Issues in Mental Health Nursing最新文献

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.

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.