Katharina Sophie Vogt, John Baker, Matthew Morys-Edge, Sarah Kendal, Emily Mizen, Judith Johnson
Introduction: While the concept of psychological safety has been gaining momentum, research concerning psychological safety in inpatient mental health wards is lacking.
Aim: To investigate how psychological safety is conceptualised by healthcare staff in inpatient mental health units, and what barriers and facilitators exist.
Method: Reflexive Thematic Analysis was used to analyse 12 interviews.
Results: Participants conceptualised psychological safety as feeling safe from physical harm, being able to develop meaningful relationships and feeling valued at work. Participants often did not feel physically safe at work, which led them to feel psychologically unsafe. Barriers to psychological safety were reliance on agency workers, punitive management approaches and the inherent risk in working with mental health inpatients. Facilitators included appropriate staffing ratios and skill mix, being able to form meaningful relationships and having access to support.
Discussion: The emphasis on the physical safety element within psychological safety means that existing definitions of psychological safety require extension for the mental healthcare context. However, large-scale research is needed to further understand experiences of psychological safety in this group.
Implications for practice: A better understanding of the dimensions of psychological safety in inpatient mental health settings could support the development of tools to investigate psychological safety interventions. Organisations could support psychological safety through regular staff supervision and improved staffing ratios and skill mix.
{"title":"'I Think the First Priority is Physically Safe First, Before You Can Actually Get Psychologically Safe': Staff Perspectives on Psychological Safety in Inpatient Mental Health Settings.","authors":"Katharina Sophie Vogt, John Baker, Matthew Morys-Edge, Sarah Kendal, Emily Mizen, Judith Johnson","doi":"10.1111/jpm.13101","DOIUrl":"https://doi.org/10.1111/jpm.13101","url":null,"abstract":"<p><strong>Introduction: </strong>While the concept of psychological safety has been gaining momentum, research concerning psychological safety in inpatient mental health wards is lacking.</p><p><strong>Aim: </strong>To investigate how psychological safety is conceptualised by healthcare staff in inpatient mental health units, and what barriers and facilitators exist.</p><p><strong>Method: </strong>Reflexive Thematic Analysis was used to analyse 12 interviews.</p><p><strong>Results: </strong>Participants conceptualised psychological safety as feeling safe from physical harm, being able to develop meaningful relationships and feeling valued at work. Participants often did not feel physically safe at work, which led them to feel psychologically unsafe. Barriers to psychological safety were reliance on agency workers, punitive management approaches and the inherent risk in working with mental health inpatients. Facilitators included appropriate staffing ratios and skill mix, being able to form meaningful relationships and having access to support.</p><p><strong>Discussion: </strong>The emphasis on the physical safety element within psychological safety means that existing definitions of psychological safety require extension for the mental healthcare context. However, large-scale research is needed to further understand experiences of psychological safety in this group.</p><p><strong>Implications for practice: </strong>A better understanding of the dimensions of psychological safety in inpatient mental health settings could support the development of tools to investigate psychological safety interventions. Organisations could support psychological safety through regular staff supervision and improved staffing ratios and skill mix.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andreas Söderberg, Märta Wallinius, Christian Munthe, Ulrica Hörberg, Mikael Rask
IntroductionStudies suggest that experiences of patient participation, as described by both patients and staff, are associated with a significant caring relationship of high quality.AimThis study aimed to investigate staffs' and patients' self‐reported perceptions on participation and the frequency and importance of verbal and social interactions in high‐security forensic psychiatry.MethodThe questionnaire Verbal and Social Interactions (VSI) was used together with the subscale Participation from Quality in Psychiatric Care (QPC). The study was conducted at a large forensic psychiatric clinic in Sweden.ResultsStaff and patients rated the frequency of VSI differently while reporting the same perceived degree of patient participation. All categories of VSI were significantly correlated with perceived level of participation with medium or small effect size for the patients.DiscussionPatients' perceived participation seems to depend on verbal and social interaction within the specific categories ‘Showing interest in the patients’ feelings, experiences, and behavior’ and ‘Helping the patients establish structure and routines in their everyday life’. There was, however, a negative association for the latter.Implications for PracticeThe results give a better understanding of what kind of interactions that affect patients' perceived level of participation.Relevance StatementPatient participant is a prioritised area for development in forensic psychiatry. The study contributes to a better understanding of what types of interactions that affect the perceived level of participation, while at the same time, it shows important similarities and differences between patient and staff perspectives.
