ARCHIVES OF PSYCHIATRIC NURSING

A mixed-method study to develop and evaluate a structured therapeutic communication module on psychological distress and perceived needs among caregivers of critically ill patients in Critical Care Units
Peter PPR, Smriti S, Dhangar R, Hasija R, Choudhary R, Dhull R, Choudhary S, Yadav S, Kajla SM, Sahotra S, Yangchen S, Jain G and Sharma R
To develop and evaluate the effectiveness of a structured therapeutic communication module on psychological distress and perceived needs among caregivers of critically ill patients.
Changing the narrative: Addressing American Indian/Alaska Native mental health needs through academic holistic support
Wilkie ML, Martin L and Peterson BL
American Indian/Alaska Natives (AIAN) have some of the highest health disparities and poorest outcomes of all racial or ethnic minority groups in the United States. Across all age groups, suicide is 2.5 times higher in AIANs than the national average (National Indian Council on Aging, 2019). Cultural and institutional barriers prevent AIAN undergraduate and graduate college students from seeking mental health services, and many serious mental health problems remain untreated. While numerous barriers to mental health services exist for AIAN students, Indigenous faculty and support staff who share deep understanding of history, culture and traditional view of health and wellness can reduce the barriers and promote mental health and wellness for students. Shifting the focus to introduce a new narrative gives way to greater recognition of factors that create health and may help academic institutions provide holistic support for AIAN and other underrepresented students. The new narrative includes holistic strength-based support, social support, and fostering cultural identity and pride enhances mental health and success. Indigenization of the doctoral nursing curriculum supports faculty who are committed to decolonizing course content and institutionalized pedagogy. Improved health outcomes for Indigenous individuals and other underrepresented students will positively affect communities through increasing diversity of APRNs, nursing faculty, and nursing scholars.
Brief intervention protocol by telephone delivered by nurses to patients with harmful alcohol use in primary health care: A feasibility trial
Lima AVC, de Vargas D, Ramírez ÉGL and Pereira CF
The aim of this study is to examine the feasibility of a brief intervention protocol by telephone performed by nurses in primary health care facilities.
The effect of digital game addiction on aggression and anger levels in adolescents: A cross-sectional study
Akbaş E and Kilinç Işleyen E
In this study, it was aimed to determine the effect of digital game addiction on aggression and anger levels in adolescents.
Emotional eating mediates the relationship between perceived stress and body appreciation in adult male and female: A cross-sectional study in Turkey
Ersoy N, Aslan Çin NN and Yardımcı H
The aim of this study was to investigate the association between adults' perceived stress, emotional eating, and body appreciation. The Emotional Eater Questionnaire (EES), the Perceived Stress Scale (PSS), and the Body Appreciation Scale-2 (BAS-2) were completed by 710 adult participants. Emotional eating was found to be adversely related to body appreciation in both female (=-0.232, p: <.001) and male (β = -0.180, p < .05). The study's findings highlighted the harmful impacts of perceived stress and emotional eating on the range of body appreciation. This finding shows that stress and emotion management should be considered in the context of adult body appreciation practices.
Concept analysis of psychiatric nursing competency in psychiatric nursing
Choi HB
This concept analysis study identified attributes and defined psychiatric nursing competency among psychiatric nurses. The approach of Walker and Avant was used for concept analysis, and a literature review was completed including eight steps. The concept of psychiatric nursing competency was identified as five attributes: professional assessment, situation coping skills, communication, cooperation, and self-management. Antecedents of the concept were psychiatric nursing education and experience, and the consequences were patient outcomes, patient safety, and efficiency of care. Psychiatric nursing competency was defined as the comprehensive ability to care for psychiatric patients appropriately and effectively in the nursing situation. This study is meaningful in that it clarified psychiatric nursing competency among psychiatric nurses, and the attributes and empirical referents of this study will be the basis for development to a psychiatric nursing competency measurement tool.
The effect of laughter therapy on self-efficacy and psychological well-being in nursing students
Güvener YÖ
Academic self-efficacy and psychological well-being play a crucial role in the mental health of nursing students and influence whether they decide to remain in the nursing profession.
