Issues in Mental Health Nursing最新文献

For many older adults, especially in rural areas with limited transport options, driving is key to independence. Losing the ability to drive can significantly impact their mental health and well-being. This scoping review examined the impact of relinquishing or having a driver's license revoked on the mental health and well-being of individuals aged 65 and older. In December 2024, a detailed electronic search was completed across PubMed, CINAHL, and Google Scholar, identifying 18 studies that met the inclusion criteria. Findings consistently demonstrated that driving cessation was associated with increased depressive symptoms, anxiety, social isolation, and decreased out-of-home activities. The psychological impact varied based on whether cessation was voluntary or imposed, with planned transitions resulting in better outcomes. Gender differences were notable, with men experiencing steeper declines in physical functioning and stronger associations between driving cessation and mortality compared to women. Geographic location significantly influenced post-cessation experiences, with rural residents facing greater challenges due to limited transportation alternatives. Access to reliable alternative transportation and strong social support networks emerged as critical factors that mitigated negative outcomes. This review highlights the need for comprehensive support strategies addressing both practical mobility needs and the psychosocial well-being of older adults transitioning from driving to non-driving.

The mental health crisis in Canada is escalating rapidly, placing immense pressure on the healthcare system. This is particularly concerning for individuals with mental health and addiction disorders, who depend on primary and community-based healthcare services to manage their conditions. Inadequate and delayed care for these populations can result in worsening symptoms, higher mortality rates, and excessive reliance on emergency services. This study explores patients' experiences with accessing primary and community-based healthcare service to enhance service accessibility and utilization, and address excessive use of emergency services, which are often poorly equipped to provide long-term mental health and addiction care. Interviews with 22 individuals living with mental health and/or addiction disorders highlight the significance of positive relationships with healthcare providers, the impact of systemic barriers on help-seeking behaviors, and the coping strategies developed to navigate these challenges. The paper concludes with actionable policy recommendations aimed at addressing barriers and strengthening facilitators to improve healthcare delivery to those with mental health and/or addiction disorders.

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.