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Archives of Psychiatric Nursing — Mon, 30 Jan 2012 03:56:38 +0100

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Archives of Psychiatric Nursing — Mon, 30 Jan 2012 03:56:38 +0100

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Commitment to the Society for Education and Research in Psychiatric Mental Health Nursing

Archives of Psychiatric Nursing — Mon, 30 Jan 2012 03:56:38 +0100

Archives of psychiatric nursing has been the official journal of the Society for Education and Research in Psychiatric Mental Health Nursing (SERPN) since its inception. It is important that, as educational preparation of advanced practice psychiatric mental health nurses is undergoing considerable change, we reaffirm our commitment to SERPN's purpose and strategic goals. The goals of SERPN are to (a) unite and strengthen the presence and voice of psychiatric mental health specialty nurses; (b) promote equitable quality care for individuals and families with mental health problems; (c) enhance the ability of psychiatric mental health nurses to work collaboratively on issues facing the profession; (d) provide expanded opportunities for networking and leadership development; and (e) impact h...

The Health Challenge of Stress Experienced by Native American Adolescents

Archives of Psychiatric Nursing — Mon, 12 Dec 2011 05:00:00 +0100

Little is known about how Native American youth experience or manage stress. The purpose of this study was to describe the health challenge of stress experienced by Cherokee-Keetoowah adolescents and to identify approaches used to manage stress. All adolescents regardless of ethnicity face normative sources of stress, such as daily hassles and transition experiences like moving to a new school. Native American youth are known to have significantly greater stress, related to social and economic factors, than their white peers. They are exposed to a variety of continuous stressors including poverty and family disruption. A qualitative story–theory-guided approach was used to conduct a secondary analysis of existing data collected from a larger study where written stories of stress were gat...

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Archives of Psychiatric Nursing — Fri, 25 Nov 2011 14:55:24 +0100

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Archives of Psychiatric Nursing — Fri, 25 Nov 2011 14:55:24 +0100

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Archives of Psychiatric Nursing — Fri, 25 Nov 2011 14:55:24 +0100

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Enhancing Management of Depression and Type 1 Diabetes in Adolescents and Young Adults

Archives of Psychiatric Nursing — Fri, 25 Nov 2011 14:55:24 +0100

Anxiety, depression, and eating disorders are higher in adolescents and young adults with diabetes than in their unaffected counterparts worldwide. This descriptive qualitative research paper, using secondary analysis, described the experiences of adolescents and young adults living with depression and Type 1 diabetes. The study showed that depression negatively affected the participants physically, emotionally, and socially and impacted on their relationships. Negative dimensions of self had a flow-on effect for health management. A deeper understanding of these experiences may assist health professionals to enhance the management of affected adolescents and young adults, leading to better health outcomes. (Source: Archives of Psychiatric Nursing)

The Effects of Researcher-Composed Music at Mealtime on Agitation in Nursing Home Residents With Dementia

Archives of Psychiatric Nursing — Fri, 25 Nov 2011 14:55:24 +0100

This study examined the effects of music at mealtimes on agitation in 22 nursing home residents with dementia. We used a pretest–posttest research design. We played researcher-composed music to residents at each of two mealtimes daily over a consecutive 4-week period. We observed and recorded agitation 24 hours daily for the 4-week period and the following 2-week period. Results revealed a significant decline in mean agitation scores. A cumulative dose effect and a short-term linger effect were observed. Findings suggest that soothing music may be beneficial in managing agitation in nursing home residents with dementia. (Source: Archives of Psychiatric Nursing)

Physiological Reactivity and Facial Expression to Emotion-Inducing Films in Patients With Schizophrenia

Archives of Psychiatric Nursing — Fri, 25 Nov 2011 14:55:24 +0100

The present study aimed to investigate the physiological reactivity and recognition to emotional stimuli in outpatients with schizophrenia and in healthy controls. Skin conductance response, skin conductance level, heart rate, respiration, corrugator muscle, and orbicularis muscle were all measured using five emotion-eliciting film clips. The patients reported lower intensity of experienced anger and disgust than controls. The patient and control groups did not differ in accuracy to recognize emotions except anger. Anger, fear, amusement, and sadness had a discriminative effect on physiological responses in the two groups. These findings provide helpful physiological evidence influenced by harmful or favorable emotional stimuli. Future directions may include to clarify how physiological re...

The International Society of Psychiatric Nursing's Involvement With Advanced Practice RN Model Work

Archives of Psychiatric Nursing — Fri, 25 Nov 2011 14:55:24 +0100

In a recent edition of Archives, we reviewed International Society of Psychiatric Nursing (ISPN)/International Society for Education and Research in Psychiatric–Mental Health Nursing involvement with Licensure, Accreditation, Credentialing, and Education (LACE) and the American Psychiatric Nurses Association (APNA)/ISPN that forwarded recommendations for the future of the Psychiatric–Mental Health (PMH) role. The recommendations endorse the capabilities of PMH advanced practice nurses to provide safe and effective mental health care services. The task force, however, recognized that in alignment with the APRN model, all PMH graduate nursing programs will adopt a life span curriculum and that graduates will be educated as PMH nurse practitioners (NPs). The task force and APNA/ISPN have ...

Developmentally Sensitive Cognitive Behavioral Therapy: Guides From Pedagogy

Archives of Psychiatric Nursing — Fri, 25 Nov 2011 14:55:24 +0100

COGNITIVE BEHAVIORAL THERAPY (CBT) has been used effectively for decades with adults, and there is a growing body of evidence that CBT can also be effective with children and adolescents. The key to effective outcomes is modification in a developmentally sensitive manner. This is a broad and somewhat abstract term, but it implies the need to modify complex concepts of CBT to meet the developmental limitations of children and adolescents. (Source: Archives of Psychiatric Nursing)

Memory Training and Cognition in Posttreatment Patients With Cancer

Archives of Psychiatric Nursing — Fri, 25 Nov 2011 14:55:24 +0100

THE STUDY CONDUCTED by concluded that patients with cancer receiving memory training posttreatment had an inherent benefit in performance on cognitive tests and that this finding provides an evidence-based intervention for providers to use when treating postchemotherapy patients exhibiting symptoms of cognitive deficit. However, the findings in this study do not support this conclusion for two reasons. (Source: Archives of Psychiatric Nursing)

Update on Advanced Practice RN Regulation and its Application to Advanced Practice Psychiatric Mental Health Nursing

Archives of Psychiatric Nursing — Wed, 05 Oct 2011 04:00:00 +0100

A PAST SERPN News Column (December 2010) described the “how” and “why” of the 2008 Consensus Work Group Report on advanced practice nursing roles. Since that time, there have been further developments in that process of interest to all psychiatric mental health advanced practice RNs (APRNs). (Source: Archives of Psychiatric Nursing)

A Life Tiptoeing: Being a Significant Other to Persons With Borderline Personality Disorder

Archives of Psychiatric Nursing — Wed, 05 Oct 2011 04:00:00 +0100

Conclusion: The results revealed four categories: a life tiptoeing; powerlessness, guilt, and lifelong grief; feeling left out and abandoned; and lost trust. The first two categories describe the experience of living close to a person with BPD, and the last two categories describe encounter with psychiatric care. (Source: Archives of Psychiatric Nursing)

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Archives of Psychiatric Nursing — Sat, 01 Oct 2011 04:00:00 +0100

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Archives of Psychiatric Nursing — Sat, 01 Oct 2011 04:00:00 +0100

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Archives of Psychiatric Nursing — Sat, 01 Oct 2011 04:00:00 +0100

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Archives of Psychiatric Nursing — Sat, 01 Oct 2011 04:00:00 +0100

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Mental Health Nursing and the Politics of Recovery: A Global Reflection

Archives of Psychiatric Nursing — Sat, 01 Oct 2011 04:00:00 +0100

The concept of recovery increasingly dominates mental health policy and practice agendas in most Western countries. However, the many, often conflicting, definitions of recovery have led to theoretical and practical confusion. More importantly, the concept clashes with some of the established assumptions of psychiatric/mental health nursing, especially the traditional notion that the person is “ill” and requires “treatment” or some other active “intervention.” The implications of recovery for the further development of person-centered care, especially within a globalized form of mental health nursing, are discussed with specific reference to the Tidal Model, an international midrange theory of mental health nursing. (Source: Archives of Psychiatric Nursing)

Global Perspective of Burden of Family Caregivers for Persons With Schizophrenia

Archives of Psychiatric Nursing — Sat, 01 Oct 2011 04:00:00 +0100

This article aims to examine the burden of family caregivers for persons with schizophrenia and the socioeconomic factors that influence the caregivers' perception of burden. There is a general agreement that family interventions are beneficial to family caregivers. Therefore, this article examines two of the most commonly investigated interventions: psychoeducation and support groups, for family caregivers of persons with schizophrenia. (Source: Archives of Psychiatric Nursing)

Effectiveness of Psychiatric Mental Health Nurses: Can We Save the Core of the Profession in an Economically Constrained World?

Archives of Psychiatric Nursing — Sat, 01 Oct 2011 04:00:00 +0100

Mental and behavioral disorders are common, affecting more than 25% of all people at some time during their lives. Mental disorders and their burden on society have increased dramatically. This scenario can be an opportunity for psychiatric/mental health (P/MH) nurses. Some literature shows gratifying experiences of care delivered by P/MH nurses, but that can also be a threat if, in a world with an economic dominance such as ours, we are not able to clarify our identity and effectiveness. One implication of this is that we need to identify the contribution of nursing to patient outcomes through nurses' independent, dependent, and interdependent roles. The authors stressed the importance of improving our accountability and fighting against invisibility to policy makers to prioritize the nur...

Global Mental Health in an Interconnected, Reciprocal World

Archives of Psychiatric Nursing — Sat, 01 Oct 2011 04:00:00 +0100

During the 20th century, several American leaders had the foresight to recognize and understand the interconnected nature of the world and its inhabitants. Woodrow Wilson's efforts to help establish the “League of Nations,” inspired by his views of the League as representing the organized opinion of humanity, are well documented (see, for example, ). F. D. Roosevelt's prophetic recognition of the potential global threat posed by Nazi Germany during the Second World War almost certainly contributed to his desire to provide military assistance to Britain (and France to a lesser degree) and move the United States toward becoming the “arsenal of democracy.” This is despite the “political tightrope” he had to walk in so doing (see, for example, ). Similarly, J. F. often-quoted words...

