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IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-17 DOI: 10.1016/S0883-9417(25)00183-9

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Archives of Psychiatric Nursing

Pub Date : 2025-11-17 DOI: 10.1016/S0883-9417(25)00181-5

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Archives of Psychiatric Nursing

Pub Date : 2025-11-17 DOI: 10.1016/S0883-9417(25)00184-0

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IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-17 DOI: 10.1016/S0883-9417(25)00185-2

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Mindfulness and self-care in healthcare professionals: A qualitative metasynthesis 卫生保健专业人员的正念和自我保健：一个定性的综合

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-14 DOI: 10.1016/j.apnu.2025.152002

Sonia Ortiz-Moreno , David Giménez-Díez , Antonio Pastor-Méndez , Purificación Escobar-García , Rebeca Gómez-Ibáñez , Mariela Patricia Aguayo-González , Rubén Maldonado-Alia , Carolina Watson-Badia

Introduction

Numerous quantitative studies confirm the positive effects of mindfulness on healthcare professionals. However, recent qualitative research on their experiences and the relationship between mindfulness and self-care remains scarce. Exploring how professionals describe and perceive mindfulness as enhancing their professional self-care is essential.

Objective

To explore the experiences of healthcare professionals regarding mindfulness practice and self-care, based on existing qualitative evidence.

Materials and methods

A qualitative metasynthesis following PRISMA and ENTREQ guidelines was conducted through a systematic search across five databases, resulting in the inclusion of nine articles.

Results

Three main categories with five subcategories were identified. These address key aspects of mindfulness practice, the new awareness of self-care developed after training, and reflections on the program.

Discussion

Healthcare professionals perceive mindfulness positively, noting its role in stress reduction, overall well-being, improved patient care quality, and fostering self-care.

Implications for practice and recommendations

The findings highlight the importance of understanding the mechanisms through which mindfulness benefits healthcare workers. The study underscores its potential to transform the healthcare sector and emphasizes the need for further research with larger samples.

大量的定量研究证实了正念对医护人员的积极影响。然而，最近关于他们的经历以及正念和自我照顾之间关系的定性研究仍然很少。探索专业人士如何描述和感知正念，以增强他们的专业自我保健是至关重要的。目的在现有定性证据的基础上，探讨医护人员在正念练习和自我保健方面的经验。材料和方法根据PRISMA和ENTREQ指南对5个数据库进行了系统检索，最终纳入了9篇文章。结果鉴定出3大类5小类。这些涉及正念练习的关键方面，培训后发展的自我保健的新意识，以及对该计划的反思。医疗保健专业人员积极地看待正念，注意到它在减轻压力、整体健康、提高病人护理质量和培养自我保健方面的作用。对实践和建议的启示研究结果强调了理解正念对医护人员有益的机制的重要性。该研究强调了其改变医疗保健行业的潜力，并强调了进一步研究更大样本的必要性。

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Improving contraceptive access and use among women on teratogenic medications in a community-based psychiatry clinic 在以社区为基础的精神病学诊所中，改善接受致畸药物治疗的妇女避孕药具的获取和使用

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-14 DOI: 10.1016/j.apnu.2025.151992

Mady Stovall , Nicholas Shaffer

Valproic acid (VPA) is an effective treatment and a mainstay for managing serious mental illness but possesses serious teratogenic risks. As a community psychiatry clinic that receives referrals from local inpatient hospitals, we recognized that women of childbearing potential were being initiated on VPA without adequate contraceptive counseling or access to highly effective contraceptive methods. In response, we implemented a targeted initiative to assess and address contraceptive needs, offering psychoeducation and injectable contraception within the clinic. Our goal was to address undermet/unmet contraceptive needs and thereby reduce the frequency of unintended pregnancy in our female patients. We met our specific aim in this quality improvement project by reducing the risk of pregnancy from 37 % to 27 %. We will continue offering this intervention in our psychiatric clinic moving forward.

