Issues in Mental Health Nursing最新文献

Bullying, harassment, and other negative workplace behaviours are unfortunately all too common in nursing. In this discursive paper, we illuminate the darker side of nursing by summarising prominent negative behaviours in nursing academia, exploring their causes, and considering the weaponisation of complaints as a covert form of bullying. Informed by published peer-reviewed literature on bullying in nursing, bullying in academia, organisational justice, workplace fairness, complaints processes, and weaponisation, as well as specific negative workplace behaviours, we report on how nursing academia shapes professional culture and patient care, yet negative workplace behaviours persist. Weaponised complaints perpetuate bullying in nursing academia, harming academics' wellbeing and reputations while undermining universities' credibility. Such practices damage organisational culture and risk graduating nurses into environments where harm is normalised, ultimately undermining the profession's commitment to safe practice. Addressing weaponised complaints is important to protect nurse wellbeing, foster collegiality and ensure nursing students inherit cultures grounded in procedural fairness, integrity and safe practice. Recognising and preventing misuse is important to safeguarding wellbeing, integrity and collegiality in nursing academia and beyond.

Intergenerational (IG) interventions are increasingly recognized as a strategy to promote holistic well-being across the lifespan. This narrative review synthesizes evidence from systematic reviews and clinical trials published between 2020 and 2025 that examined IG programs involving non-familial participants and reported physical or mental health outcomes. Findings indicate that IG interventions-ranging from physical activities and arts-based programs to technology-assisted mentoring-can improve physical performance, reduce depression, enhance self-esteem, and foster social connectedness. However, results were inconsistent due to heterogeneity in intervention design, outcome measures. Additionally, findings frequently focused on a single generation, with limited reporting of reciprocal benefits across age groups. Despite these gaps, IG programs hold promise for improving physical and mental health. Future research should prioritize standardized assessments, inclusion of both generational perspectives, and scalable models to integrate IG programs into health, education, and community settings.

Introduction: In compulsory psychiatric care and forensic psychiatric care, supportive functions with independent roles have been instituted to uphold patient rights, preserve self-determination and personal integrity, work toward recovery and fulfill the obligation to ensure that individuals remain at the center of decision making. In Sweden, independent support persons (ISP) provide personal support and companionship to patients during and shortly after involuntary care. Knowledge about the ISPs experiences of the role is needed to expand and further develop the ISP role. This study aimed to illuminate ISPs experiences of their role regarding patients treated in compulsory psychiatric care and forensic psychiatric care.

Methods: The study used a qualitative design with semi structured interviews and inductive qualitative content analysis. Nine ISPs participated.

Results: ISPs experiences were reflected in the main theme Managing boundaries in a borderland, interpreted through the themes Balancing personal and professional approaches, Serving as social support and Being in the hands of staff.

Discussion: Findings highlights the important role of ISPs in mental health recovery through supportive, friendship-like relationships that promote reciprocity. ISPs help bridge social gaps, especially for those lacking networks. However, misunderstandings about their role can limit their impact.

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.