导言研究表明，患者和医护人员所描述的患者参与体验与高质量的护理关系密切相关。本研究旨在调查医护人员和患者自我报告的对参与的看法，以及在高度戒备的法医精神病学中语言和社交互动的频率和重要性。方法使用了语言和社交互动（VSI）问卷以及精神病学护理质量（QPC）中的参与子量表。研究在瑞典一家大型法医精神病诊所进行。结果工作人员和患者对 VSI 频率的评价不同，但对患者参与程度的感知相同。讨论患者的感知参与度似乎取决于 "对患者的感受、经历和行为表现出兴趣 "和 "帮助患者建立日常生活的结构和常规 "这两个特定类别中的语言和社交互动。对实践的启示研究结果让我们更好地了解了什么样的互动会影响患者的参与程度。相关声明患者参与是法医精神病学优先发展的领域。本研究有助于更好地理解哪些类型的互动会影响患者的参与程度，同时也显示了患者和工作人员观点之间的重要异同。
{"title":"Self‐Reported Perceptions of Patients and Staff on Participation and Verbal and Social Interactions in High‐Security Forensic Psychiatric Care in Sweden","authors":"Andreas Söderberg, Märta Wallinius, Christian Munthe, Ulrica Hörberg, Mikael Rask","doi":"10.1111/jpm.13105","DOIUrl":"https://doi.org/10.1111/jpm.13105","url":null,"abstract":"IntroductionStudies suggest that experiences of patient participation, as described by both patients and staff, are associated with a significant caring relationship of high quality.AimThis study aimed to investigate staffs' and patients' self‐reported perceptions on participation and the frequency and importance of verbal and social interactions in high‐security forensic psychiatry.MethodThe questionnaire Verbal and Social Interactions (VSI) was used together with the subscale <jats:italic>Participation</jats:italic> from Quality in Psychiatric Care (QPC). The study was conducted at a large forensic psychiatric clinic in Sweden.ResultsStaff and patients rated the frequency of VSI differently while reporting the same perceived degree of patient participation. All categories of VSI were significantly correlated with perceived level of participation with medium or small effect size for the patients.DiscussionPatients' perceived participation seems to depend on verbal and social interaction within the specific categories ‘<jats:italic>Showing interest in the patients’ feelings</jats:italic>, <jats:italic>experiences</jats:italic>, <jats:italic>and behavior’</jats:italic> and <jats:italic>‘Helping the patients establish structure and routines in their everyday life’</jats:italic>. There was, however, a <jats:italic>negative</jats:italic> association for the latter.Implications for PracticeThe results give a better understanding of what kind of interactions that affect patients' perceived level of participation.Relevance StatementPatient participant is a prioritised area for development in forensic psychiatry. The study contributes to a better understanding of what types of interactions that affect the perceived level of participation, while at the same time, it shows important similarities and differences between patient and staff perspectives.","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"10 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142254054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EUPD (a personality disorder, characterised by emotion dysregulation, impulsivity and unstable relationships) is a controversial diagnosis affecting around 1 in 100 people, often times for a large part of their life, causing immense suffering to the individual and their families and friends.
Aim
As someone diagnosed with EUPD, I offer a lived experience perspective on internalised stigma building on growing attention to the impact of prejudice and discrimination faced when navigating the healthcare system with this diagnosis.
Implications for Practice
Include a recommendation to go ‘back to basics’ and focus on us (especially when accessing crisis care) feeling heard, seen, validated, empowered and understood.