Melatonin hormone level in nurses and factors affecting it; Investigation according to shift working pattern
Şentürk E, Üstündağ H and Demir Gökmen B
This study aimed to determine the relationship between melatonin hormone levels, sleep, and factors affecting sleep, psychological resilience, and depression in nurses working with a shift work system. Conducted between February 5-12, 2021, at the Training and Research Hospital in Ağrı province, the descriptive study included 41 night shift nurses and 35 day shift nurses, totaling 76 participants. Blood samples for melatonin analysis were collected and data were gathered using the Sociodemographic Information Form, Epworth Sleepiness Scale, Sleep Disorder Scale Short Form, Brief Psychological Resilience Scale, and Beck Depression Scale Short Form. Melatonin analysis was performed using the ELISA method. Statistical significance was set at p < 0.05. Results showed that sleep disorders were present in all nurses with <7 h of daily sleep. Factors such as the use of sleeping pills, marital status, age, and gender affected sleep disorders. Mean scores for melatonin levels were 67.82 ± 40.20 for night shift nurses and 68.08 ± 39.62 for day shift nurses, with no significant difference between shifts. Similarly, no significant differences were found in daytime sleepiness (7.49 ± 4.47 vs. 7.51 ± 4.65), sleep disturbance (24.71 ± 7.33 vs. 25.23 ± 6.64), psychological resilience (18.42 ± 4.19 vs. 17.89 ± 4.74), or depression (3.22 ± 2.60 vs. 3.49 ± 3.35). Nurses exhibited mild sleep disturbances, low depression tendencies, and moderate psychological resilience. Increased daytime sleepiness and sleep disorders correlated with higher depression tendencies and lower psychological resilience. Hospital management and education units are recommended to conduct interventions on sleep quality, depression, and psychological resilience to raise awareness among nurses.
Eating attitudes, physical activity, and sleep quality levels of adolescents during the pandemic process
Başdaş Ö, Şahin D, Oğul G, Bayat M and Bağcivan E
The present study was conducted to determine the eating attitude, physical activity, and sleep quality levels of adolescents during the pandemic process.
Sex-specific in the association between depressive symptoms and risk of cognitive impairment in Chinese older adults
Wu X, Zhang N, Chao J, Liu Y and Zhang B
Many studies have focused on the relationship between depressive symptoms and cognitive impairment, but gender differences in this relationship are unclear, especially among Chinese older adults. Therefore, this study explores whether there are gender differences between depressive symptoms and risk of cognitive impairment based on a survey of a Chinese older adult population.
Insight and empathy in schizophrenia: Impact on quality of life and symptom severity
Taha SM, Abdelraof AI, El-Monshed AH, Amr M and Elhay ESA
Quality of life has emerged as a powerful indicator of therapeutic success. However, little research has been conducted to study potential factors that influence quality of life in persons with schizophrenia, particularly in low-income developing nations.
Nurses' experiences on the use of Positive Behaviour Support in the management of challenging behaviour in adults with a dual diagnosis of a mental health disorder and an intellectual disability
Meggs J and O'Reilly PP
Individuals who have a dual diagnosis of both a psychiatric disorder and an intellectual disability (ID) are more likely to exhibit challenging behaviour than the general population. Clinicians globally have been encouraged to use positive approaches such as Positive Behaviour Support (PBS) when managing challenging behaviour.
Does sense of coherence buffer the effects of moral dilemmas faced by psychiatric nurses in Japan? A cross-sectional study
Hisadomi K and Togari T
Psychiatric nurses face moral dilemmas that affect their mental health. We investigated whether sense of coherence (SOC) buffers psychiatric nurses' perceived effects of moral dilemmas on their psychological distress. A total of 418 nursing professionals in 6 psychiatric hospitals in Japan completed self-administered questionnaires. A negative correlation was observed between "patient rights" (r = -0.24, p < 0.001), "relationships other than patient" (r = -0.28, p < 0.001), "nursing care" (r = -0.25, p < 0.001) of moral dilemmas and "manageability" of SOC. Additionally, a negative correlation was observed between "patient rights" (r = -0.22, p < 0.001), "relationships other than patient" (r = -0.21, p < 0.001) of moral dilemmas and "comprehensibility" of SOC. Hierarchical multiple regression analysis used the Kessler Psychological Distress Scale-10 (K10), which assessed the degree of mental distress, as the dependent variable, and moral dilemmas and SOC as the independent variables, along with their interaction terms. The K10 scores significantly changed depending on the degree of moral dilemmas in the low SOC group, but not in the high SOC group. SOC buffers the effects of psychiatric nurses' perceived moral dilemmas on their psychological distress.
