Journal of Psychiatric and Mental Health Nursing最新文献

Background

Patient-centered care is a fundamental element in healthcare and nursing services. In units where complex healthcare services are provided, such as high-security forensic psychiatry hospitals, patient-centered care becomes even more critical.

Aims

This study aimed to examine the relationship between professional self-efficacy, attitudes toward forensic patients and patient-centered care competencies among nurses working in high-security forensic psychiatric hospitals (HSFPHs).

Method

The study population consisted of 220 nurses employed in six HSFPHs in Turkiye. The sample size was determined by power analysis, and the study was completed with 122 nurses. Data were collected using the Descriptive Information Form, Patient-Centered Care Competency Scale (PCCCS), Nursing Profession Self-Efficacy Scale (NPSES) and Nurses' Attitudes Toward Forensic Psychiatric Patients Scale (NAFPPS). This study was conducted in accordance with the STROBE guidelines.

Findings

A strong positive correlation was found between PCCCS and NPSES (r = 0.650, p < 0.001). A weak but significant positive correlation was observed between PCCCS and NAFPPS (r = 0.256, p = 0.005). No significant correlation was found between NPSES and NAFPPS (r = 0.138, p = 0.129).

Conclusion

This study emphasises that improving nurses' self-efficacy and attitudes is key to strengthening patient-centered care in HSFPHs. Sustainable training programmes and supportive leadership are essential for maintaining this approach.

Background

Effective communication is essential for accurately assessing psychiatric symptoms and improving patient outcomes in acute psychiatric care. However, little is known about the challenges that nurses face in interacting with these patients and their perspectives.

Aims

To explore the perspectives of nurses in regard to communicating with patients in acute psychiatric care.

Methods

Seventeen psychiatric ward nurses were purposively sampled and participated in face-to-face semistructured interviews. The data were analysed using thematic analysis.

Results

Two themes were identified. Regarding Theme 1, the perceived challenges in communication included four subthemes: perceived ineffectiveness in communication, entangled relationships and corresponding trust crisis, disempowerment related to professional identity and limited human resources and institutional constraints. Regarding Theme 2, the employed communication coping strategies included four subthemes: proactive preparation and identifying entry points, boundary setting and empathy regulation, utilising personal strengths and emotional resources and experiencing positive emotions and value.

Discussion

Nurses in acute psychiatric care face communication challenges due to patients' acute psychiatric symptoms, insufficient communication skills and an uneven workforce distribution. Even when coping strategies are employed, these factors hinder effective communication.

Implications

The results indicate that a well-organised and effective communication approach tailored to the symptoms of acute psychiatric patients in China is necessary. Such an approach should incorporate nurses' practical communication skills to improve their communication abilities.

Introduction

The electronic application of a clinical decision support system (CDSS) conjoining the Dynamic Appraisal of Situational Aggression and the Aggression Prevention Protocol has been shown to be effective in reducing coercion and workplace violence in forensic settings in Australia. However, there is currently a lack of knowledge on the successful implementation of CDSSs across different cultural environments.

Aim

To describe the use of co-design in the adaptation of a CDSS, the eDASA+APP-FI in Finland.

Method

This qualitative case study followed a co-design framework involving a variety of methods, including analysing project data, rapid ethnography, and analysing the notes from co-design workshops.

Results

The adaptation of the CDSS into the local context included changes to the training programme and in the frequency of use of the CDSS, as well as linguistic adjustment.

Discussion

The co-design framework was valuable in identifying adaptation needs and in providing a sense of ownership among staff and consumers.

Limitations

Co-design can be time-consuming in clinical environments.

Implications

The results emphasise the importance of co-design in the identification of adaptation needs as part of the implementation process of a CDSS.

Recommendations

Co-design can be used as a framework when aiming to create a feasible CDSS.

Trial Registration: NCT anonymised.

Introduction

Living with a suicidal relative impacts multiple life aspects. However, it is not known how religious beliefs and meaning-making influence relatives' experiences.

Aim

This study aimed to develop a theoretical framework to understand the role of religion in the experiences of Christian relatives living with a suicidal loved one.

Methods

A constructivist grounded theory study was conducted, adhering to the COREQ checklist. Fifteen interviews were conducted with seventeen Christian relatives of suicidal individuals.

Results

Four themes emerged—acceptance of suicidality, seeking and experiencing God's help, surrendering to God, and religion's influence on relationships—forming a framework on how relatives' religious convictions about suicide and the intensity of their personal relationship with God influenced to what extent religion was helpful or harmful.

Discussion

Christian faith provided peace of mind and support to relatives who had a personal relationship with God and believed their loved one would go to heaven. Relatives who believed their loved one would go to hell due to suicide and lacked a relationship with God experienced guilt and fear, making them vulnerable to harm from religion.

Implications for Practice

Educational institutions and policymakers should specifically empower nurses to discuss spiritual issues when supporting relatives of suicidal individuals.

Relevance Statement

This study offers valuable insight into the role of religious beliefs and meaning-making influencing the experiences of Christian relatives living with a suicidal loved one. It highlights religion‘s role in their coping processes. The findings equip mental health nurses with a deeper understanding of religious coping strategies, enabling them to provide better support to relatives. Integrating spirituality/religion into support allows nurses to respond more holistically to relatives‘ needs, potentially improving their well-being and resilience. Spiritual care is a part of nursing, but nurses feel un