Journal of Psychosocial Nursing and Mental Health Services最新文献

Purpose: As peer recovery workers (PRWs) become increasingly integrated into behavioral health systems, certification has emerged as a mechanism for legitimizing lived experience and enabling Medicaid reimbursement. However, certification policies vary widely, reflecting divergent values and priorities that shape access to the profession.

Method: A reflexive thematic analysis of state-level certification policies for PRWs across all 50 U.S. states and Washington, D.C. was performed.

Results: Five key themes were derived: The Value of Peer Support in Multidisciplinary Teams, Work Experience Prior to Certification, Cultural Sensitivity, Exclusionary Language, and Structural Barriers to Inclusion. Although many policies affirm the importance of lived experience and recovery-oriented care, others impose restrictive requirements, such as abstinence-only definitions of recovery, vague moral character clauses, and excessive pre-certification work hours. These requirements may disproportionately exclude marginalized individuals and deter otherwise qualified applicants.

Conclusion: Findings highlight how policy language not only governs access to certification but also signals broader societal attitudes toward recovery, legitimacy, and professional worth. Recommendations include revising exclusionary criteria, increasing transparency in evaluation, and involving PRWs in policy development. By aligning certification standards with the values of equity and inclusion, states can better support a diverse and sustainable peer workforce.

Purpose: To explore the relationship between nurses' perceptions of consultation-liaison psychiatric nurses (CLPNs), psychosocial care competence, and compassion fatigue.

Method: The current study involved 453 nurses recruited using snowball sampling. Data were collected using a demographic information form (with items on perceived effectiveness of CLPN support: CLPN1 and CLPN2), the Psychosocial Care Competence Self-Assessment Scale (PCCSAS), and Compassion Fatigue-Short Scale (CFSS).

Results: Of total participants, 65.6% perceived CLPN support as highly effective for psychosocial care, and 62.7% for workplace mental health. Nurses reported above-average psychosocial care competence and moderate compassion fatigue. CLPN1 correlated positively with the PCCSAS; CLPN2 showed a low positive correlation with the CFSS subscale, secondary traumatic stress. The PCCSAS had a weak positive correlation with the CFSS and a weak negative correlation with the job burnout subscale of the CFSS.

Conclusion: Programs that enhance psychosocial care competence, reduce compassion fatigue, and promote CLPN involvement are needed.

Purpose: To examine the predictive effects of posttraumatic cognitive attribution and coping self-efficacy on post-earthquake trauma levels among earthquake survivors.

Method: A descriptive and correlational study was conducted with 143 survivors of the Kahramanmaraş earthquakes living in a container city in Hatay, Türkiye. Data were collected using a personal information form, the Posttraumatic Cognitive Attribution Scale, Coping Self-Efficacy Scale, and Post-Earthquake Trauma Level Determination Scale.

Results: Earthquake survivors had high levels of post-earthquake trauma, moderate levels of posttraumatic cognitive attribution, and above-average coping self-efficacy. Higher levels of posttraumatic cognitive attribution were associated with increased post-earthquake trauma. Higher levels of coping self-efficacy were associated with decreased post-earthquake trauma. Posttraumatic cognitive attribution and coping self-efficacy explained 25.3% of the total variance in post-earthquake trauma.

Conclusion: Posttraumatic cognitive attribution positively and coping self-efficacy negatively predicted post-earthquake trauma. Findings demonstrate that psychosocial interventions should be implemented to reduce post-earthquake trauma and improve coping abilities among earthquake survivors.

Purpose: Mindfulness-based interventions may reduce depression and rumination; however, rumination can hinder engagement and increase dropout. The current study evaluated the preliminary efficacy of a nurse-led, mindfulness-based program incorporating psychoeducation on rumination, compared to usual psychiatric daycare alone.

Method: A prospective, multicenter, non-randomized controlled trial was conducted with adults presenting depressive symptoms in daycare settings (intervention: n = 20; control: n = 17). Primary outcomes were rumination and dropout rates.

Results: No significant between-group difference was found in rumination, although small but meaningful pre-post effect sizes were observed only within the intervention group. Dropout rates were 5% (intervention) and 11.8% (control). A significant between-group difference was observed in the "fortune-teller error" subscale of cognitive bias (secondary outcome), with medium pre-post effect sizes in the intervention group.

Conclusion: The program may help reduce cognitive biases and improve engagement, even among individuals with depressive symptoms.

Purpose: To examine relationships among psychological well-being, emotional intelligence, maternal attachment, and motherhood role among postpartum mothers.

Method: Participants were 390 mothers with infants aged 4 to 12 months. Data were collected using a personal information form, the Psychological Well-Being Scale (PWBS), Trait Emotional Intelligence Questionnaire-Short Form (TEIQue-SF), Maternal Attachment Inventory, and Being a Mother Scale.

Results: Mothers with perceived low income, lack of social security, poor relationships with their spouses, dissatisfaction with childbirth, and lack of post-partum support were found to be less satisfied with their motherhood experiences (p < 0.05). A negative correlation was found between being a mother and psychological well-being, TEIQue-SF total score, and subdimensions (p < 0.005). According to regression analysis, those with poor relationships with their spouses (β = 0.104, p = 0.026), low PWBS scores (β = -0.199, p < 0.001), and low TEIQue-SF scores (β = -0.267, p < 0.001) are significant factors affecting maternal role satisfaction by 21.1%. No significant relationship was found between maternal attachment and psychological well-being, emotional intelligence, and other variables (p > 0.005).

Conclusion: Findings emphasize the importance of psychosocial support, spousal involvement, and emotional competence in improving the postpartum maternal experience.

Purpose: To investigate the effects of education provided to pregnant women with fear of childbirth according to Travelbee's Human-to-Human Relationship Model on fear of birth, prenatal attachment, and anxiety.

Method: This prospective, randomized controlled study was conducted between June and August 2023. Participants included 62 pregnant women divided into intervention and control groups. Pregnant primiparous women who had fear of childbirth were selected for the intervention group, receiving an eight-session educational program based on Travelbee's model.

Results: At the end of the educational program, decreased fear of childbirth, lower anxiety, and higher prenatal attachment were detected in the intervention group. Results showed a statistically significant difference in the intervention group compared to the control group.

Conclusion: Birth preparation education prepared according to Travelbee's model is an effective method for reducing pregnant women's fear of childbirth and anxiety and increasing prenatal attachment level.