Healthy Life Behaviors and Suicide Probability in University Students

Archives of Psychiatric Nursing — Mon, 01 Aug 2011 04:00:00 +0100

This study aims to determine the sociodemographic factors and healthy life behaviors affecting suicide and suicide probability of university students. The research was designed as a complementary study and conducted with 334 students from several faculties and colleges at Ege University, Turkey. The study findings indicated that suicide probability could be affected by the students' age, their problems at school, their troubled relations with friends, and a psychiatric disorder history within the last year. Moreover, it was concluded that the students with healthy life behaviors had significantly lower scores on the Suicide Probability Scale and its subscales. (Source: Archives of Psychiatric Nursing)

Utilization of the Supports Intensity Scale With Psychiatric Populations: Psychometric Properties and Utility for Service Delivery Planning

Archives of Psychiatric Nursing — Mon, 01 Aug 2011 04:00:00 +0100

In agreement with the new paradigm of supports, this study examines the adequacy and psychometric properties of the Supports Intensity Scale (SIS) in a sample of 182 participants with severe mental illness (mean Global Assessment of Functioning [GAF] score = 60.2). The measure focuses on identifying the profile and intensities of support needs and on the planning and service delivery rather than on weaknesses and limitations. Internal consistency indexes ranged from .83 to .97; interrater reliability indexes ranged from .67 to .98. Intercorrelations among SIS subscales supported its construct validity. SIS scores correlated to GAF scores and length of disease. Discriminant analysis correctly classified 60.9% of participants. Therefore, the SIS demonstrated adequate reliability and validity...

Nurse Migration in an Increasingly Interconnected World: The Case for Internationalization of Regulation of Nurses and Nursing Regulatory Bodies

Archives of Psychiatric Nursing — Mon, 01 Aug 2011 04:00:00 +0100

Psychiatric/Mental Health nursing has a long history of professional self-regulation; nevertheless, interest in how governments protect consumers of health care from poor or dangerous practice(s) is on the increase. Correspondingly, there have been calls, in several parts of the world, for greater watchfulness and due diligence from regulatory bodies. Mindful of the concept of “globalization” and the unequivocal data regarding the significant increase in the migration of nurses, it is difficult to ignore/deny the reality of an increasingly mobile and connected international nursing workforce. However, the extant literature also indicates the existence of significant disparities between countries and even states/provinces within countries as to the enforcement of professional regulation...

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Archives of Psychiatric Nursing — Wed, 27 Jul 2011 04:27:35 +0100

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Archives of Psychiatric Nursing — Wed, 27 Jul 2011 04:27:35 +0100

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Archives of Psychiatric Nursing — Wed, 27 Jul 2011 04:27:35 +0100

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Use of Dolls as a Therapeutic Intervention: Relationship to Previous Negative Behaviors and Pro Re Nata (prn) Haldol Use Among Geropsychiatric Inpatients

Archives of Psychiatric Nursing — Wed, 13 Jul 2011 04:00:00 +0100

This exploratory study was conducted to determine the effects of use of dolls as a therapeutic intervention with geriatric inpatients. The sample included 115 patients, 29 of whom had an order for prn Haldol. Among patients who had previous negative behaviors, there was a lower average number of prn Haldol doses with those who had dolls. Recommendations for practice and future research are included. (Source: Archives of Psychiatric Nursing)

Is Recovery Possible in a Forensic Hospital Setting?

Archives of Psychiatric Nursing — Wed, 29 Jun 2011 04:00:00 +0100

Since the identified the need to “design and implement...mental health systems that promote...recovery (p.2)," and recovery has become the single most important goal in the transformation of the mental health care in America (), there has been confusion in hospital settings as to whether recovery is even possible. When looking at forensic psychiatric settings, the picture becomes even more confusing. Both clinicians and persons in recovery struggle with how to implement components of recovery in forensic settings, i.e., how to formulate and implement recovery-oriented plans in settings where, by nature, the person's admission to the program is not self-directed. (Source: Archives of Psychiatric Nursing)

Cognitive Vulnerabilities, Negative Life Events, and Depressive Symptoms in Young Adolescents

Archives of Psychiatric Nursing — Thu, 23 Jun 2011 04:00:00 +0100

This study evaluated the associations among three cognitive vulnerabilities (i.e., dysfunctional attitudes, negative inferential style, and ruminative response style) and negative life events with depressive symptoms in a sample of young adolescents. All three cognitive vulnerabilities were found to be significantly associated with depressive symptoms. Furthermore, ruminative response style was found to have a significant unique contribution to the number of depressive symptoms. Findings suggest that cognitive vulnerabilities, particularly rumination, may be instrumental in explaining the development of depressive symptoms in young adolescents. (Source: Archives of Psychiatric Nursing)

Interventions Following a Critical Incident: Developing a Critical Incident Stress Management Team

Archives of Psychiatric Nursing — Thu, 23 Jun 2011 04:00:00 +0100

This article describes the development and implementation of a stress management model for assisting hospital staff after critical incidents using an adaptation of Mitchell's model (J. Mitchell, 1983). A survey was conducted following the first major incident using M. Horowitz, N. Wilner, and W. Alvarez's (1979) Impact of Event Scale 10 days after and again 6 weeks following the incident to measure its emotional impact on staff. Outcomes included being symptom-free of critical incident stress after a 3-month period. The interventions were intended to help staff at a large metropolitan multispecialty hospital in Queensland in the immediate period following critical incidents. The implications of this program indicated the importance of emotional support at critical times for health professi...

Social Conflict Versus Social Support: What is More Influential in Mental Health Symptom Severity for Female Service Members?

Archives of Psychiatric Nursing — Thu, 23 Jun 2011 04:00:00 +0100

Research has validated the importance of postdeployment social support in mitigating the effects of combat deployment on mental health for female service members. However, the influence of social conflict on mental health during this period has not been explored. The purposes of this descriptive correlational study were (a) to examine the strength and direction of the relationships between social support, social conflict, and stressful life events to depression, anxiety, and posstraumatic stress disorder and (b) to determine whether the absence of social support or the presence social conflict was more influential to the severity of these symptoms. (Source: Archives of Psychiatric Nursing)

Psychiatric Mental Health Nursing's Psychotherapy Role: Are We Letting It Slip Away?

Archives of Psychiatric Nursing — Wed, 22 Jun 2011 23:00:00 +0100

AT NATIONAL MEETINGS of psychiatric nursing organizations, there occurs healthy debate around the clinical nurse specialist versus nurse practitioner designation. At these sessions, one thing becomes clear, psychiatric mental health (PMH) nurses value psychotherapy and view it as an essential element of their work. It is therefore unsettling that PMH advanced practice nurses (APNs) seem to be leaving the psychotherapy role behind or at least putting it on a lower priority rung. Recent surveys of PMH APNs indicate that much of their practice involves prescribing, diagnostic assessments, and psychotherapy combined with medication management (vs. solely conducting individual psychotherapy; (). If indeed psychotherapy is a valued role, the specialty needs to parse out the factors that are marg...

Prevention of Depression in the College Student Population: A Review of the Literature

Archives of Psychiatric Nursing — Thu, 09 Jun 2011 04:00:00 +0100

This article reports on 16 U.S. clinical trials, conducted with samples of college-aged students between 1987 and 2011, to identify effective depression-prevention strategies. Recommendations from the review of these studies include additional research to determine prevention strategies for the college student population and the use of evidence-based prevention strategies in nursing practice to improve the quality of life for this at-risk population. (Source: Archives of Psychiatric Nursing)

Shared Decision Making in Mental Health Treatment: Qualitative Findings From Stakeholder Focus Groups

Archives of Psychiatric Nursing — Thu, 09 Jun 2011 04:00:00 +0100

This article reports on findings from seven stakeholder focus groups conducted in exploring shared decision making (SDM) between provider and consumer in mental health (MH) treatment in public MH.Basic Procedures: Seven focus groups were conducted with stakeholders—consumers, family members, prescribers, MH clinicians, and rural providers. Each of the focus groups was recorded digitally, transcribed into text, and analyzed qualitatively for recurring themes.Main findings: Provider barriers to SDM include history of the medical model, MH crises, lack of system support, and time. Consumer-related barriers included consumer competency, fears, insight, literacy, and trauma from past experiences. Information-exchange issues include consumer passivity, whether consumers could be viewed as expe...

The Implementation of a New-Graduate Nurse Residency Training Program Directly Into Psychiatric–Mental Health Nursing

Archives of Psychiatric Nursing — Thu, 09 Jun 2011 04:00:00 +0100

The specialty of psychiatric mental health nursing, as with all of nursing, has reached a critical shortage, which is posing a crisis in health care. Historically, the practice in schools of nursing has been to strongly encourage graduates to experience medical–surgical nursing during their first year of employment while discouraging those new graduates who may be interested in going directly into a specialty from doing so. New-graduate nurse residency training programs have focused on the general nursing areas such as critical care, emergency nursing, and medical–surgical nursing, leaving the specialty area of psychiatric mental health with less of a cadre to draw from, as attraction to these training programs is great among new-graduate nurses. The focus of this article is the descri...

Differences in Self-Reported Importance of Elements of Health and Subjectively Experienced Health Among Outpatients in Community Mental Health Services

Archives of Psychiatric Nursing — Thu, 09 Jun 2011 04:00:00 +0100

Positive dimensions of mental health are strong protective factors against physical and mental illness in general population. A cross-sectional study including a randomly selected sample of 141 outpatients was performed to explore differences in patients' self-reported importance of elements of health and subjective experiences of health related to sociodemographic background variables. The examination of differences in self-reported importance of elements of health showed differences regarding gender, and the analyses of subjectively experienced health showed differences regarding age and diagnosis. Clinical interventions aiming at strengthening positive dimensions of health are required in community mental health services to meet the patients' individual needs of enhanced health. (Source...

Exploring Patterns of Seclusion Use in Australian Mental Health Services

Archives of Psychiatric Nursing — Thu, 09 Jun 2011 04:00:00 +0100

Seclusion has remained a common practice in mental health services. In Australia, recent mental health policy has reflected a desire to reduce (and, if possible, eliminate) the use of seclusion. The collection and analysis of data on the use of seclusion have been identified as an important component of the success of reduction initiatives. A cross-sectional design was used in the collection of inpatient unit data on seclusions that occurred in 11 mental health services in Australia over a 6-month period. During this time, there were 4,337 episodes of care. One or more seclusions occurred in 6.8% of episodes of care, with consumers being secluded, on average, 2.32 times and with 44% of them having been secluded more than once. The average length of the seclusions was 2 hours 52 minutes, wi...