How does group music therapy help in combating the anxiety and depression of dementia patients? A quasi-experimental investigation
Feng X, Dang W and Apuke OD
This study looked at the effect of group music therapy on dementia patients' levels of feelings of depression and anxiety. Quasi-experiment was carried out (N = 121) in which patients were randomly divided into a control (N = 61) and an experimental group (N = 60). Following a six-weeks, twelve-sessions trial involving both passive and active music therapy, it was discovered that the music group therapy intervention decreased the anxiety and depression levels of dementia patients in the experimental group as compared to the control group, which did not receive any music therapy. It was also noted that after three months of follow-up, participants in the experimental group still maintained a low level of anxiety and depression, but the control group's level remained high, therefore, substantiating the effect of music in lowering anxiety and depression among older ones. We urge the nursing descipline, medical professionals, carers, and care homes to include music therapy in the care they provide for patients with dementia.
Reasons for using methamphetamine: Systematic review
Hançer Tok H and Tokur Kesgin M
Use of methamphetamine has increased in the last decade. The reasons for using methamphetamine vary according to the characteristics of the users. The literature includes review studies on methamphetamine use; however, no systematic review on the reasons for using methamphetamine was found. This study aims to determine the reasons for methamphetamine use through a systematic review of the literature.
The effects of a telenursing scheduled intervention of brief behavioral activation therapy on depression and anxiety symptoms of patients with mixed depression and anxiety disorder: A randomized controlled trial
Hayati MS, Shams J, Meibodi SS, Shafighi AH, Shattell M and Ghadirian F
Although many studies have been conducted on the efficacy of behavioral activation in depression, few studies have evaluated the efficacy of this treatment in patients with mixed depression and anxiety through telecare.
The effect of solution-focused approach on attitudes to violence against women in high school students
Şahin F and Küçük L
This study was conducted to examine the Effect of Solution-Oriented Approach on Attitudes of Violence Against Women in High School Students.
Relationship between awareness of digital game addiction, health literacy, and sociodemographic characteristics of mothers: A structural equation modeling analysis
Pazarcikci F and Ağrali H
Mothers' digital game addiction awareness and their health literacy levels are critical factors for addiction prevention strategies in children. Therefore, the present study is significant. This study examines the relationship between awareness of digital game addiction, health literacy, and the sociodemographic characteristics of mothers.
Where have all the pre-licensure psychiatric-mental health clinicals gone?
Foley D
Simulation with a standardised patient to reduce stigma towards people with schizophrenia spectrum disorder among nursing students: A quasi-experimental study
García-Carpintero Blas E, Vélez-Vélez E, Gómez-Moreno C, Martínez-Arce A, Tovar-Reinoso A, Rodriguez-Gómez P, Vaquero Velerdas L and López-Martín I
This study examined the effectiveness of simulation with a standardised patient on the perception of stigma associated with schizophrenia among undergraduate nursing students. It also assessed the reliability of the AQ-27 questionnaire in this context.
The effects of exposure to dating violence and cyber victimization of female university students on resilience and happiness levels
Oydemir İ and Alan Dikmen H
To examine the effects of exposure to dating violence and cyber victimization of female university students on resilience and happiness levels.
The effects of mindfulness-based psycoeducation program on the perceived stress levels and emotion regulation strategies of patients diagnosed with bipolar disorder
Kaplan SN and Gençarslan DÖ
In recent years, mindfulness-based practices in psychiatric patients have become a new trend. It is applied to many mental disorders and is stated to have various benefits. There is not enough research yet on how mindfulness-based practices effect patients with diagnosed bipolar disorder. This study aimed to evaluate the effects of mindfulness-based psychoeducation program on emotion regulation strategies and perceived stress levels of patients diagnosed with bipolar disorder.
