Issues in Mental Health Nursing最新文献

People with severe mental illness are less physically active than the general population and face higher risks of cardiovascular disease, obesity and diabetes. The aim of this study was to explore how people with severe mental illness understand physical activity and what barriers and facilitators they experience. Using the methods of photovoice and co-creation, we engaged people with severe mental illness as co-researchers. The data was analysed using reflexive thematic analysis. The method enabled participants to reconceptualise physical activity, thereby highlighting it as a socially embedded practice. A photovoice exhibition showcased our result and gave voice to the target group. The overarching theme of 'Meaningful Movement' described the ways in which physical activity is part of daily life, emotional well-being, embodied experience, social belonging and identity. Two themes, 'Interaction with Other People' and 'Interaction with Nature and Animals', showed the ways in which access to physical activity is shaped by complex environmental interactions. The participants described limited access to nature, animals, and nuanced understandings of physical activity during psychiatric hospitalisation. These structural barriers limit opportunities for people with severe mental illness to engage in physical activity and constrain professionals in providing person-centred care.

This study aimed to explore the perspectives and experiences of individuals with severe mental disorders regarding psychotropic medication polypharmacy. This study is designed as a descriptive qualitative research involving a sample of 28 individuals with severe mental disorders receiving follow-up care at an adult mental health outpatient clinic of a university hospital in Türkiye between March and December 2024, all of whom were using multiple medications. The inclusion criteria were being an adult diagnosed with schizophrenia or bipolar disorder for at least 12 months and using at least two psychotropic medications for the past two months. Data were collected through in-depth, face-to-face individual interviews. The study data were categorized into six main themes: (1) Disrupted Daily Life Rhythm, (2) Living with Side Effects, (3) Polypharmacy and Illness Perception, (4) Chemicals and Identity, (5) Sustaining Well-being Through Support, and (6) Struggling with the System: Challenges of Medical Procedures. The findings indicate that individuals with severe mental disorders experience significant disruptions in their daily functioning due to polypharmacy, rely on familial and social support to maintain medication adherence, face challenges in complying with healthcare system procedures, and express concerns regarding the psychological and physical effects of psychotropic medications.

Staff members working in mental health settings may experience stigmatising attitudes towards individuals with a personality disorder diagnosis. Little is known about how such attitudes may be modified or improved. The purpose of the current study was to investigate the impact of a written psychological formulation on attitudes towards an individual with a diagnosis of personality disorder. The current study had an experimental, vignette-based, between-subjects design and utilised online survey approach. Multidisciplinary staff members (n = 141) from two large mental health trusts in the East of England took part in the study being randomly assigned to either the formulation or Non-formulation condition. Both groups read a short extract about the same fictitious patient. Participants in the formulation condition also read a psychological formulation regarding the patient's presenting difficulties. Attitudes and causal attributions were compared between the two groups. The results of the study suggest that the addition of a psychological formulation, at least one structured along the lines of the 5-P's framework, did not significantly alter participants' attitudes towards the individual within the vignette in most domains measured. One domain of the Causal Attributions measure ('Stability') showed a change in the direction of increased stigma.

Digital technologies are increasingly integrated into psychiatric nursing, yet a comprehensive understanding of their implementation and effectiveness remains limited. This bibliometric analysis explored the research landscape of digitally-supported interventions, focusing on models, effectiveness, and future directions. A systematic search of the Web of Science Core Collection (2019-2024) was conducted, combining bibliometric mapping with thematic analysis. Four thematic clusters emerged: (1) Digital Psychiatry and m-Health Applications, (2) Simulation and VR in Nursing Education, (3) Telemedicine and Mental Health in the COVID-19 Era, and (4) Foundational Concepts of Digital Mental Health. m-Health applications were central themes, while telemedicine's role was crucial during the pandemic. The study highlights the importance of digital technologies, especially m-health, in psychiatric nursing and underscores the need to enhance nurses' digital skills and develop effective nurse-led interventions. The analysis also identifies critical research gaps concerning clinically meaningful outcomes, cost-effectiveness, transferability, and patient/provider experiences. These findings provide a roadmap for future investigations to improve patient care.

Interprofessional communication is fundamental in healthcare, particularly where patient needs demand coordination and shared understanding. It fosters role clarity, care coordination, and team cohesion. However, unclear hierarchies, heavy workloads, and interpersonal conflicts can disrupt collaboration, affecting professional relationships and patient outcomes. This study explores experiences of and reflections on prerequisites for and barriers to interprofessional communication in psychiatric outpatient settings. While previous research has described barriers, few studies have examined how communication itself constitutes professional roles, boundaries, and collaborative practices. To address this gap, the study applies the Four Flows framework-membership negotiation, self-structuring, activity coordination, and institutional positioning-as an interpretive lens. Using vignettes and semi-structured interviews with 11 clinicians in psychiatric outpatient units, the study analyzed how communication shapes and is shaped by interprofessional collaboration. Analysis identified four key categories: systemic barriers and organizational challenges; social dynamics and interprofessional relationships; supportive leadership and team culture; and patient focus and involvement. These categories intersect across the Four Flows, illustrating how communication acts as a structuring process rather than a neutral tool. The overarching theme," From Separate Paths to Shared Care," highlights how clinicians enact person-centered collaboration through communicative practice in psychiatric outpatient settings.