Subjective Experiences of Husbands of Spouses With Schizophrenia: An Analysis of the Husbands' Descriptions of Their Experiences

Archives of Psychiatric Nursing — Thu, 09 Jun 2011 04:00:00 +0100

The caregiving experiences of husbands living with spouses with schizophrenia were described through exploring husbands' descriptions of their experiences. Twelve husbands participated in the study. According to content analysis, the husbands' experience revealed six major themes: identification and acceptance of the disease by the husbands, past and present experience with wives with schizophrenia, the roles and burdens of husbands, marital relationships and the presence of the wife for husbands, social resources, participation in the community and society, and perspectives on the future. Based on the bond of marriage established through living together and mutual trust between couples, the husbands aim to share life experiences with their wives. (Source: Archives of Psychiatric Nursing)

Factors Related to Self-Efficacy for Social Participation of People With Mental Illness

Archives of Psychiatric Nursing — Thu, 09 Jun 2011 04:00:00 +0100

This study investigated factors related to self-efficacy for social participation of individuals with severe mental illness (SMI). A total of 142 people with SMI recruited from a variety of rehabilitation programs completed an anonymous self-report questionnaire that assessed self-efficacy for social participation, general self-efficacy, self-esteem, general mental health, social support, and life satisfaction. Employed participants reported significantly greater self-efficacy for social participation, general self-efficacy, and life satisfaction than those who did not work. Participants using a day service reported having significantly fewer people providing social support than those not using one. Clinical implications and future direction for research are discussed. (Source: Archives of...

Global Focus, Local Acts: Providing Mental Health Services to Indigenous People

Archives of Psychiatric Nursing — Thu, 09 Jun 2011 04:00:00 +0100

We describe concepts common to most indigenous approaches to mental well-being, including restoring health through balance and relatedness. Some strategies of practice are suggested to facilitate the cultural competence of psychiatric nurses and other mental health professionals who work with indigenous peoples. We contend that changes in availability of mental health services to indigenous peoples across the globe can be initiated with local actions by professionals who serve this population. (Source: Archives of Psychiatric Nursing)

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Archives of Psychiatric Nursing — Tue, 31 May 2011 15:38:53 +0100

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Archives of Psychiatric Nursing — Tue, 31 May 2011 15:38:53 +0100

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Archives of Psychiatric Nursing — Tue, 31 May 2011 15:38:53 +0100

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Posttraumatic Stress Disorder of Red Cross Nurses in the Aftermath of the 2008 Wenchuan China Earthquake

Archives of Psychiatric Nursing — Thu, 12 May 2011 04:00:00 +0100

This study investigated the symptoms, psychological distress characteristics, and related factors in China Red Cross disaster relief nurses following the 2008 Wenchuan Earthquake in China that began on May 12 and lasted to June 23, 2008. A sample of 210 exposed nurses and a reference group of 236 nonexposed Red Cross nurses were surveyed within 1 year after the catastrophic earthquake. They were given a self-report questionnaire to assess demographics, posttraumatic stress disorder, and depression symptoms. Exposed nurses reported higher psychological distress on all aspects than nonexposed nurses. Scores on the Traumatic Stress Symptom Checklist were predicted by the avoidance of traumatic thoughts during the earthquake, personality traits, prior disaster experience, and preexisting stres...

Effects of an Emotion Management Nursing Program for Patients With Schizophrenia

Archives of Psychiatric Nursing — Fri, 29 Apr 2011 04:00:00 +0100

Conclusions: The Emotion Management Nursing Program had positive influences on emotional management for schizophrenic patients, helping nurses to provide efficient evidence-based nursing care to the patients through the program. (Source: Archives of Psychiatric Nursing)

Sleep Disturbances in Family Caregivers: An Overview of the State of the Science

Archives of Psychiatric Nursing — Wed, 20 Apr 2011 04:00:00 +0100

This article will provide an overview of sleep research in family caregivers. It explores current trends in sleep research and identifies relevant conceptual and methodological issues, suggesting implications for further research and highlighting the need to improve sleep quality in the caregiver population. (Source: Archives of Psychiatric Nursing)

Enhancing Mutual Accountability to Promote Quality, Safety, and Nurses' Recovery From Substance Use Disorders

Archives of Psychiatric Nursing — Wed, 20 Apr 2011 04:00:00 +0100

Year after year, the public view nurses at the top of the list of the most honest and ethical professionals. However, nurses impaired with substance use disorders are subject to the tremendous stigma associated with addiction. Successful treatment programs protect public safety and support nurses' recovery and reentry into practice. The purpose of this study was to explore the nurses' experience in an alternative-to-discipline treatment program, the Indiana State Nurses Assistance Program (ISNAP), administered by the Indiana State Nurses Association. For this study, focus groups were used to capture nurses' experience with the ISNAP, a nurse-monitoring program for substance use. Three focus groups were conducted with 25 participants. The overall theme of the focus groups was enhancing mutu...

Women's Experience of Postpartum Psychotic Episodes—Analyses of Narratives From the Internet

Archives of Psychiatric Nursing — Thu, 31 Mar 2011 04:00:00 +0100

The aim of this study was to gain an insight into women's experiences of postpartum psychosis (PPP). Ten narratives taken from the Internet, which met the definition of PPP, were analyzed using cross-case and content analyses. The results revealed women's experience of having unfulfilled dreams, being enveloped by darkness, having disabling symptoms, and being abandoned. The women's experiences point to the importance of further education of nurses and doctors concerning PPP. It is vital not only for those working in psychiatric health care but also midwives and nurses who are working in maternity wards and child welfare centers. This would facilitate early recognition of signs and symptoms of the disorder, which, in turn, would make early treatment possible, thus supporting recovery. Furt...

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Archives of Psychiatric Nursing — Tue, 29 Mar 2011 20:23:46 +0100

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Archives of Psychiatric Nursing — Tue, 29 Mar 2011 20:23:46 +0100

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Archives of Psychiatric Nursing — Tue, 29 Mar 2011 20:23:46 +0100

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Connecting With Children and Adolescents

Archives of Psychiatric Nursing — Tue, 29 Mar 2011 20:23:46 +0100

IT IS WELL documented that cognitive–behavioral approaches are effective in decreasing depression and anxiety. However, only a small percentage of children and adolescents experiencing depression and anxiety receive treatment. This disconnect is related to many factors such as stigma, lack of mental health resources, financial issues, diagnostic difficulties, and others. A theme underlying these contributing factors is the lack of mental health therapy as part of the usual experience for children and adolescents. In other words, being exposed to concepts of cognitive–behavioral therapy is not part of education or play. (Source: Archives of Psychiatric Nursing)

Listening to the Voices of Important Others: How Adolescents Make Sense of Troubled Dating Relationships

Archives of Psychiatric Nursing — Fri, 25 Mar 2011 04:00:00 +0100

Nearly one third of adolescents experience dating relationship maltreatment. Grounded theory methods were used to explicate a typology of ways by which adolescents incorporate views of others in making sense of their troubled dating relationships. Interviews with 90 young adults (ages 18-21 years) who had troubled adolescent dating relationships were analyzed using constant comparative techniques. A typology of ways in which adolescents “listen to the voices of important others” emerged. The six ways were “preventing challenging voices of important others,” “deflecting irksome voices of important others,” “succumbing to demanding voices of important others,” “soliciting confirming voices of important others,” “considering cautionary voices of important others,” and ...

Stigma and Trust Among Mental Health Service Users

Archives of Psychiatric Nursing — Fri, 25 Mar 2011 00:00:00 +0100

This article investigates whether and how the stigma experiences of mental health service users relate to trust in the professionals caring for them, and how both stigma and trust relate to service user satisfaction. The study uses survey data gathered from mental health service users (N = 650 service users from 36 organizations) and applies multilevel regression analyses. The results show that service users with more stigma experiences report less trust and are, partially for that reason, less satisfied with the services. Furthermore, service users with more severe symptoms and those with a psychotic disorder seem the most vulnerable ones for the processes occurring. (Source: Archives of Psychiatric Nursing)

Marriage and Mental Health: When a Spouse Has Alzheimer's Disease

Archives of Psychiatric Nursing — Fri, 25 Mar 2011 00:00:00 +0100

When spouses suffer from memory disorders, caregivers are at high risk for negative mental health consequences. The purpose of this pilot study was to identify factors within marital relationships that increase risk for caregiver burden and depression.Participants/Sampling: Caregivers (5 men and 11 women) and their partners with Alzheimer's disease were English speaking, age 55 and older and living in the community. Caregivers were cognitively intact and spouses had moderate cognitive impairment.Methods: This was a descriptive correlational study. Martial quality was rated by caregivers (CG) using the Marital Quality Index. Caregiver burden was measured by the Zarit Burden Interview and depression was measured by the 20-item Center for Epidemiological Studies- Depression Scale (CES-D).Resu...

The Psychometric Properties of the Brief Symptom Inventory Depression and Anxiety Subscales in Patients With Heart Failure and With or Without Renal Dysfunction

Archives of Psychiatric Nursing — Wed, 02 Mar 2011 05:00:00 +0100

This article reports a psychometric evaluation of the Brief Symptom Inventory (BSI) depression and anxiety subscales in patients with HF and with or without renal dysfunction, as these scales are commonly used in this population for research studies. This rigorous psychometric analysis used existing data from 590 patients with HF with an average ejection fraction of 35% ± 15% and average age of 63 ± 13 years. Patients were categorized as normal renal function (n = 495) or renal dysfunction (n = 95), and groups were compared and analyzed separately. Cronbach's alpha for the BSI subscales was .82 for those with normal renal function and .88 for those with renal dysfunction. Factor analysis determined that the subscales evaluated one dimension, psychological distress, in both groups. Constr...

Quasi-Experimental Comparison of Coercive Interventions on Client Outcomes in Individuals With Severe and Persistent Mental Illness

Archives of Psychiatric Nursing — Wed, 02 Mar 2011 05:00:00 +0100

This study compares outpatient commitment (OPC) and Assertive Community Treatment (ACT) as forms of coercive treatment interventions to evaluate the influence of each individually and in combination on clients' perception of procedural justice and coercion, as well as clinical outcomes that include treatment compliance, quality of life, symptom distress, empowerment, and violence/victimization. Findings support that the perception of procedural justice and coercion are inversely related; persons subject to OPC experience higher levels of perceived coercion, and higher levels of perceived coercion do not influence treatment compliance. ACT alone does not increase the perception of coercion nor is there any interaction effect. (Source: Archives of Psychiatric Nursing)

SERPN News

Archives of Psychiatric Nursing — Wed, 02 Mar 2011 00:00:00 +0100

THIS MONTH'S COLUMN is focused on one of the stated purposes of SERPN: “to promote the generation, dissemination, and utilization of knowledge specific to the mental health of populations and care of persons with mental illness.” This purpose becomes all the more urgent as the push to identify evidence-based practice increases across the discipline. A recent column by , however, called attention to what she called the “dismal” status of psychiatric research to date and identified areas where research by psychiatric nurses is sorely needed, such as management of patient aggression and seclusion. The good news is that Society for Education and Research in Psychiatric Nursing (SERPN) members and members of the other Divisions of International Society of Psychiatric Mental Health Nurse...