丙戊酸（VPA）是治疗严重精神疾病的有效药物，但具有严重的致畸风险。作为一家接受当地住院医院转诊的社区精神病学诊所，我们认识到有生育潜力的妇女在没有充分的避孕咨询或获得高效避孕方法的情况下开始使用VPA。作为回应，我们实施了一项有针对性的举措来评估和解决避孕需求，在诊所内提供心理教育和注射避孕。我们的目标是解决未满足/未满足的避孕需求，从而减少女性患者意外怀孕的频率。我们通过将怀孕风险从37%降低到27%，实现了我们在这个质量改进项目中的具体目标。我们将继续在我们的精神科诊所提供这种干预。

引用次数: 0

Assessing the levels and association between emotional and physical intimate partner violence against women in Türkiye 评估<s:1>基耶省对妇女的情感和身体亲密伴侣暴力的程度及其联系

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-13 DOI: 10.1016/j.apnu.2025.151993

Ömer Alkan , Arife Kilinç

<div><h3>Purpose</h3><div>This study aimed to identify the levels and risk factors associated with physical and emotional violence that women in Türkiye have been subjected to simultaneously by their husbands/partners at some point in their lives.</div></div><div><h3>Methods</h3><div>Bivariate probit regression analysis was employed to determine the factors associated with women's experiences of physical and emotional violence inflicted by their husbands/partners. In this study, the cross-sectional data of the National Research on Domestic Violence against Women in Türkiye conducted in 2014 by the Institute of Population Studies of Hacettepe University were used. The survey questionnaires of The National Research on Domestic Violence against Women in Türkiye were implemented by the research team. The number of samples to be considered was calculated as 6458. The sampling of the research was carried out using cluster sampling. The weights calculated in accordance with the sample design of the research were added to these data sets.</div></div><div><h3>Findings</h3><div>The study revealed that 33 % of women experienced physical violence, while 41 % faced emotional violence. Women living in the central region, those with children, and those whose educational level exceeded that of their husband/partner were found to have a higher likelihood of experiencing both forms of violence. It was determined that young women were less likely to be exposed to physical and emotional violence. As women's educational level and health status improve, their likelihood of being exposed to physical and emotional violence decreases.</div></div><div><h3>Conclusion</h3><div>The findings of the study reveal that these forms of violence are interconnected and underscore the importance of devising effective strategies to lower the risk for women who are more susceptible to experiencing physical and emotional violence in the future. Conducting more comprehensive research on these forms of violence in Türkiye from diverse perspectives could serve as a crucial guide in identifying key areas that require immediate attention for addressing this issue.</div></div><div><h3>Implications for nursing</h3><div>The study results demonstrate that effective strategies to protect women at risk—such as gender equality campaigns, the widespread implementation of violence screening protocols in health check-ups, and increasing the capacity of shelters—must be urgently implemented by policymakers, healthcare professionals, social workers, and local organizations. In particular, the use of standardized violence assessment tools during routine examinations in healthcare facilities can provide an effective method for early intervention and referral. In addition, training healthcare personnel to identify and support victims of violence will enhance the effectiveness of this process. Conducting multidisciplinary, comprehensive research to understand the socio-cultural and structural dynamics of do

目的本研究旨在确定基耶妇女在其生命的某个阶段同时遭受丈夫/伴侣的身体和情感暴力的程度和相关风险因素。方法采用双变量probit回归分析，确定妇女遭受丈夫/伴侣身体和精神暴力的相关因素。本研究采用Hacettepe大学人口研究所于2014年开展的《全国家庭暴力侵害妇女行为研究》的横断面数据。研究小组实施了《全国家庭暴力侵害妇女问题研究》调查问卷。需要考虑的样本数计算为6458个。本研究的抽样采用整群抽样。将根据本研究的样本设计计算出的权重加入到这些数据集中。研究结果显示，33%的女性遭受过身体暴力，41%的女性遭受过精神暴力。研究发现，居住在中部地区的妇女、有孩子的妇女以及教育程度超过其丈夫/伴侣的妇女更有可能遭受这两种形式的暴力。据确定，年轻妇女遭受身体和精神暴力的可能性较小。随着妇女教育水平和健康状况的提高，她们遭受身体和情感暴力的可能性降低。研究结果表明，这些形式的暴力是相互关联的，并强调了制定有效策略的重要性，以降低未来更容易遭受身体和情感暴力的妇女的风险。从不同角度对伊拉克境内这些形式的暴力行为进行更全面的研究，可以作为确定需要立即关注以解决这一问题的关键领域的重要指南。研究结果表明，政策制定者、卫生保健专业人员、社会工作者和地方组织必须紧急实施有效的战略，以保护处于危险中的妇女，例如开展性别平等运动，在健康检查中广泛实施暴力筛查协议，以及提高庇护所的能力。特别是，在医疗机构的例行检查中使用标准化的暴力评估工具，可以为早期干预和转诊提供有效的方法。此外，培训保健人员识别和支持暴力受害者将提高这一进程的效力。开展多学科综合研究，了解黎巴嫩家庭暴力的社会文化和结构动态，将成为确定打击暴力优先领域的不可或缺的指南，并将为所有相关利益攸关方提供循证解决方案。

