MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Journal of Psychiatric and Mental Health Nursing' source. Wed, 08 Feb 2012 21:54:57 +0100 http://www.medworm.com/index.php?rid=5668943&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01739.x (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5668943 Thu, 09 Feb 2012 02:29:24 +0100 5668943 http://www.medworm.com/index.php?rid=5668940&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2012.01874.x Accessible summary• This is a literature review of 16 studies about care requirements for persons with psychotic disorders and risk of or existing type 2 diabetes. The studies together indicate that mental health nurses play an important role in motivating diabetes care as they are often known to and trusted by the persons.• A holistic approach to the person's health, with close follow‐ups in psychiatric care and cooperation with diabetes care, may have benefits for the diabetes care.• Screening for and treating psychotic symptoms is an important task for mental health nurses, as these symptoms drain energy from the person and prevent diabetes self‐care. Antipsychotic medication increases the need for follow‐ups of glycaemic control.• Lifestyle and diabetes education ... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5668940 Thu, 09 Feb 2012 02:26:55 +0100 5668940 http://www.medworm.com/index.php?rid=5668941&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01871.x Accessible summary• There have been recent concerns about the lack of time nurses can spend face to face with their patients in psychiatric wards. Therapeutic time is an intervention whereby psychiatric nurses spend regular, uninterrupted periods of time with patients during which they do not attend to other matters. There is very little research evidence to support such an approach and so this study was developed to investigate nurses' and doctors' views on therapeutic time.• Medical and nursing staff returned a questionnaire about their feelings towards such therapeutic time. The majority of staff believe that therapeutic time improves patient recovery and reduces risks while increasing patient satisfaction with care received and enhancing nurse–patient relations.• Staff co... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5668941 Tue, 07 Feb 2012 05:00:00 +0100 5668941 http://www.medworm.com/index.php?rid=5668942&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01859.x This study attempts to identify the rates and nature of unmet health and social needs across three ethnic groups.• Inpatients of African ethnicity reported significantly less unmet needs than their White British counterparts.• Unmet needs in the domains of psychotic symptoms, alcohol use and safety to self differed significantly across the three ethnic groups.• Inpatients of White British heritage appeared to have more unmet needs and/or were more willing to disclose these compared to other ethnic groups.• The ability to meet health and social needs is complicated by the presence of antisocial personality disorder and alcohol dependence.AbstractHealth services are failing to meet the needs of ethnic minority groups with severe mental illness in the UK. Understanding these u... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5668942 Mon, 06 Feb 2012 05:00:00 +0100 5668942 http://www.medworm.com/index.php?rid=5650381&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01856.x This study, conducted in England, found such injections were given to 9% of patients, usually in response to aggressive behaviour or medication refusal.• In most cases the forced injections ended a crisis, but the study concludes that there are opportunities for staff to use alternative approaches.AbstractIn most inpatient psychiatric care systems it is permissible in certain situations for staff to forcibly inject patients with psychotropic medication. The aim of this study is to describe what precedes and follows a coerced intramuscular injection within a nursing shift. Data were collected on the sequence of conflict (aggression, absconding, etc.) and containment (seclusion, restraint, etc.) for the first 2 weeks of 522 acute admissions on 84 wards in 31 UK hospitals. Injections were... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5650381 Wed, 01 Feb 2012 05:00:00 +0100 5650381 http://www.medworm.com/index.php?rid=5650380&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01857.x Accessible summary• The aim of the research was to examine the thoughts and feelings experienced by Italian nurses when caring for distressed and aggressive patients in acute psychiatric settings.• Fear was the prevalent feeling experienced by nurses: fear of being harmed by the patient and fear of harming the patient and fear of damaging the therapeutic relationship.• When managing distressed and aggressive patients, the nursing team have to share similar feelings and be emotionally in tune with each other.• The paper offers clear explanations of nurses' feelings, the reasons for their fear and the importance of effective team working during a crisis.AbstractThis paper reports on a qualitative study to identify Italian nurses' feelings and emotions towards the management o... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5650380 Wed, 01 Feb 2012 05:00:00 +0100 5650380 http://www.medworm.com/index.php?rid=5650379&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01858.x Accessible summary• Service user involvement is an important part of pre‐registration nursing programmes, as it can give students the opportunity to learn from users about their experiences of health and illness, but so far there have been limited studies in this area.• This literature review provides an opportunity to explore how service user involvement in classroom settings can impact on student learning, and describes methods of best practice.• Further research is needed to understand the influence of service user involvement on student nurses' clinical practice.AbstractService user involvement in pre‐registration nurse education is now a requirement, yet little is known about how students engage with users in the classroom, how such initiatives are being evaluated, how... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5650379 Wed, 01 Feb 2012 05:00:00 +0100 5650379 http://www.medworm.com/index.php?rid=5650378&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01860.x This study reports on a small collaborative research project started by service users, and on a subject chosen by them, and then carried out with staff from a local NHS Trust and University.• It looks at the choices people make in changing or stopping mental health medications, and their experiences of how professional staffs were either helpful or unhelpful in advising and helping them with these choices. Some of the themes generated in the focus groups are examined in detail and recommendations made for practice including the need for better information giving to support choice.• The themes examined include ‘the two faces of service provision’ which looks at positive and less positive experiences of service provision, the general practice/mental health divide which points out... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5650378 Wed, 01 Feb 2012 05:00:00 +0100 5650378 http://www.medworm.com/index.php?rid=5650377&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01862.x Accessible summary• Self‐esteem is not typically associated with nurses.• An academic nurse training can potentially increase self‐esteem.• Promoting self‐esteem in nurses should be part of academic as well as non‐academic education.AbstractSelf‐esteem is not typically associated with the nursing profession. However, the concept is indispensible for job satisfaction and good‐quality patient care. Many healthcare systems are confronted with declining numbers of qualified nurses, and desperately seek suitable strategies to recruit and retain sufficient trainees and junior staff. This investigation examined self‐esteem in 212 German nurses using the Rosenberg Self‐Esteem Scale. Nurses with an academic degree displayed a statistically significant higher level of sel... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5650377 Wed, 01 Feb 2012 05:00:00 +0100 5650377 http://www.medworm.com/index.php?rid=5650376&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01863.x Accessible summary• Healthcare providers are in a privileged position to counsel and offer resources to patients who identify as sexually or gender‐diverse, or who are in relationships with sexually or gender‐diverse persons. To optimize health outcomes in these persons, a call has been made to increase providers' awareness of sexually diverse populations.• This research builds upon existing knowledge on female sexuality through its examination of female sexuality in relationships in which one partner discloses as male‐to‐female transsexual.• Sexual and relational orientation can be fluid, and can evolve within a relationship. Females partnered with male‐to‐female transsexual persons reported reforming their sexual relations with their partners. They reported mainta... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5650376 Wed, 01 Feb 2012 05:00:00 +0100 5650376 http://www.medworm.com/index.php?rid=5650375&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01864.x Accessible summary• Regardless of the known risks for conflicted parent–child relationships and mental health problems among Korean American families, our knowledge of their perceptions of parenting stress and parent–child relationships is very limited, particularly knowledge obtained from parents' perspectives.• The main stresses that parents encountered while raising their adolescent children in the USA were inability to advocate for children, feeling uneasy and insecure about incompatible American culture, ambivalence towards children's ethnic identities, and feeling alienated.• As parents encountered those challenges and difficulties, they became doubtful of their decisions to move to the USA and felt inadequate, ashamed, guilty, regretful and powerless.• The presen... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5650375 Wed, 01 Feb 2012 05:00:00 +0100 5650375 http://www.medworm.com/index.php?rid=5650374&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01865.x Accessible summary• Depression is a common mental health condition among people living with HIV infection.• About one third of the study's participants were depressed.• A history of substance abuse and child/adult violence was common among the participants.• Healthcare providers need awareness of the intersection of HIV, substance abuse, and violence among Hispanic men with HIV infection.AbstractDepression is a common mental health condition among persons with human immunodeficiency virus (HIV) infection. Depression influences quality of life, social relationships and adherence to medication therapy. Little is known about depression among Hispanic men with HIV infection. The purpose of this pilot study was to describe the relationships of depression to other psychosocial fa... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5650374 Wed, 01 Feb 2012 05:00:00 +0100 5650374 http://www.medworm.com/index.php?rid=5650373&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01870.x This study seeks to validate the French versions of scales of staff attitudes to and subjective experience of institutional violence: a new, modified version of the Overt Aggression Scale (MOAS) to measure the subjective perception of the frequency of aggression in the ward; and the Perception of Aggression Scale (POAS) to assess attitudes to the expression of violence by psychiatric patients. Frontline staff (n= 362) from eight French‐language psychiatric institutions in the province of Quebec were surveyed. Factor analyses were performed to determine the validity of the French‐language MOAS and POAS. As expected, a four‐factor structure emerged for the MOAS. For the 12‐item POAS, a three‐factor structure was found: (1) ‘Aggression as a dysfunctional/undesirable phenomenon’;... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5650373 Wed, 01 Feb 2012 05:00:00 +0100 5650373 http://www.medworm.com/index.php?rid=5650372&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01872.x This study identified many of these barriers to prescribing and these will be discussed. It is hoped that this study's findings will serve as a catalyst to prompt the removal of barriers to prescribing in mental health nursing and ultimately to enable independent nurse prescribing. Awareness about mental health nurse prescribing needs to be raised so that health care professionals, service users, carers and the general public become more familiar with the role. This should help the role to become more accepted and established in everyday practice.AbstractThis paper reports a pilot study exploring mental health nurse prescribers' perceptions of barriers to prescribing independently but also includes perceptions of barriers to supplementary prescribing. Current prescribing practice as experi... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5650372 Wed, 01 Feb 2012 05:00:00 +0100 5650372 http://www.medworm.com/index.php?rid=5611341&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01861.x Accessible summary• The prevalence of depression has increased markedly in Thailand.• Self‐help manuals for depression are particularly helpful in people with mild to moderate depression.• Individuals who completed the self‐help manual had lower levels of depression than those in the control group.• Self‐help can be used readily by mental health nurses and other professionals to help relieve depression in people living in the community with moderate depression.• The self‐help manual is helpful for people with moderate depression in a Thai context.AbstractThe prevalence of depression is increasing in Thailand. We used a randomized controlled trial to examine the effectiveness of a self‐help programme in reducing depression in people with depression in Chiang Ma... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5611341 Sat, 21 Jan 2012 02:12:04 +0100 5611341 http://www.medworm.com/index.php?rid=5611342&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01694.x In this study, independent sample t‐tests were used to compare the nulliparous and parous groups differing in known fear status. In order to test the construct of the W‐DEQ, Beck Anxiety Inventory, Depression Anxiety and Stress Scale and Brief Measure of Worry Severity scales were chosen as these scales are expected to correlate with the W‐DEQ. Analysis of the construct validity of the W‐DEQ version A using Pearson's correlation coefficients was performed for both nulliparous and parous women separately. All the scales in both groups showed a statistically significant correlation with the W‐DEQ. The alpha coefficient (0.89) is well above the 0.70 criterion for internal consistency reliability. Turkish form of Wijma Delivery Expectancy/Experience Questionnaire Version A was fixed ... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5611342 Fri, 20 Jan 2012 05:00:00 +0100 5611342 http://www.medworm.com/index.php?rid=5584954&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01848.x This study found that SANSI was able to show which people were at risk of poor health because of their nutrition. It is quick and easy for busy staff to use, which makes it more likely to become a regular check. The way it is written means that different staff will agree on the answers they give. It allows staff to see who would benefit from extra support with eating and drinking, and when they might need more specialist help with this.AbstractNutrition screening is the first‐line approach to addressing the nutritional needs of service users and has been recommended as best practice by several authoritative and regulatory bodies. A simple and comprehensive screening tool, the St Andrew's Nutrition Screening Instrument (SANSI), was developed for use in an inpatient secure psychiatric sett... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5584954 Sat, 14 Jan 2012 11:39:06 +0100 5584954 http://www.medworm.com/index.php?rid=5562232&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01834.x (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5562232 Fri, 06 Jan 2012 02:17:31 +0100 5562232 http://www.medworm.com/index.php?rid=5553424&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01753.x Accessible summary• Seclusion has become a contentious practice and, internationally, initiatives have commenced to reduce or eliminate its use.• In forensic mental health hospitals, there are unique challenges and opportunities for the management of inpatient aggression and reduction of seclusion.• This paper presents a project that was undertaken at an Australian forensic mental health hospital to reduce seclusion.• The frequency and duration of seclusion events were reduced but there was less reduction in the number of patients that were secluded. At this time, seclusion may be necessary for the general safety of the unit.AbstractSeclusion has become a contentious practice and initiatives have commenced to reduce or eliminate its use. This paper presents the initiatives ... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5553424 Fri, 30 Dec 2011 05:00:00 +0100 5553424 http://www.medworm.com/index.php?rid=5553425&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01853.x Accessible summary• Personal stories about recovery in mental health are important sources of knowledge.• Research methods are needed for exploring personal stories of recovery which honour and empower the authors of recovery stories.• The Clubhouse of Winnipeg and an assistant professor in psychiatric nursing piloted a research project using photography in order to explore, document and share Clubhouse Member stories of recovery.AbstractThe Clubhouse of Winnipeg (a community psychosocial rehabilitation centre) collaborated with a psychiatric nursing assistant professor on a participatory action research (PAR) project exploring the concept of recovery using a using a research method called photovoice. The collaborative project –Our Photos Our Voices– demonstrates how PAR an... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5553425 Wed, 28 Dec 2011 05:00:00 +0100 5553425 http://www.medworm.com/index.php?rid=5539440&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01842.x This study investigated the perspectives of mental health nurses working in a medium secure unit, regarding the impact of the security procedures used to manage patient substance misuse on nurse–patient relationships.• Data from the interviews were analysed and revealed that the participants perceived that the intrusive nature of the procedures was detrimental to their relationship with patients. Both the relative degree of intrusion posed by the procedure, and the communication skills of nurses were important factors in determining the extent and duration of negative effects on relationships.• A number of recommendations were made to improve policy and practice in relation to the application of the procedures. Firstly, that the use of partial strip searching should be minimized.... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5539440 Thu, 22 Dec 2011 05:00:00 +0100 5539440 http://www.medworm.com/index.php?rid=5553423&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01854.x Accessible summary• In addition to medical and psychosocial treatment of impairments, societal participation should be recognized as an important treatment goal for patients with schizophrenia, and it can be applied in daily practice by nurses and social workers, even when psychiatric impairments require acute care.• Our research indicated that rehabilitation counselling by nurses and social workers within a multidisciplinary team helps to increase the societal participation level of young people with schizophrenia, while their impairments scores remained stable.• Patients with more mild impairments seemed to profit more from rehabilitation counselling while patients whose impairments were more severe seemed to profit less. Our research also indicated that patients with similar... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5553423 Thu, 01 Dec 2011 05:00:00 +0100 5553423 http://www.medworm.com/index.php?rid=5539439&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01855.x Accessible summary• The purpose of this study was to describe the role of inclusiveness in lessening the pain of parents death in adolescents orphaned by AIDS.• Data were derived from 15 AIDS orphans between the ages of 14 and 18 years.• The method used was focus groups with discourse analysis using four themes: grieving patterns, coping strategies, experience with loss and expectations.• The participants believed that including them in the illnesses, dying and funeral preparations of their parents would have facilitated their healing.AbstractThe purpose of this paper is to raise an argument that inclusiveness will lessen the pain of losing a parent among adolescents orphaned by AIDS and as a result, prevent future mental health problems that may occur because of inappropri... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5539439 Thu, 01 Dec 2011 05:00:00 +0100 5539439 http://www.medworm.com/index.php?rid=5527262&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01852.x This study focuses important aspects that influence the patients' ability to manage their rehabilitation through admission to non‐institutional FPC, viewed from different caregivers' perspective.• The transition is influenced by a well‐planned care plan, together with a suitable non‐institutional dwelling and a tailored occupation. A major barrier for successful admission was whether the patients managed their own finances or not. Other important areas were having a well‐functioning and trusting social network and a good relationship with a contact person.AbstractAll patients cared for in forensic psychiatric care (FPC) have some kind of psychiatric disorder and most of them have committed one or more criminal acts. One part of the patient's rehabilitation is the transition fro... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5527262 Thu, 01 Dec 2011 05:00:00 +0100 5527262 http://www.medworm.com/index.php?rid=5478185&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01845.x Accessible summary• Although the prevalence of attention‐deficit hyperactivity disorder (ADHD) in the adult population is significant, similar to that of common mood and anxiety disorders, only a fraction of those affected receive treatment.• The adult patient with ADHD is at risk for misdiagnosis and ineffective treatment because of the presence of symptoms and impairments held in common with mood and anxiety disorders as well as high comorbidity.• This review examines the importance of establishing the context of symptom presentation and impairment to yield diagnostic clarity across the lifespan.AbstractThis integrative literature review examines the complexity of diagnosing attention‐deficit hyperactivity disorder (ADHD) in adults with regard to the presence of symptoms ... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5478185 Thu, 01 Dec 2011 05:00:00 +0100 5478185 http://www.medworm.com/index.php?rid=5443161&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01730.x (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5443161 Fri, 25 Nov 2011 14:48:11 +0100 5443161 http://www.medworm.com/index.php?rid=5443160&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2010.01681.x (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5443160 Fri, 25 Nov 2011 14:48:10 +0100 5443160 http://www.medworm.com/index.php?rid=5443159&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01843.x (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5443159 Fri, 25 Nov 2011 14:48:08 +0100 5443159 http://www.medworm.com/index.php?rid=5443158&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01796.x (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5443158 Fri, 25 Nov 2011 14:48:06 +0100 5443158 http://www.medworm.com/index.php?rid=5443157&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01817.x (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5443157 Fri, 25 Nov 2011 14:48:04 +0100 5443157 http://www.medworm.com/index.php?rid=5443154&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01846.x This study can serve as a foundation for future research to further examine nurses' role in providing postpartum education and care for women with schizophrenia. (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5443154 Fri, 25 Nov 2011 14:45:47 +0100 5443154 http://www.medworm.com/index.php?rid=5443156&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01818.x Accessible summary• Large gaps in income between the rich and poor seem to be related to poor mental health, but the explanations are not always simple.• Some people are more able than others to withstand the pressures generated by these large gaps, and some explanations for why are given.• Nurses can help people who are affected by these gaps become more resilient and develop ways to live fuller and richer lives.• Nurses are also well placed to lead this change as many of the ideas are familiar to them.AbstractSince 2008, the world has witnessed several socio‐economic upheavals that have fundamentally changed the global economy. Within the UK, these upheavals have coincided with a change in political administration and thus a new approach to managing the volatility of ec... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5443156 Tue, 22 Nov 2011 05:00:00 +0100 5443156 http://www.medworm.com/index.php?rid=5443155&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01841.x In conclusion, the vision for mental health nursing reported in the Chief Nursing Officer Review prompted various changes, directly and indirectly, among mental health nurses and the development of areas of good practice in education, practice and leadership. The positive changes evident in some areas may become widespread by a systematic policy implementation plan from the centre, supported by local leadership in practice. (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5443155 Tue, 22 Nov 2011 05:00:00 +0100 5443155 http://www.medworm.com/index.php?rid=5423884&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01849.x Accessible summary• The study aims to investigate the impact of self‐rated stigma and functioning in patients with bipolar disorder in South Brazil.• This is a cross‐sectional study. Sixty participants with BD were recruited from the outpatient Bipolar Disorder Program of the University Hospital at the Federal University, Porto Alegre, Brazil.• This is a cross‐sectional study. Sixty participants with BD were recruited from the outpatient Bipolar Disorder Program of the University Hospital at the Federal University, Porto Alegre, Brazil.• The study demonstrated a correlation between stigma and poor functioning in bipolar disorder.AbstractThe aim of this study was to investigate the impact of self‐rated stigma and functioning in patients with bipolar disorder in South... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5423884 Thu, 17 Nov 2011 05:00:00 +0100 5423884 http://www.medworm.com/index.php?rid=5410869&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01847.x Accessible summary• The purpose of this study was to examine differences in substance use disorders, psychiatric disorders and nicotine dependence among 323 women and men accessing a smoking cessation programme in an addiction treatment setting in Vancouver, British Columbia, Canada.• Individuals with substance use and psychiatric disorders have smoking prevalence rates nearly double that of the general population. Yet, there are distinct differences between men and women in their smoking behaviour and responses to smoking cessation treatment. Few studies have examined such sex differences among individuals with substance use and psychiatric disorders.• The study found that compared with individuals with no psychiatric diagnosis, those with a mood, anxiety and psychotic disorde... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5410869 Sun, 13 Nov 2011 05:00:00 +0100 5410869 http://www.medworm.com/index.php?rid=5423883&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01850.x This study investigated the clinical experiences of nursing students in a psychiatric unit in an Iranian hospital.• Data from in‐depth interviews were analysed in order to reveal common themes in the experiences of these students.• The results present distinctive insights on contextualizing, developing and implementing clinical education in Iran, especially in psychiatric units. The exploration and description of students' experiences will help nurse educators to plan the clinical learning opportunities such that they are less stressful, thus ensuring that nursing students are equipped to act as therapeutic professionals.AbstractThis qualitative study aimed to investigate and explain clinical experiences of nursing students in a psychiatric unit in an Iranian hospital. The resear... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5423883 Tue, 01 Nov 2011 04:00:00 +0100 5423883 http://www.medworm.com/index.php?rid=5410868&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01839.x This study aimed to address this evidence gap by identifying best available evidence for mental health‐related risk factors for patient‐initiated violence. We conducted a systematic review based on the National Health and Medical Research Council of Australia's methodology for systematic reviews. A total of 6847 studies were retrieved, of which 326 studies met the study inclusion criteria. Of these studies, 277 met inclusion criteria but failed the quality appraisal process, thus a total of 49 studies were included in the final review. The risk factors that achieved the highest evidence grading were predominantly related to dynamic clinical factors immediately observable in the patient's general appearance, behaviour and speech. These factors included hostility/anger, agitation, though... