multiple reviews and inquiries into services find these attempts failing. The concepts of person-centred and consumer-directed care challenge the traditional ways in which mental health and mental health care have been conceived and delivered, reflecting tensions in the mental healthcare system. These tensions are theoretical, legislative and cultural. In this paper, the authors provide a description of these tensions, and highlight scenarios where these tensions have been overcome, and mental healthcare has been designed and delivered in a way that meets the needs of consumers. We provide ways forward that all stakeholders can implement to better our healthcare services, with a particular focus on mental health nurses.

Involving informal caregivers in the support of patients receiving psychiatric treatment has a positive effect on the patient's treatment outcome. At the same time, providing care for these patients may pose a serious burden on the caregivers themselves. The aim of this study was to identify factors associated with a high caregiver burden using a cross-sectional study design and to determine areas of perceived burden in a thematic analysis based on information from the Danish National Survey of Psychiatric Patient Experiences. Results showed that 54.3% of caregivers reported a high caregiver burden, and the associated factors were: being a parental caregiver for outpatients (adjusted OR: 1.80, 95% CI: 1.17–2.76) as well as inpatients (adjusted OR: 3.81, 95% CI: 1.97–10.51) and diagnosis among outpatients, including affective disorder (adjusted OR: 1.80, 95% CI: 1.34–2.43), anxiety/OCD (adjusted OR: 1.66, 95% CI: 1.14–2.41) and eating disorder (adjusted OR: 3.91, 95% CI: 1.87–8.15). The thematic analysis revealed four areas related to caregiver burden: ‘Emotional burden’, ‘Relational burden’, ‘Implications for everyday life’ and ‘Encountering the health care system’. This study stresses that a large group of informal caregivers feel highly burdened and notify the specific areas of caregiver burden. Targeted interventions are needed to alleviate the burden of informal caregivers and reduce their risk of negative health outcomes.