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引用次数: 0

Trauma, boundaries, and connection: Rethinking touch in psychiatric nursing practice 创伤、界限和联系：精神科护理实践中的再思考触摸

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-13 DOI: 10.1016/j.apnu.2025.152004

Trae Stewart

This article reexamines the contested role of physical touch in psychiatric-mental health nursing, where institutional norms often restrict contact due to concerns about trauma, safety, and professional risk. While these restrictions are grounded in legitimate ethical concerns, they also reflect deeper institutional logics of surveillance, control, and epistemic reductionism. Drawing on theories of embodiment, trauma healing, feminist care ethics, and relational nursing, this article critically interrogates the consequences of disembodied care models that privilege procedural neutrality over relational presence. It argues for a reframing of therapeutic touch not as a clinical risk or fixed technique, but as an ethical, relational practice requiring contextual discernment, cultural sensitivity, and reflective engagement. By moving beyond binary positions—either prohibition or permissiveness—this article proposes a situated ethics of touch, grounded in the moral complexities of psychiatric nursing. Ultimately, it calls for institutional and pedagogical reforms that support nurses in navigating this complexity with attunement, agency, and accountability.

这篇文章重新审视了身体接触在精神-心理健康护理中有争议的角色，由于对创伤、安全和专业风险的担忧，机构规范经常限制接触。虽然这些限制是基于合理的伦理考虑，但它们也反映了更深层次的监督、控制和认知还原论的制度逻辑。借鉴具体化、创伤愈合、女权主义护理伦理和关系护理理论，本文批判性地质疑了非实体护理模式的后果，这种模式将程序中立性置于关系存在之上。它主张重新定义治疗触摸，而不是将其作为临床风险或固定技术，而是作为一种道德的、关系的实践，需要上下文辨别力、文化敏感性和反思参与。通过超越二元立场——要么禁止，要么允许——本文提出了一种基于精神病学护理的道德复杂性的触摸伦理。最后，它呼吁进行制度和教学改革，以支持护士通过协调、代理和问责来应对这种复杂性。

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引用次数: 0

Harnessing guidance and counseling in schools as a frontline defense against adolescent cyberbullying 利用学校的指导和咨询作为对抗青少年网络欺凌的一线防御

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-13 DOI: 10.1016/j.apnu.2025.152005

Erma Pratiwi Nufi , Riza Amalia , Ronal Surya Aditya , Herul Wahyudin , Romika Rahayu , Harwanti Noviandari , Karyanti , Burhanuddin

引用次数: 0

The relationships between frailty and depression, loneliness, and self-neglect in older adults: A cross-sectional study 老年人脆弱与抑郁、孤独和自我忽视之间的关系：一项横断面研究

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-11-13 DOI: 10.1016/j.apnu.2025.151997

Yasemin Adıgüzel Yaşar , Sümeyye Gencer , Nesrin İlhan , Türkinaz Aştı

Background and objectives

The growing older adult population in Türkiye and the rest of the world highlights the health impacts of psychosocial issues. Frailty—associated with falls, disability, and care needs—often coexists with depression and loneliness. This study investigates how frailty relates to depression, loneliness, and self-neglect in older adults.

Methods

This cross-sectional study was conducted at a university hospital in Istanbul. The study was conducted with 259 older adults (≥65 years) between September 2023 and February 2024. A sociodemographic information form, the Tilburg Frailty Indicator, the Geriatric Depression Scale-15, the Loneliness Scale for the Elderly, the Istanbul Medical School Elder Self-Neglect Questionnaire, and the Barthel Index for Activities of Daily Living were used for data collection. Data were analyzed using descriptive statistics, Pearson's correlation analysis, and simple, multiple, and hierarchical multiple linear regression analyses.

