Journal of Psychosocial Nursing and Mental Health Services最新文献

Purpose: To investigate psychiatric nurses' emotional intelligence and its effect on care behavior, while also examining the mediating effect of compassion fatigue and perception of management.

Method: This cross-sectional study was conducted in several specialized psychiatric hospitals with 360 psychiatric nurses. Self-report surveys were administered, which included the Caring Factor Survey-Caring of Manager, Caring Behaviors Inventory, Compassion Fatigue Short Scale, and Wong Law Emotional Intelligence Scale. Data were analyzed using descriptive, correlation, and path analyses.

Results: Mean score for care behavior was 4.78 (SD = 0.83), which was at a moderate level. Compassion fatigue exhibited negative correlations with other variables. Results of mediation effect analysis showed that emotional intelligence directly predicted care behavior (p < 0.001). Emotional intelligence also indirectly affected care behavior through the mediating roles of perception of management and compassion fatigue, and affected care behavior through the chain mediation effect of perception of management and compassion fatigue.

Conclusion: Nurse managers should pay attention to the influence of emotional intelligence on care behavior and improve care behavior by strengthening leadership and alleviating compassion fatigue. [Journal of Psychiatric Nursing and Mental Health Services, 63(2), 35-43.].

Purpose: To explore whether continuous positive airway pressure (CPAP) adherence among adult patients with obstructive sleep apnea (OSA) and posttraumatic stress disorder (PTSD) affects the PTSD Checklist (PCL), a validated tool that measures severity of PTSD symptoms.

Method: Studies focusing on PTSD and OSA were searched in PubMed and CINAHL databases. Inclusion and exclusion criteria were applied, decreasing the article yield to nine. All articles chosen focused on the adult population and were conducted in North America.

Results: The literature review yielded eight observational cohort studies and one descriptive study. Seven studies were conducted with Veterans and all studies used the PCL tool. Three themes were identified: (a) Trauma and OSA, (b) OSA and PTSD Symptoms, and (c) CPAP Therapy and PTSD Symptoms. An area of further study is assessing how CPAP adherence might affect improvement in PTSD symptoms and how adherence can be improved.

Conclusion: OSA is correlated with more severe PTSD symptoms, but CPAP use is associated with improvement in PTSD symptoms. The literature reviewed found PCL scores improved up to 10 points within 3 months of CPAP use. These findings highlight the importance of collaboration between mental health and sleep medicine professionals and opportunity for further study in this area. [Journal of Psychosocial Nursing and Mental Health Services, 63(2), 17-24.].

Racism is a structural determinant of health that affects mental health outcomes in the United States and globally. Nursing leaders must respond to a call to action to address racism in nursing. The purpose of the current article is to present evidence-based, race-conscious strategies for nurses in leadership roles to identify, challenge, and mitigate racism in nursing education and practice. Building on a theoretical framework, we share essential diversity, equity, and inclusion (DEI) strategies for dismantling racism in nursing. These DEI strategies include: (1) critical self-reflection, (2) mutual respect and recognition, (3) challenging White privilege, (4) leveraging available resources, (5) intentional advocacy/strategic planning, and (6) continuing education. The work of this American Nurses Association (ANA)- Illinois DEI Expert Panel is presented as an example of a statewide initiative to promote a greater understanding of the global history of racialization and challenge nursing leaders to act now to eliminate the contemporary effects of racism in the nursing profession. To truly challenge and mitigate racist practices, nursing leadership must be proactively engaged and have a strategic action plan in place to confront structural racism. [Journal of Psychosocial Nursing and Mental Health Services, 63(2), 11-16.].

Frailty is prevalent in adults aged ≥50 years, particularly among under-served minorities. Frailty is a multidimensional concept including physical, psychological, and social frailty, and any definition of frailty should meet the criterion of practicality that could be measurable, preventable, or modified by interventions and clinically reasonable. Early detection and tailored interventions can delay the progression of frailty and prevent adverse health outcomes. However, there is limited recruitment of underserved minorities and lack of research on early detection of multidimensional frailty and embedded adaptive systems that adequately meet the needs of aging populations. Nursing scientists, public health professionals, and policymakers should be aware of each dimension of frailty while addressing frailty and creating substantial research infrastructure development to prevent frailty that reaches populations in rural, suburban, and urban areas and benefits a larger research community. [Journal of Psychosocial Nursing and Mental health Services, 63(2), 7-10.].

Purpose: To assess the prevalence of mental illness among middle adolescents (aged 14 to 17 years) in Jeddah, Saudi Arabia.

Method: A quantitative, cross-sectional study was conducted among 483 students aged 14 to 17 years attending intermediate and secondary schools in Jeddah, Saudi Arabia. Participants were asked to complete the Arabic version of the self-reported Strengths and Difficulties Questionnaire (SDQ).

Results: SDQ scores ranged from 8 to 35, with a mean 18.5 (SD = 4.2). Several variables were significantly associated with higher SDQ scores, including age, sex, health status, and death of the mother.

Conclusion: Results indicate that middle adolescents' prevalence of mental illness is relatively high. [Journal of Psychosocial Nursing and Mental Health Services, xx(xx), xx-xx.].

Purpose: To investigate resilience in American Special Operations Forces (SOF) personnel.

Method: A qualitative descriptive exploratory design was used to interview Special Forces and Navy SEAL participants about their perspectives on and experiences of resilience. Assumptions that high resilience inversely correlates with suicide risk in SOF drove our primary research questions and study focus. Questions were based on Holling's theory of ecological resilience.

Results: Participants provided insightful and detailed data of their resilience and were often self-effacing or self-critical. Responses indicated that although quite resilient, SOF personnel express their resilience in ways known to become pathological and precipitate suicidality if left undetected. Extracted subthemes indicated commitment to others over self and a nexus of trait variables linked to suicidality. Estimated neurotrauma from repetitive blast exposures should be incorporated in future models.

Conclusion: Findings challenge prevailing beliefs that dysfunctional behaviors and suboptimal resilience drive SOF suicide. Results herein justify future research and changes to command postures and U.S. Department of Defense initiatives regarding relationships between and among variables of resilience, neurotrauma, and suicide in SOF. [Journal of Psychosocial Nursing and Mental Health Services, xx(xx), xx-xx.].

Purpose: To investigate the effect of art therapy on quality of life and social functioning of individuals with schizophrenia receiving community mental health services.

Method: A quasi-experimental study design was used to assess the effects of art therapy on quality of life and social functioning. The study included 14 participants with schizophrenia, seven assigned to the intervention group and seven to the control group. The intervention group participated in weekly art therapy sessions encompassing various artistic modalities over 16 weeks. Pre- and post-test measurements of quality of life and social functioning scales were administered to both groups.

Results: A significant increase was noted in total scores of quality of life and social functioning scales for the intervention group between pre- and post-test. No significant differences were observed within the control group.

Conclusion: The current study suggests that art therapy promotes quality of life and social functioning of individuals with schizophrenia. Art therapy may be suggested as a psychiatric rehabilitation approach; however, more evidence-based studies are needed for this intervention to be integrated into routine clinical treatment. [Journal of Psychosocial Nursing and Mental Health Services, xx(x), xx-xx.].