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5410868 Tue, 01 Nov 2011 04:00:00 +0100 5410868 http://www.medworm.com/index.php?rid=5390267&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01838.x Accessible summary• Consumer gender and age, and nurse gender influenced the perception of overall severity of aggressive incidents, in addition to the aggression data provided by the Staff Observation Aggression Scale – Revised (SOAS‐R) scores.• The factors influencing assessments of aggression incident severity can be identified from the severity scores provided by concurrently conducting objective (i.e. SOAS‐R) and overall (i.e. visual analogue scale) assessments.AbstractThe aim of this study is to investigate factors associated with overall judgements of aggression severity as provided by ward nurses, using the Japanese‐language version of the Staff Observation Aggression Scale – Revised (SOAS‐R). Nurses who observed 326 aggressive incidents involving psychiatric in... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5390267 Tue, 01 Nov 2011 04:00:00 +0100 5390267 http://www.medworm.com/index.php?rid=5365872&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01797.x Accessible summary• Simulation has become a valuable educational tool with a variety of devices available for use.• Examples of simulation scenarios developed especially for use with psychiatric and mental health nursing students are scarce.• A simulation technique with considerable potential for the teaching and learning of essential mental health nursing skills is the narrative virtual patient.• Wider use of virtual patient tools would help establish if it is a viable educational device.AbstractThis paper discusses the use of simulation in nursing education and training, including potential benefits and barriers associated with its use. In particular, it addresses the hitherto scant application of diverse simulation devices and dedicated simulation scenarios in psychiatri... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5365872 Tue, 01 Nov 2011 04:00:00 +0100 5365872 http://www.medworm.com/index.php?rid=5365871&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01824.x (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5365871 Tue, 01 Nov 2011 04:00:00 +0100 5365871 http://www.medworm.com/index.php?rid=5365870&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01840.x This study examined how clients with depression improved during psychotherapy sessions.AbstractThere is increasing interest in mental health nurses delivering structured short‐term evidence‐based psychotherapies such as cognitive behavioural therapy (CBT) and interpersonal psychotherapy (IPT); however, while there is evidence of the efficacy of psychotherapy for depression, there is limited understanding of the treatment processes. Data were drawn from audio tapes of CBT and IPT sessions for treatment of depression. The transcripts of the initial, middle and final psychotherapy sessions of 40 clients were analysed. A thematic analysis was conducted to identify what was occurring in the sessions, how the client was describing psychotherapy and how the client was describing improvement o... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5365870 Tue, 01 Nov 2011 04:00:00 +0100 5365870 http://www.medworm.com/index.php?rid=5365873&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01835.x This study is a descriptive and relational study, aiming to investigate the relationship between personality characteristics and job‐ and organization‐related attitude in nursing academicians in Turkey.• The study sample included 287 nursing academicians who worked in 14 School of Nurses in the Universities of Turkey.• The job‐ and organization‐related attitude of the nursing academicians is affected by their socio‐economic status, working year, academic title, the temperament feature of novelty seeking and persistence, and the character feature of self‐directedness and cooperativeness.AbstractThe purpose of this study was to determine the relationship between attitudes of nursing academicians towards job and organization and their personality traits. The research inclu... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5365873 Sun, 30 Oct 2011 04:00:00 +0100 5365873 http://www.medworm.com/index.php?rid=5365876&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01794.x Accessible summary• Oral care for hospitalized mental health patients can minimize negative effects of physical conditions such as dehydration and diabetes and the oral side effects of commonly used medications.• About 14% of the global burden of disease is attributed to mental illness and for those who have mental illness, oral health assessment is not routinely practiced by clinicians.• Oral health care of hospitalized patients at present is variable and nursing care can play an important role in the oral health requirements of the hospitalized mental health patients and this information can form part of discharge planning to community care.AbstractThe purpose of this review of the literature is to present a contemporary perspective related to the nursing care of hospitalized... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5365876 Thu, 27 Oct 2011 04:00:00 +0100 5365876 http://www.medworm.com/index.php?rid=5365875&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01803.x Accessible summary• Recovery‐oriented practice, an approach aligned towards the service user perspective, has dominated the mental health care arena.• Numerous studies have explored service users' accounts of the purpose, meaning and importance of ‘recovery’.• Twenty‐three community mental health nurses completed a selfefficacy questionnaire and 28 course documents were analysed.• The findings suggest a gap in the nurses' perceived ability and confidence in recovery‐oriented practice with what is taught academically.AbstractRecovery‐oriented practice, an approach aligned towards the service user perspective, has dominated the mental health care arena. Numerous studies have explored service users' accounts of the purpose, meaning and importance of ‘recovery’;... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5365875 Thu, 27 Oct 2011 04:00:00 +0100 5365875 http://www.medworm.com/index.php?rid=5365874&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01806.x Accessible summary• The students are exposed to various problems that particularly their mental health is much affected.• For promoting mental health in students, approaches could be strengthened through their empowerment and participation in group discussion.• To improve the self‐esteem and health locus of control predictors led to their mental health promotion among university students.AbstractThe purpose of this study was to investigate the effect of self‐esteem and health control belief on promoting students' mental health. In so doing, 144 students from two medical universities in the north‐east of Iran were recruited into study. They were pair‐matched and randomly assigned to case and control groups. The data were collected through Goldberg's General Health Questi... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5365874 Thu, 27 Oct 2011 04:00:00 +0100 5365874 http://www.medworm.com/index.php?rid=5349915&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01837.x Accessible summary• Dignity is a concept that relates to health and mental health care. Dignity is also related to human rights.• In psychiatric nursing practice, caregivers want to promote good and safe care, and take their ethical responsibility to safeguard the patient's dignity in caring situations. Dignity may emerge when the will and courage to be there for someone else is allowed to permeate the caring acts.• There are situations where a patient's dignity is offended in psychiatric nursing practice.• Where value conflict exists, these may lead to conflict in the human being and result in guilt and shame for the caregivers.AbstractProfessional nurses have an ethical responsibility to protect and preserve the patients' dignity. The aim of this study was to describe how... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5349915 Thu, 27 Oct 2011 02:22:32 +0100 5349915 http://www.medworm.com/index.php?rid=5349918&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01828.x This study describes the use of simulation with mental health nursing students and details on how the approach facilitates learning by assisting the student to identify deficits within existing knowledge and skills.AbstractRecognition of physical deterioration in patients with mental health problems has been recognized as a significant problem. Areas of particular concern include rapid tranquilization, physical restraint, the consumption of alcohol and illicit drugs have the potential to result in sudden and catastrophic patient deterioration. Simulation sessions, using patient mannequins, are widely used to support the education of nurses but its use in mental health has been somewhat restricted. The aim of this study was to design and deliver simulation scenarios to develop the skills an... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5349918 Wed, 26 Oct 2011 04:00:00 +0100 5349918 http://www.medworm.com/index.php?rid=5349917&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01832.x Accessible summary• The Attitudes to Containment Questionnaire has good construct validity.• Patients have separate attitudes towards different containment measures rather than an overall attitude towards containment in general.• High levels of intramuscular medication use on wards were associated with lower approval ratings from patients towards a number of other containment measures.• The use of IM medication has a negative impact on attitudes towards all measures of containment regardless of whether a patient has personally experienced it or has just witnessed it.AbstractThe aims of this report were to explore the relationships between patients' approval of containment measures, their levels of usage and patients' individual experience of each measure. Additionally the p... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5349917 Wed, 26 Oct 2011 04:00:00 +0100 5349917 http://www.medworm.com/index.php?rid=5349916&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01836.x Accessible summary• There is currently no standard provision of care for younger people with dementia and their families in the UK and there is little involvement of families in care provision and care planning.• Specialist services for young‐onset dementia are consistently recommended in published and grey literature but continue to be overlooked in UK healthcare policy and service development.• Staff experience difficulty working with family relationships because they are complex and family members often have different views and opinions about the best approach to care.• Recommendations are made for the implementation of family‐centred working in dementia care to increase the effectiveness of care for families living with a diagnosis of young‐onset dementia.Abstract... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5349916 Wed, 26 Oct 2011 04:00:00 +0100 5349916 http://www.medworm.com/index.php?rid=5325611&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01833.x This study aimed to identify nurses' roles in systematic patient education sessions in psychiatric inpatient care.• Nurses working in psychiatric hospitals have different roles in systematic patient education and they are ready and willing to tailor their roles according to patients' individual needs.• Patient education with new methods, such as using information technology, has some potential to empower patients with serious mental health disorders to cope in their daily lives.• Hospital organizations should prepare themselves for new cultures and staff's skills to incorporate a new tool in their daily practices should be ensured.AbstractThe purpose of this study is to gain understanding of nurses' expectations of their roles in systematic patient education in psychiatric inpa... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5325611 Wed, 19 Oct 2011 00:32:33 +0100 5325611 http://www.medworm.com/index.php?rid=5325615&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01741.x Accessible summary• The working alliance between chronic psychiatric patients and their case managers is an important vehicle for successful treatment and support.• A good working alliance has a positive effect on the patient's functioning.• The quality of a working alliance depends on both patient characteristics and the case manager's behaviour.• The results indicate that working alliances are established in the first 3 months of a patient–case manager relationship.• Further research into the development of working alliances is necessary.AbstractThe concept of a working alliance is rooted in psychotherapy and has been studied extensively in that field. Much less research has been conducted into working alliances between chronic psychiatric patients and their case ma... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5325615 Tue, 18 Oct 2011 04:00:00 +0100 5325615 http://www.medworm.com/index.php?rid=5325614&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01809.x Accessible summary• Many people decide not to take prescribed antipsychotics once they are discharged from the hospital.• Stopping antipsychotics suddenly without support may result in harmful reactions and possible re‐admission to the hospital.• The ‘Non‐Adherence Harm Reduction’ approach aims to reduce the harm of stopping antipsychotics, by informing and supporting those who make this personal decision.• This approach values personal autonomy and may reduce the likelihood of harm and re‐admission in those who choose not to adhere to prescribed antipsychotics.AbstractThis paper discusses the evidence base for interventions addressing non‐adherence to prescribed antipsychotics. A case study approach is used, and the extent to which adherence improvement interve... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5325614 Tue, 18 Oct 2011 04:00:00 +0100 5325614 http://www.medworm.com/index.php?rid=5325613&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01827.x Accessible summary• Some patients in psychiatric hospitals are considered difficult to treat. Their ongoing conflicts with nurses and other health care professionals can result in a deadlock in their treatment.• In these cases, patients can be transferred to another specialist hospital. The research described below was conducted in such a specialist psychiatric hospital. The researchers asked the patients how they felt about their treatment and how it helped them recover.• The patients found the treatment very strict: they had to make commitments and to follow numerous rules concerning eating times, privileges and safety. Also the professionals pointed out the patient's own responsibility for the success of the treatment.