Journal of Psychiatric and Mental Health Nursing最新文献

Introduction: There is increasing recognition of the value of lived experience in mental health research and clinical practice; however, its integration remains limited within academic literature, particularly regarding the role and experiences of prosumer researchers. Existing scholarship provides insufficient insight into how researchers who combine professional and lived experience navigate methodological, ethical, and epistemological complexities.

Aim: This paper explores how prosumer researchers can meaningfully integrate lived experience to enhance understanding of mental health phenomena while maintaining methodological rigor.

Method: Using a reflective analytic approach, the paper explores the opportunities and challenges encountered by prosumer researchers, including managing dual roles, ensuring reflexivity, and achieving alignment between research methodology and methods.

Results: The findings highlight the critical importance of reflexivity in lived-experience research to ensure transparency, credibility, and rigour. The paper argues that carefully selected and reflexively applied methodologies can support the ethical and effective incorporation of lived experience.

Implications for practice: Researchers and practitioners should adopt methodological approaches that accommodate reflexivity and lived experience, thereby enriching mental health research and informing more sensitive, practical, and effective interventions.

Introduction: Self-management of early warning signs is essential to preventing relapse in individuals with schizophrenia. Although both patients and caregivers are central to this process, few studies have examined the factors influencing their self-management abilities. No validated tool has previously assessed this capacity in Turkish mental health settings.

Aim: This study aimed to identify sociodemographic and clinical predictors of self-management abilities related to relapse and to evaluate the psychometric properties of the Turkish version of the Management of Early Warning Signs of Relapse Questionnaire (MEWSRQ).

Method: A cross-sectional study was conducted with 155 patients with schizophrenia and 155 primary caregivers. Data were collected using the MEWSRQ. Confirmatory factor analysis and internal consistency tests assessed validity and reliability, and regression identified predictors.

Results: Higher self-management scores were associated with medication adherence, employment, fewer hospitalizations, and consistent caregiving. Among caregivers, higher education and financial status were positive predictors, while multiple caregivers and non-adherence predicted lower scores. The Turkish MEWSRQ showed strong construct validity and internal consistency.

Discussion: Findings suggest that clinical and contextual factors shape relapse-related self-management capacities. The Turkish MEWSRQ is a reliable tool for assessment.

Implications: The MEWSRQ can be integrated into psychiatric care to identify individuals needing support in relapse prevention. Interventions should enhance treatment adherence, reduce caregiver fragmentation, and include targeted psychoeducation to strengthen both patient and caregiver self-efficacy in managing early warning signs.

Purpose: This study aimed to examine changes in nursing students' emotional distress and attitudes toward mental illness during their psychiatric nursing practicum, paying particular attention to the influence of students' personality traits, patients' aggressive behaviour and diagnoses on such changes.

Methods: Ninety nursing students completed self-reported questionnaires before and after their psychiatric practicum. This prospective study examined changes in emotional distress, assessed using the Beck Anxiety Inventory (BAI) and the Beck Depression Inventory II (BDI-II), and changes in attitudes toward psychiatric patients assessed using the Attitudes to Mental Illness (AMI) scale. The study also explored associations between students' personality traits measured using the Tridimensional Personality Questionnaire (TPQ), patients' diagnoses and the students' exposure to patient violence or self-harm events during the practicum.

Results: Post-practicum BAI and BDI-II scores decreased significantly (by 2.62 and 2.90 points, respectively), and AMI scores improved by 2.47 points. Higher pre-practicum anxiety and depression were associated with harm-avoidance traits. Although exposure to violence or self-harm did not significantly affect emotional distress scores, students who did not witness patients' aggressive behaviour showed greater improvement in reducing negative stereotypes (3.32 vs. 1.14, t = 3.638, p < 0.001).

Conclusion: The psychiatric nursing practicum significantly reduced nursing students' emotional distress and improved their attitudes toward mental illness. However, exposure to patient violence or self-harm events during the practicum limited gains in positive attitudes toward psychiatric patients. The association between harm-avoidance personality traits and emotional distress suggests that students with these traits may benefit from targeted educational support.

Relevance to mental health nursing: This study deepens understanding of how psychiatric practicum experiences shape nursing students' emotional responses and professional attitudes. It highlights the need for educational environments that actively support students when facing challenging clinical situations, particularly patient aggression. The findings underscore the value of supervision, reflection and structured learning processes in preparing nursing students for compassionate, resilient and recovery-oriented mental health practice.

Aim: To address the limited understanding of everyday family experiences of individuals diagnosed with bipolar disorder and to explore the effects of parental mood instability on young children and the possibility of early interventions to promote parent-child interaction and bonding.

Background: One of the most challenging mental health disorders is widely acknowledged to be bipolar disorder. The everyday family experiences of individuals with this diagnosis, as well as their personal experiences, are far less well documented than the clinical and medical aspects. The effects of parental mood instability on their young children and the possibility of early interventions to promote parent-child interaction and bonding are poorly studied.

Contribution to existing knowledge: This paper adds to the existing knowledge that a lot of familial instability and parenting issues arise with the diagnosis of bipolar disorder, which can cause a myriad of issues for the developing child, even at a young age. This paper also describes the use of shared book reading as a medium for a parent with bipolar disorder to spend time and bond with their child, even during their alternating mood states.

Implications for mental health nursing: Mental health nursing and other rehabilitation professionals could utilise these simple tasks to encourage the use of this method, thereby promoting parent-child bonding and interaction.

Introduction: A strong nurse-patient therapeutic relationship is crucial in acute mental health care yet remains challenging, potentially affecting outcomes and perceived quality of care. Interventions that foster structured, person-centred encounters may address these challenges effectively.

Aim: To evaluate the effects of the 'Reserved Therapeutic Space' intervention in terms of its impact on the improvement of the nurse-patient therapeutic relationship, the quality of care, perceived coercion and humiliation and length of stay.

Methods: A multicentre quasi-experimental trial design in twelve acute mental health units compared the Reserved Therapeutic Space to standard care. Participants completed validated instruments assessing the therapeutic relationship, perceived quality of care and coercion. Mixed-effects models and survival analyses evaluated intervention effects.

Results: Participants receiving the Reserved Therapeutic Space reported stronger nurse-patient relationships, higher quality of care ratings and lower coercion scores compared to those receiving standard care. Survival analysis indicated significantly shorter hospitalizations in the intervention group.

Implications: Findings suggest that dedicating structured time for nurse-patient engagement enhances therapeutic relationships, reduces negative experiences and potentially improves both satisfaction and resource use. Providing structured therapeutic encounters can advance person-centred, collaborative mental health nursing practices in acute settings. Future research should explore long-term outcomes of this intervention.