Psychiatric Mental Health Nursing: A Dialogue on the Nature of Our Practice

Archives of Psychiatric Nursing — Mon, 14 Feb 2011 00:00:00 +0100

VIA INVOLVEMENT WITH professional organizations, we meet individuals who become colleagues. Although often reconnecting but once a year, these collegial ties deepen around a shared commitment to the discipline. Such is the case with the coauthor of this column, Julie Ferguson, an advanced practice nurse from Australia. We met at a Psychiatric Mental Health (PMH) nursing conference and discovered a mutual interest in interpersonal neuroscience and inpatient treatment. This column arises out of a conversation around the nature of inpatient nursing. Julie's perspective on the issue wove together key ideas of the Tidal Model () with intriguing concepts of Meredith Bucknell, an Australian nursing scholar. What follows is a summing up of our dialogue around a defining aspect of PMH nursing: forg...

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Archives of Psychiatric Nursing — Wed, 19 Jan 2011 18:21:45 +0100

(Source: Archives of Psychiatric Nursing)

Editorial Board

Archives of Psychiatric Nursing — Wed, 19 Jan 2011 18:21:45 +0100

(Source: Archives of Psychiatric Nursing)

Archives of Psychiatric Nursing — Wed, 19 Jan 2011 18:21:45 +0100

(Source: Archives of Psychiatric Nursing)

A Distinct Language and a Historic Pendulum: The Evolution of the Diagnostic and Statistical Manual of Mental Disorders

Archives of Psychiatric Nursing — Mon, 03 Jan 2011 05:00:00 +0100

Historically, the Diagnostic and Statistical Manual of Mental Disorders (DSM) has met an important need in defining a common language of psychiatric diagnosis in North America. Understanding the development of the DSM can help researchers and practitioners better understand this diagnostic language. The history of the DSM, from its precursors to recent proposed revisions for its fifth edition, is reviewed and compared while avoiding the presentist bias. The development of DSM resembles a historic pendulum, from DSM-I emphasizing psychodynamics and causality to DSM-III and DSM-IV emphasizing empiricism and logical positivism. The proposed changes in etiological- and dimensional-based classification for DSM-V represent a slight backswing toward the center. (Source: Archives of Psychiatric Nu...

The Wellness Planner: Empowerment, Quality of Life, and Continuity of Care in Mental Illness

Archives of Psychiatric Nursing — Mon, 03 Jan 2011 00:00:00 +0100

This study examined an innovative approach to building an individual's self-care capacities by testing the use of a wellness intervention: an adaptation of a client-held medical record/crisis plan in booklet form. Fifty individuals using community mental health services were recruited. Using a pretest–posttest design, participants completed measures of empowerment, continuity of care, quality of life, and satisfaction with services at the start of and again following 3 months of using the booklet. The booklet, referred to as the Wellness Planner, included components that have been empirically demonstrated as effective, such as crisis planning, goal setting, and resource planning. For the 42 individuals who completed the study, statistically significant increases were seen in empowerment,...

Psychophenomenology of the Postpsychotic Adjustment Process

Archives of Psychiatric Nursing — Thu, 30 Dec 2010 00:00:00 +0100

A clinical phenomenological study with nine adults with schizophrenia explored the postpsychotic adjustment stage of recovery from a psychotic episode to map a psychological recovery trajectory. Participants (ages 21–37 years) were actively involved in an early psychosis outpatient treatment program. Psychophenomenological analysis of interview data resulted in 458 descriptive expressions reflecting four structural elements. Cognitive dissonance involved achieving pharmacological efficacy and cognitive efforts to “sort out” the experience. Insight was distinguished by mastery of autonomous performance of reality checks. Cognitive constancy was marked by resuming interpersonal relationships and age-appropriate activities. Ordinariness involved consistent engagement in daily activities...

Mediating Role of Illness Representation Among Social Support, Therapeutic Alliance, Experience of Medication Side Effects, and Medication Adherence in Persons With Schizophrenia

Archives of Psychiatric Nursing — Mon, 06 Dec 2010 00:00:00 +0100

The purpose of this cross-sectional research study was to examine factors affecting medication adherence in Thai individuals with schizophrenia. The Common-Sense Model of Illness Representation was used to guide the study. Two hundred twenty-five subjects met the inclusion criteria and were interviewed. Variables of interest focused on experience of medication side effects, therapeutic alliance, social support, illness representation, and behavior change with medication adherence. Results indicated that therapeutic alliance and the experience of medication side effects enhanced illness representation, which in turn led to an intention to change adherence behavior. Social support did not alter illness representation or adherence behavior. Because illness representation positively influenced...

Graduate Psychiatric Nurse's Training on Firearm Injury Prevention

Archives of Psychiatric Nursing — Mon, 06 Dec 2010 00:00:00 +0100

This study assessed the prevalence of firearm injury prevention training in graduate psychiatric nursing training programs through a three-wave mail survey of program directors. Most (87%) of the directors reported that they had not seriously thought about providing firearm injury prevention training. Almost half (48%) reported they did not routinely screen patients for firearm ownership. In addition, most (66%) thought that the American Psychiatric Nurses Association (APNA) should provide curriculum guidelines regarding firearm injury prevention training. Leadership is needed by the APNA to help reduce firearm violence in the mentally ill. (Source: Archives of Psychiatric Nursing)

Competency-Based Training to Create the 21st Century Mental Health Workforce: Strides, Stumbles, and Solutions

Archives of Psychiatric Nursing — Mon, 06 Dec 2010 00:00:00 +0100

We report on our competency-based graduate psychiatric mental health nursing program and the unique methods used to track student skill development and clinical reasoning. (Source: Archives of Psychiatric Nursing)

Psychological Harassment in the Nursing Workplace: An Observational Study

Archives of Psychiatric Nursing — Mon, 06 Dec 2010 00:00:00 +0100

Psychological harassment in the workplace involves disrespectful or humiliating behavior to workers. Nurses make up one of the groups that are most exposed to these behaviors. This descriptive study investigated the most common types of psychological harassment in the nursing workplace and their relationship with sociodemographic variables among 285 nurses in Spain. Findings indicate differences in the prevalence of psychological harassment depending on the criterion that was used. Psychological harassment is positively correlated with a desire to abandon the profession and negatively with participation in decision making. The results suggest combining different measures to evaluate psychological harassment in the workplace and zero-tolerance polices for psychological abuse. (Source: Archi...

New Nurses' Experience of Their Role Within Interprofessional Health Care Teams in Mental Health

Archives of Psychiatric Nursing — Mon, 06 Dec 2010 00:00:00 +0100

This qualitative study explored new nurses' experience of their role within interprofessional health care teams in a mental health organization in Canada. Semistructured interviews were conducted with 10 nurses. Content analysis revealed two main themes, namely, adopting a passive role to learn how to fit in and engaging in an active role to impact on patient care. Establishing credibility and building trust were central to the new nurses' transition from a passive to a more active role. Interpersonal and organizational factors contributed to the transition. Recommendations for creating healthy work environments that promote interprofessional collaboration and facilitate new nurses' transition into interprofessional health care teams are presented. (Source: Archives of Psychiatric Nursing)

Refining Story Inquiry as a Method for Research

Archives of Psychiatric Nursing — Mon, 06 Dec 2010 00:00:00 +0100

IN 2007, A five-process story inquiry method was published in the Archives of Psychiatric Nursing (Liehr & Smith, 2007). The method was created to begin translating concepts of story theory into processes that enabled theory-guided collection and analysis of story data. In the past 3 years, several scholars have used the method with people experiencing a range of health challenges. The purposes of this column are to describe use of the story inquiry method in published studies, highlight lessons learned, and refine the method for future use. In 2007, the following inquiry processes were named and described (Liehr & Smith, 2007): (a) gather stories about a complicating health challenge, (b) begin deciphering the complicating health challenge, (c) describe the developing story plot, (d) iden...

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Archives of Psychiatric Nursing — Fri, 26 Nov 2010 08:14:54 +0100

(Source: Archives of Psychiatric Nursing)

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Archives of Psychiatric Nursing — Fri, 26 Nov 2010 08:14:54 +0100

(Source: Archives of Psychiatric Nursing)

Archives of Psychiatric Nursing — Fri, 26 Nov 2010 08:14:54 +0100

(Source: Archives of Psychiatric Nursing)

A Tribute to the Life of a Psychiatric Nursing Leader: Jeanette Chamberlain 1924–2010

Archives of Psychiatric Nursing — Fri, 26 Nov 2010 08:14:49 +0100

On August 26, 2010, Dr. Jeanette Chamberlain died of cancer at the age of 86 years. This remarkable woman was a great supporter of and leader in psychiatric nursing education. Jeanette once wrote: “Can we look to the future without first reviewing the past? I think not. We pass through life only once, rapidly” (, p. 11). To understand the life of this extraordinary woman, it is important to understand both her personal and professional lives, as these were truly intertwined. Jeanette was a native of Tuttle, ND, and one of five children. She was a devoted daughter, sister, and aunt. With a strong family history of Alzheimer's disease, she consulted on the care of several of her siblings who developed this crippling disease. Until shortly before her death, she would travel 400 miles from...