• The patients reported that the treatment had helped... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5325613 Tue, 18 Oct 2011 04:00:00 +0100 5325613 http://www.medworm.com/index.php?rid=5325612&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01831.x Accessible summary• Individuals with serious mental ill health suffer excessive physical illness.• The causes of physical illness amongst the seriously mentally ill are complex and multifaceted.• There is limited empirical evidence to support the current emphasis on physical health assessment and health promotion for the seriously mentally ill. More robust research studies are needed to facilitate Evidence Based Practice in this area.AbstractDespite the wealth of literature which attests to the relationship between serious mental illness (SMI) and physical ill health, the provision of optimum physical health care for mental health service users remains a challenge. In England the Department of Health has identified the evident health inequalities for people with SMI as a priori... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5325612 Tue, 18 Oct 2011 04:00:00 +0100 5325612 http://www.medworm.com/index.php?rid=5306198&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01790.x (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5306198 Wed, 12 Oct 2011 14:41:51 +0100 5306198 http://www.medworm.com/index.php?rid=5306197&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01740.x (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5306197 Wed, 12 Oct 2011 14:41:50 +0100 5306197 http://www.medworm.com/index.php?rid=5306196&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01745.x (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5306196 Wed, 12 Oct 2011 14:41:47 +0100 5306196 http://www.medworm.com/index.php?rid=5298324&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01829.x This study describes the daily life and management strategies of young informal carers of family members or friends with mental illness. Twelve young adults (three men and nine women; 16–25 years old) in Sweden were voluntarily recruited between February and May 2008. Data collected through eight individual semi‐structured interviews and one focus group interview were analysed using qualitative content analysis. The findings revealed nine subthemes that were further grouped into three main themes: showing concern, providing support and using management strategies. Participants lived in constant readiness for something unexpected to happen to the person they cared for, and their role in the relationship could change quickly from family member or friend to guardian or supervisor. Support... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5298324 Thu, 06 Oct 2011 04:00:00 +0100 5298324 http://www.medworm.com/index.php?rid=5298323&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01830.x This study investigates the association of oral sensory processing problems with ODD and SAD symptoms in children with ADHD. The parents of 189 children with ADHD completed Oral Over‐ and Underresponsivity Behaviors Inventory reporting oral overresponsivity (OR) and underresponsivity (UR) of their children. Only ODD score predicted OR scale score. None of ADHD severity, anxiety score, age and gender predicted OR score. UR scale score was only predicted by SAD and inattention scores. ODD score and hyperactivity/impulsivity score did not predict UR score. The ODD behaviour in children with ADHD needs to be evaluated and managed more extensively and it should include oral sensory occupational therapy. Future studies should extend this research to children with ADHD and obesity and food rewa... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5298323 Sat, 01 Oct 2011 04:00:00 +0100 5298323 http://www.medworm.com/index.php?rid=5262850&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01823.x Accessible summary• Systematic assessment of the care needs of older patients using the CANE contributes significantly to a targeted nursing anamnesis and diagnostic process.• The Camberwell Assessment of Need for the Elderly appears to be a very suitable tool for structured and high quality of care.• Patients may benefit more from depression treatment when significant others of the patients (carers and staff) would be more sensitive to the unmet needs of depressed patients in different stages of their depression, and when treatment would be better targeted at these unmet needs.• Given the broad range of possible unmet needs, collaborative care arrangements should be established with home care, welfare and other organizations, to achieve adequate and efficient referrals to ... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5262850 Thu, 29 Sep 2011 15:14:39 +0100 5262850 http://www.medworm.com/index.php?rid=5262851&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01800.x Accessible summary• Seven service users with Borderline Personality Disorder (BPD) were interviewed to explore their experience of being treated with medication.• Service users identified there was a lack of knowledge and understanding around the BPD diagnosis, which made treating this group difficult for staff.• Service users also reported there was also a lack of resources for this diagnostic group so staff relied on medication, although this had improved with the introduction of a specialist service for people with a personality disorder.• Service users had different opinions on whether they thought medication was a part of their recovery pathway, but agreed they should be involved in deciding whether it would be used as a treatment.AbstractNational Institute for Clinica... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5262851 Wed, 28 Sep 2011 04:00:00 +0100 5262851 http://www.medworm.com/index.php?rid=5262852&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01819.x Accessible summary• Anorexia nervosa (AN) affects many young people but they can be reluctant to accept treatment. If we understood the views of young people with AN we might be able to develop more acceptable treatments. At the moment, most of what we know about their views is taken from studies of girls and young women.• For some young people, having AN means being able to control something, but AN can also be an illness that controls the person. Confusion about control is one of the things that make AN hard to treat.• It is difficult to find the right combination of treatments for the physical and psychological symptoms of AN. The research evidence we have does not offer enough guidance for clinicians.• Good relationships with clinicians can be difficult to achieve. Youn... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5262852 Tue, 27 Sep 2011 04:00:00 +0100 5262852 http://www.medworm.com/index.php?rid=5252228&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01826.x The objective was to consider the feasibility of food diaries as a method of understanding the dietary behaviour of people with schizophrenia. Examination of the food diaries completed in 1 week by eight patients with schizophrenia. All the patients were successful in completing the task. Examination of the food diaries revealed that: eating fruit and vegetables was largely absent; there was very little variety in most of the patients' diets; patients relied heavily on convenience food and ready meals for their main meal; as a rule patients followed an ordered mealtime routine; generally patients did not drink enough fluid; they were not big treat eaters; only one patient recorded drinking any alcohol; overall there appeared to be poor diet literacy in our small sample. The results show th... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5252228 Mon, 26 Sep 2011 02:34:48 +0100 5252228 http://www.medworm.com/index.php?rid=5252230&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01821.x This study, conducted in eight closed wards in a psychiatric hospital in China, revealed that the instrument has acceptable reliability and validity and can be readily used by psychiatric nurses in China.• Such an instrument provides nurses with a quick and easily administered method of determining if a psychiatric service user is potentially violent, thus allowing for early intervention and avoiding unnecessary, disruptive conflict. Only minor modifications were necessary to make the instrument more useful and appropriate for nurses and potentially violent consumers.AbstractThe Violence Risk Screening‐10 (V‐RISK‐10) is one of the few instruments available for evaluating violence risk among general psychiatric service users. This naturalistic prospective study involved 376 inpati... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5252230 Sun, 25 Sep 2011 04:00:00 +0100 5252230 http://www.medworm.com/index.php?rid=5252229&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01825.x (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5252229 Sun, 25 Sep 2011 04:00:00 +0100 5252229 http://www.medworm.com/index.php?rid=5252233&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01812.x Accessible summary• How near misses in the mental health sector are experienced is not well understood.• Study findings elucidate the nature of near misses as both (1) vulnerabilities and risk associated with the mental health population (e.g. violence, aggression, fear and error proneness); and (2) ‘no‐harm events’ where clinicians or service users minimize or prevent harm from happening.• Study findings have implications for practice, education, research and policy associated with recognizing and responding to safety threats in a timely manner to prevent harm to service users and providers.AbstractHow service providers and service users view near misses in their daily practice within the rubric of patient safety events is not well understood. Further no studies were loc... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5252233 Fri, 23 Sep 2011 04:00:00 +0100 5252233 http://www.medworm.com/index.php?rid=5252232&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01813.x This study is relevant to the professions who serve adult survivors of CSA as it provides further evidence for including or continuing stress management education as part of clinical practice.AbstractThe immense stress associated with experiencing and surviving childhood sexual abuse directly influences coping, immune function and overall health. Lifelong overuse of maladaptive coping strategies results in impaired adjustment to stress. The purpose of this research was to re‐examine if stress management education would be effective in improving coping skills for this population. Two 4‐week series of stress management workshops were completed by 32 adult survivors who completed the Ways of Coping Questionnaire before and after the training. Four categories of coping showed significant c... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5252232 Fri, 23 Sep 2011 04:00:00 +0100 5252232 http://www.medworm.com/index.php?rid=5252231&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01815.x Accessible summary• Parents and children use the Internet differently with the majority of parents reporting that they have rules at home for Internet use and routinely check the computer histories so they can know where online their child has been.• Both parents and children are reporting that they are participating in risky online behaviours such as talking to strangers and using the Internet to harass someone intentionally.• Parents are concerned about the child's exposure to sexually explicit materials and online strangers, but the majority of parents do not know where to report negative or unsafe Internet experiences.AbstractUsing the Internet is a daily occurrence for parents and children in today's world. Although they use the Internet differently, many individuals may f... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5252231 Fri, 23 Sep 2011 04:00:00 +0100 5252231 http://www.medworm.com/index.php?rid=5240224&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01822.x This study provided specialist supportive care as an addition to usual care from community mental health services.• It is not feasible to provide specialist supportive care to patients with bipolar disorder while they are in mood episode and receiving usual care.AbstractThe aim of the study is (1) to assess the feasibility of delivering nurse‐led specialist supportive care as an adjunct to usual care in the clinical setting; (2) to examine the relationship between the delivery of specialist supportive care and improved self‐efficacy and functioning and reduced depressive symptoms. A randomized controlled trial of the clinical effectiveness of specialist supportive care as an adjunct to usual care was conducted in community mental health services at one site. Participants were rando... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5240224 Thu, 22 Sep 2011 15:16:48 +0100 5240224 http://www.medworm.com/index.php?rid=5240230&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01808.x This study implies that service providers within mental health and addiction services benefit from inter‐professional, needs and skills based courses incorporating a variety of teaching methods. The way forward for future dual diagnosis training course developments would be working in partnership with service users and carers. (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5240230 Tue, 20 Sep 2011 04:00:00 +0100 5240230 http://www.medworm.com/index.php?rid=5240229&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01810.x Accessible summary• For some heron addicts, heroin‐assisted treatment is more efficacious than methadone treatment.• Seven European countries have implemented outpatient centres where patients self‐administer pharmaceutical heroin under close supervision.• Nurses deliver pharmaceutical heroin and supervise administration. The two main concerns are overdosing and smuggling.• Nurses are convinced of the utility of this treatment for severe heroin addicts.AbstractHeroin‐assisted treatment (HAT) is a solution for improving the condition of treatment‐resistant heroin addicts. Since 1994, six randomized controlled trials have concluded that HAT is more efficacious than oral methadone for severe heroin addicts. We visited seven HAT treatment centres in four countries in or... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5240229 Tue, 20 Sep 2011 04:00:00 +0100 5240229 http://www.medworm.com/index.php?rid=5240228&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01811.x This article reports upon a research study focusing on a programme of work called Arts In‐Reach. The programme was designed to provide a participatory arts programme for the adult mental health inpatient wards in a city in the UK. The aim of the research study was to explore the experiences of people who have engaged with the Arts In‐Reach programme of work. Eleven qualitative interviews were conducted among participants of the programme. Consistent with other research, this study reveals how people on the wards often feel powerless and bored. The feelings of boredom are exacerbated as people recover. Participating in the arts groups has alleviated some of those feelings. Furthermore, participation has also increased people's social interactions and given opportunity for self‐express... