Issues in Mental Health Nursing最新文献

Depression among professional truck drivers may be driven by isolation, irregular schedules, and high job demands. This systematic review identified occupational and psychosocial risk factors for depression in adult truck, heavy goods vehicle (HGV), or lorry drivers. PubMed, PsycINFO, Web of Science, and Embase were searched for observational studies assessing work or psychosocial exposures and depression via validated measures or clinical diagnosis. Screening was conducted in duplicate; data extraction was verified by a second reviewer; risk of bias was assessed using the JBI cross-sectional checklist. Because heterogeneity precluded meta-analysis, we used direction-of-effect vote counting. Seven cross-sectional studies (n = 1,591) from six countries were included; reported prevalence ranged from 13.6% to 59.1%. Consistent positive associations were found for high work demands (longer hours, tight deadlines), safety hazards in driving conditions (e.g., poor roads, accident history, distraction), and lock of occupational support (job dissatisfaction, limited supervisor support, wage-earning vs. self-employment). Psychosocial isolation (loneliness, low engagement) showed strong links to depressive symptoms. Poor sleep quality and stimulant use were associated with higher risks, while better self-rated health was protective; evidence for age and substance use was mixed. Findings highlight modifiable work and social conditions and the need for longitudinal and interventional research.

Young adults are prone to loneliness and its adverse effects due to the difficulty of transitioning to adulthood. In this context, social networking sites are a crucial platform at their disposal to find connections. However, loneliness in social networking sites lacks conceptual clarity. By using Rodgers's Evolutionary Model, this study was conducted using a systematic search of the literature to help mental health nurses understand the concept of loneliness in social networking sites for young adults. The analysis revealed three categories of attributes: Engagement-based; Consumption-based; and Emotion-based, and two groups of antecedents: Emotion-linked and Skill-linked, with multiple consequences of loneliness. The findings highlight the role of social networking sites as an emerging platform for the multifaceted manifestations of loneliness among the young generation. As mental healthcare professionals increasingly recognise the significance of social networking sites in the lives of young adults, this conceptual understanding will help in the development of interventions and policies based on interaction dynamics. By understanding these patterns, healthcare providers can better support young adults grappling with feelings of loneliness in social networking sites, ultimately promoting enhanced mental health and social connection in a digital world.

Suicide in adolescents and emerging adults is often understood through symptoms and risk factors rather than as a disturbance of the self. This article presents a conceptual analysis and model building study that elaborates the Existential Network of Suicidal Identity (ENSI) with a specific focus on existential anchors and the senses of self they support. Drawing on object relations and defense theory, mentalization and attachment research, existential psychology on meaning and psychache, and narrative identity work on coherence and foreclosure, we develop a layered psychodynamic account of suicidal identity that is sensitized to equity contexts such as racism, gendered violence, poverty, LGBTQ+ stigma, disability, rurality, and barriers to care. ENSI is reconceptualized around five existential anchors - purpose, value, self-worth, relational safety, and felt safety - which scaffold corresponding senses of self related to meaning and direction, being valued and belonging, narrative agency, emotional containment with others, and basic bodily security. When anchors are eroded across development, these senses of self weaken, internal objects become less stable, defenses such as splitting, projection, and projective identification intensify, and suicidal identity consolidates. We outline how the model clarifies three cross cutting mechanisms of collapse (Fractured Self Continuum, Suicidal Pursuit of Goals, Controls of Self Deception) and translate these into nursing heuristics for assessment, collaborative formulation, and intervention that complement structured safety planning. ENSI offers a theoretically grounded, testable framework for identity informed and equity aware suicide prevention in psychiatric nursing.

This study analyzes orthorexia nervosa (ON), an eating disorder marked by a rigid fixation on "healthy" eating. Proposed by Steven Bratman in 1997, ON shares restrictive patterns with anorexia or bulimia but is driven by food purity pursuit rather than weight control. Using Walker and Avant's conceptual analysis approach, key attributes include obsessive attention to food quality, strict dietary rules, guilt or anxiety over deviations, and social or occupational impairment. Antecedents like social media influence, perfectionism, and fitness culture may contribute, while consequences range from malnutrition and physical decline to psychological distress and isolation. Existing assessment tools are reviewed for reliability and validity. The study emphasizes refining diagnostic criteria, improving measurements, and developing nursing interventions to support affected individuals.

Backround: The research on schizophrenia and stigma within the nursing discipline is experiencing a notable increase. This trend underscores the escalating significance of addressing schizophrenia and stigma within the nursing profession.

Aim: This study aimed to examine the quantitative and qualitative characteristics of publications on schizophrenia and stigma in the field of nursing from a bibliometric perspective.