{"title":"Lived Experience Perspective on Internalised Stigma and the EUPD Diagnosis","authors":"Nicola Mattocks","doi":"10.1111/jpm.13103","DOIUrl":"10.1111/jpm.13103","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>EUPD (a personality disorder, characterised by emotion dysregulation, impulsivity and unstable relationships) is a controversial diagnosis affecting around 1 in 100 people, often times for a large part of their life, causing immense suffering to the individual and their families and friends.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>As someone diagnosed with EUPD, I offer a lived experience perspective on internalised stigma building on growing attention to the impact of prejudice and discrimination faced when navigating the healthcare system with this diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>Include a recommendation to go ‘back to basics’ and focus on us (especially when accessing crisis care) feeling heard, seen, validated, empowered and understood.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 1","pages":"248-251"},"PeriodicalIF":2.6,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142254055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<p>There has been growing interest in bringing lived experience experts—former patients, psychiatric survivors and mental health services users—into psychiatric facilities as professional staff and researchers over the last 30 years (Castles et al. <span>2023</span>). Increasing lived experience involvement has also become a research priority. Despite some evidence that lived experience researchers have been excluded from authorship of academic outputs (Banfield et al. <span>2018</span>), this group are generally interested in research (Wyder et al. <span>2021</span>). They add profound value to the studies they are included in by enabling ‘two-way growth’ of lived experience experts and traditional researchers (Banfield et al. <span>2018</span>, 1227), ‘disrupt[ing] the dynamics and established hierarchies of privileging certain forms of knowledge and expertise’ (Dembele et al. <span>2024</span>, 4), and offering ‘unique insight’ into the experiences of communities often targeted for research (Honeywell <span>2023</span>, 130).</p><p>As a result of the growing interest in lived experience research and the strong values of my senior colleagues, I was named on a grant investigating the low use of seclusion and restraint in the mental health wards of a semi-regional hospital in Victoria, Australia. I was to bring my experiences as a patient to the research team, informing decisions like who we spoke to, what questions were asked and how the interviews were to be analysed. I would also be responsible for conducting all interviews—almost all of which happened on the ward.</p><p>In this article, I use my experiences in one study to reflect on the challenges for lived experience researchers working on mental health wards. Reflexivity is an established research method that can be used to explore experiences and perspectives in depth (Mortari <span>2015</span>). This paper is a response to contemporary research challenges for people with lived experience and addresses a dearth in research ‘exploring how people who have experienced madness produce knowledge and overcome their personal challenges when they do qualitative mental health research’ (Johnston <span>2019</span>).</p><p>Even though I was engaged in decision-making and supported at every stage of the project, it wasn't until we had HREC approval to enter the ward and speak to clinicians, patients and carers that the real work of lived experience research began.</p><p>The hardest part of the study had nothing to do with the technical aspects of the work—it was being in the hospital. When I was a patient, I relied on the nursing staff for almost everything. They decided when and what I ate, who I could see, when I could take and make phone calls and what belongings I was allowed to have. My belongings (including clean underwear) were taken from me as punishment for challenging behaviour, and calls from my friends and family were withheld from me at the nurse's discretion—something I only learned whe
{"title":"Reflections From the Wrong Side of the Glass: Lived Experience of Conducting Research in a Mental Health Ward","authors":"Tessa-May Zirnsak","doi":"10.1111/jpm.13108","DOIUrl":"10.1111/jpm.13108","url":null,"abstract":"<p>There has been growing interest in bringing lived experience experts—former patients, psychiatric survivors and mental health services users—into psychiatric facilities as professional staff and researchers over the last 30 years (Castles et al. <span>2023</span>). Increasing lived experience involvement has also become a research priority. Despite some evidence that lived experience researchers have been excluded from authorship of academic outputs (Banfield et al. <span>2018</span>), this group are generally interested in research (Wyder et al. <span>2021</span>). They add profound value to the studies they are included in by enabling ‘two-way growth’ of lived experience experts and traditional researchers (Banfield et al. <span>2018</span>, 1227), ‘disrupt[ing] the dynamics and established hierarchies of privileging certain forms of knowledge and expertise’ (Dembele et al. <span>2024</span>, 4), and offering ‘unique insight’ into the experiences of communities often targeted for research (Honeywell <span>2023</span>, 130).