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5240228 Tue, 20 Sep 2011 04:00:00 +0100 5240228 http://www.medworm.com/index.php?rid=5240227&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01814.x This article contains a deepened analysis of how it is to live in this partly new society (the risk society) for persons who experience mental disability.• The results show that the characteristics of the risk society are identified of and well known among the members. Fast changes create feelings of alienation, uncertainty, and stress. Societal institutions are sometimes hard to reach, abstract, impersonal, and formalistic. The technological development increases the demands, but opens at the same time new possibilities. The Centre offers a new way of building companionship, trust in others, and a new meaningful everyday life.AbstractThe contemporary society is to some extent characterized by longitudinal changes, towards individualization, uncertainty, and risk. Numerous risks and da... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5240227 Tue, 20 Sep 2011 04:00:00 +0100 5240227 http://www.medworm.com/index.php?rid=5240226&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01816.x Accessible summary• Routine provision of evidence‐based and recovery‐orientated interventions for service users with bipolar disorder has not been developed in line with the clinical guidelines in the UK.• A structured group integrating psychoeducation, cognitive behavioural approaches and self‐management techniques was developed and piloted as a practice development programme to actualize such service development needs.• Service users' feedback and results from the three pilot groups are reported here and helped shape the ongoing development of the project.• Practice development projects like this can integrate service user involvement and evidence‐based interventions to promote service provision while minimizing theory–practice gap.AbstractIt has been reported t... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5240226 Tue, 20 Sep 2011 04:00:00 +0100 5240226 http://www.medworm.com/index.php?rid=5240225&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01820.x This study aimed to investigate attitudes of staff towards various containment measures in the field of adolescent psychiatry. The sample comprised 128 Finnish nurses and doctors working in closed wards with 13‐ to 17‐year‐old patients. The attitudes were studied using the Attitude to Containment Measures Questionnaire. The three methods with the most approval were as‐needed medication, transfer to specialist locked wards and mechanical restraint. The method with the least approval was the net bed. Total approval scores for the various containment measures were very similar among nurses and doctors. The differences appeared in attitudes towards mechanical restraint and constant observation, doctors showing a more critical attitude. Women tended to be more critical than men, but onl... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5240225 Tue, 20 Sep 2011 04:00:00 +0100 5240225 http://www.medworm.com/index.php?rid=5228322&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01807.x Accessible summary• The aim of this audit was to review current practice within a rural mental health service area on the monitoring and documentation of side effects of antipsychotic depot medication. While many aspects of the audit highlighted deficiencies in the monitoring and recording of side effects of depot antipsychotic medication, some other areas of practice revealed encouraging results.• The audit highlighted the need for improved clinical documentation and the need for a consistent approach to the assessment of side effects and movement disorders using valid and reliable assessment scales and the need for adequate information for service users and their carers. The need to gain service users' consent has also been highlighted. However, the audit did not address consumer... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5228322 Mon, 19 Sep 2011 06:03:21 +0100 5228322 http://www.medworm.com/index.php?rid=5228327&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2010.01677.x This study aimed to assess insight in Chinese schizophrenia patients and to identify its relationship with socio‐demographic and clinical factors, executive functions and quality of life (QOL). A cohort of 139 clinically stable schizophrenia patients was selected by consecutively screening patients diagnosed with schizophrenia who were attending the outpatient department of a university‐affiliated psychiatric hospital in China. Participants' socio‐demographic and clinical characteristics, including psychotic symptoms, depression and insight, as well as QOL and executive functions, were periodically assessed with standardized rating instruments. Patients received standard psychiatric care and were followed up for 1 year. Impaired insight was found to be common in stable Chinese schizo... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5228327 Wed, 14 Sep 2011 04:00:00 +0100 5228327 http://www.medworm.com/index.php?rid=5228326&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01784.x This study found that although the participants used a psychodynamic framework for understanding the causes of mental distress they described the presenting problems and the nursing interventions in terms of supporting a medical model of care.• Mental health nursing care is subjugated by a medical model which constrains the possibilities for mental health nursing interventions. This then potentially creates tension between what nurses believe to be the problem and the responses available for nurses in their clinical setting.AbstractThe aim of this study was to identify the conceptual models that underpin mental health nursing care in clinical settings. This study is a modification of a previous study which evaluated the influence of implicit models of mental disorder on processes of de... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5228326 Wed, 14 Sep 2011 04:00:00 +0100 5228326 http://www.medworm.com/index.php?rid=5228325&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01801.x In this study, we undertook explorative research to investigate possible relationships between nurse aptitudes and outcomes in depressed patients. We found statistically significant relationships between specific nurse aptitudes, along professional rank, and particular patient outcomes. During the hospital stay, patients' depressive feelings change as they recover. Our results indicate that, as a patient's depressive feelings change, another type of nurse, one with an aptitude that supports the patient's current needs, should be assigned to care for that patient. This suggestion is at odds with current practises of assigning a patient to one nurse for the entire hospital stay. (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5228325 Wed, 14 Sep 2011 04:00:00 +0100 5228325 http://www.medworm.com/index.php?rid=5228324&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01802.x In conclusion, overall positive changes for clients were realized as demonstrated by objective outcomes and team members' perceptions of improvements in care processes. The results supported the notion that a layered approach is necessary to achieve improvements in quality of care. (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5228324 Wed, 14 Sep 2011 04:00:00 +0100 5228324 http://www.medworm.com/index.php?rid=5228323&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01805.x In this study, we found a weak relationship between social comparison and hopelessness. The hopeless adolescents' social comparison scores were found lower than hopeful ones' scores.AbstractThe purpose of this study was to determine visually impaired adolescents' level of hopelessness and how they perceive of themselves socially compared to other individuals. Another purpose of this study was to look for relationships between hopelessness and social comparison in adolescents with visual impairment. The research population was comprised of 130 students at a secondary school for the visually impaired in Istanbul, Turkey. Our study demonstrated a weak relationship between social comparison and hopelessness (r=−0.46, P < 0.000). The mean hopelessness score for the adolescents with visual ... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5228323 Wed, 14 Sep 2011 04:00:00 +0100 5228323 http://www.medworm.com/index.php?rid=5212019&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01781.x Accessible summary• Metabolic disturbances, especially weight gain, are associated with the use of many psychotropic drugs.• Algorithms assist healthcare practitioners with decisions regarding appropriate medication treatment choices.• The use of evidence‐based practice guidelines has a positive effect on weight and triglycerides, and cholesterol.AbstractThe purpose of this study was to determine if treatment strategy had a significant effect on the occurrence of physiological changes consistent with metabolic syndrome and/or type 2 diabetes in patients using atypical antipsychotic medications. The four variables assessed were: weight gain, fasting blood sugar, triglycerides and cholesterol. The two strategies compared were (1) evidence‐based practice, derived from the Texa... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5212019 Tue, 13 Sep 2011 05:41:41 +0100 5212019 http://www.medworm.com/index.php?rid=5198085&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2010.01649.x (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5198085 Wed, 07 Sep 2011 23:19:45 +0100 5198085 http://www.medworm.com/index.php?rid=5185821&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01786.x The objectives of this study were to investigate the impact of bipolar disorder on the lives of people diagnosed with this disorder. The method used was a general inductive qualitative approach. Twenty‐one participants were interviewed between 2008 and 2009 about how they had experienced the impact of bipolar disorder. The interviews were audio‐taped and transcribed. The core theme that emerged was the participants were feeling out of control. Their own reactions and the reactions of others to the symptoms of bipolar disorder contributed to this core theme. The core theme was constituted by feeling overwhelmed, a loss of autonomy and felling flawed. Mental health nurses can help facilitate a sense of personal control for people with bipolar disorder by exploring what the symptoms mean ... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5185821 Wed, 31 Aug 2011 23:00:00 +0100 5185821 http://www.medworm.com/index.php?rid=5185820&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01787.x Accessible summary• Nurses do not always talk to voice hearers in detail about their experiences.• Telling the story of an individual's voices through developing a narrative is a valid therapeutic process that mental health nurses can help with.• The approach of Romme and Escher provides a service user‐based understanding of voices and recovery that mental health nurses can use in their practise.• A project was developed on an acute inpatient ward where nurses helped voice hearers develop a narrative account of their voices.AbstractMental health nurses do not always feel at ease talking in detail with voice hearers about their experiences. Using the approach of Romme and Escher, a project was developed to support staff on an acute inpatient ward to explore voice hearing w... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5185820 Wed, 31 Aug 2011 23:00:00 +0100 5185820 http://www.medworm.com/index.php?rid=5185819&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01798.x This study aims to evaluate the prevalence of depression in a rural area in the south of Catalonia, analysing the different age groups, identifying the causal factors of depression and determining whether there are gender differences. The descriptive and quantitative study includes 157 women and 160 men. The qualitative study evaluates 14 men and 52 women diagnosed with depression. Our results indicate a high risk of depression in elderly participants of our small rural community. Widowers suffer more depression than widows and the loneliness, illness, and task of caregiver were predictive variables for depression in these elderly men. The loss of the ability to perform activities of daily living associated with ageing has a greater effect on depression disorders in men than in women. (Sou... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5185819 Wed, 31 Aug 2011 23:00:00 +0100 5185819 http://www.medworm.com/index.php?rid=5164562&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01795.x Accessible summary• Encouraging people with schizophrenia to live in the community is the current health‐care policy, but community living is difficult for clients and their families.• Influencing factors in home care need to be identified so as to guide service delivery for community‐dwelling clients with schizophrenia and their families.• Four categories and 12 subcategories of influencing factors were identified, which have positive and negative effects on nursing roles and the functions of public health nurses in the mental health home‐visiting service in Taiwan.• The influencing factors were found to support the importance of home care services.AbstractThe purpose of this study was to explore the influencing factors in the substantive theory of home care for peop... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5164562 Sat, 27 Aug 2011 18:57:18 +0100 5164562 http://www.medworm.com/index.php?rid=5148132&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01761.x (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5148132 Wed, 24 Aug 2011 17:13:03 +0100 5148132 http://www.medworm.com/index.php?rid=5148127&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01793.x This study collected a snapshot of current handover practice in mental health settings from doctors, nurses, community and allied health staff. The handover of care is a very important process as breakdown in communication during shift changes or when a patient is transferred from one place to another is one of the leading causes of adverse events and failure of care or services.• Structuring the content of the verbal component of handover and documenting the handover may make measurable improvements to the effectiveness of clinical handovers.