Issues in Mental Health Nursing最新文献

Violence against nurses and other healthcare workers is a significant and escalating concern, impeding the provision of safe and effective healthcare services. A majority of nurses experience some kind of violence, including physical and nonphysical assaults during their careers. The consequences of workplace violence extend beyond individual trauma, leading to increased burnout, turnover, and significant financial costs for healthcare systems. Training programs focused on workplace violence prevention (WVP) have become ubiquitous, with elements like situational threat assessment, de-escalation techniques, and physical skills. Studies show that experiential components, such as role play, enhance the effectiveness of these trainings. Virtual Reality (VR) offers a promising solution by providing immersive, interactive training environments that enhance decision-making, physical coordination, and team dynamics. In this article we discuss how VR simulations can replicate real-world settings, allowing healthcare workers to practice and master violence prevention and management skills in a controlled, safe environment. We also describe how VR is scalable and cost-effective, enabling widespread adoption within and across organizations with minimal logistical challenges. Integrating VR into WVP training programs could significantly improve training outcomes, reduce the need for physical and chemical restraints, and ultimately enhance the overall safety and quality of healthcare services.

The purpose of this integrative review is to describe latent or covert signals of cyber victimization and risky online behaviors in teens. This review was guided by Whittemore and Knafl's integrative review method. A literature search of peer-reviewed, primary source studies published between January 2010 and February 2022 was conducted using the following databases: Cumulative Index of Nursing and Allied Health Literature Plus with Full Text (CINAHL), APA Social Work Abstracts, ERIC, PsycInfo, and APA PsycArticles. Initially, the search string was (cyber victimization OR cyberbullying) AND (risky) AND (internet OR online) AND (signs OR symptoms) AND (latent OR covert OR hidden OR cryptic) AND (lived experience OR perceived OR perception). Additional terms were added, including social engineering. A total of 20 articles were included in this review. Four themes emerged from the literature: (1) the reciprocal nature of cyber victimization and risky online behaviors, (2) latent or covert signs and symptoms, (3) new language surrounding teens' online experiences, and (4) barriers to disclosing experiences. Latent or covert signs and symptoms were categorized into two sub-themes: (1) mood dysregulation and (2) online interaction and expression. Barriers to disclosing experiences were categorized into two subthemes: (1) reluctance to disclose and (2) minimization or disconnection of experience. Qualitative studies yielded richer information concerning the experiences of teens who experienced cyber victimization. Future research using qualitative methodologies and direct analysis of public social media posts are needed to effectively detect the latent or covert signs and symptoms of cyber victimization and risky online behaviors.

Friendships are vital for the well-being of young adults, yet their social network is often reduced during episodes of life-disruptive mental distress, such as psychosis. Despite this, our study shows that young adults do either maintain or build friendships during such periods and that these relationships are crucial for recovery in youth. As research on the role of friendships in the recovery journey of this group is limited, this study explores the significance of friendships for young adults engaged in early psychosis interventions to generate insights that can inform mental health recovery practices. In-depth life-story and intensive interviews were conducted with six young adult users of early psychosis intervention OPUS. Using abductive thematic analysis, two main themes and four subthemes emerged: (1) "Seeking different kinds of recovery support with different types of friends" with subthemes (1.1) "Seeking safety in life-witnessing friendships" and (1.2) "Shaping identity with friends in communities of interest"; and (2) "Belonging and unbelonging with friends and their significance to recovery in youth" with subthemes (2.1) "Struggling with friendship expectations perpetuates social isolation" and (2.2) "Connecting with friends enables belonging to humanity as a whole." The findings highlight that, while social isolation can reinforce feelings of alienation, belonging with friends instills a sense of hope and meaning. The involvement of friends in early psychosis interventions may enhance social skills training, strengthen social bonds, and support the inclusion and well-being of young adults.