Postnatal Depression in First-Time Mothers: Prevalence and Relationships Between Functional and Structural Social Support at 6 and 12 Weeks Postpartum

Archives of Psychiatric Nursing — Fri, 12 Nov 2010 00:00:00 +0100

Postnatal depression (PND) is a significant public health issue, with variable prevalence and a dearth of research on risk and protective factors. This quantitative longitudinal study of 512 first-time mothers identified the prevalence of PND and examined the relationships between functional and structural social support at 6 and 12 weeks postpartum. The prevalence of PND was 13.2% at 6 weeks and 9.8% at 12 weeks. At 6 and 12 weeks, the only social support dimension independently associated with PND was total functional social support. At-birth formal structural support and emotional functional support were independently predictive of PND at 12 weeks. (Source: Archives of Psychiatric Nursing)

Development of the Patient-Centered Recovery Resource System for Veterans on Long-term Mental Health Medications

Archives of Psychiatric Nursing — Tue, 09 Nov 2010 00:00:00 +0100

The aim of this qualitative descriptive study was to develop, with and for Veterans on long-term mental health medication regimens, a resource to promote self-management behavior. Focus groups were conducted with 19 outpatient Veterans who were self-administering their medications. Five themes emerged that informed the structure and content of the Recovery Resource System. Additional focus groups with 15 outpatient Veterans were conducted to evaluate the Recovery Resource System. Veterans assessed it to be flexible, dynamic, adaptable, and user-friendly. The goal of this patient-driven, patient-centered Recovery Resource System is to improve health outcomes and quality of life among those with chronic mental disorders. (Source: Archives of Psychiatric Nursing)

Buddhist Group Therapy for Diabetes Patients With Depressive Symptoms

Archives of Psychiatric Nursing — Tue, 09 Nov 2010 00:00:00 +0100

In conclusion, this program is effective in reducing depressive symptoms. (Source: Archives of Psychiatric Nursing)

The Evolution of Practice Changes in the Use of Special Observations

Archives of Psychiatric Nursing — Tue, 09 Nov 2010 00:00:00 +0100

This article discusses the potential adverse consequences associated with the use of intense levels of observation and describes two protocols that have contributed to a reduction in the use of seclusion and restraints, as well as staff members' reported perceptions of feeling safer and experiencing improved job satisfaction. (Source: Archives of Psychiatric Nursing)

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Archives of Psychiatric Nursing — Fri, 22 Oct 2010 00:00:00 +0100

Diane Broadbent Friedman undertakes a different approach to explaining brain chemistry by presenting an analysis of a 1948 British movie written by Michael Powell, A Matter of Life and Death. The author, a student of neurological disorders and neuroscience, combines literary and scientific discourse to help readers understand the complicated biopsychosocial mechanisms involved in brain neuroscience. She initially became fascinated with neuroscience in her role as a nurse practitioner on a neurology unit. This fascination is clearly “experienced,” as the text is written as if the reader is a participant in the analyses of everything that is presented. The pictures in the text are reminiscent of the time that the film was developed. They present another approach for the reader to experie...

Update on Advanced Practice Registered Nurse Regulation: Licensure, Accreditation, Certification and Education

Archives of Psychiatric Nursing — Fri, 22 Oct 2010 00:00:00 +0100

This report (herein referred to as “LACE”) detailed the work of the committee members over the course of the last several years to standardize the licensing, accreditation, credentialing, and education of APNs. It is a ground-breaking document that details the future direction of APN in the United States. Given its import, this column is an effort to present an overview of the LACE developmental process and its implications for advanced practice psychiatric nursing educational content, accreditation of graduate psychiatric nursing educational programs, and the licensure and certification of the programs’ graduates. (Source: Archives of Psychiatric Nursing)

Is the Tail Wagging the Dog in Pediatric Bipolar Disorder?

Archives of Psychiatric Nursing — Fri, 01 Oct 2010 00:00:00 +0100

DURING THE PAST decade, there has been a fourfold increase in the diagnosis of pediatric bipolar disorder (PBD) in the United States. Antipsychotic medications often combined with anticonvulsant drugs used as mood stabilizers are prescribed for most of these children (). Historically, bipolar disorder (BD) was thought not to start before the teenage or emerging adult years. It is important to examine the forces fueling this diagnostic explosion. (Source: Archives of Psychiatric Nursing)

Integrated Health Care: Strengthening Nursing's Voice

Archives of Psychiatric Nursing — Fri, 01 Oct 2010 00:00:00 +0100

“Who was able to get their hemoglobin A1C results?” The room was silent. The advanced practice psychiatric nurse (APN) is gathered with eight clients in a psychoeducational group named Managing Diabetes. All of the participants are recovering from a major mental illness and coping with Type 2 diabetes. Several clients have other comorbid medical illnesses. The issue on the floor (a follow-up of last week's topic) was controlling blood sugar level. The clients had been asked to obtain their latest AIC results. The question hung in the air unanswered. One client, who had been called by his primary care provider's office with his results, volunteered an answer, “7.6.” The remaining seven people in the group had little to say because they had not gotten in touch with their providers to...

A Longitudinal Study of Family Conflicts, Social Support, and Antenatal Depressive Symptoms Among Chinese Women

Archives of Psychiatric Nursing — Thu, 30 Sep 2010 23:00:00 +0100

Little is known about the causal factors of antenatal depressive symptomatology in the Chinese population. A total of 1,527 pregnant women were recruited to investigate the predictors of antenatal depressive symptoms using a stress process model in a prospective longitudinal study. The Edinburgh Postnatal Depression Scale, the Dyadic Adjustment Scale, the Stryker Adjustment Checklist, and the Interpersonal Support Evaluation List were used. Multiple linear regression analysis revealed that marital conflict, parent-in-law conflict, and social support predicted antenatal depressive symptoms. Psychiatric nurses can identify predictors to help initiate preventive intervention. (Source: Archives of Psychiatric Nursing)

Relational Dimensions of a Positive Integration Experience for New Mental Health Nurses

Archives of Psychiatric Nursing — Thu, 30 Sep 2010 23:00:00 +0100

This study investigated the key aspects of a successful integration experience into mental health nursing from the perspectives of new nurses working in a psychiatric institution. Analysis of 10 semistructured interviews revealed that the relational atmosphere in which new nurses find themselves is determinant of their satisfaction with their integration experience. Quality relational connections with patients constitute the primary motivation of new nurses in choosing a career in mental health. At the same time, quality relational connections between and among team members sustain such motivation. Conversely, a negative relational atmosphere sets the stage for new nurses to experience disillusionment and despair. (Source: Archives of Psychiatric Nursing)

Impacts of Seclusion and the Seclusion Room: Exploring the Perceptions of Mental Health Nurses in Australia

Archives of Psychiatric Nursing — Thu, 30 Sep 2010 23:00:00 +0100

The practice of seclusion does not sit comfortably with contemporary Australian mental health policy that emphasizes the provision of mental health services in the least restrictive environment. The negative impact of seclusion on patients and nurses is increasingly being acknowledged. On the other hand, seclusion receives wide support from nurses as a necessary behavior management strategy. The aim of this study was to examine nurses' perceptions of the impact of seclusion and the seclusion room on patients and the changes they would consider to the seclusion room in relation to characteristics of the nurses, including therapeutic optimism, job satisfaction, and burnout. One hundred twenty-three nurses employed in mental health services from Queensland, Australia, participated in this stu...

Promoting Wellness and Recovery for Persons With Serious Mental Illness: A Program Evaluation

Archives of Psychiatric Nursing — Thu, 30 Sep 2010 23:00:00 +0100

This retrospective descriptive correlational study evaluated treatment satisfaction and the quality of life (QOL) of consumers with serious mental illness participating in a community mental health program that combined illness management and recovery strategies with a group appointment model. The Wellness Enhancement and Recovery Program (WERP) was evaluated to determine satisfaction with services and QOL of consumers over 3 years. Findings from the data analyses indicated that consumers in WERP were satisfied with treatment services and had a fair to good QOL. Satisfaction and QOL were moderately correlated. (Source: Archives of Psychiatric Nursing)

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Archives of Psychiatric Nursing — Tue, 21 Sep 2010 08:15:42 +0100

(Source: Archives of Psychiatric Nursing)

Editorial Board

Archives of Psychiatric Nursing — Tue, 21 Sep 2010 08:15:42 +0100

(Source: Archives of Psychiatric Nursing)

Archives of Psychiatric Nursing — Tue, 21 Sep 2010 08:15:42 +0100

(Source: Archives of Psychiatric Nursing)

Regulatory Oversight: Do Psychiatric Patients Have the Right to Refuse Active Treatment?

Archives of Psychiatric Nursing — Thu, 02 Sep 2010 00:00:00 +0100

This article will briefly discuss the moral complexities faced by psychiatric nurses when attempting to balance their patients' right to autonomy versus the regulatory demands of the federal government. (Source: Archives of Psychiatric Nursing)

Military Sexual Trauma Among U.S. Female Veterans

Archives of Psychiatric Nursing — Wed, 01 Sep 2010 23:00:00 +0100

This article explores the phenomenon of sexual aggression against female veterans in the U.S. military, risk factors for MST, PTSD as a result of MST, a conceptual framework for treating PTSD stress, and treatment strategies for PTSD. (Source: Archives of Psychiatric Nursing)

The Development of the Forensic Early Warning Signs of Aggression lnventory: Preliminary findings: Toward a Better Management of Inpatient Aggression

Archives of Psychiatric Nursing — Wed, 01 Sep 2010 23:00:00 +0100

Conclusions: Preliminary findings indicate that the FESAI provides a useful listing of early warning signs of aggression in forensic patients. It may facilitate the construction of early detection plans for the prevention of aggressive behaviors in forensic psychiatry. (Source: Archives of Psychiatric Nursing)

Categorizing “Frequent Visitors” in the Psychiatric Emergency Room: A Semistructured Interview Study

Archives of Psychiatric Nursing — Wed, 01 Sep 2010 23:00:00 +0100

Nurses can become demoralized and hostile toward frequent visitors in psychiatric emergency rooms because of the number of visits. The aim of this study was to develop more knowledge about the ways in which nurses categorize frequent visitors. Eleven nurses were interviewed, and their categorizing practices were examined from a social constructionist perspective. The results showed that the nurses did not categorize frequent visitors as particularly unlikeable or difficult to treat. Like other visitors, they could be categorized as difficult if they obstructed a smooth flow of successful referrals through the emergency room and/or there was poor rapport with the nurses. (Source: Archives of Psychiatric Nursing)

Multiple Informants in Assessing Stress and Symptoms in Adolescents With Schizophrenia

Archives of Psychiatric Nursing — Tue, 17 Aug 2010 23:00:00 +0100

We used exploratory data analysis to examine parents-–adolescents congruencies and discrepancies and their correlates in assessing stress and symptoms in adolescents with schizophrenia. A total of 40 adolescents diagnosed with schizophrenia and their parents were drawn from a study of self-management therapy for youth with schizophrenia. Low to moderate congruencies in stress and symptoms were reported (r = .22~.41). Factors including adolescents' age, time spent with children, the number of hospitalizations, and level of disability explained the discrepancies. The results imply that health care providers should be aware that several factors are associated with the discrepancies between parents' and adolescents' reports. (Source: Archives of Psychiatric Nursing)

Factors Associated With Glycemic Control and Diabetes Self-care Among Outpatients With Schizophrenia and Type 2 Diabetes

Archives of Psychiatric Nursing — Thu, 05 Aug 2010 00:00:00 +0100

We investigated the influence of the severity of schizophrenia on diabetes self-care and glycemic control among outpatients with schizophrenia and diabetes. We conducted interviews with 38 participants and reviewed their clinical charts. The mean hemoglobin A1c (HbA1c) level in the full study population was 7.65%. There was no difference in the HbA1c level between two groups of subjects classified by the severity of schizophrenia. Some diabetes self-care indicators were significantly lower in patients with high Brief Psychiatric Rating Scale scores (P < .05). Although psychotic symptoms do not appear to affect glycemic control, psychotic symptoms might affect diabetes self-care behaviors in people with schizophrenia. (Source: Archives of Psychiatric Nursing)

“Adult Attachment Style Dimensions in Women Who Have Gay or Bisexual Fathers”: Response to Sirota

Archives of Psychiatric Nursing — Thu, 05 Aug 2010 00:00:00 +0100

DESERVES significant credit for publishing her study on attachment patterns among women with gay or lesbian fathers; it is, indeed, to the best of my knowledge, “the largest sample of adult women with gay or bisexual fathers ever studied on any psychosocial dimension” (p. 294). It is unfortunate that her research, conducted in 1997, has received almost none of the credit that it deserves, with dissertations of far less methodological credibility receiving significantly more citations as assessed previously (). There are two ways in which her research is even more valuable than would be apparent from her article. First, the effect sizes in terms of Cohen's d from Table 1 for the dimensions close, depend, and anxiety, although not reported in her article, were 0.90, 1.14, and 0.75. An ef...