• Sometimes negative statements are expressed about a patient during handover. This should be avoided as negative labelling and judgement of a patient or illness can have serious consequences for patient care, especially when this information,... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5148127 Wed, 24 Aug 2011 17:10:22 +0100 5148127 http://www.medworm.com/index.php?rid=5164563&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01785.x This study used de‐identified hospital records covering the period 2004–2009 to chart measured mental health outcomes for 403 patients attending a creative activity group in an acute inpatient psychiatric setting.• Four different clinical assessment tools were used to measure changes in mental health from admission to discharge for participants of the creative activity group.• Research findings establish that participation in creative activity positively correlates with improved mental health.• In the context of this research project, the term ‘creative activity’ includes participation in art, craft or expressive art‐based activity.AbstractResponding to a call for quantitative outcome evidence about the therapeutic relationship between creative activity and mental hea... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5164563 Tue, 23 Aug 2011 23:00:00 +0100 5164563 http://www.medworm.com/index.php?rid=5148128&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01788.x Accessible summary• Nursing enviconanunderronments challenge new roles in talk based therapies.• These environments are uncertain, complex and unpredictable.• Intra‐personal capabilities help mitigate these challenges.AbstractTwenty‐four mental health nurses were interviewed to gain a greater understanding of their experiences of working within roles delivering talk‐based therapies. The study participants, while echoing the broad direction and purpose of policy that supports mental health nurses expanding talk‐based therapy roles, also offered insights into the challenges associated with embedding these roles into mental health settings. One area of findings analysed using Nvivo 8 software related to the characteristics of the environments in which these roles are, or w... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5148128 Mon, 22 Aug 2011 23:00:00 +0100 5148128 http://www.medworm.com/index.php?rid=5148130&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01782.x Accessible summary• No previous Hong Kong study has explored the relationship between stroke survivors and their carers' depressive symptoms.• The severity of Chinese stroke patients' depressive symptoms, their caregivers' perceptions of their own health, and the adversity of recent life events are the crucial factors associated with caregivers' depressive symptoms.• Caregivers' depressive symptoms are correlated with those of stroke survivors, although the causal connection and its direction could not be established.• Teaching effective stress management skills to caregivers and care recipients could reduce emotional stress and related depressive symptoms. Doing so would, in turn, lessen caregivers' physical health problems, resulting in better quality of life for both the... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5148130 Sun, 21 Aug 2011 23:00:00 +0100 5148130 http://www.medworm.com/index.php?rid=5148129&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01783.x In this study, we aimed to explore the experience of young people diagnosed with depression. Twenty‐six young people were recruited from a youth mental health service. A qualitative interpretative design was used, incorporating semi‐structured, audio‐recorded interviews. Results provided four overlapping themes, reflecting the young people's difficulties in coming to terms with, and responding in self‐protective, harmful and at times life‐threatening ways to their depression: (1) struggling to make sense of their situation; (2) spiralling down; (3) withdrawing; and (4) contemplating self‐harm or suicide. Study conclusions are that young people faced considerable difficulties coming to terms with, and responding to, depression. Improving young people's understanding of depressio... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5148129 Sun, 21 Aug 2011 23:00:00 +0100 5148129 http://www.medworm.com/index.php?rid=5148131&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01767.x This study demonstrated that the illness self‐management of a group of older adults diagnosed with a schizophrenic illness was worse in comparison with their peers with a diagnosed chronic physical illness.• In people with a schizophrenic disorder poor self‐rated health and the presence of comorbid conditions negatively affect self‐management factors, whereas being married, voluntarily treated and a greater sense of coherence have a positive effect.• Nurse can assist older people with a schizophrenic disorder to improve their illness self‐management by working collaboratively with them and enabling them to gain a better understanding of their illness, monitor their symptoms, attend to their general health and respond appropriately to symptoms of ill health.AbstractThe numbe... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5148131 Tue, 16 Aug 2011 23:00:00 +0100 5148131 http://www.medworm.com/index.php?rid=5111743&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01780.x This study aimed to identify student stressors associated with their nursing programme and examine its impact upon their lifestyle behaviours. The research tool was a 146‐item questionnaire based upon the College Lifestyle and Attitudinal National survey (CLAN). The study population comprised all students (n= 348) at two university sites.• Many students experienced programme‐related stressors including examinations and assignments and studies in general, although most considered their mental health to be good. However, final‐year students were more likely to rate their mental health poorly. Most students reported drinking alcohol to be sociable or have fun; small numbers of students reported using alcohol to relieve stress. Students also faced pressure from work outside of colleg... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5111743 Sun, 31 Jul 2011 23:00:00 +0100 5111743 http://www.medworm.com/index.php?rid=5090063&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2010.01666.x Accessible summary• It is well known internationally that poorer health and early death in people who have a severe mental illness is a major form of inequality.• The research literature suggests that lower levels of physical health associated with mental illness are due to inadequate quality of care.• Nurses, as a professional group at the crossroads of mental and physical health, have an important role to play in lifting standards of physical care. The authors propose that nurses can improve the quality of physical care for people with a severe mental illness by having a more direct role, such as checking physical symptoms, liaising with medical practitioners and providing physical health advice (e.g. diet, exercise, sleep).• A programme for nurse leadership in physical c... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5090063 Sun, 31 Jul 2011 23:00:00 +0100 5090063 http://www.medworm.com/index.php?rid=5090062&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2010.01680.x Accessible summary•The experiences of women patients with sexual abuse histories in inpatient mental health services are a cause for concern. Many of these women patients receive a diagnosis of borderline personality disorder, and are vulnerable to sexual assault.•Attempts to reduce sexual assault have included the introduction of policies, improved monitoring of data, as well as improvement in ward layout and increased numbers of staff.•A number of workshops were devised for a variety of mental health staff to address the sexual safety of women patients, where several issues emerged which are discussed in this paper.•This paper suggests that psychoanalytic insights offer an understanding of ways in which women patients with sexual abuse histories may relate to the staff caring for... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5090062 Sun, 31 Jul 2011 23:00:00 +0100 5090062 http://www.medworm.com/index.php?rid=5042411&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01776.x This study presents a thematic analysis of focus group talk to examine what recovery in mental health means to service users and nurses. Data were collected from two focus groups, one group of service users and one group of nurses. The service user group (n= 6) were adults with previous or recent experience of inpatient mental health services. The nursing group were registered nurses (n= 5) of various grades and experience currently working in inpatient mental health services in one region of the UK. Thematic analysis using Krueger and Casey's framework led to four themes being developed. These were ‘understandings of recovery’, ‘semantics’, ‘therapeutics’ and ‘a journey’. While the recovery concept was not new to either group, understandings of recovery were vague and cont... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5042411 Thu, 21 Jul 2011 14:12:07 +0100 5042411 http://www.medworm.com/index.php?rid=5042412&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01779.x This study was undertaken to investigate compliance with these standards which were adopted by one mental health service and to review whether any changes were necessary to existing arrangements monitoring this compliance. A questionnaire was distributed to all 24 non‐medical prescribers from one UK Mental Health Trust. Participants were asked to respond to questions about demographic data and prescribing practices. We also asked them to rate their experience on a 5‐point scale. In all, 83% of non‐medical prescribers responded. The UK Standards were met even though there was a shortfall in the uptake of training and supervision. Non‐medical prescribers from the Community Drug Team and Older People's Service prescribed a narrow range of speciality drugs than any other category of dr... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5042412 Sun, 17 Jul 2011 23:00:00 +0100 5042412 http://www.medworm.com/index.php?rid=5022871&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01759.x (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5022871 Wed, 13 Jul 2011 22:02:14 +0100 5022871 http://www.medworm.com/index.php?rid=5022870&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2010.01650.x (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5022870 Wed, 13 Jul 2011 22:02:13 +0100 5022870 http://www.medworm.com/index.php?rid=4994674&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01777.x Accessible summary• Decision making by nurses on seclusion of severely disturbed and aggressive patients is a complex process; the relative importance of patient, professional and facility factors is unclear.• In a vignette study, psychiatric nurses were asked to indicate to what extent they would or would not decide to seclude an imaginary patient.• The (im)possibility to communicate with the patient, as well as factors concerning the availability and cooperation of the staff, proved to be at least as important as ‘pure’ patient characteristics as diagnosis, seclusion history and severity and target of threat.• High team reflexivity, i.e. the extent to which team members reflect upon and communicate about the team's objectives, strategies and processes, seems to have a... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4994674 Sat, 02 Jul 2011 23:00:00 +0100 4994674 http://www.medworm.com/index.php?rid=4978871&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01773.x Accessible summary• The purpose of the study was to generate a theory related to the psychosocial processes of weight management among persons newly prescribed atypical antipsychotic medications, to develop better early intervention weight management programmes.• Through 16 interviews with persons with first‐episode psychosis and schizophrenia, it was found that they faced a variety of barriers to weight management: inaccessibility of resources such as financial and geographical obstacles to healthier foods and exercise facilities, a lack of structure in their lifestyle, rapidity of weight gain following the initiation of the medication, insatiable hunger and a lack of supporting factors to increase their motivation.• Many participants initially responded to the effects of we... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4978871 Mon, 27 Jun 2011 23:00:00 +0100 4978871 http://www.medworm.com/index.php?rid=4963236&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01762.x Accessible summary• This paper examines the use of assessment tools and other decision‐making guidelines in mental health and substance misuse and suggests that clinicians need to understand how the tools were designed in order to judge whether the tool is relevant to the individual client.• It is argued that people with enduring mental health or substance misuse needs present with complex needs which cannot easily be measured by questionnaires or checklists which are often based on simple and straightforward populations of patients.• The importance of this paper is that it highlights the need for clinicians to understand the tools they use rather than rely blindly on the support given to such tools by evidence‐based practice research findings.AbstractThis theoretical revie... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4963236 Tue, 21 Jun 2011 23:00:00 +0100 4963236 http://www.medworm.com/index.php?rid=4963235&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01766.x Accessible summary• Caregivers have knowledge about the importance of activities for the self‐esteem of patients with mental illness.• The caregivers do not apply their knowledge about activities and its importance for self‐esteem. They expect others to take care of this.• Caregivers in psychiatric care should be supported to implement their knowledge about activities in the care of patients with mental illness.AbstractThe aim of the study was to describe psychiatric caregivers' perceptions of self‐esteem and activities for patients with long‐term mental illness. The study design used a qualitative approach, based on an open lifeworld perspective. A total of 13 caregivers at four psychiatric hospital units in a large Swedish city were interviewed about their views on pa... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4963235 Tue, 21 Jun 2011 23:00:00 +0100 4963235 http://www.medworm.com/index.php?rid=4940080&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01765.x Accessible summary• Major changes in the work of health‐care personnel stem from advanced adoption of technology.• Information technology programmes targeted for patients with psychiatric problems may fail because there is no caring and supportive staff to use them.