Results

The prevalence of frailty among the participants was 60.6 %, whereas depressive symptoms were seen in 28.6 %, loneliness was identified in 53.7 %, and self-neglect was detected in 32.4 %. Depression, loneliness, and self-neglect significantly predicted frailty, explaining 51.9 % of its variance (p < 0.001). Furthermore, depression, health perceptions, loneliness, self-neglect, pain, the community where the participants lived the longest, and living with a nuclear family were also significant predictors of frailty. Together, these factors accounted for 65.1 % of the total variance in frailty (p < 0.001).

Conclusion

The study found that depression, loneliness, and self-neglect were linked to greater frailty in older adults. Early interventions and psychosocial support may reduce frailty by addressing these issues and promoting social interaction.

背景和目的土耳其和世界其他地区老年人口的增长凸显了社会心理问题对健康的影响。虚弱——与跌倒、残疾和护理需求有关——通常与抑郁和孤独并存。这项研究调查了老年人的脆弱与抑郁、孤独和自我忽视之间的关系。方法本横断面研究在伊斯坦布尔的一所大学医院进行。该研究在2023年9月至2024年2月期间对259名老年人（≥65岁）进行了研究。采用社会人口统计信息表、蒂尔堡衰弱指数、老年抑郁量表-15、老年人孤独量表、伊斯坦布尔医学院老年人自我忽视问卷和Barthel日常生活活动指数进行数据收集。数据分析采用描述性统计、Pearson相关分析以及简单、多元和分层多元线性回归分析。结果参与者中虚弱的患病率为60.6%，抑郁症状的患病率为28.6%，孤独感的患病率为53.7%，自我忽视的患病率为32.4%。抑郁、孤独和自我忽视显著地预测了脆弱，解释了51.9%的方差（p < 0.001）。此外，抑郁、健康认知、孤独、自我忽视、痛苦、参与者生活时间最长的社区以及与核心家庭一起生活也是脆弱的重要预测因素。总之，这些因素占脆弱总方差的65.1% （p < 0.001）。研究发现，抑郁、孤独和自我忽视与老年人更脆弱有关。早期干预和社会心理支持可以通过解决这些问题和促进社会互动来减少脆弱。

{"title":"The relationships between frailty and depression, loneliness, and self-neglect in older adults: A cross-sectional study","authors":"Yasemin Adıgüzel Yaşar , Sümeyye Gencer , Nesrin İlhan , Türkinaz Aştı","doi":"10.1016/j.apnu.2025.151997","DOIUrl":"10.1016/j.apnu.2025.151997","url":null,"abstract":"<div><h3>Background and objectives</h3><div>The growing older adult population in Türkiye and the rest of the world highlights the health impacts of psychosocial issues. Frailty—associated with falls, disability, and care needs—often coexists with depression and loneliness. This study investigates how frailty relates to depression, loneliness, and self-neglect in older adults.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted at a university hospital in Istanbul. The study was conducted with 259 older adults (≥65 years) between September 2023 and February 2024. A sociodemographic information form, the Tilburg Frailty Indicator, the Geriatric Depression Scale-15, the Loneliness Scale for the Elderly, the Istanbul Medical School Elder Self-Neglect Questionnaire, and the Barthel Index for Activities of Daily Living were used for data collection. Data were analyzed using descriptive statistics, Pearson's correlation analysis, and simple, multiple, and hierarchical multiple linear regression analyses.</div></div><div><h3>Results</h3><div>The prevalence of frailty among the participants was 60.6 %, whereas depressive symptoms were seen in 28.6 %, loneliness was identified in 53.7 %, and self-neglect was detected in 32.4 %. Depression, loneliness, and self-neglect significantly predicted frailty, explaining 51.9 % of its variance (<em>p</em> < 0.001). Furthermore, depression, health perceptions, loneliness, self-neglect, pain, the community where the participants lived the longest, and living with a nuclear family were also significant predictors of frailty. Together, these factors accounted for 65.1 % of the total variance in frailty (<em>p</em> < 0.001).</div></div><div><h3>Conclusion</h3><div>The study found that depression, loneliness, and self-neglect were linked to greater frailty in older adults. Early interventions and psychosocial support may reduce frailty by addressing these issues and promoting social interaction.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"60 ","pages":"Article 151997"},"PeriodicalIF":2.2,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145528999","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}

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