Smoking Cessation in Women With Severe Mental Illness: Exploring the Role of Exercise as an Adjunct Treatment

Archives of Psychiatric Nursing — Fri, 23 Jul 2010 00:00:00 +0100

Conclusion: Findings support a potential role for exercise in facilitating smoking cessation among women with SMI.Practice Implications: HCPs should consider developing referral links with exercise specialists to facilitate smoking cessation in women with SMI. (Source: Archives of Psychiatric Nursing)

Depressive Symptoms Among HIV-Positive Postpartum Women in Thailand

Archives of Psychiatric Nursing — Fri, 23 Jul 2010 00:00:00 +0100

Depressive symptoms have been linked to faster progression to AIDS in HIV-positive individuals. The purpose of this correlational, cross-sectional study was to examine the prevalence and predictors of depressive symptoms among postpartum women in Thailand who are HIV-positive. Data were collected at postpartum outpatient units in four hospitals in Thailand from June 2005 to December 2007. Eighty-five HIV-positive postpartum women completed questionnaires on depressive symptoms, self-esteem, emotional support, physical symptoms, infant health status, and demographics. Results showed that 74.1% of the participants reported depressive symptoms. Self-esteem, infant health status, and education were negatively associated with depressive symptoms. Because of the high rates of depression in our s...

Symptom Management of Affective and Cognitive Disturbance With a Group of Cancer Survivors

Archives of Psychiatric Nursing — Fri, 23 Jul 2010 00:00:00 +0100

This article describes the findings from a pilot study of a memory versus health training intervention and its adaptability for cancer survivors for symptom management.Design and Methods: A convenience sample of older adults was enrolled in a longitudinal study of a memory and health training intervention and tested on five occasions for 2 years postintervention. The memory training was designed to increase cognitive performance, reduce anxiety, decrease negative attributions, promote health, and increase memory self-efficacy. In this analysis, we included change over time for the first four of the five data collection points. We calculated means and standard deviations on the memory measures for cancer survivors in the intervention (n = 8) and comparison (n = 14) groups. The analysis cons...

Secondary Traumatic Stress in Nurses: A Systematic Review

Archives of Psychiatric Nursing — Fri, 23 Jul 2010 00:00:00 +0100

Conclusions: Presence of secondary traumatic stress in nurses was reported in all of the studies included in this literature review. The use of small samples and a number of different instruments to measure secondary traumatic stress symptoms, however, hindered the ability to make comparisons across studies and to draw conclusions. None of the studies conducted to date have focused on secondary traumatic stress in psychiatric nurses. Suggestions for future research and clinical implications for what can be done to protect nurses from secondary traumatic stress are addressed. (Source: Archives of Psychiatric Nursing)

SERPN News

Archives of Psychiatric Nursing — Thu, 22 Jul 2010 23:00:00 +0100

GREETINGS TO ALL http://www.ispn-psych.org/html/serpn.html Society of Education and Research in Psychiatric-Mental Health Nursing (SERPN) members! It is my privilege to be your division director and to represent you on the governing board of the International Society of Psychiatric-Mental Health Nurses (ISPN). This column is one way that you can stay informed about the events and issues affecting you as psychiatric nurses; the new Web site discussion board feature is another (more on that later!). The most recent event, of course, was the annual conference of the ISPN, held this year in St. Louis, Missouri. (Source: Archives of Psychiatric Nursing)

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Archives of Psychiatric Nursing — Wed, 21 Jul 2010 06:17:02 +0100

(Source: Archives of Psychiatric Nursing)

Editorial Board

Archives of Psychiatric Nursing — Wed, 21 Jul 2010 06:17:02 +0100

(Source: Archives of Psychiatric Nursing)

Archives of Psychiatric Nursing — Wed, 21 Jul 2010 06:17:02 +0100

(Source: Archives of Psychiatric Nursing)

Upcoming Health Care Reforms: Stepping Up to the Challenges

Archives of Psychiatric Nursing — Wed, 21 Jul 2010 06:17:02 +0100

FOR FOUR CONSECUTIVE years, I headed my church rummage sale. This was a weeklong affair that required about 40 daily volunteers to sort and organize rummage until it eventually filled the entire gym and more. One year, midweek, everything seemed to be going wrong. Tables had not been delivered and necessary parts of the gym were partitioned off. Many volunteers were agitated, coming to me and looking for answers to how we would get our work done. At one point, I was standing with five women, in the kitchen area off the gym, and they collectively decided, “Let's just go out there and figure out a way to make it work.” As I gratefully agreed, it struck me that every one of the women in this group happened to be a nurse. Indeed, nurses are very good at stepping up to challenges, getting t...

Delusions May Not Always Be Delusions

Archives of Psychiatric Nursing — Wed, 21 Jul 2010 06:17:01 +0100

The history of medicine is replete with examples of diseases that have been misdiagnosed as psychosocial problems. Gastric ulcer patients were told that their inability to handle stress was the cause of their disease; epileptics were believed to be possessed by the devil; heart disease was blamed on a Type A personality; and patients with tertiary syphilis were placed in straight jackets in insane asylums. (Source: Archives of Psychiatric Nursing)

The Resilience Scale: Psychometric Properties and Clinical Applicability in Older Adults

Archives of Psychiatric Nursing — Wed, 30 Jun 2010 00:00:00 +0100

Resilience is described as the ability to achieve, retain, or regain a level of physical or emotional health after illness or loss. The Resilience Scale was specifically developed to measure personality characteristics of resilience in older adults. The purposes of this article are to provide additional support for the psychometric properties of the Resilience Scale and to consider the clinical applicability of this tool. Data from two independent samples of older adults were used. Most of the participants were Caucasian women, between 80 and 90 years of age, widowed, single, or divorced, and they had on average approximately three comorbid medical problems. Psychometric testing included confirmatory factor analysis, Rasch analysis, and test criterion relationships for validity testing, an...

Meaningful Lives: Elders in Treatment for Depression

Archives of Psychiatric Nursing — Wed, 30 Jun 2010 00:00:00 +0100

In this study, 20 elders in treatment for depression with IPT and medication were interviewed to better understand their day-to-day lives. These interviews provided insights and perspectives to inform clinical practice and improve treatment strategies. The major themes identified were independence, spirituality, family, depression, medical comorbidities, and motivation. Potential treatment strategies were derived from these themes. (Source: Archives of Psychiatric Nursing)

Program Evaluation of a Community Crisis Stabilization Program

Archives of Psychiatric Nursing — Mon, 31 May 2010 00:00:00 +0100

The purpose of this program evaluation was to evaluate the outcomes of treatment for participants in a community crisis stabilization (CCS) program. This CCS incorporated a patient-centered and wellness model of treatment. A descriptive study was conducted to assess change in psychological symptoms and quality of life of participants from admission to discharge. The sample (n = 42) was evaluated on admission and at discharge with four measurements: the Brief Symptoms Inventory (BSI), the Revised 24-Item Behavior and Symptom Identification Scale (BASIS-24), the Brief Psychiatric Rating Scale (BPRS), and the World Health Organization Quality of Life Scale-Brief Measure (WHOQOL-BREF). Changes in total scores on the BSI (t = 6.263, P < .001), the BASIS-24 (t = 6.964, P < .001), the BPRS (t = 4...

HIV/AIDS-Associated Stigma Among Afro-Caribbean People Living in the United States

Archives of Psychiatric Nursing — Sun, 30 May 2010 23:00:00 +0100

Estimates of AFRO-CARIBBEAN people living with HIV/AIDS are questionable because this population is unwilling to be tested or disclose their status, fearing stigmatization. The purpose of this study was to explore attitudes about HIV/ AIDS-associated stigma for churchgoing Afro- Caribbean people in the United States. Two focus groups of mothers and daughters were convened. The research question was How do young people your age feel about having a friend who is HIV-positive? and How do mothers feel about their daughters having a friend who is HIV-positive? Information from mothers and daughters was evaluated separately through content analysis. Results are discussed. (Source: Archives of Psychiatric Nursing)

Health Education Needs of Family Caregivers Supporting an Adolescent Relative With Schizophrenia or a Mood Disorder in Taiwan

Archives of Psychiatric Nursing — Wed, 26 May 2010 00:00:00 +0100

This study, which is part of a larger research program, examined the health education needs of family caregivers providing care and support for an adolescent relative with schizophrenia or mood disorder in Taiwan. Family caregivers reported significant unmet information needs, and those with higher incomes or educational levels were more likely to report unmet educational needs. Caregivers using information resources consistently had high unmet educational needs. Results revealed the importance of assessing specific educational needs of families, as educational needs of caregivers differed according to diagnostic group, especially with regard to etiology, symptoms, and coping strategies. (Source: Archives of Psychiatric Nursing)

Reliability and Validity of the Chinese Version of the Mood Disorder Questionnaire

Archives of Psychiatric Nursing — Mon, 24 May 2010 00:00:00 +0100

The purpose of this study was to examine the reliability, validity, sensitivity, and specificity of the Chinese Version of the Mood Disorder Questionnaire (MDQ-C). A total of 170 patients were administered the Mini International Neuropsychological Interview and the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision as criterion standard by on-site psychiatrists. The Cronbach's alpha, test–retest reliability, and the content validity index of the MDQ-C were .83, .76, and .80, respectively. Factor analysis revealed that two factors, elevated mood overactivity and irritable behavior, explained 40.89% of the variance. On the basis of the sensitivity and specificity results, the optimal cutoff point was 6. The MDQ-C is an effective short and comprehensive too...

