Issues in Mental Health Nursing最新文献

With the increasing incidence of mental health conditions in Canada and globally, there is a growing understanding of the vital role that families play in supporting their loved ones. Families regularly provide psychological, emotional, physical, and financial assistance; however, they also endure significant burdens in these same areas. This conceptual review discusses the importance of mental health nurses (MHNs) extending their care to include family members, who are frequently ignored in mental health practices. Grounded in Family Systems Theory (FST) and current literature, this article produces three core themes: (1) families as essential partners in mental health, (2) the burden of caregiving on families, and (3) the value of supporting families in care. This article introduces a customized family-centered care framework, PACES, designed to guide MHNs in supporting and collaborating with families. The PACES framework highlights five essential areas: (1) partnership and collaboration, (2) assess needs, (3) communication, (4) education and (5) support family needs. Its implementation can empower MHNs to enhance recovery outcomes for patients while also fostering resilience and well-being within families.

This study presents a targeted analysis of qualitative data under a parent study integrating the World Health Organization's Age-Friendly Cities, Healthy Cities, and sustainable cities policy frameworks. To focus on implications for mental health promotion and nursing, data-analysis was performed mobilizing the Canada Health Act (CHA) as theoretical framework. Using data from 22 semi-structured interviews with community members (n = 17) and global policy stakeholders (n = 5), this analysis reveals how transportation may be a central factor through which environmental design influences accessibility to health care services, including mental healthcare. Thematic analysis revealed three interrelated factors-transportation cost, travel time, and travel risk-as central to understanding how city planning intersects with preexisting social marginalization to confound psychosocial outcomes. When viewed through the CHA's framework, transportation barriers effectively render public healthcare systems functionally inaccessible for many, particularly individuals facing compounded challenges related to socioeconomic status, age, disability, and limited mobility. Overall, the sub-study suggests that the design of one's physical environment can profoundly shape both access to care and one's perceived ability to find respite from, cope with, or resolve mental health stressors. Conceptualizations of the "world," in alignment with other mental health research, illuminate the ways in which transportation infrastructure and urban planning either expand or contract the scope of lived experience and autonomy to impact daily mental wellbeing. A preliminary framework of mental health nursing understood in terms of environmental and transportation planning concludes the study.

This study aimed to explore psychiatric nurses' thoughts, concerns, and readiness regarding artificial intelligence (AI) in care. AI is increasingly entering psychiatric practice, yet how nurses will integrate it remains underexplored. Using a phenomenological design and purposeful sampling, data were collected via in-depth interviews with 20 psychiatric nurses. Colaizzi's method was employed for analysis. Four main themes emerged: (1) The Paradox of Artificial Intelligence's Inability to Understand Humanity, (2) Watching Eyes and Misleading Judgments, (3) Shadows of Security and Privacy, and (4) Difficulty of Adaptation and the Human Factor. Nurses expressed doubts about AI's capacity for empathy and abstract reasoning, emphasizing that it may misjudge patients and create ethical dilemmas. Concerns were also raised about AI's limitations in observation-based assessments and its potential to disrupt nurse-patient dynamics. The study recommends training for both nurses and patients, clear task definitions for AI, and implementation under human supervision. It highlights the critical role of psychiatric nurses in guiding ethical integration and promoting accurate information. These findings support a cautious, evidence-based approach to integrating AI into psychiatric care within broader digital health policies.

Objectives: For young adults, experiences of life-disruptive mental distress often involve social isolation, stigma and reduced self-worth, which can impede recovery during a critical period of identity formation. This study explores how six young adults in Denmark, recruited through the OPUS early psychosis intervention program, retrospectively assessed how, where and why they were enabled to act within everyday contexts to catalyse recovery.

Research design and methods: An abductive thematic analysis was conducted using life story interviews followed by intensive interviews focused on youth recovery.

Results: Two themes were generated. First, overcoming isolation in safe and inclusive communities: participants sought belonging through repaired parental relationships or, when parental support was insufficient, by visiting trusted networks abroad. Second, gaining competence and recognition in self-chosen physical and creative activities: these contexts enabled participants to develop skills, experience recognition and, in some cases, reframe aspects of mental distress as personal resources. Together, the themes suggest that experiences of safety were a necessary basis for attuned exploration, self-challenge and identity formation fostering greater hope for the future.

Discussion: The analysis illuminates the relational and contextual dynamics of agency, belonging and meaning making in youth recovery, showing that agency was co-created through interactions with people, environments, activities and norms.

