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Journal of Psychiatric and Mental Health Nursing

Amanda Peterson, Jason Chen, Marc Karver
The purpose of this essay is to introduce a threat-based beliefs model of treatment-seeking for depression through the discussion of facilitative threats (i.e. beliefs regarding the negative impact of depression on personal functioning that may facilitate treatment engagement) and to propose potential treatment strategies that mental health and psychiatric nurses can utilize to encourage their patients to receive treatment for depression. Considering mental health and psychiatric nurses play an important role in maintaining the mental health of their patients, this information could prove invaluable to assist nurses in helping their patients to not only receive treatment for their depression, but also to maintain their treatment-seeking motivations...
February 13, 2019: Journal of Psychiatric and Mental Health Nursing
Neil Brimblecombe, Haddy Quist, Fiona Nolan
INTRODUCTION: Technological innovation offers opportunities to improve mental health care, however, little evidence exists regarding attitudes of inpatient staff and patients to such changes. We present a survey of staff and patients prior to introduction of a digital version of the National Early Warning Score (eNEWS) system for identifying physical deterioration. AIM: To collate views of staff and inpatients related to prospective use of eNEWS, to inform the plan for implementation...
February 11, 2019: Journal of Psychiatric and Mental Health Nursing
Rikke Jørgensen, Jette Christiansen, Hanne Becker Nissen, Karin Kristoffersen, Vibeke Zoffmann
INTRODUCTION: Evidence-based interventions are required in mental health nursing to improve quality and outcome for patients. However, there is a need to shed light on professionals' reactions to the use of evidence-based interventions to better understand and adjust the implementation process. AIM: To explore mental health care professionals' reactions to using the evidence-based intervention Guided Self-Determination method in the care of inpatients with severe mental illness...
December 21, 2018: Journal of Psychiatric and Mental Health Nursing
Geoffrey L Dickens, Leah Hosie
Self-harm is common on mental health wards; an unsurprising fact given that the patient group comprises some of the most unwell people from the local community. One systematic review of 25 studies (Swannell et al 2014) suggested a pooled prevalence for self-harm by inpatient mental health service users of 17.4% (range 0.7% - 68.8%) including up to 21% specifically by self-cutting. It has long been recognised that custodial, coercive approaches to inpatient self-harm management are problematic, invalidate the individual's distress, and disrespect their agency and autonomy...
December 2, 2018: Journal of Psychiatric and Mental Health Nursing
I Oostvogels, I L Bongers, A Willems
INTRODUCTION: Research is lacking on what determines interaction between staff and patients with a diagnosis of personality disorder in forensic settings. AIM: Test whether coping, self-reflection, insight and emotion regulation are related to the behaviour of staff towards these patients, and test the possible moderating and mediating effect of emotion regulation. METHOD: Using a cross-sectional design, 76 direct care staff of a forensic clinic completed questionnaires on all variables...
November 29, 2018: Journal of Psychiatric and Mental Health Nursing
Debra Haas Stavarski, Robbi K Alexander, Shelby N Ortiz, Thomas Wasser
INTRODUCTION: Individuals with eating disorders (EDs) experience suicidal thoughts and behaviors at elevated rates compared to the general population. Hope-engendering nursing actions may increase patients' levels of hope for the future, improve coping self-efficacy, and possibly reduce suicidality. Although nursing staff are integral ED treatment team members, little is known about nursing actions targeting hopefulness. AIM: Explore differences between patients' and nurses' perceptions of hope-engendering nurse actions and the relationship actions have with patients' perception of hope...
November 29, 2018: Journal of Psychiatric and Mental Health Nursing
Ying Shi, Yanping Shao, Huanhuan Li, Shouqi Wang, Jie Ying, Meiling Zhang, Yuan Li, Zhuangjie Xing, Jiao Sun
INTRODUCTION: Many studies have investigated the correlates of affiliate stigma among family caregivers of people with mental illness (PWMI). Thus far, no systematic review or meta-analysis has been conducted to synthesize these results. AIMS /QUESTION: This review aims to identify the correlates of affiliate stigma among family caregivers of PWMI. METHOD: We searched four databases including PubMed, PsychINFO, EMBASE, and Web of Science for studies that investigated the association of affiliate sigma with socio-demographic, psychosocial, and disease-related factors...