The relation between toxic substance consumption and the positive mental health of adolescents, a descriptive cross-sectional study
García Muelas N, Cuesta-Lozano D, Ruiz Bonilla S, Torres Gallego de Lerma P, Alupoaei C and García-Sastre M
This study aims to find out how adolescents' consumption of toxic substances such as tobacco and alcohol is influenced by the Positive Mental Health. A quantitative methodology with a cross-sectional design has been used to achieve the final conclusions. The intervention was carried out by applying the Positive Mental Health Questionnaire developed by Teresa Lluch to a group of adolescents from Don Juan Manuel High School in Guadalajara (Spain). Our results shows that the Positive Mental Health of adolescents have a great impact on the tobacco and alcohol consumption. The scientific literature consulted signs that people who do not consume substances tend to have better Positive Mental Health.
The association between the coping attitudes and compulsive online buying behaviors of nurses
Unal S and Savci C
The aim of this study is to examine the relationship between the coping attitudes and compulsive online buying behaviors of nurses.
An invitation to examine ableism in psychiatric nursing practice
Brown H and DeSocio J
Adapting the Zero Suicide framework to the adult emergency department setting: Strategies for nurse leaders
Roth B, Chen JI, Nagarkatti-Gude DR, Pfeiffer PN, Newgard CD, Hynes DM and Boudreaux ED
The ED has been increasingly recognized as a key setting for suicide prevention. Zero Suicide (ZS) is an aspirational goal to eliminate suicide for all patients within a health care system through utilization of best practices. However, there has been limited exploration of ZS implementation within the ED. As ED nurses play an important role in suicide prevention through their close contact with patients at risk for suicide, ZS implementation would benefit from tailored strategies for ED nurse leadership. We describe the ZS framework and provides strategies for nurse leaders to adapt each ZS component in the adult ED.
Relationship between academic teaching staff' mental health literacy levels and beliefs toward mental illness
Gumus CS and Avci D
The study aimed to determine the relationship between academic teaching staff' mental health literacy levels and beliefs toward mental illness.
"Sustaining the burden". A qualitative study on the emotional impact and social functioning of family caregivers of patients with psychosis
Villena Jimena A, Morales-Asencio JM, Quemada C and Hurtado MM
Evidence shows that caring for a family member with a psychotic disorder generates a significant emotional impact and repercussions on social functioning. However, this caregiving experience can be influenced by cultural factors. The aim of this study is to explore the experience and perception of a group of family caregivers of patients with psychotic disorders of different durations regarding the emotional and social functioning repercussions of caregiving on them in Andalusia. Three focus groups (28 participants) were conducted. Data were subject to a thematic analysis. Three themes emerged from the data: 1) Emotional invasion; 2) Disruption in the caregiver's life project; and 3) Changes in the family system. Participants reported experiencing sadness, fear, overwhelm, hopelessness, and uncertainty. Caregivers' accounts reflected an interruption of their daily tasks, as well as the need to reformulate plans or goals outside the family life that require long-term commitment, such as professional development or even their residence. The narratives indicated an impact on all roles within the family system, particularly for the mother. The results are consistent with existing research. Healthcare professionals and programs should take into account the costs associated with caregiving in order to minimize them, given the impact it has on both the patient's and the caregivers' health.
Is there a relationship between internalized misogyny and attitudes towards dating violence in young women?
Erenoğlu R and Sözbir ŞY
This study aims to determine the relationship between young women's attitudes towards dating violence and internalized misogyny. This study used descriptive and relational design. The target population of the study was all young women aged between 18 and 24 years who lived in Turkey. A total of 288 individuals were accessed in the study. Data were collected through the "Personal Information Form" developed by the researchers, "Attitudes towards Dating Violence Scales", and the "Internalized Misogyny Scale". Participating young women's Attitudes Towards Male Psychological Dating Violence Scale mean score and the Internalized Misogyny Scale mean score demonstrated a positive and medium level relationship (p<0.01. r:0.412), and a positive and weak correlation was detected with Devaluing of Women (p<0.01. r:0.374), Distrust of Women (p<0.01. r:0.341), and gender bias in favor of men (p<0.01. r:0.321) sub-scale mean scores. This study found that although the level was weak, there was a correlation between internalized misogyny and dating violence, and the increase in internalized misogyny increased the acceptance of dating violence in young women.
Cultivating resilience and community engagement through research within Indigenous populations
Lowe J and Millender EIF