Journal of Psychosocial Nursing and Mental Health Services最新文献

The current study assessed the effects of workplace violence (WPV) and fear related to WPV on community mental health (CMH) workers' emotional distress. This cross-sectional study used structural equation modeling (SEM) and comprised participants who were CMH workers in Korea. We used WPV questionnaires and the Korean version of the Patient-Reported Outcomes Measurement Information System® item bank to evaluate emotional distress. SEM data from 763 workers revealed significant positive effects of WPV on anxiety (β = 0.23, p = 0.009) and anger (β = 0.26, p = 0.007), and significant positive effects of fear related to WPV on anxiety (β = 0.21, p = 0.004) and anger (β = 0.19, p = 0.002). Preventive measures significantly mediated the relationship between WPV and emotional distress and between fear related to WPV and emotional distress. Findings verified the relationship between WPV and workers' emotional distress and the mediating role of preventive measures. [Journal of Psychosocial Nursing and Mental Health Services, 62(4), 24-32.].

Introduction

I started my journey in advocacy after realizing that all the inefficiencies in health care could be fixed if those within the broken systems began to engage in problem-solving. I began by initiating change at the unit level, then at the health system level, and now at the state and federal levels. At the unit level, I was able to institute changes through quality projects, committee participation, and creating unit-based projects to tackle specific issues. I managed the unit's incident reports and used that information to support necessary initiatives. Other units later adopted many of the initiatives I instituted in my nursing unit until they achieved hospital-wide adoption. These initiatives included tackling issues such as length of stay, mislabeled specimens, falls, process breakdowns, and utilization of high-alert armbands. At this level, I often advocated for resources, and during this time, I realized the importance of articulating the why associated with each request and the importance of communicating the risks and benefits associated with each request. During this time, I actively engaged with the American Nurses Association and served on Issues Panels, such as the Moral Distress Professional Issues Panel and #EndNurseAbuse Professional Issues Panel. This experience enhanced my advocacy network and my ability to support change with research and evidence-based practice.

At the health system level, I worked with leadership to develop retention recovery programs for nurses, which included simulated training for difficult conversations, and through this process, I developed nursing career paths to provide growth opportunities at the bedside and beyond. I advocated for systemwide increased nursing recognition and a system-wide nursing diversity, equity, and inclusion committee. I advocated for community outreach efforts and worked with the system to strengthen the workforce pipeline by engaging kindergarten through 12th grade students in nursing career exploration. During this time, I learned one size does not fit all, and if one wants to advocate for change, one must understand each unique landscape, culture, and the audience's needs. Understanding organizational policy and the process for policy change is a valuable skill.

Each experience and learning opportunity provided skills and knowledge for the work I am doing now. This is an example of how your participation at any level will only provide avenues for your advocacy skills to grow. I have been a steadfast advocate for workplace violence prevention at the state and federal levels. One example is partnering with the United States Department of Labor Women's Bureau to speak on the impacts of workplace violence and possible solutions. This is an example of educating the public about our issues in nursing to gain support. I served as the Director of Health Policy and Advocacy with the Louisiana State Nurses Association for 2.5 years. I now serve as Exec

Panic attacks (PAs) are prevalent and highly comorbid with various physical and psychological disorders. Cognitive-behavioral therapy (CBT) is a well-established psychosocial intervention. Internet-delivered CBT (ICBT) presents a promising avenue to overcome barriers and provide evidence-based support to those in need. The current scoping review aimed to systematically map the existing literature and identify knowledge gaps regarding the impact of ICBT on outcome measures for individuals experiencing PAs. The PRISMA guidelines for scoping reviews were used. A total of 3,044 records were retrieved, and 18 studies from 2013 to 2023 were ultimately included in the analysis. ICBT demonstrated effectiveness as a psychosocial intervention for improving panic symptoms and anxiety in individuals with PAs. However, the impact of ICBT on quality of life (QOL) remains inconclusive. All studies included in this review focused on assessing the severity of panic symptoms, with limited emphasis on measuring QOL. This scoping review holds significant implications for research and practice. However, further addressing the research needs identified in this review will enhance our understanding and improve treatment outcomes for PAs. [Journal of Psychosocial Nursing and Mental Health Services, 62(4), 9-15.].

The perinatal period is a time of significant adjustment for mothers, which may lead to alterations in mood that affect maternal mental health, which may also impact child development. The current article details the effectiveness of the addition of a psychiatric-mental health nurse practitioner (PMHNP) and mental health training for nurses on the anxiety and depression screening scores of mothers enrolled in a home visitation program. For clients with elevated anxiety and depression scores, the percentages of those who were referred to and received mental health services increased after the program's addition of the PMHNP and mental health training. Implications for future research and practice include continued focus on maternal mental health with improved access to assessment and treatment for all clients within home visitation. [Journal of Psychosocial Nursing and Mental Health Services, 62(4), 49-55.].

Suicide in young people is a challenge, but suicide rates in lesbian, gay, bisexual, transgender, queer or questioning (LGBTQ) youth are alarming. The current article explores the influence of several social determinates of health, specifically mental health care access and quality and education, on suicide among LGBTQ youth. Providers must recognize the mental health challenges and disparities in LGBTQ youth and address them to improve mental health and decrease suicide rates. [Journal of Psychosocial Nursing and Mental Health Services, 62(4), 6–8.]

The current study examined the relationship between compassion fatigue and professional self-concept in psychiatric nurses. Participants included 156 nurses working in a mental health and disorders hospital in Turkey. Data were collected via a sociodemographics form, the Compassion Fatigue subscale of the Professional Quality of Life Scale, and Professional Self-Concept Scale. Participants exhibited low levels of compassion fatigue and high levels of professional self-concept. A significant negative relationship was found between participants' mean compassion fatigue scores and mean professional satisfaction, professional competence, and professional self-concept scores (p < 0.05). Professional satisfaction, professional competence, and professional self-concept decreased with increasing compassion fatigue. Nurses should be provided emotional support through in-service training and effective communication to prevent burnout. [Journal of Psychosocial Nursing and Mental Health Services, 62(3), 22-28.].

Substance use disorders (SUDs) are complex brain disorders with heritability rooted in the interplay of multiple genetic factors, alongside significant environmental influences. Gaining insights into the genetic mechanisms that heighten SUD risk can guide precision care, specifically in the development of targeted tools for prevention, early intervention, and the discovery of therapeutic targets. Nurses are ideally placed to advance genomics-informed precision care for individuals with SUDs. To fulfill this role, they must be adequately prepared to assess the value and utility of current genomics knowledge, its limitations, and ways to incorporate this understanding into clinical practice, education, research, and health care policy. [Journal of Psychosocial Nursing and Mental Health Services, 62(3), 11-14.].

VigiBase, the World Health Organization's collaborative global pharmaco-vigilance database, provides storage for millions of adverse drug reaction (ADR) reports. Pharmacovigilance scientists use the database to detect signals, assess, and understand trends in ADRs so that potential harms can be communicated. A search for pharmacovigilance studies on psychotropic-related ADR reports published over the past 5 years in VigiBase identified the majority to be antipsychotic-related ADRs, and within the antipsychotic class, clozapine-related. The nine antidepressant-related ADR reports were reviewed in more detail and provide an example of how the science of pharmacovigilance identifies and communicates medication risks. [Journal of Psychosocial Nursing and Mental Health Services, 62(3), 7-10.].