Conclusion: Everyday contexts aligning with young adults' interests hold substantial potential to foster belonging, participation, competence and hope, supporting meaningful engagement in life while preparing young people for adulthood.

This study examines the efficacy of a behavioral activation (BA) program in reducing negative symptoms and depression, and enhancing resilience in inpatients with schizophrenia. This study had a nonequivalent control group pretest-post-test quasi-experimental design. We collected data between November 12, 2024, and January 31, 2025, at a psychiatric hospital in South Korea. The participants were recruited using convenience sampling and assigned to either an experimental (n = 17) or control group (n = 17), with members of the two groups in separate wards. The experimental group attended a BA program twice a week for 5 wk (a total of 10 sessions), while the control group received standard care. The outcome variables were negative symptoms, as measured by the PANSS-N; depression scores on the BDI-II; and resilience scores on the CD-RISC-25. These were assessed at baseline, immediately after program completion, and 5 wk later. We analyzed the data using repeated-measures ANOVAs and generalized estimating equations. The experimental group showed reductions in negative symptoms (F = 32.79, p < 0.001) and depression (χ² = 14.07, p = 0.001), and increased resilience (χ² = 32.15, p < 0.001). Significant group-by-time interaction effects were observed for negative symptoms (F = 13.05, p = 0.001), depression (Wald χ² = 70.94, p < 0.001), and resilience (Wald χ² = 205.42, p < 0.001). The findings indicate that a nurse-led BA program can effectively reduce negative symptoms and depression while enhancing resilience in inpatients with schizophrenia.

Suicide risk is often reflective and nonverbal, transmitted through the affective field of the clinician-patient relationship. This discussion paper advances a defense-informed framework showing how splitting, projection, and denial may be enacted interpersonally and registered as countertransference-guilt, detachment, or affective "whiplash"-that signals unspoken suicidal disintegration. Integrating psychodynamic and intersubjective theory with emerging suicidology (e.g. Suicide Crisis Syndrome), the approach formalizes countertransference as clinical attunement rather than interference. It augments standardized assessment by adding relational and embodied data, particularly when communication is fragmented, symbolic, or defended. Practice implications include routine affect check-ins, reflective supervision, and deliberate use of relational cues in formulation and safety planning. Although examples derive from youth and high-acuity services, the framework is transdiagnostic and portable across inpatient, community, and emergency settings. The aim is a more responsive, person-centered model of suicide prevention grounded in containment, co-regulation, and therapeutic presence.

Individuals living with mental disorders are at heightened risk of lifestyle-related health problems and premature mortality. Lifestyle programmes with both individual support and group interactions with a person-centred focus in outpatient psychiatric care may help mitigate these risks. However, mental health staff's experiences of implementing such programmes remain underexplored. The aim of this study was to explore the experiences of mental health staff in facilitating a person-centred lifestyle programme within psychiatric outpatient care. Using a descriptive qualitative design, 10 mental health staff educated to group leaders were interviewed in semi-structured formats following their delivery of a 12-session lifestyle programme. Data were analysed using qualitative content analysis. Three main categories emerged: Programme planning and implementation, Programme content and structure, and A supportive relationship. Subcategories addressed challenges, such as lack of preparation time, organisational barriers, and the need for programme adaptation. The findings suggest that aligning lifestyle programmes with person-centred care emphasising both empathy and structure can enhance participants' health while fostering professional fulfilment among staff. To ensure long-term sustainability, enhanced organisational support and integration into routine practice are recommended.

Global migration has heightened due to various factors ranging from economic instability, political tension in many countries, escape from human rights abuse, search for better education and quality of life, as well as other involuntary reasons. Immigrants, irrespective of their immigration status, are often confronted by various challenges such as systemic inequities, identity conflict, community fragmentation, cultural and sociopolitical marginalization, including acculturation stress in their host countries that undermine their mental health. Current sociopolitical situations, particularly in the United States, further exacerbate these stressors. In light of this, mental health nurses must provide care that transcends borders, race, sexuality, or immigration status. Drawing on existing evidence, practice-based gaps, and emerging frameworks of culturally attuned care positions presence-centered care as a critical care approach in mental health care for vulnerable populations. There is transformative power in caring presence practice, particularly for immigrants who are confronted with various cultural and sociocultural stressors that exacerbate mental health issues among the population, inviting new discourse in this care dimension. Additionally, culturally attuned and presence-centered care are approaches that are culturally congruent to better prepare mental health nurses in the delivery of holistic care for improved mental health and overall well-being of the immigrant population.