• The Internet‐based programme was well adopted on acute psychiatric inpatient wards. However, organizational variables are important when new information technology programmes are introduced in clinical practice.AbstractInternet‐based patient support systems are widely assumed to predict a future trend in patient education. Coherent information is still lacking on how patient education is adopted in psychiatric hospitals and how information technology is used in it. Our aim was to describe nurses' adoption of ... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4940080 Mon, 13 Jun 2011 23:00:00 +0100 4940080 http://www.medworm.com/index.php?rid=4940079&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01769.x Discussion centres on the power interests such statistics serve and their role in underpinning the relevance of IPS randomized control trials. Assertions that work improves mental health are found confusing as a result of use of a dual continua model of mental illness and mental health. The internalized moral basis for work acting as a seemingly healthy ‘normalization’ experience is suggested as paradoxically feeding self‐stigma in those who feel they cannot work. (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4940079 Mon, 13 Jun 2011 23:00:00 +0100 4940079 http://www.medworm.com/index.php?rid=4940078&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01771.x Accessible summary• Evidence indicates that the needs of older people with a mental disorder are not satisfactorily addressed in most UK district general hospitals.• The creation of a Dementia Nurse Specialist role provided the opportunity to quantify the scope for targeted support.• The results indicate that there is considerable scope for specialist intervention with patients, carers and nursing staff.AbstractOlder people form the largest group occupying acute hospital beds and many of them will have undiagnosed mental health problems. The creation of a Dementia Nurse Specialist role in a district general hospital provided the opportunity to assess the extent of the previously unmet need among patients, carers and nursing staff. Over 30 patients were seen each month, while ar... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4940078 Mon, 13 Jun 2011 23:00:00 +0100 4940078 http://www.medworm.com/index.php?rid=4915763&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01760.x This study explored the therapeutic relationship among adults who access day care services for anorexia and their healthcare professionals.• There were six important themes that emerged from interviews with healthcare professionals and patients: the authenticity of the relationship, safety, the externalization of the eating disorder, recovery measured in kilos, the power of hope and optimism and maternalism.• Women attending day care for anorexia felt safer and more optimistic and therefore more supported when the healthcare professional had a nurturing and maternalistic approach.AbstractAdults with anorexia are an under‐researched group because the usual focus is on adolescents. The relationships that occur between healthcare professionals and adults with anorexia are often chal... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4915763 Wed, 08 Jun 2011 23:00:00 +0100 4915763 http://www.medworm.com/index.php?rid=4897121&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01695.x In this study, users were asked to describe a positive meeting with a helper or a health service system that constituted a turning point. Narratives from 347 users were analysed.• The study demonstrates that recovery is a fundamentally personal process that involves finding a new sense of self and feeling of hope, and that it also requires external, material and psychosocial, conditions that can facilitate the process.AbstractSeveral studies in recent years have shown that recovery factors as experienced by clients are not always compatible with professional approaches. For example, clients often emphasize the importance of relationships and the satisfaction of universal human needs. The aim of the study has been to explore clients' descriptions of beneficial factors and to discuss the... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4897121 Sat, 04 Jun 2011 23:00:00 +0100 4897121 http://www.medworm.com/index.php?rid=4897120&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01746.x Accessible summary• At the end of the 19th century, US asylum superintendents viewed psychiatric nursing education among the most important needs at state and private hospitals. Well‐trained nurses were critical to successful implementation of moral therapy, the predominant therapeutic approach of the time.• Dr Patrick Murphy, superintendent of the State Hospital at Morganton (a rural western North Carolina town), began a nurse training school in 1895. The school trained a corps of nurses who were the first in their families to enter a work in health care, nearly all of their fathers were farmers and their mothers kept house.• The nurses at the State Hospital at Morganton played a key role in shaping the public image about asylum care. They not only treated patients at the ho... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4897120 Sat, 04 Jun 2011 23:00:00 +0100 4897120 http://www.medworm.com/index.php?rid=5001538&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01775.x Accessible summary• Resources for treatment of clients with intellectual disabilities and a psychiatric illness are scarce in the USA.• This case study looks at a treatment approach which includes multidisciplinary as well as interagency cooperation and coordination to enhance the outcomes for a client in crisis.• This case study presents a Best Practice model for clients with intellectual disabilities who are treated for psychiatric illness and maladaptive or unsafe behaviours on a general adult psychiatric inpatient unit.AbstractThe transition from residential facilities to and from the psychiatric hospital setting is difficult for individuals with intellectual disabilities (ID). In the USA, specialized psychiatric units for individuals with ID are uncommon and this populatio... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=5001538 Tue, 31 May 2011 23:00:00 +0100 5001538 http://www.medworm.com/index.php?rid=4994673&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01778.x Accessible summary• An introductory education programme entitled ‘New to Forensic’ has been developed for staff working in and across existing range of forensic services. The programme allows staff to learn about the processes and methods of working with people who become part of the forensic service, who are often described as mentally disordered offenders. This is the first forensic education programme of its kind in Scotland.• The process of development and implementation as part of the first programme in the new School of Forensic Mental Health (SoFMH) is described, and includes a summary of the numbers of people involved in the project.• A formal evaluation was undertaken as part of this initiative and early findings are described. Results from questionnaires issued be... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4994673 Tue, 31 May 2011 23:00:00 +0100 4994673 http://www.medworm.com/index.php?rid=4978870&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01774.x (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4978870 Tue, 31 May 2011 23:00:00 +0100 4978870 http://www.medworm.com/index.php?rid=4963234&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01772.x Accessible summary• People who were sexually abused as children are at higher risk than non‐abused people of suffering symptoms that doctors can't explain (e.g. irritable bowel syndrome), and to have mental ill health (e.g. anxiety and depression).• Relations between themselves and doctors or nurses can often become strained and frustrating, bringing high healthcare costs without relief of their ‘medically unexplained symptoms’. The aim in the literature review was to find an evidence base that might contribute to more helpful treatment or support, to improving relationships with medical staff and revealing gaps in knowledge.• Some theories about why sexual abuse survivors with mental ill health have these unexplained symptoms were found to stigmatize them. Other theories... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4963234 Tue, 31 May 2011 23:00:00 +0100 4963234 http://www.medworm.com/index.php?rid=4956042&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01768.x Accessible summary• Threats and violence against professional caregivers present a growing health and safety problem in elderly care.• Caregivers attribute violent behaviour in the elderly to patient characteristics, caregiver approach and disorder in the environment.• Caregivers involved in a violent situation should strive to see the person behind the behaviour and the frustration that may have prompted it, to understand what the behaviour is meant to communicate, and to tailor interventions to the individual.AbstractThreats and violence against professional caregivers present a growing health and safety problem in elderly care. We aimed to explore female caregivers' perceptions of reasons for violent behaviour among nursing home residents. Forty‐one caregivers at three nur... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4956042 Tue, 31 May 2011 23:00:00 +0100 4956042 http://www.medworm.com/index.php?rid=4940077&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01770.x This study describes an investigation of attitude towards family intervention in forensic services, with an aim to explore if family interventions are accepted by relatives and staff. A new technique to family intervention is presented.• The study found that both relatives and staff hold overall positive attitudes towards family intervention. The results revealed that the use of a novel technique, using a web camera to facilitate family intervention (e‐FFI) was not dismissed by relatives or staff. Instead neutral and open‐minded attitudes were produced towards e‐FFI from both relatives and staff.• The implications of these results may be encouraging for the future of telepsychology and specifically e‐FFI within forensic mental health services, in providing positive outcomes... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4940077 Tue, 31 May 2011 23:00:00 +0100 4940077 http://www.medworm.com/index.php?rid=4915762&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01764.x Accessible summary• A high level of work‐related stress was reported by psychiatric nurses (20.8%).• Several work‐related stressors were found to predict poor well‐being among psychiatric nurses (feeling uptight and emotional exhaustion), including high psychological job demands, low level of social support in the workplace, occupational stress and occupational stress paired with low social support.• The current study highlights the importance of examining and addressing work‐related stressors associated with the organization and management of nurses' work in order to promote and protect their health and performance.• In order to protect the mental health of nurses, it is important to implement workplace strategies and policies to prevent occupational stress and hig... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4915762 Tue, 31 May 2011 23:00:00 +0100 4915762 http://www.medworm.com/index.php?rid=4897119&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01763.x Accessible summary• Although health professionals are expected to use the findings of research to guide them in their practice, it seems that many nurses do not do this. In a survey, we asked psychiatric nurses in Ireland about the things that prevented them from using the findings of research to guide them in their practice.• The psychiatric nurses in our survey told us that they do not have sufficient time to look up the research that is published in journals, that they cannot find research in journals when they look for it and that they find the research reports difficult to understand.• The majority of psychiatric nurses in our survey told us that they are more confident in finding information on the Internet and less confident in using research findings, and that when they... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4897119 Tue, 31 May 2011 23:00:00 +0100 4897119 http://www.medworm.com/index.php?rid=4879300&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01758.x Accessible summary• Constant observation is a widely used method to insure the safety of suicidal inpatients.• There is a risk that important observations go unnoticed by the observer or fail to be communicated to the multidisciplinary team. This in turn may involve a risk for the safety and well‐being of the patient.• An expert panel of clinicians, service users and researchers reached consensus on 28 observations that was rated the most important to observe. This consensus was used to develop a systematic documentation chart.AbstractConstant observation is a method used to insure the safety of suicidal inpatients. It involves structure and control as well as flexibility and the development of a relationship between the observer and the patient. It has been found that import... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4879300 Tue, 31 May 2011 15:34:00 +0100 4879300 http://www.medworm.com/index.php?rid=4879305&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01750.x Accessible summary• The evaluation of mental health promotion programmes can strengthen the evidence base of such programmes. However, mental health promotion workers often lack the skills and knowledge to conduct programme evaluations.• Evaluation training, consisting of interactive workshops and follow‐up individual mentoring, was offered to mental health promotion workers. The programme was based on adult learning values, mental health promotion principles and guidelines for evaluation training.• The programme was evaluated using a questionnaire, immediately before, after and six months after training, as well as interviews with participants.• Evaluation of the training demonstrated significant knowledge, confidence and behaviour change.AbstractIn this paper, a program... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4879305 Sun, 29 May 2011 23:00:00 +0100 4879305 http://www.medworm.com/index.php?rid=4879304&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01751.x Accessible summary• The work of health professionals is generally of a better quality if it is based on reliable knowledge or evidence that comes from good research.•While nurses are frequently recommended to use best available research evidence to guide them in their practice, it seems that many do not heed this recommendation.• A survey was undertaken among Irish psychiatric nurses to find out from them the sources of knowledge or evidence that they use in order to guide their practice.• Psychiatric nurses in Ireland get most of their knowledge from their everyday experiences of nursing patients and from fellow practitioners, but few seem to get knowledge to guide their practice from sources such as published professional and research journals.