Issues in Mental Health Nursing最新文献

The beginning of poor physical health trajectory for young people with early psychosis is found to occur prior to the onset of psychosis. Promotion of physical health requires sustainable positive health behaviour change. This study is aimed at exploring the views of carers on the physical health of young people with early psychosis, the physical health care young people receive and carers' perspectives on important elements in promoting sustainable positive lifestyle changes. The outcome of this study will help inform the development of a co-designed lifestyle intervention for young people with early psychosis. Semi-structured interviews were conducted with 12 carers using an exploratory descriptive approach. Three main themes were identified using thematic analysis: (i) Physical health - what makes them worry and seek help; (ii) Disconnected physical health care; (iii) Key to sustainability - "Nothing succeeds like success". Carers are at the forefront of physical health promotion for young people. The findings of this study emphasised that a lifestyle intervention designed for young people should be tailored to the needs and preferences of not only young people but also their carers, with incorporation of elements of health literacy, psychosocial wellbeing and self-determination in the drive for sustainable positive health behaviour change.

Peer support workers (PSWs), who through their experience-based expertise support the recovery of people using mental health services, have been shown to facilitate interprofessional learning. However, due to hierarchical teams, this learning has been challenged. To facilitate interprofessional learning, mental health professions need to understand the nature of the professionality of PSWs. This study aims to explore the concept of 'professionality' through conceptual analysis, applying Walker and Avant's stepwise approach. The findings show that the key attribute of PSWs' professionality is equality. By being characterized by equality, presupposes that PSWs may need to cross boundaries. This boundary crossing needs to be considered to be able to use the PSWs' expertise and facilitate interprofessional learning in teamwork. The conclusion is that by acknowledging this professionality, which means that the transgression of professional boundaries can be justified, hierarchy can be counteracted. This is important to stimulate interprofessional learning and increase the quality of services.

All health professionals, including mental health nurses, use professional boundaries to support safe interactions with patients and family members. In contemporary health settings, however, the boundaries between personal, socio-cultural, professional, and virtual settings are not always clear. Boundaries can be explicit or implied, and change according to situation and circumstance. With the normalization of self-disclosure on social media platforms, together with the rise of lived and living experience stories about overcoming health challenges, boundaries between the personal and professional domains have become increasingly complex to negotiate. This discursive review explores the nature of relational boundaries in contemporary health settings and the practical challenges faced by health professionals when establishing boundaries in diverse situations. The paper also considers why boundary transgressions occur, including the notion of boundary creep; together with how boundary-setting can be improved. These improvements include seeking education and professional development opportunities on the issues characterizing contemporary health settings, critically self-reflecting in clinical supervision, clearly delineating boundaries to consumers, and constantly monitoring and calibrating professional boundaries to minimize crossings and transgressions.

Suicide ideation (SI) exceeds combined rates of suicide attempts and deaths yet is vastly overlooked in the literature. Understanding SI is crucial for supporting those who live with these thoughts, particularly women, who experience higher rates of SI than men. Women seeking support are not necessarily looking for help with their SI, rather, their health problems and general wellness. For this reason, we used a Glaserian grounded theory approach to understand the strengths and barriers of how women with SI manage or promote their health. Thirty-two women from four Canadian provinces with SI were interviewed. Data was analyzed using a constant comparison method. Using a Glaserian approach, analysis renders an emergent central variable, and findings are written conceptually instead of descriptively. Findings yielded a theoretical rendering of the basic psycho-social problem (central variable) and process of managing or promoting their health. Here, we report on the psycho-social problem, identified as compression, the sense of being squeezed out of social spaces due to others' rejection of SI. Compression involves feeling pressured to end SI and to prioritize others' needs above their own, imposing demands on women to remain alive and sustain a high level of functioning. Trauma and violence informed approaches are essential to reduce compression, by offering spaces where women are free to discuss SI and how to manage psychological pain with others.

Psychiatric emergencies pose significant challenges for nursing staff, impacting both patient care and the well-being of healthcare professionals. This scoping review aims to explore the difficulties nurses face in psychiatric emergency settings and identify future recommendations for improvement. A scoping review was conducted using Arksey & O'Malley's framework and adhering to PRISMA guidelines. Literature research was performed across multiple databases, including 12 peer-reviewed studies published between 2015 and 2024 that focused on nursing challenges in psychiatric emergencies. The review identified seven key challenges nurses face, including a high-stress environment and inadequate resources. Furthermore, eight recommendations were proposed, including enhanced training programs and increased interdisciplinary collaboration. Addressing these challenges through targeted recommendations can improve care quality in psychiatric emergencies. Emphasizing training, adequate staffing, and supportive systems is crucial for workforce resilience and effective patient management. Optimizing nursing practices in psychiatric emergencies is essential for enhancing patient outcomes and supporting nursing staff, ultimately fostering a more effective mental health care system.

Stress and withdrawal symptoms such as cravings are associated with addiction relapse. This study aimed to evaluate the combined effects of positive psychology counselling and auricular acupressure on resilience and withdrawal symptoms among individuals with gambling use disorder. This is a randomised controlled trial conducted at a university in South Korea between July 2023 and October 2024. Thirty-six participants were randomly assigned to either an experimental group, which received six weekly sessions of positive psychology counselling and auricular acupressure, or a control group that received self-help educational materials and routine counselling. The positive psychology counselling and auricular acupressure were administered once a week for 6 weeks. In the experimental group, resilience in week 5 was significantly higher (t = 4.83, p = 0.035), and gambling withdrawal symptoms were significantly lower compared to the control group (t = 2.06, p = 0.047). Among gambling withdrawal symptoms, craving (p = 0.015), and insomnia (p = 0.006) indicated significant differences. Insomnia was significantly reduced in the experimental group compared to the control group over the course of 5 weeks (F = 2.70, p = 0.034). In conclusion, positive psychology counselling combined with auricular acupressure increased resilience and decreased gambling withdrawal symptoms. Further research is recommended to examine long-term outcomes and potential mechanisms of action.