</p><p>As a result of the growing interest in lived experience research and the strong values of my senior colleagues, I was named on a grant investigating the low use of seclusion and restraint in the mental health wards of a semi-regional hospital in Victoria, Australia. I was to bring my experiences as a patient to the research team, informing decisions like who we spoke to, what questions were asked and how the interviews were to be analysed. I would also be responsible for conducting all interviews—almost all of which happened on the ward.</p><p>In this article, I use my experiences in one study to reflect on the challenges for lived experience researchers working on mental health wards. Reflexivity is an established research method that can be used to explore experiences and perspectives in depth (Mortari <span>2015</span>). This paper is a response to contemporary research challenges for people with lived experience and addresses a dearth in research ‘exploring how people who have experienced madness produce knowledge and overcome their personal challenges when they do qualitative mental health research’ (Johnston <span>2019</span>).</p><p>Even though I was engaged in decision-making and supported at every stage of the project, it wasn't until we had HREC approval to enter the ward and speak to clinicians, patients and carers that the real work of lived experience research began.</p><p>The hardest part of the study had nothing to do with the technical aspects of the work—it was being in the hospital. When I was a patient, I relied on the nursing staff for almost everything. They decided when and what I ate, who I could see, when I could take and make phone calls and what belongings I was allowed to have. My belongings (including clean underwear) were taken from me as punishment for challenging behaviour, and calls from my friends and family were withheld from me at the nurse's discretion—something I only learned whe","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 1","pages":"252-255"},"PeriodicalIF":2.6,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jpm.13108","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142254056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Qualitative Research Part 3: Publication","authors":"Marie Crowe, Jenni Manuel","doi":"10.1111/jpm.13106","DOIUrl":"https://doi.org/10.1111/jpm.13106","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"276 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142214154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-09DOI: 10.1111/j.1365-2850.1997.tb00001.x
Denis Cremin
{"title":"Annex: a nurse‐led service for people with anorexia nervosa","authors":"Denis Cremin","doi":"10.1111/j.1365-2850.1997.tb00001.x","DOIUrl":"https://doi.org/10.1111/j.1365-2850.1997.tb00001.x","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"65 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142214186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hwayeon Danielle Shin, Jessica Kemp, Samantha Groves, Laura Bennett-Poynter, Charlotte Pape, Karen Lascelles, Gillian Strudwick
Introduction
Prior mental healthcare utilisation presents an important window of opportunity for providing suicide prevention interventions. To date, no reviews have consolidated the help-seeking needs of individuals in contact with mental health services. This warrants further attention given this group may have different needs for interventions compared with the general population who have not sought help previously.
Aim
The purpose of this rapid scoping review was to summarise the available literature on help-seeking needs related to suicide prevention among individuals in contact with mental health services from healthcare settings.
Method
Cochrane rapid review and Joanna Briggs Institute scoping review methodologies were adapted, and databases, including MEDLINE, Scopus, CINAHL, PsycInfo and EMBASE, were searched.
Results
A total of 42 primary studies were included in analysis. Reported barriers and facilitators to help-seeking behaviours identified within studies were mapped onto the socio-ecological model. Barriers and facilitators identified included knowledge and attitudes towards healthcare utilisation, family and peer support, interactions with healthcare professionals, provision of holistic care, and the creation of a supportive atmosphere and safe space to promote open discussions of suicide-related concerns.
Discussion
The findings of this review offer valuable insights into areas for improvement in addressing help-seeking needs for individuals who are in contact with health services related to suicide prevention.
Implication for Research
The findings serve as a foundation for shaping mental health initiatives informing approaches and care delivery tailored towards individuals who are in contact with health services. The reported barriers and facilitators offer insights to inform the development of mental health support tools to enhance care and considerations for evaluations.