November 25, 2018: Journal of Psychiatric and Mental Health Nursing
Lillian Hung, Cathy Son, Rebecca Hung
INTRODUCTION: Hospital staff lacks knowledge and skills in dementia care. There is a need to understand how person-centered care theory can be operationalized in staff's practices to improve dementia care. AIMS: To describe the staff's experiences of learning and applying the Gentle Persuasive Approaches (GPA) to enact person-centered care in a hospital. METHODS: Mixed methods, including posteducation survey and focus groups, were used. Thematic analysis was conducted to identify themes that describe participants' experiences...
November 18, 2018: Journal of Psychiatric and Mental Health Nursing
Tzipi Hornik-Lurie, Anat Shalev, Lior Haknazar, Paula Garber Epstein, Linor Ziedenberg-Rehav, Galia S Moran
INTRODUCTION: Developing person-centred recovery-oriented care is a challenge in mental health systems, particularly psychiatric hospitals. AIM: To assess the knowledge, attitudes and practices developed following recovery-oriented training of nurses and other staff; to identify the benefits and challenges involved in the implementation of recovery-oriented intervention in psychiatric wards. METHOD: A mixed-methods study compared recovery knowledge, attitudes and practices of 37 mental health ward staff trained in recovery-oriented intervention, against 35 staff not trained...
November 9, 2018: Journal of Psychiatric and Mental Health Nursing
Bryony Insua-Summerhays, Kirsten Barnicot, Alice Hart, Emily Plummer, Stefan Priebe
INTRODUCTION: Policies increasingly focus on staff-patient interactions during one-to-one psychiatric nursing observations as an opportunity for therapeutic engagement - yet if and how this is feasible is unknown. AIM: This study aimed to integrate staff and patient perspectives to determine what factors facilitate or impede therapeutic engagement during one-to-one observation. METHOD: Thematic analysis of qualitative interviews with 31 psychiatric inpatient staff at different levels of seniority and 28 inpatients spanning a range of diagnoses and risk profiles...
November 5, 2018: Journal of Psychiatric and Mental Health Nursing
Anne Felton, Julie Repper, Mark Avis
WHAT IS KNOWN ON THE SUBJECT?: Risk assessment and management in mental health services are contested and perceived as problematic by both professionals and service users. There is substantial emphasis on risk as a core component of professional practice. However, recovery for people with mental health problems emphasizes self-determination which seems to conflict with risk management. A critique is emerging of risk assessment and management. However, there is a lack of empirical evidence which seeks to explore how professionals manage the conflicts between recovery orientated practice and risk management...
October 29, 2018: Journal of Psychiatric and Mental Health Nursing
Young-Ju Kim, Victoria B Mitrani
WHAT IS KNOWN ON THE SUBJECT?: Mothers with mental health problems are at risk of well-being and experience lack of support. There is little research focusing on the effect of household composition on health of Hispanic mothers with mental illness. As the family is a central feature in Hispanic lives and there is a high dependence on the family for help, it is crucial to understand how household composition and family functioning influences Hispanic mothers' health and well-being. WHAT DOES THE PAPER ADDS TO EXISTING KNOWLEDGE?: Living with at least one other adult in the household are related to better Hispanic mothers' physical and psychological health...
October 6, 2018: Journal of Psychiatric and Mental Health Nursing
Lorraine J Phillips, Nancy M Birtley, Gregory F Petroski, Carol Siem, Marilyn Rantz
WHAT IS KNOWN ON THE SUBJECT?: In the United States, 15.5% of nursing home residents without qualifying diagnoses of schizophrenia, Huntington's' Disease, and/or Tourette Syndrome receive antipsychotic medications. Antipsychotic medications are used off-label (i.e., used in a manner the United States Food and Drug Administration's packaging insert does not specify) to treat neuropsychiatric symptoms, often before attempting nonpharmacologic interventions, despite evidence that this drug class is associated with significant adverse events including death...
October 2018: Journal of Psychiatric and Mental Health Nursing
Thijs Beckers, Bauke Koekkoek, Bea Tiemens, Lia Jaeqx-van Tienen, Giel Hutschemaekers
WHAT IS KNOWN ON THE SUBJECT?: Care planning and coordination are currently insufficiently based on scientific insights due to a lack of knowledge on this topic. Most patients with severe mental illness receive long-term treatment from specialized mental health services. This long-term, highly intensive treatment is not always the best option for two reasons. Firstly, because as long as a patient receives intensive treatment aimed at safety, it is hard for that patient to take full responsibility for their own life...
