International Journal of Mental Health Nursing最新文献

The experiences of carers play a critical role in shaping the mental health outcomes of young people living with psychosis. However, the perspectives of sub-Saharan African migrant carers remain markedly underrepresented in the literature. Available research has mainly focused on the needs and challenges of individuals with psychosis, with limited or no attention to the experiences and needs of their carers. The lack of literature in this area offers minimal guidance to mental health professionals in understanding the experiences, challenges and needs of this significant and growing carers population. Addressing these gaps is critical to developing a comprehensive understanding of the needs and challenges experienced by sub-Saharan African migrant carers to promote access to culturally appropriate services and enhance the wellbeing of carers and those they support. An integrative literature review was conducted to identify existing published knowledge about the experiences of sub-Saharan African migrant carers of young people with psychosis. Analysis of the 14 identified studies revealed that psychosis in these communities is generally attributed to supernatural forces such as witchcraft, ancestral punishment or divine retribution, which creates significant barriers to accessing formal mental health services. The stigma surrounding mental illness, particularly psychosis, exacerbates these challenges by delaying help-seeking behaviours and contributing to a preference for spiritual and traditional healing methods over biomedical care. The lack of integration of cultural beliefs and practices into mainstream mental health care further compounds these difficulties, leading to underdiagnosis, misdiagnosis and delayed treatment. These findings highlight the need to develop targeted interventions and strategies that acknowledges the perspective of sub-Saharan African migrant carers, reduce systemic barriers and provide access to culturally appropriate mental health services. Future research should explore effective interventions and support mechanisms tailored to the unique needs of sub-Saharan African migrant carers and their families with the aim to improve access to mental health services and enhance treatment outcomes.

Exercise is a potentially effective treatment for depression, but some evidence suggests that women with depression are less likely than men to engage in exercise as a treatment. This review aims to identify barriers and enablers to women engaging in exercise and/or physical activity as a treatment for depression. MEDLINE (OVID), PsycINFO (OVID), CINAHL (EBSCOhost) and SportDISCUS were searched until February 2025. Studies of any design that examine barriers and enablers to women participating in exercise interventions for treatment of depression that were published from 2004 (the year clinical practice guidelines first recommended exercise as a standard treatment for depression) were included. Studies that did not report findings separately for women were excluded. Quality appraisal tools were used to assess the methodological quality according to study design. Six studies (four qualitative and two observational) involving 139 participants were included. Lack of time, symptoms of depression, weather conditions and low self-efficacy were identified as barriers to women engaging in exercise as treatment for depression. Barriers unique to women included caregiving responsibilities, safety concerns and, in some cases, the need for permission. Support from family and friends, exercise related to weight loss and perceived impact on health and wellbeing were reported as enablers. Critical appraisal identified important sources of bias in all but one of the included studies. Exercise has potential as a treatment for depression in women, but barriers like time constraints and depressive symptoms can hinder adoption, while factors such as support from others can encourage it.

As China's aging population continues to grow, increasing numbers of older persons are residing in nursing homes (NHs) and receiving long-term care (LTC). Loneliness is one of the most prominent feelings among older persons with LTC living in NHs. However, their experiences of loneliness are often poorly known in Chinese NHs, especially in the counties. Therefore, this qualitative study explores the experiences of loneliness among older persons in NHs. The selection of 14 participants was based on purposive sampling, and semi-structured interviews were conducted with audio recordings. The content analysis method was employed to analyse the entire data. Four key themes emerged: being alone with experiences of loss and dilemma; health conditions contributing to loneliness; institutional loneliness; and dealing with loneliness. The findings of this study highlight the importance of focusing on understanding the individual needs and inner thoughts of older persons to help them deal with loneliness, addressing the relationship between nursing care rights and older persons, and creating a home-like environment for them.

This review explored the evidence regarding the integration of gender and sexuality content in preregistration Mental Health Nursing (MHN) curriculum, and any factors influencing content inclusion or exclusion. A literature search between 2012 and 2025 was conducted across six databases including CINHAL Complete, COCHRANE, Google Scholar, LGBTQI+ Source, OVID and SCOPUS. Following PRISMA protocols, four relevant papers were identified from a total of 2240 initially retrieved. Gildberg and Wilson's (2023) Empirical Testing Thematic Analysis (ETTA) and Stronger Problem-Solving Knowledge (SPSK) method identified four themes. Theme one identified factors negatively impacting the health and wellbeing of LGBTQIA+ individuals. Theme two identified factors that inhibited curricular content despite institutions, academics and faculty generally having positive attitudes toward content integration. Theme three identified legislative, policy and sociocultural factors. Theme four identified theories and tools for curriculum development, academic and student learning assessment tools and theories that could support future research. The findings demonstrate a lack of pre-registration Mental Health Nursing (MHN) curricular content nationally or internationally despite universal agreement regarding the mental health burden on Sex and Gender Minorities (SGM): otherwise referred to as Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, Intersex, Asexual (or Agender/Allies) and others beyond the named terms (+) (LGBTQIA+) that is significant. Research in the US and UK has evidenced attempts to propose curricular content, engage with academics, students, graduate registered nurses and consumers; however, these were not pursued long term. Attempts to involve MHN experts in directing MH content occurred in a minority of the eligible research.