{"title":"Help-Seeking Needs Related to Suicide Prevention for Individuals in Contact With Mental Health Services: A Rapid Scoping Review","authors":"Hwayeon Danielle Shin, Jessica Kemp, Samantha Groves, Laura Bennett-Poynter, Charlotte Pape, Karen Lascelles, Gillian Strudwick","doi":"10.1111/jpm.13102","DOIUrl":"10.1111/jpm.13102","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Prior mental healthcare utilisation presents an important window of opportunity for providing suicide prevention interventions. To date, no reviews have consolidated the help-seeking needs of individuals in contact with mental health services. This warrants further attention given this group may have different needs for interventions compared with the general population who have not sought help previously.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The purpose of this rapid scoping review was to summarise the available literature on help-seeking needs related to suicide prevention among individuals in contact with mental health services from healthcare settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Cochrane rapid review and Joanna Briggs Institute scoping review methodologies were adapted, and databases, including MEDLINE, Scopus, CINAHL, PsycInfo and EMBASE, were searched.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 42 primary studies were included in analysis. Reported barriers and facilitators to help-seeking behaviours identified within studies were mapped onto the socio-ecological model. Barriers and facilitators identified included knowledge and attitudes towards healthcare utilisation, family and peer support, interactions with healthcare professionals, provision of holistic care, and the creation of a supportive atmosphere and safe space to promote open discussions of suicide-related concerns.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The findings of this review offer valuable insights into areas for improvement in addressing help-seeking needs for individuals who are in contact with health services related to suicide prevention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implication for Research</h3>\u0000 \u0000 <p>The findings serve as a foundation for shaping mental health initiatives informing approaches and care delivery tailored towards individuals who are in contact with health services. The reported barriers and facilitators offer insights to inform the development of mental health support tools to enhance care and considerations for evaluations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 1","pages":"217-241"},"PeriodicalIF":2.6,"publicationDate":"2024-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article explores my journey as a Samoan woman who migrated as a young mother to Aotearoa-New Zealand, completed nursing qualifications, later specialising in mental health nursing, and eventually completed doctoral studies. Since July 2023 I have been a Lecturer in the Department of Nursing, Faculty of Health and Environmental Studies, Auckland University of Technology.
Methods
This article uses autoethnographic and narrative methods to collect data from my own life, to explore the experiences of Samoan people in the mental health system of Aotearoa-New Zealand. Criteria for reporting qualitative research was used to prepare the paper.
Findings
My story showcases the benefits of having both clinical and cultural understandings in the context of mental health care in Aotearoa-New Zealand. The gap between the rhetoric and the reality of the ‘New Zealand dream’ for Samoan people mirrors the gap between policy and practice in relation to Pacific strategy plans for mental health care.
Conclusions
By writing about my experiences, I aim to support better understanding of core concerns for Samoan people when they are engaging with mental healthcare services.
{"title":"O le Fau Gagana: A Samoan Mental Health Nurse in Aotearoa-New Zealand","authors":"Taavale Ioana Mulipola","doi":"10.1111/jpm.13104","DOIUrl":"10.1111/jpm.13104","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This article explores my journey as a Samoan woman who migrated as a young mother to Aotearoa-New Zealand, completed nursing qualifications, later specialising in mental health nursing, and eventually completed doctoral studies. Since July 2023 I have been a Lecturer in the Department of Nursing, Faculty of Health and Environmental Studies, Auckland University of Technology.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This article uses autoethnographic and narrative methods to collect data from my own life, to explore the experiences of Samoan people in the mental health system of Aotearoa-New Zealand. Criteria for reporting qualitative research was used to prepare the paper.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>My story showcases the benefits of having both clinical and cultural understandings in the context of mental health care in Aotearoa-New Zealand. The gap between the rhetoric and the reality of the ‘New Zealand dream’ for Samoan people mirrors the gap between policy and practice in relation to Pacific strategy plans for mental health care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>By writing about my experiences, I aim to support better understanding of core concerns for Samoan people when they are engaging with mental healthcare services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 1","pages":"242-247"},"PeriodicalIF":2.6,"publicationDate":"2024-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142156514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Importance of Chemical Restraint in Mental Health Inpatient Settings","authors":"Martin Locht Pedersen","doi":"10.1111/jpm.13100","DOIUrl":"10.1111/jpm.13100","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 1","pages":"215-216"},"PeriodicalIF":2.6,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amelia Villena, María M. Hurtado, Clara Gómez, Gisela Amor, Amanda Vega, José Miguel Morales-Asencio