Methods: The data of this bibliometric analysis. The data were retrieved using the keyword combination "schizophrenia" and "stigma," encompassing studies published up to July 2025, the date of the study, without imposing any temporal restrictions. In this study, 290 schizophrenia and stigma research articles/reviews conducted in the field of nursing between 1997 and 2025 were identified, and 274 articles were included in accordance with the exclusion criteria.

Results: The analysis revealed that there were 874 authors, 243 research articles, and 31 reviews/systematic review articles, with an average of 18.4 citations per publication.

Discussion: The findings indicate that, despite advancements in comprehending and addressing stigma associated with schizophrenia within the nursing profession, there remains a significant need for continued research, policy formulation, and practical interventions. It is advisable for nursing specialists to engage in further research on schizophrenia and the mechanisms of stigmatization.

Background: The number of studies on trauma in psychiatric nursing is steadily increasing. An annual growth rate of 7.7% is observed in publications, and the highest number of publications is expected to be reached in 2025. This trend highlights the growing significance of trauma-related research on psychiatric nursing.

Purpose: This study aimed to examine the quantitative and qualitative characteristics of publications on trauma in the field of psychiatric nursing from a bibliometric perspective. The Web of Science database was used for this research.

Methods: In this study, a bibliometric analysis, which is a methodological approach used to determine the scope of knowledge in a specific field and evaluate productivity, was applied. Data were collected by screening studies published up to June 2025, the study date, without time limitation, using the keyword combination "mental health nursing" OR "psychiatric nursing" AND "trauma."

Results: In this study, 523 trauma studies and reviews conducted in the field of psychiatric nursing between 1996 and 2025 were identified, and the analysis was completed using 461 studies in accordance with the exclusion criteria. The analysis revealed 1,630 authors, 383 research articles, and 78 reviews/systematic reviews, with an average of 16.5 citations per publication.

Discussion: A noticeable increase has been observed in the participation of psychiatric nurses in trauma research. It is recommended that nursing professionals conduct more research to examine trauma processes by considering biopsychosocial factors and developing ethically sound approaches for both patients and healthy individuals.

This study explores undergraduate nursing students' perception of mental health nursing as a potential career path. Utilising a qualitative phenomenographic approach, semi-structured interviews were conducted with nineteen nursing students enrolled in a comprehensive Bachelor of Nursing program from one metropolitan university located in Melbourne, Australia. Data analysis revealed five distinct categories of description, ranging from unclear role definition and polarised attitudes to a more nuanced understanding of the skills involved. These findings are significant as it illustrates that variations in students' understandings of the mental health nursing role persist even following targeted education, suggesting that deeply held perceptions are not easily shifted within existing curricular approaches.

Children with unmet mental health needs from regional and rural settings experience compromised service access. A lack of skilled workforce is a key driver of this problem. This Australian-based two-phase mental health nurse led study aimed to co-design, develop and then trial the helpfulness of a six-week capability development training called the Lighthouse Project for supporters of rural children experiencing mental health challenges. Phase One of the study involved a co-design focus group of stakeholders (N = 20) with Phase Two being qualitative survey responses from supporter participants. Phase One group data confirmed lived experiences of restricted service access to mental health services. Core content and enabling mechanisms for the training to help mitigate that challenge were subsequently developed. Phase Two data (N = 79) reported four themes: (1) New knowledge and attitudes, (2) Practical application of learning, (3) Positive participant subjective experiences, and (4) Mechanisms supporting or hindering outcomes. Co-designed online capability training enables effective role shifting of introductory yet specialised child mental health interventions to rural parents, carers and other supporters. Mental health nurses can undertake key roles in delivering primary mental health interventions such as the Lighthouse project in the context of diminishing practice roles outside of tertiary mental health settings. This study was conducted under a small rural mental health grant from the Peregrine Centre.

While older adults often experience improved health and well-being from intergenerational sharing, also known as generativity, little research exists on the benefits of sharing across generations and few studies explore generativity as a component of successful aging. Given that Indigenous societies use storytelling and role modeling to pass down cultural values, beliefs, and ways of knowing, there is an urgent need to document traditional knowledge and better understand the benefits of generative practices. This study explores how Alaska Native Elders enact Indigenous cultural generativity as a tenant of successful aging and documents benefits as described by Alaska Native Elders. Data were collected over 18 years through qualitative interviews with 162 Elders from four of the five regions in Alaska. Elders engaged in generative practices such as storytelling, demonstrating skills, and modeling ways of living well. Generative practices helped Elders feel happy, gave them a sense of purpose, and supported their well-being. Overall, Indigenous cultural generativity is not solely a component of Alaska Native successful aging, but the primary pathway to achieving successful aging. Future research is needed to better understand how different forms of generativity benefit Elders and how to promote and support Indigenous cultural generativity in Alaska Native communities.