Journal of Psychiatric and Mental Health Nursing最新文献

Introduction: Intimate partner violence (IPV) exacerbates depression, increases suicide risk, and disrupts treatment adherence in women, yet these interconnected issues are often overlooked in clinical settings.

Aim: This study aims to explore the impact of IPV on suicide risk and treatment adherence in married women with major depression, providing evidence to improve mental and primary healthcare for this population.

Methods: This descriptive cross-sectional study adhered to STROBE guidelines for reporting observational research. The research was conducted at a psychiatry clinic of a city hospital in Turkiye. A stratified random sample of 124 married women with major depression, evenly split by IPV experience, ensured demographic balance. Data were collected using the Beck Depression Inventory (BDI), Spousal Violence Scale (SVS), Suicide Probability Scale (SPS), and Morisky Medication Adherence Scale (MMAS).

Results: The average age of participants was 40.98 ± 10.03 years. The average scores were as follows: BDI: 31.45 ± 10.59, SVS: 76.73 ± 24.5, SPS: 77.53 ± 18.89, and MMAS: 2.35 ± 1.39. Positive correlations were found between BDI and IPVS scores, as well as BDI and SPS scores (p < 0.05). A negative correlation was found between BDI and MMAS scores (p < 0.05).

Discussion: IPV increases depression severity and suicide risk while decreasing treatment adherence in married women with major depression.

Implications for practice: It is recommended that mental health nurses and primary care providers focus on interventions to reduce IPV and improve treatment adherence.

Introduction: Depressive disorders impose global disability burdens, yet benefit finding (BF) mechanisms remain underexplored in mental health nursing.

Aim: To evaluate the extent of benefit finding among patients with depressive disorders and explore their positive experiences and transformative insights during their illness journey.

Method: A mixed methods approach with a convergent design was employed. The quantitative component included a cross-sectional survey of 307 patients using the Chinese version of the Benefit Finding Questionnaire (BFQ-C). The qualitative component consisted of semi-structured, in-depth interviews conducted with 14 patients. Data from both components were analysed independently and subsequently integrated to achieve a comprehensive synthesis.

Results: Quantitative results revealed a median BFQ-C score of 49 (IQR: 38-61). Qualitative findings identified five key themes: (1) understanding depression and self-management, (2) enhanced emotional awareness and regulation, (3) refashioned thinking and self-concept, (4) strengthened interpersonal relationships, and (5) increased proactive behaviour. The integration of findings demonstrated that qualitative results complemented quantitative results, particularly in the domains of depression understanding and management, and emotional awareness and regulation. The two approaches exhibited consistent, extended, and complementary relationships.

Discussion: Patients with depressive disorders reported benefit finding across multiple domains; however, the overall level of benefits was modest.

Implications: This highlights the need for personalised therapeutic approaches, such as gratitude journaling to encourage positive self-reflection, strengths-based interventions to promote proactive behaviours, and mindfulness training to improve emotional regulation. These strategies can enhance treatment outcomes and patient well-being.

Introduction: Peer support (PS) is considered central in the recovery for people with mental health problems. While PS is established in the inpatient setting in Switzerland, it is rarely available in outpatient settings.

Aim: To evaluate the implementation of PS within Swiss community mental health nursing (CMHN) teams, focusing on its content and impact, as well as the factors contributing to its successful implementation and the potential barriers.

Methods: We conducted a qualitative, participatory study using implementation research principles in three CMHN teams. Data collection included interviews with managers, peer support workers (PSWs) and nurses, along with participant observations. Findings were analysed using qualitative content analysis. This article follows SRQR guidelines.

Results: Clients and staff reported high satisfaction with PSWs but PS was only implemented at the client level. Challenges included unclear job descriptions, low PSW working hours, limited understanding of PS and financial constraints.

Discussion: There was a lack of adequate training on PS and recovery. PSW were seen somewhat externally by the CMHN teams which weakened integration.

Conclusion: Aligning with best practice guidelines, our findings suggest that successful implementation of PS requires standardised PSW training, financial recognition, comprehensive team training and internal efforts on PSW team integration.

Relevance statement: This study provides practice-based insights into implementing peer support in Swiss community mental health nursing teams, a newly emerging area of practice. It highlights key factors influencing peer support worker integration, including role clarity, training gaps and nursing team preparation. The findings offer guidance for community mental health nurses to strengthen recovery-oriented care through the effective implementation of peer support. By addressing practical barriers and facilitators, this study directly supports the advancement of mental health nursing in community settings.