<div> <section> <h3> What Is Known on the Subject?</h3> <div> <ul> <li>Patients do not always receive enough information about their diagnosis and their perceived participation in decision-making about their treatment is low.</li> <li>Some participants reported feeling very uncertain when the physician invited them to choose between these options. Others users expressed their satisfaction with the trend away from paternalistic attitudes in the health system.</li> <li>There is a trend towards pharmacological prescription as a first approximation. This contrasts with the recommendations of scientific organizations based on evidence and cost-effectiveness studies on the offer of psychological interventions as the first option.</li> <li>The user groups pointed out that active coping, based on exposure to anxiety-generating situations, made a significant contribution to alleviating their anxiety disorders. However, some of those interviewed rejected this type of intervention.</li> </ul> </div> </section> <section> <h3> What the Paper Adds to Existing Knowledge?</h3> <div> <ul> <li>Users diagnosed with anxiety disorders miss more information about the disorder and participation in its treatment.</li> <li>Opposite positions coexist in terms of participation in the choice of treatment.</li> <li>Pharmacological treatment is most commonly the first option offered.</li> </ul> </div> </section> <section> <h3> What Are the Implications for Practice?</h3> <div> <ul> <li>This study is an example in itself of the involvement of users in the healthcare process, and therefore placing them at the centre of attention, as reflected in healthcare policies and clinical practice guidelines.</li> <li>It promotes the identification of needs that users diagnosed of anxiety disorders may have, with the aim of putting in place, from healthcare professionals and health services, the necessary supports adapted to these.
{"title":"Users remain overlooked: Shared decision-making processes for people with anxiety disorders","authors":"Amelia Villena, María M. Hurtado, Clara Gómez, Gisela Amor, Amanda Vega, José Miguel Morales-Asencio","doi":"10.1111/jpm.13095","DOIUrl":"10.1111/jpm.13095","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> What Is Known on the Subject?</h3>\u0000 \u0000 <div>\u0000 \u0000 <ul>\u0000 \u0000 \u0000 <li>Patients do not always receive enough information about their diagnosis and their perceived participation in decision-making about their treatment is low.</li>\u0000 \u0000 \u0000 <li>Some participants reported feeling very uncertain when the physician invited them to choose between these options. Others users expressed their satisfaction with the trend away from paternalistic attitudes in the health system.</li>\u0000 \u0000 \u0000 <li>There is a trend towards pharmacological prescription as a first approximation. This contrasts with the recommendations of scientific organizations based on evidence and cost-effectiveness studies on the offer of psychological interventions as the first option.</li>\u0000 \u0000 \u0000 <li>The user groups pointed out that active coping, based on exposure to anxiety-generating situations, made a significant contribution to alleviating their anxiety disorders. However, some of those interviewed rejected this type of intervention.</li>\u0000 </ul>\u0000 </div>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> What the Paper Adds to Existing Knowledge?</h3>\u0000 \u0000 <div>\u0000 \u0000 <ul>\u0000 \u0000 \u0000 <li>Users diagnosed with anxiety disorders miss more information about the disorder and participation in its treatment.</li>\u0000 \u0000 \u0000 <li>Opposite positions coexist in terms of participation in the choice of treatment.</li>\u0000 \u0000 \u0000 <li>Pharmacological treatment is most commonly the first option offered.</li>\u0000 </ul>\u0000 </div>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> What Are the Implications for Practice?</h3>\u0000 \u0000 <div>\u0000 \u0000 <ul>\u0000 \u0000 \u0000 <li>This study is an example in itself of the involvement of users in the healthcare process, and therefore placing them at the centre of attention, as reflected in healthcare policies and clinical practice guidelines.</li>\u0000 \u0000 \u0000 <li>It promotes the identification of needs that users diagnosed of anxiety disorders may have, with the aim of putting in place, from healthcare professionals and health services, the necessary supports adapted to these.","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":"32 1","pages":"203-214"},"PeriodicalIF":2.6,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142005722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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