International Journal of Mental Health Nursing最新文献

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.

Filicide is usually defined as the killing of a child by a parent(s), stepparent, or equivalent guardian and is a deeply distressing form of family violence that intersects public health, mental health, legal, and social systems. Filicide is often associated with parental mental health disorders, family dysfunction, and complex psychosocial stressors, yet healthcare responses, particularly within mental health nursing, remain underexplored. This scoping review aims to identify the characteristics of individuals who commit filicide and examine the tools, indicators, or clinical practices used within healthcare settings to assess and manage filicide risk, with a focus on informing mental health nursing practice. A scoping review methodology was employed, guided by Arksey and O'Malley's five-stage framework and reported in accordance with the PRISMA-ScR checklist. A comprehensive search of six databases was conducted which included EMBASE, Education Source, APA PsycINFO, CINAHL, Medline Complete, and Scopus. Data were charted, descriptively analysed, and appraised using the Mixed Methods Appraisal Tool to map existing evidence and identify gaps in the assessment of filicide risk within healthcare settings. Fifteen studies were included, primarily conducted in psychiatric hospitals across diverse global settings, with most published in the previous 5 years. Most studies focused on filicidal mothers, identifying key risk markers such as a history of mental health disorders, trauma, psychiatric diagnoses (e.g., psychosis, depression), and social stressors. No validated clinical tools were identified, though several demographic and psychological risk indicators were consistently reported, highlighting the need for targeted assessment practices in healthcare settings. These findings confirm a critical gap in clinical guidance for mental health nurses, who are often frontline responders in identifying and managing risk. Enhancing awareness of filicide risk indicators and integrating them into routine mental health assessments is essential to support early intervention, improve patient outcomes, and prevent harm.

This review aims to systematically examine the survival dilemmas faced by older adults with severe mental illness (SMI) in rural areas and to provide a theoretical foundation and practical guidance for improving their health and well-being. Adopting the scoping review framework proposed by Arksey and O'Malley, the study systematically searched CINAHL, Embase, PubMed, Web of Science and Cochrane databases and screened literature according to predefined inclusion criteria. Key information—including research questions, study design, sample characteristics and main findings—was extracted and synthesised through thematic analysis. A total of 30 eligible studies were included. The results revealed that older adults with SMI in rural areas experience multiple, interrelated challenges, including a marked decline in quality of life, limited access to healthcare services, significant economic burden, insufficient social support, increased caregiving pressure on families and cultural as well as cognitive barriers related to mental illness. These multidimensional dilemmas are mutually reinforcing and collectively pose a substantial threat to older adults' survival and overall well-being. Addressing these issues requires the establishment of a multi-level, systematic intervention framework, including strengthened policy support, optimised healthcare delivery models, improved accessibility and appropriateness of services, targeted health education, enhanced community support networks and the promotion of interdisciplinary collaboration. Future research should focus on the specific needs of this population and conduct high-quality empirical studies to provide robust, evidence-based recommendations for improving their quality of life and promoting social inclusion.