September 30, 2018: Journal of Psychiatric and Mental Health Nursing
Leah Hosie, Geoffrey L Dickens
WHAT IS KNOWN ON THE SUBJECT?: Nurses in mental health inpatient settings use a range of methods to try and help service users who self-harm Harm-reduction approaches are intended to help service users reduce the impact of their self-harm rather than simply to prevent them self-harming Harm-reduction techniques might be helpful for people who cut themselves because there are some clear ways harm can be minimized such as providing advice about cutting No one has previously tried to measure whether harm-reduction techniques are more or less acceptable to mental health practitioners and service users than traditional methods...
September 26, 2018: Journal of Psychiatric and Mental Health Nursing
Peter de Looff, Henk Nijman, Robert Didden, Petri Embregts
INTRODUCTION: Aggressive behaviour of forensic clients is associated with burnout symptoms in nursing staff. The role of staff characteristics as moderators is unclear. AIM: We explored the association of type and severity of aggressive behaviour as experienced by nursing staff and staff's burnout symptoms. In addition, the moderating roles of personality characteristics and emotional intelligence were studied. Moreover, the usefulness of ambulatory skin conductance assessments in detecting arousal related to burnout symptoms was studied...
September 10, 2018: Journal of Psychiatric and Mental Health Nursing
Gary Winship, Ben Hannigan, Sally Hardy, Joy Bray, Mary Chambers
No abstract text is available yet for this article.
September 2018: Journal of Psychiatric and Mental Health Nursing
Constance Odeyemi, Jean Morrissey, Gráinne Donohue
WHAT IS KNOWN ABOUT THE SUBJECT?: First-episode psychosis (FEP) usually occurs in adolescence, a time of great change and upheaval and the effect on the sufferer and their family can be immense The nurse's role is to alleviate this suffering, aid recovery and minimize the risk of relapse. They manage this onerous task ideally through the therapeutic relationship, and use the skills of assessment and risk identification in order to maximize patient outcomes. WHAT DOES THE STUDY ADD TO EXISTING KNOWLEDGE?: The study adds knowledge about the challenges that mental health nurses experience specifically in the presentation of first-episode psychosis The findings of this study reinforce the idea that pathways to care need to be clearly identified with a community-wide educational led experience This study illuminates the fact that additional training and formalized clinical supervision are necessary for mental health nurses to improve quality of care and reduce stress levels, both of which lead to better clinical outcomes...
September 2018: Journal of Psychiatric and Mental Health Nursing
Gin-Liang Chee, Dianne Wynaden, Karen Heslop
WHAT IS KNOWN ON THE SUBJECT?: This paper addresses an identified gap in the international literatures related to physical health care of young people with first episode psychosis. Previous studies indicate that nurses' skills, knowledge and attitudes influence physical health outcomes for service users. The educational preparation of nurses influences their physical health care nursing practices. Nurses who have a high level of skills, knowledge and positive attitudes towards the provision of physical health care are more likely to initiate this care to young people experiencing first episode psychosis Young people experiencing first episode psychosis are more likely to have physical health comorbidities and less likely to receive treatment for them than young people in the general population...
September 2018: Journal of Psychiatric and Mental Health Nursing
Dennis Demedts, Marc Roelands, Julien Libbrecht, Johan Bilsen
WHAT IS KNOWN ABOUT THE SUBJECT?: Euthanasia because of unbearable mental suffering (UMS euthanasia) has been legal in Belgium since 2002 under strict conditions of careful practice. UMS euthanasia occurs fairly rarely in Belgium, but the frequency has increased substantially over the past few years. Although most mental health nurses play an important role and are supportive of euthanasia in general, their role, attitude and knowledge when it comes to UMS euthanasia were unknown until now. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: Most mental health nurses in Belgium appear to be supportive towards UMS euthanasia and where UMS euthanasia is carried out, mental health nurses are often involved in the preceding decision-making process...
September 2018: Journal of Psychiatric and Mental Health Nursing
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