Infant neonatal intensive care unit (NICU) hospitalization increases maternal risk for post-traumatic stress disorder (PTSD) symptoms, which may negatively impact mother-child attachment and infant growth and development. Prior studies have documented positive associations between unmet parenting expectations and adverse maternal psychological outcomes, including post-NICU discharge. However, no studies have yet explored how unmet parenting expectations may be associated with maternal NICU-related PTSD symptoms. The current paper reports a focused analysis of cross-sectional questionnaire data collected from NICU mothers (n = 128) during a larger mixed methods study. Multiple linear regression was used to test the association between parenting expectation-experience differences (EEDs) and NICU-related PTSD symptoms reported by mothers 1-5 years post-infant NICU hospitalization. The moderating role of parenting self-efficacy was also examined. After adjusting for covariates in the main effects model, a negative association was found between EED scores and NICU-related PTSD symptoms (B = -1.5, p $<$ 0.001), and perceived parenting self-efficacy was found to moderate (weaken) this negative association. Findings suggest that interventions and NICU care practices aimed at better aligning parenting expectations and NICU experiences and at promoting parenting self-efficacy among NICU mothers may strengthen delivery of supportive, family-centered care and may lead to improved maternal and child outcomes in this population.

The need for belonging is a fundamental human motivation. Despite the significance of belonging, many people struggle to feel a sense of it. Healthcare organizations continue to experience workforce shortages. A workplace that does not promote belonging may prevent the career progression of its staff, leading to low morale and poor work performance. This may negatively impact their physical and mental health and compromise patient safety. The purpose was to explore inter-professional healthcare workers' sense of belonging at all levels (horizontal and vertical) and to predict possible factors that may promote/hinder it. An anonymous, descriptive, cross-sectional online electronic survey design and a modified version of the Sense of Belonging Instrument were used to collect data over 2 months in 2024 to report employees' levels of belonging. This included mental health nurses. The study was conducted at a large, urban, mental health and addiction hospital located in Ontario, Canada. A total of 441 staff members completed a questionnaire. The response rate was 24%. The variables of age, tenure, gender, ethnicity, area of work, and job satisfaction were statistically significant. Multiple regression analysis revealed that the variables of tenure, gender, employment status, and job satisfaction were predictors for belonging. Healthcare leaders must understand who feels that they belong and who does not. Every employee (regardless of their background), should feel that they belong. People should not have to feel like an outsider when they are at work. Understanding and fostering a sense of belonging in the workplace is critical to maintaining a stable workforce.

This study aims to provide a new perspective on the concept of recovery by qualitatively analyzing the experiences of mentally ill people from the Japanese perspective through autoethnography. Traditionally, the recovery process has been viewed as a series of "ups and downs" that may not apply to individuals with chronic mental health issues. A qualitative autoethnography analysis used personal diary entries from 20XX through 20XX + 4. Using text mining with KH Coder and cluster analysis, I first classified and visualized the data from the diary content and then, after confirming the content chronologically, examined the validity of the concept of the recovery process based on the theoretical framework of the Japanese cultural perspective. External validity was ensured through triangulation with the author's work. Coding revealed four to six groups of mental health recovery keywords for each year. Confirmation of the results according to the life history also revealed problems with the conventional recovery process concept and advantages of the flat recovery process based on the Japanese cultural perspective.

In Sweden, approximately 1,200 individuals die by suicide annually. Inpatient suicide is considered rare, but death by suicide still occurs when admitted to a psychiatric hospital. This study was part of a national retrospective project covering data from all patients' medical records for the 2 years before death by suicide in 2015. In this study, 41 patients who died by suicide while being admitted to psychiatric care were identified. The aim was to retrospectively identify documentation of suicide risk, safety measures, and comparisons between those with and without suicide attempts for patients who died by suicide during psychiatric inpatient care. There was documentation of suicidal variables in 80% of the patients; 59% had a previous known suicide attempt, 63% were diagnosed with mood disorders, and 41% were assessed for elevated suicide risk. The most common suicide method was hanging, suffocation (68%), and 22% had died by suicide within 24 h after admission. Almost three-quarters were on voluntary care. No patients had constant professional supervision on a one-to-one basis, and 17% had 15-minute checks. One-third were on agreed leave at the time of the suicide. These results emphasise the lifesaving role of high-level supervision in the early stages of inpatient care.