Effect of Group Music Activity as an Adjunctive Therapy on Psychotic Symptoms in Patients With Acute Schizophrenia

Archives of Psychiatric Nursing — Mon, 24 May 2010 00:00:00 +0100

The effect of group music activity as an adjunctive therapy on psychotic symptoms was evaluated in 67 patients with schizophrenia from an acute psychiatric ward of a regional hospital in south Taiwan. A pretest–-posttest, two-group repeated measures design was used. The experimental group received 50-minute sessions of group musical activity five times a week for 2 weeks in addition to standard care. The severity of psychotic symptoms was assessed using the Brief Psychiatric Rating Scale (BPRS). Group music activity significantly reduced the scores in total and subscales of the BPRS in patients with acute schizophrenia. (Source: Archives of Psychiatric Nursing)

Confirmatory Factor Analysis of the Depressive Cognition Scale

Archives of Psychiatric Nursing — Mon, 24 May 2010 00:00:00 +0100

The purpose of this study was to validate the single-factor structure of the Depressive Cognition Scale (DCS) among individuals from the U.S. general population. The sample was composed of 629 adults from 42 states of the United States. All measures of model fit of the DCS exceeded the recommended criteria for the good model fit (χ2/df = 2.57, goodness-of-fitness index = .98, adjusted goodness-of-fitness index = .96, comparative fit index = .99, Tucker Lewis index = .98, root mean square error of approximation = .05, root mean residual = .01, and the P value for test of close fit = .464). Thus, the DCS was found to be a reliable and valid instrument to measure depressive cognitions among individuals from the general population. (Source: Archives of Psychiatric Nursing)

Building a Therapeutic Alliance in Brief Therapy: The Experience of Community Mental Health Nurses

Archives of Psychiatric Nursing — Mon, 24 May 2010 00:00:00 +0100

Current mental health trends in brief therapy require a new understanding of the nurse-–client relationship. This qualitative focused ethnography explored the perceptions and actions of community mental health nurses in building a therapeutic alliance in the context of brief therapy and the factors that facilitate or impede its development. Informants were 11 nurses with at least 3 years of experience in community mental health nursing primarily providing brief therapy or consulting practice. Participants described therapeutic alliance as the point at which the clients recognize that the nurse is fully attuned to “being in the moment” as they connect to their own issues in a positive way. Building an alliance consisted of three nonlinear overlapping phases: “establishing mutuality,...

Seen as Core: A Delphi Consensus Study of Essential Elements of Mental Health Nursing Care in Ireland

Archives of Psychiatric Nursing — Sun, 23 May 2010 23:00:00 +0100

Continued ambiguity about the scope of mental health nursing is harmful to the discipline's identity and to patients' interests. Using a Delphi survey design, consensus was achieved on a set of 70 items representing core elements of mental health nursing among a sample of 150 mental health nurses working in Ireland. Items achieving consensus in Round 3 of the survey were composed of 28 clinical phenomena (framed as client problems), 18 direct and 12 indirect nursing interventions, and 12 nursing-sensitive outcomes of care. Mental health nurses accepted responsibility across a broad range of outcomes apart from those linked to physical care, the one domain of care rejected by participants. The findings portray mental health nursing as a psychosocial enterprise, encompassing both phenomenolo...

Masthead

Archives of Psychiatric Nursing — Thu, 20 May 2010 13:44:58 +0100

(Source: Archives of Psychiatric Nursing)

Editorial Board

Archives of Psychiatric Nursing — Thu, 20 May 2010 13:44:58 +0100

(Source: Archives of Psychiatric Nursing)

Archives of Psychiatric Nursing — Thu, 20 May 2010 13:44:58 +0100

(Source: Archives of Psychiatric Nursing)

The Commerce of Ideas

Archives of Psychiatric Nursing — Thu, 20 May 2010 13:44:58 +0100

Psychiatric nursing is and has been international. This broad focus is due to multiple factors including the global economy, instant communication, and the reality that mental health issues are not limited by political or geographic boundaries. Furthermore, population migration patterns and the movement of nurses across countries to learn, work, live, and vacation contribute to exposure to multiple cultures. To have effective communication and interventions today, it is incumbent on all of us to improve our cultural sensitivity. Although cultural sensitivity has become a “buzz word,” it continues to provide a concise description of an important process. has provided a thoughtful definition of cultural sensitivity as “employing one's knowledge, consideration, understanding, respect, a...

Facades of Suffering: Clients' Photo Stories About Mental Illness

Archives of Psychiatric Nursing — Sun, 11 Apr 2010 23:00:00 +0100

In this article, photo stories are examined that were the result of working with photography as a therapeutic instrument dealing with suffering in mental health care settings. The purpose is to describe the role of facades in the process of suffering and acceptance. Clients took photographs, talked about them in group meetings, and exhibited them to a broader audience. Their photo stories were analyzed using a mixed-methods model. Data from two narrative approaches (semiotics and hermeneutics) were compared with information from other informants and official records to find discrepancies between the photo story and the real life context. Although facades are usually perceived as an obstacle for personal growth, the visual narratives revealed that facades can function as an alternative to c...

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Archives of Psychiatric Nursing — Tue, 23 Mar 2010 15:04:02 +0100

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Archives of Psychiatric Nursing — Tue, 23 Mar 2010 15:04:02 +0100

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Archives of Psychiatric Nursing — Tue, 23 Mar 2010 15:04:02 +0100

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A Naturalistic Inquiry of Registered Nurses' Perspectives and Expectations of Psychodynamic Therapeutic Care in Acute Psychiatric Inpatient Facilities

Archives of Psychiatric Nursing — Tue, 23 Mar 2010 15:04:02 +0100

Within contemporary inpatient mental health nursing practice, the psychodynamic model of care considered previously to be central to the nurse-patient relationship now seems a radical concept. It appears to exist only within primary care facilities and public health care practice settings. This naturalistic inquiry aimed to explicate mental health nurses' perspectives and expectations of providing psychodynamic therapeutic care in acute inpatient psychiatric facilities. Ten registered nurses working in acute inpatient mental health facilities were interviewed. Five themes emerged: a career for life, relating in a psychodynamic manner, swimming against the current, adopting a position of difference, and hopeful expectancy. (Source: Archives of Psychiatric Nursing)

Self-Neglect: A Challenge and a Dilemma

Archives of Psychiatric Nursing — Tue, 23 Mar 2010 15:04:01 +0100

“Inquest into death of a lady in the West of Ireland had a verdict of self-neglect. The nation was rocked to hear the death had occurred 3–12 months earlier, the body was very decomposed and the deceased had lived in a cluttered and unhygienic environment, reclusive and secluded from community and siblings in her own home” (). (Source: Archives of Psychiatric Nursing)

Intervention Found

Archives of Psychiatric Nursing — Tue, 02 Mar 2010 00:00:00 +0100

The October issue of this column called for an examination of curriculum content in nursing education (). ) has further challenged not only what we are teaching but also how we are teaching. Consider this…What innovations in education, deliberately using various parts of the brain in learning, can help us face both of these challenges, which require transforming the classroom experience, face-to-face and online, to produce lifelong learners, engaged in relevant and evidence-based inquiry? (Source: Archives of Psychiatric Nursing)

Developing a Psychosocial Rehabilitation Treatment Mall: An Implementation Model for Mental Health Nurses

Archives of Psychiatric Nursing — Thu, 11 Feb 2010 00:00:00 +0100

The psychosocial rehabilitation “treatment mall” is a widely accepted method of providing active treatment to patients with serious mental illnesses in psychiatric hospital settings. As a multidisciplinary endeavor, it is important that all clinical disciplines are involved in the development and operation of treatment malls. However, related to their roles as both clinicians and as milieu managers, nurses are crucial in both the development and implementation of such malls. Current literature fails to adequately highlight the role nurses and nursing staff play in treatment malls. Using the treatment mall at Memphis Mental Health Institute as an exemplar, a mall implementation model will be discussed specifically focusing on intra- and interdisciplinary nursing practice. (Source: Archi...

A Systematic Review of the Relationship of Diabetes Mellitus, Depression, and Missed Appointments in a Low-Income Uninsured Population

Archives of Psychiatric Nursing — Thu, 11 Feb 2010 00:00:00 +0100

The purpose of this systematic literature review was to determine the relationship between the diagnosis of diabetes and depression and missed appointments in a low-income, uninsured, racially heterogeneous, adult population. Research demonstrates that individuals with diabetes have an increased incidence of depression across socioeconomic and racial groups. Low-income individuals have an increased prevalence of depression. The cost and burden of diabetes are greatly increased among individuals with both diabetes and depression versus diabetes alone. The prevalence and effects of diabetes and depression in a low-income, uninsured, racially heterogeneous population have not been determined. Further research to explore the relationship of diabetes, depression, and missed appointments in this...

Coercion and Procedural Justice in Psychiatric Care: State of the Science and Implications for Nursing

Archives of Psychiatric Nursing — Thu, 11 Feb 2010 00:00:00 +0100

Coercive treatment regimens have increased in variety and intensity over the past decade and include such options as outpatient commitment (OPC) and mental health courts. The intimate involvement of nurses in coerced treatment situations in both inpatient and outpatient settings necessitates a closer examination of its effects. OPC presumably offers greater flexibility and freedom for consumers than lengthy inpatient stays but also extends the state's control over their lives beyond the institution. Although OPC has been shown to decrease rates of rehospitalization and violence, it also is associated with increased levels of perceived coercion. The relationship of the perception of coercion to treatment outcomes is complex and not clearly understood. The goal of OPC is treatment adherence ...

