Issues in Mental Health Nursing最新文献

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.

Food insecurity is a critical social determinant of health among individuals with schizophrenia-spectrum psychotic disorders (SSPDs). While existing research emphasizes prevalence and clinical outcomes, less is known about how clients and case managers navigate chronic hunger relationally and emotionally. This qualitative descriptive study examined co-experiences and interpretations of food insecurity among individuals with SSPD and their case managers in a community mental health setting in the Southeastern United States. We conducted 10 semi-structured interviews with five clients diagnosed with SSPD and five case managers (30 minutes each). Reflexive thematic analysis, guided by Braun and Clarke's framework, identified five interconnected themes: structural tradeoffs that prioritize housing over food; the burden of shame and stigma when seeking help; invisible coping labor required to manage scarcity; physical health impacts, including malnutrition and chronic disease complications; and hunger as a potential catalyst for psychiatric distress and symptom relapse. Triangulation of client and case manager perspectives revealed shared and divergent understandings of these challenges. Findings from this small, single-site study suggest that food insecurity for individuals with SSPD extends beyond material deprivation and requires integrated, trauma-informed, stigma-reducing interventions that link food security with stable housing and mental health recovery in this community mental health context.

Community well-being is increasingly strained by the intersecting challenges of social disconnectedness, generational divides, and climate change. Strengthening ties across generations can promote trust, empathy, and holistic wellness for current and future communities. This intergenerational, community-engaged study engaged older adults (aged 65+) and emerging adults (aged 18-29) in rural Appalachian Ohio to: (1) explore intergenerational dynamics of social connectedness, and (2) examine whether cross-generational dialogue supports collective care amid rapid environmental change. Guided by the intergenerational solidarity framework and contact theory, we employed Participatory Photo Mapping, combining photo mapping with photo-and-map elicitation interviews (n = 16) and focus groups (n = 11). Findings reveal strong intrafamilial connections and intergenerational ties to place, but limited non-familial intergenerational relationships and perceived connection to future generations. Intergenerational contact fostered mutual learning and trust-building. Health professionals can apply these insights to promote lifelong community well-being through strategies such as intergenerational wellness programs, arts-based initiatives, and shared-interest groups that enhance intergenerational contact and encourage legacy thinking. Moreover, providers may benefit from deepening their knowledge of intergenerational place identity as climate change reshapes community landscapes.

Despite the availability of evidence-based treatments, many United States veterans do not seek or complete mental healthcare when needed, which contributes to adverse outcomes such as chronic mental illness, substance misuse, and suicide. This integrative review aims to identify and synthesize the multidimensional factors that influence mental healthcare-seeking behaviours among veterans. A systematic search and synthesis of 43 peer-reviewed studies was conducted using an integrative review search. Studies were analysed to extract recurring patterns and themes related to veterans' engagement with mental health services. Five major themes emerged: military culture, need for care, barriers to care, facilitators to care, and veteran-specific care. A complex interaction of personal, cultural, and structural factors shapes veterans' mental healthcare-seeking behaviours. Addressing these barriers and enhancing facilitators through tailored interventions, culturally competent care models, and policy reforms is critical to improving access, engagement, and mental health outcomes among the veteran population.

Major Depressive Disorder (MDD) is a complex and debilitating condition influenced by biological, psychological, and social determinants. The biopsychosocial model has long guided mental health research and practice, yet it is often criticized for being conceptually broad and insufficiently operationalized. At the same time, interest in biomarkers, particularly hematological indices such as complete blood count (CBC) parameters, has grown, with the goal of providing objective tools to complement subjective assessments. This paper argues that integrating scientific realism with the biopsychosocial model offers a stronger conceptual and methodological foundation for biomarker research in depression. Scientific realism emphasizes the existence of causal mechanisms that can be approximated through measurable indicators, thereby addressing the limitations of the biopsychosocial model's vagueness. Using depression as an exemplar, this paper demonstrates how a scientifically realist approach can guide the operationalization of biological, psychological, and social constructs into testable models. Implications for nursing research, education, and clinical practice are discussed, with recommendations for developing rigorous biomarker studies and embedding biomarker literacy into mental health nursing curricula. This integration advances a more evidence-based, holistic, and clinically relevant understanding of depression.

In psychiatric nursing, patients often develop strong transference toward nurses due to intense psychological needs. How nurses managed this transference while maintaining professionalism remained an important issue. This study aimed to explore psychiatric nurses' experience in dealing with patients' transference. A qualitative design was employed. Fourteen psychiatric nurses from the psychiatric ward of Hospital were recruited. Data was collected through in-depth interviews and analyzed using thematic analysis to identify core concepts. Four themes were constructed; 1. Invisible boundaries, 2. self-reflection, 3. seeking help and responding, and 4. adjustment and relearning. Through self-reflection, nurses integrated personal experiences, individual characteristics, and professional skills, transforming explicit textbook knowledge into tacit clinical knowledge, which enhanced their understanding and learning in nurse-patient interactions. The study revealed that psychiatric nurses transformed the potential challenges of transference into resources that promoted therapeutic relationships. Nursing education was recommended to strengthen awareness, self-reflection, and boundary-setting skills. Role-playing and group discussions were suggested to guide nurses in establishing flexible and professional nurse-patient relationships.