Issues in Mental Health Nursing最新文献

Children of Parents with a Mental Illness (COPMI) are at elevated risk of developing mental and physical disorders in adulthood. However, there is a knowledge gap regarding the mental healthcare needs of adults with a COPMI background. This study identified long-term psychological and physical consequences of a COPMI background and intervention needs. Methods involved two rounds of assessment, using a mixed quantitative and qualitative approach with explorative thematic analysis. Participants were approached via a national nonprofit organization that supports family members and significant others of people with mental health-related problems. Results of round 1 (N = 59) showed that participants experienced interpersonal (97%), psychological (89.9%), and physical problems (89.1%) in adulthood. All participants stated that a COPMI background requires attention in mental healthcare. In round 2 (N = 35), participants identified the following needs: (1) screening for a COPMI background, (2) information about having a COPMI background and possible implications for mental and physical wellbeing in adulthood, (3) receiving suggestions on how to discuss the COPMI background during treatment, and (4) peer contact and finding stories of others' experiences. These findings indicate that psychological wellbeing and quality of life can be improved by incorporating COPMI background assessments and personalized interventions in clinical care.

In nursing practice, suicide risk is often encountered not only as a crisis of safety, but as a crisis of identity. Individuals facing suicidal despair frequently present with a fractured sense of self, belonging, and future direction - dimensions that are easily overlooked by symptom-based assessments. This article introduces the Character-Setting-Script (CSS) framework, a narrative identity model tailored for nursing and mental health care. Drawing from existential theory and narrative psychology, the CSS model maps suicide risk across three clinical domains: Character (who the person believes they are), Setting (where they come from and what cultural worlds shape them), and Script (what future they can still imagine). Designed to enhance therapeutic engagement and cultural responsiveness, this approach supports nurses in identifying early signs of narrative collapse and facilitating story-based interventions. By helping individuals re-author meaning, coherence, and possibility, the CSS model reframes suicide prevention as a relational, narrative, and deeply human act of care.

This issue has been identified as a public health problem, yet there have been few studies on the mental health and quality of life of nursing students in France. This research had two objectives: to examine the prevalence of psychological disorders (perceived stress, anxiety and depressive disorders) and to evaluate their quality of life. This cross-sectional study employed a descriptive observational design and included a sample of 1,866 nursing students. Socio-demographic and health history data were collected. Perceived stress, anxiety, depressive symptoms and quality of life were assessed using the PSS-14, HADS and WHOQOL-Bref scales. The data underwent descriptive and comparative analysis by gender and education, and correlational analysis. The findings revealed that 63.5% of nursing students had high level perceived stress, 50% had anxiety symptoms, and 14.4% had depressive symptoms. There were gender differences in perceived mental health, perceived stress and anxiety symptoms. There were also differences based on years of education in perceived physical health, anxiety symptoms and depressive symptoms. A negative link was found between the PSS, HAD-A and HAD-D, and WHOQOL. It can be concluded that future interventions to promote the mental health of nursing students should be implemented.

Cardiovascular conditions are the leading cause of pregnancy-related death among African American women (AAW). Stress is a risk factor for cardiovascular conditions that negatively impacts maternal health; however, research on stress management interventions for pregnant AAW is currently limited. Thus, we conducted a scoping review to explore the state of the science on this topic to better understand what types of methods, measures, and components have been utilized in stress management interventions for pregnant AAW. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR) framework was used to conduct a systematic literature search. Eight studies using quantitative (n = 4), qualitative (n = 2), and mixed methods (n = 2) were identified. Common intervention components were education, social support, mind-body exercises, and reflection. Studies additionally measured physiological stress, anxiety, and depression. Results for stress reduction were mixed; while two studies reported post-intervention decreases in stress, others found no significant changes, highlighting the preliminary nature of existing evidence. The qualitative studies provided information on intervention benefits and barriers to participation. Future intervention studies that are community-based, culturally-relevant, and target contextualized stressors are necessary to build confirmatory evidence on methods of stress management for pregnant AAW.

Unhealthy alcohol use includes a range of drinking behaviors that pose health risks. Among gay, bisexual, and other men who have sex with men (GBMSM), factors including minority stress exacerbate these risks. However, inconsistencies in defining unhealthy alcohol use in research hinder effective screening and intervention. A clearer conceptual understanding is essential for improving nursing care and public health strategies. This article aims to clarify the concept of unhealthy alcohol use among GBMSM using the Norris method of concept clarification. A selective literature review identified 20 sources. The Norris framework was applied to examine unhealthy alcohol use through its antecedents, attributes, and consequences. Findings were synthesized to develop an operational definition and a conceptual model. Unhealthy alcohol use among GBMSM is defined as a pattern of drinking that exceeds established low-risk guidelines and/or causes harm, often influenced by stigma, discrimination, and permissive social norms, thereby increasing vulnerability to adverse health outcomes, including co-occurring substance use, HIV risk, and chronic conditions. Nurses are well-positioned to address unhealthy alcohol use in GBMSM communities through culturally competent screening, education, and interventions. Conceptual clarity supports research, policy, and practice by integrating quantitative thresholds with sociocultural influences and guiding targeted strategies to improve GBMSM health outcomes.

Introduction: Psychiatric inpatient care is often characterized by brief admissions and an orientation toward acute treatments. Persons with dissociative identity disorder have been recognized as a vulnerable group within psychiatric inpatient care and are at risk of not receiving correct support in psychiatric inpatient care. Research within the area is limited and includes no overview of how persons with dissociative identity disorder are cared for in psychiatric inpatient care.

Aim: The aim was to map the area of knowledge on psychiatric inpatient care for persons with dissociative identity disorder.

Method: This scoping review followed the Preferred Reporting Items for Systematic Review and Meta-Analysis for Scoping Reviews. The search strategy included both peer reviewed papers indexed in PubMed, Cinahl and PsycINFO, and grey literature.

Results and conclusions: The review identified eight studies, revealing a small base of knowledge on psychiatric inpatient care for persons with dissociative identity disorder, showing the importance of further research exploring the significance of trauma awareness in this area. Further research should include persons with lived experience, both as participants and as partners in the research process. Nurses are in a position to prevent retraumatisation and promote person-centered approaches to care by valuing the patients' perspectives.

Caring for women in compulsory psychiatric inpatient care entails having to make a number of different moral considerations. Using coercive measures leads to difficulties in creating a caring relationship and the care given to the women thus needs to be as ethical as possible. The aim was to describe healthcare staff's experiences of caring for women in compulsory psychiatric inpatient care. Eleven healthcare staff were interviewed, and the material was analyzed with a Reflective Lifeworld Research approach. The results show that healthcare staff move between self-examination and examining their colleagues closely and are also careful about protecting the women's privacy. An emotional rollercoaster is set in motion when the women's life situation affects the healthcare staff. Bridges are built, both with the next of kin but also with other authorities. It can be challenging to include the next of kin in the care for women in compulsory care since they may have a different view to that of the healthcare staff. Providing the healthcare staff with professional support and a supportive care environment may enhance their ability to provide a personalized care for the women in compulsory care.