Integrating Medicines Management Into Mental Health Nursing in UK

Archives of Psychiatric Nursing — Thu, 11 Feb 2010 00:00:00 +0100

This article presents empirical evidence of how individual mental health nurse prescribers develop competence in prescribing within the context of the therapeutic relationship. It is proposed that these findings can then be extended to inform medicines management training relevant to all mental health nurses, whether prescribers or not. (Source: Archives of Psychiatric Nursing)

Looking In, Looking Out—Increasing Awareness of Intentional Self-Harm in Community Populations

Archives of Psychiatric Nursing — Thu, 11 Feb 2010 00:00:00 +0100

INTENTIONAL SELF-HARM without intent to die involves complex health, psychological, and social behaviors. Over many years, an attempt to explain these behaviors has ranged from the supernatural with demonic possession to multiple explanations through psychiatry and psychology (). At one time, self-harm was believed to exist primarily in patients with mental illness. In modern society, self-harm without intent to die has come into the main stream through the Internet, music, and movies and is now reported in various community populations. Approximately 1% to 4% of adults and 13% to 23% of adolescents report a history of self-harm without intent to die (). Other community populations where self-harming behavior has been reported is 4% among military recruits () to up to 38% among college stu...

Recovery Paradigm: Confession of the Unenlightened

Archives of Psychiatric Nursing — Thu, 11 Feb 2010 00:00:00 +0100

I WOULD NOT call myself a late comer to the recovery movement. Over the last 10 years, I have read about recovery principles, heard recovery stories from consumers, and absorbed the key Substance Abuse and Mental Health Service Administration (SAMHSA) papers on constructing a recovery-oriented mental health system. In fact, over the last decade, several of my publications written with colleagues have dealt with nursing and recovery () and integrating recovery principles into inpatient nursing practice (). Then, I attended a 2-day workshop, the National Action Meeting on Fostering Systems Reform for Adults with Serious Mental Illness, and experienced a powerful shift in awareness that influenced how I understood the far-reaching impact of patient-centered care and the recovery framework. (S...

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Archives of Psychiatric Nursing — Fri, 15 Jan 2010 14:44:41 +0100

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Archives of Psychiatric Nursing — Fri, 15 Jan 2010 14:44:41 +0100

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Archives of Psychiatric Nursing — Fri, 15 Jan 2010 14:44:41 +0100

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A Pilot Study Examining the Effect of Mindfulness on Depression and Anxiety for Minority Children

Archives of Psychiatric Nursing — Fri, 15 Jan 2010 14:44:40 +0100

DEPRESSION AND ANXIETY are the most common mental health problems affecting children today (). Research has documented an association among anxiety, depression, and psychosocial impairments including immaturity, inattention, concentration problems, academic difficulties, poor peer relations, low self-esteem, and low social competence (). (Source: Archives of Psychiatric Nursing)

The World Health Organization and Mental Health

Archives of Psychiatric Nursing — Fri, 15 Jan 2010 14:44:40 +0100

I recently had the honor of speaking on the broad topic of mental health to undergraduate students in South Korea. None of the students were health professionals so the presentation was geared to the general student, with particular attention to what could be done to make mental health services more available and acceptable in their country. I was not totally unaware of the needs of the country. I have had some long-term involvement in mental health in Korea, participating in the first United Nations Development Project, which provided funding for service provision for mentally ill individuals. (Source: Archives of Psychiatric Nursing)

The SeniorWISE Study: Improving Everyday Memory in Older Adults

Archives of Psychiatric Nursing — Fri, 15 Jan 2010 00:00:00 +0100

This study contributed to the knowledge base of geropsychiatric nursing by providing evidence for an effective psychosocial intervention that could be delivered by advanced practice nurses. (Source: Archives of Psychiatric Nursing)

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Archives of Psychiatric Nursing — Thu, 19 Nov 2009 14:51:09 +0100

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Archives of Psychiatric Nursing — Thu, 19 Nov 2009 14:51:08 +0100

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Archives of Psychiatric Nursing — Thu, 19 Nov 2009 14:51:08 +0100

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Looking 10 Years Back and 5 Years Ahead: Framing the Clinical Nurse Specialists Debate for Our Students

Archives of Psychiatric Nursing — Thu, 19 Nov 2009 14:51:08 +0100

Part of my job at Rush College of Nursing is talking to students applying to our psychiatric nurse practitioner program. This week, an applicant asked me to explain the split that he hears about between the psychiatric mental health (PMH) clinical nurse specialists (CNS) and PMH nurse practitioners (NPs). He is trying to learn about PMH nursing, and as he said, “piece together the important parts of our profession.” So he asks, “I have heard about this tension between the two roles along the edges but explain to me in a few minutes what is crux of the issue. Why does there seem to be this divide in the specialty about the role of advanced practice nurses.” Where to begin? (Source: Archives of Psychiatric Nursing)

Psychometric Properties of the Turkish Form of Codependency Assessment Tool

Archives of Psychiatric Nursing — Thu, 19 Nov 2009 14:51:08 +0100

This study evaluated the psychometric properties of the Codependency Assessment Tool (CODAT) developed by C. Hughes Hammer, D. S. Martsolf, and R. A. Zeller (1998a, 1998b) for Turkish students and investigated the relationship of codependency with attachment styles and family problems. After the translation of the CODAT, Beck Depression Inventory, Experiences in Close Relationships-Revised, and Family Problems of Young Adulthood Evaluation Scale, each was administrated to Turkish female nurse students (n = 400). Factor analysis and Cronbach's alpha values were then computed. Five-factor solution revealed a similar factor structure for the Turkish version of CODAT compared with that of the original tool. Five factors explained 48.38% of the variance. All of the items (with one exception) lo...

Detached Concern of Forensic Mental Health Nurses in Therapeutic Relationships With Patients: The Application of the Early Recognition Method Related to Detached Concern

Archives of Psychiatric Nursing — Fri, 13 Nov 2009 00:00:00 +0100

Conclusions: Detached concern may be a meaningful concept in forensic mental health nursing in measuring nurses' concern for their patients. Levels of detached concern did not change significantly after application of ERM. However, the application of the PCQ could contribute to a better understanding of the interaction between nurses and their patients. (Source: Archives of Psychiatric Nursing)

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Commitment to the Society for Education and Research in Psychiatric Mental Health Nursing

The Health Challenge of Stress Experienced by Native American Adolescents

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Enhancing Management of Depression and Type 1 Diabetes in Adolescents and Young Adults

The Effects of Researcher-Composed Music at Mealtime on Agitation in Nursing Home Residents With Dementia

Physiological Reactivity and Facial Expression to Emotion-Inducing Films in Patients With Schizophrenia

The International Society of Psychiatric Nursing's Involvement With Advanced Practice RN Model Work

Developmentally Sensitive Cognitive Behavioral Therapy: Guides From Pedagogy

Memory Training and Cognition in Posttreatment Patients With Cancer

Update on Advanced Practice RN Regulation and its Application to Advanced Practice Psychiatric Mental Health Nursing

A Life Tiptoeing: Being a Significant Other to Persons With Borderline Personality Disorder

Call for Manuscripts

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Mental Health Nursing and the Politics of Recovery: A Global Reflection

Global Perspective of Burden of Family Caregivers for Persons With Schizophrenia

Effectiveness of Psychiatric Mental Health Nurses: Can We Save the Core of the Profession in an Economically Constrained World?

Global Mental Health in an Interconnected, Reciprocal World

Healthy Life Behaviors and Suicide Probability in University Students

Utilization of the Supports Intensity Scale With Psychiatric Populations: Psychometric Properties and Utility for Service Delivery Planning

Nurse Migration in an Increasingly Interconnected World: The Case for Internationalization of Regulation of Nurses and Nursing Regulatory Bodies

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Use of Dolls as a Therapeutic Intervention: Relationship to Previous Negative Behaviors and Pro Re Nata (prn) Haldol Use Among Geropsychiatric Inpatients

Is Recovery Possible in a Forensic Hospital Setting?

Cognitive Vulnerabilities, Negative Life Events, and Depressive Symptoms in Young Adolescents

Interventions Following a Critical Incident: Developing a Critical Incident Stress Management Team

Social Conflict Versus Social Support: What is More Influential in Mental Health Symptom Severity for Female Service Members?

Psychiatric Mental Health Nursing's Psychotherapy Role: Are We Letting It Slip Away?

Prevention of Depression in the College Student Population: A Review of the Literature

Shared Decision Making in Mental Health Treatment: Qualitative Findings From Stakeholder Focus Groups

The Implementation of a New-Graduate Nurse Residency Training Program Directly Into Psychiatric–Mental Health Nursing

Differences in Self-Reported Importance of Elements of Health and Subjectively Experienced Health Among Outpatients in Community Mental Health Services

Exploring Patterns of Seclusion Use in Australian Mental Health Services

Subjective Experiences of Husbands of Spouses With Schizophrenia: An Analysis of the Husbands' Descriptions of Their Experiences

Factors Related to Self-Efficacy for Social Participation of People With Mental Illness

Global Focus, Local Acts: Providing Mental Health Services to Indigenous People

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Posttraumatic Stress Disorder of Red Cross Nurses in the Aftermath of the 2008 Wenchuan China Earthquake

Effects of an Emotion Management Nursing Program for Patients With Schizophrenia

Sleep Disturbances in Family Caregivers: An Overview of the State of the Science

Enhancing Mutual Accountability to Promote Quality, Safety, and Nurses' Recovery From Substance Use Disorders

Women's Experience of Postpartum Psychotic Episodes—Analyses of Narratives From the Internet

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Connecting With Children and Adolescents

Listening to the Voices of Important Others: How Adolescents Make Sense of Troubled Dating Relationships

Stigma and Trust Among Mental Health Service Users

Marriage and Mental Health: When a Spouse Has Alzheimer's Disease

The Psychometric Properties of the Brief Symptom Inventory Depression and Anxiety Subscales in Patients With Heart Failure and With or Without Renal Dysfunction

Quasi-Experimental Comparison of Coercive Interventions on Client Outcomes in Individuals With Severe and Persistent Mental Illness

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Psychiatric Mental Health Nursing: A Dialogue on the Nature of Our Practice

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A Distinct Language and a Historic Pendulum: The Evolution of the Diagnostic and Statistical Manual of Mental Disorders

The Wellness Planner: Empowerment, Quality of Life, and Continuity of Care in Mental Illness

Psychophenomenology of the Postpsychotic Adjustment Process

Mediating Role of Illness Representation Among Social Support, Therapeutic Alliance, Experience of Medication Side Effects, and Medication Adherence in Persons With Schizophrenia

Graduate Psychiatric Nurse's Training on Firearm Injury Prevention

Competency-Based Training to Create the 21st Century Mental Health Workforce: Strides, Stumbles, and Solutions

Psychological Harassment in the Nursing Workplace: An Observational Study

New Nurses' Experience of Their Role Within Interprofessional Health Care Teams in Mental Health

Refining Story Inquiry as a Method for Research

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A Tribute to the Life of a Psychiatric Nursing Leader: Jeanette Chamberlain 1924–2010