• Based on these findings,... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4879304 Sun, 29 May 2011 23:00:00 +0100 4879304 http://www.medworm.com/index.php?rid=4879303&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01752.x This article makes recommendations for more effective implementations of PSI in acute wards in the future.AbstractThis paper examines the aids and barriers to implementing the psychosocial interventions (PSI) which trainees learned on two teaching modules. The main purpose of the modules is to teach trainees PSI to help them be more effective in their care of patients with severe mental illness. The trainees were qualified nurses working in acute mental health wards in various London hospitals. PSI has been found to be helpful for patients with psychotic symptoms in community contexts. In this study, the implementation of PSI specific to acute inpatient mental health settings is explored. This was achieved by conducting semi‐structured audiotaped interviews with all 20 trainees from a si... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4879303 Sun, 29 May 2011 23:00:00 +0100 4879303 http://www.medworm.com/index.php?rid=4879302&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01755.x Accessible summary• The usefulness of the Sense of Coherence (SOC) scale in the nursing setting is well‐established.• The aim of this prospective clinical study was to test whether low SOC predicted future suicidality in suicide attempters.• Low SOC at index attempt was associated with suicidality at 2‐month follow‐up, and associations were independent of major depression and symptom burden.• Low SOC at index attempt was associated with repeat self‐harm during a 3‐year observation period. However, the association did not remain after adjustment for depression and symptom burden.• The SOC may help to identify patients at continued risk for suicidal behaviour.AbstractThe usefulness of the Sense of Coherence (SOC) scale in the nursing setting is well‐establishe... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4879302 Sun, 29 May 2011 23:00:00 +0100 4879302 http://www.medworm.com/index.php?rid=4879301&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01757.x This study shows that, compared with White smokers, non‐White smokers treated in a primarily psychiatric Veterans Affairs hospital were more motivated to quit smoking, yet less likely to be interested in traditional cessation interventions such as intensive nurse counselling and medications.• Novel strategies such as take‐home cessation materials, Web‐based interventions and peer counselling may be needed to reach non‐White veteran smokers.• These and other strategies will be needed to address the increasing numbers of non‐Whites entering the military, especially returning Operation Enduring Freedom/Operation Iraqi Freedom veterans, many of whom smoke and have co‐morbid post‐traumatic stress disorder and traumatic head injuries making quitting smoking difficult.Abstra... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4879301 Sun, 29 May 2011 23:00:00 +0100 4879301 http://www.medworm.com/index.php?rid=4856570&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01754.x This study reports on research conducted to examine how community practitioners manage the difficulties of risk assessment in relation to people with a learning disability and a history of sexually offensive or abusive behaviour. Semi‐structured interviews were conducted with a number of key professionals from various disciplines, all currently involved in the assessment process with the aim of determining potential referral to community settings. Data analysis revolved around a thematic exposition of factors influencing the relationship between the objective science of psychiatric investigation and the subjective interpretation of real‐world practicalities in working with this group. Findings surrounded three major themes, frame conflict, relating to the difficulties of decision makin... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4856570 Wed, 25 May 2011 16:24:49 +0100 4856570 http://www.medworm.com/index.php?rid=4856571&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01747.x Accessible summary• The use of the pedometer to monitor walking as an adjunctive intervention to antipsychotic medications for individuals with schizophrenia may be feasible.• Automatic devices or technological tools such as pedometers can provide the most reliable and consistent data on physical activity in this population.• Exercise fitness and body appearance were the primary motives for subject in this study.AbstractThe purpose of this prospective and observational design study was to assess the feasibility of using a pedometer and step log to explore level of physical activity (PA) and to assess motivation to be physically active in adults with schizophrenia. Descriptive statistics were used to analyse data of 7 male and 5 female subjects. Pedometer data indicated that sub... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4856571 Tue, 24 May 2011 23:00:00 +0100 4856571 http://www.medworm.com/index.php?rid=4856575&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01727.x This study examined what midwives thought about their mental health skills and knowledge when they worked with women with a mental illness who had just had a baby.• They reported feeling ill equipped to work with women with mental illness as well as not being aware of the resources available to them and the mothers.• Midwives need to have appropriate education, knowledge and skills to work with this vulnerable group of women.AbstractChildbirth involves many psychological and emotional changes for women. The recent Commonwealth Government of Australia, National Perinatal Mental Health Action Plan (in 2008) recommends all pregnant and postnatal women have a psychosocial assessment including completion of the Edinburgh Postnatal Depression Scale. Midwives will assess all women at ante... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4856575 Sat, 21 May 2011 23:00:00 +0100 4856575 http://www.medworm.com/index.php?rid=4856574&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01748.x Accessible summary• Patients in acute psychiatric care perceive compulsory treatment as good if they are given good care, if they are given the shelter they need and if they are given help with understanding what is happening.• They feel respected if they are allowed to retain their autonomy and are invited to participate, even though they are in compulsory treatment.• It is important to take advantage of patients' own resources to prevent their traumatization when receiving compulsory treatment.• Preparation of individual action plans for future compulsory treatment may empower patients during compulsory treatment and improve their experience of care.AbstractThe purpose of the study was to describe patients' conceptions and experiences of care in compulsory treatment for a... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4856574 Sat, 21 May 2011 23:00:00 +0100 4856574 http://www.medworm.com/index.php?rid=4856573&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01749.x This study investigates victimization in male and female outpatients suffering from psychosis, the relationship to perpetrators, places where it occurs, and whether drugs or alcohol have been involved.• A majority of the patients had been victimized in adulthood and in the previous year.• Female patients were more frequently physically and sexually victimized than male patients.• In future it is important for care to focus not only on interpersonal aspects of violence but also on environmental factors.AbstractThe aims of the study were to investigate: (1) self‐reported adulthood and last‐year victimization in male and female outpatients suffering from psychosis; (2) relationships to perpetrators; (3) whether drugs or alcohol were involved in victimization situations; (4) pl... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4856573 Sat, 21 May 2011 23:00:00 +0100 4856573 http://www.medworm.com/index.php?rid=4856572&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01756.x Accessible summary• A systematic review of the literature on family carers and severe mental illness.• Investigating expectations of the role of carer, and relationships and engagement with professionals.• Begins to recognize that carers are expected to fulfil some obligations and that they also have rights associated with their role.• Recommendations for future practice between mental health professionals and family carers that include more empathic communication, and a covenant between mental health services and people who rely on services.AbstractAs community care has become embedded in the UK as in much of the western world more responsibility for psychosocial care has been placed on family carers. A systematic review of the literature about the role of family carers su... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4856572 Sat, 21 May 2011 23:00:00 +0100 4856572 http://www.medworm.com/index.php?rid=4844221&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01743.x Accessible summary• Important internalizing conditions include depressive disorders, anxiety disorders, somatic complaints and teenage suicide.• Genetic, environmental and social factors have been implicated as potential causes. Data on the prevalence of these disorders varies.• Although cognitive‐behavioural and pharmacological approaches therapies have been effective in managing symptoms, prevention programmes aimed at reducing exposure to drugs, environmental chemicals and violence/abuse are also important given the large role that environmental and social factors play.• Apart from the significant impact internalizing behaviour can have by itself, it is also associated with other negative outcomes including other psychological disorders.• Therefore, implementing ea... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4844221 Fri, 20 May 2011 20:06:47 +0100 4844221 http://www.medworm.com/index.php?rid=4834100&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01734.x Accessible summaryThis paper presents findings from one part of a research study exploring lay people's beliefs and attitudes to mental disorder.•Twenty‐two ‘lay people’ (i.e. people who did not have professional qualifications in mental health care), were interviewed.• The interviews used open‐ended questions and a vignette describing a woman experiencing depression.The findings of the study show that:• The people interviewed had a good understanding of depression. They were able to identify the symptoms of depression in the case study.• They were able to discuss depression at length, using either their own experiences of depression or through people they knew with the disorder.• Many people saw depression as ‘part of life’ and as a social condition as oppose... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4834100 Thu, 19 May 2011 13:58:47 +0100 4834100 http://www.medworm.com/index.php?rid=4799117&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01744.x This study measures the attitudes of the psychiatric nurses, after having received an education and training intervention program (ETI‐PROGRAM) in family systems nursing, towards the importance of the families in their care. Nurses' knowledge of the impact that family nursing intervention can have on family members may increase positive attitudes towards families. However, little is known about the impact that education and training intervention can have on nurses' attitudes, towards families in clinical practice. Quasi‐experimental design was used to assess the change in nurses' attitudes towards families in psychiatric care after the intervention, which included a one‐day seminar on the Calgary family nursing conceptual frameworks and skills training with clinical vignettes of fami... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4799117 Mon, 09 May 2011 15:37:06 +0100 4799117 http://www.medworm.com/index.php?rid=4784329&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2010.01654.x (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4784329 Thu, 05 May 2011 20:40:17 +0100 4784329 http://www.medworm.com/index.php?rid=4784328&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2010.01639.x (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4784328 Thu, 05 May 2011 20:40:17 +0100 4784328 http://www.medworm.com/index.php?rid=4784326&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01737.x Accessible summary• Risk assessment is crucial for developing risk management plans to prevent or minimize mental health patients' risks that will impede their recovery.• Risk assessments and risk management plans should be closely linked. Their content and the extent to which they are linked within one Trust is explored.• There is a great deal of variability in the amount and detail of risk information collected by nurses and how this is used to develop risk management plans.• Keeping risk assessment information in one place rather than scattered throughout patient records is important for ensuring it can be accessed easily and linked properly to risk management plans.• Strengthening the link between risk assessment and management will help ensure interventions and car... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4784326 Thu, 05 May 2011 20:39:49 +0100 4784326 http://www.medworm.com/index.php?rid=4784327&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01735.x Accessible summary• The measurement characteristics of the Quality of Life Enjoyment and Satisfaction Questionnaire (Q‐LES‐Q) for quality of life (QOL) assessments in the clinical settings were evaluated.• The Q‐LES‐Q – SF showed sound internal consistency, test–retest reliability, and convergent and criterion validity, with 80% sensitivity and 100% specificity.• The Q‐LES‐Q – SF could produce reliable, valid and sensitive assessments of QOL in routine psychiatric practice.AbstractThe Quality of Life Enjoyment and Satisfaction Questionnaire (Q‐LES‐Q) and its short form (Q‐LES‐Q – SF) are among the most frequently used outcome measures in psychiatry research. The aim of this study was to analyse the measurement properties of the Q‐LES‐Q – SF for... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4784327 Wed, 04 May 2011 23:00:00 +0100 4784327 http://www.medworm.com/index.php?rid=4749813&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01738.x Accessible summary• Timelines are used as a way for people to track the development of mental health problems over time particularly factors from childhood, adolescence and early adulthood. They show what was happening in people's lives at the times when they became ill and also at the times when they were well.• Timelines can be used by service users and mental health workers to make sense of experiences and facilitate coping, including making best use of medicines.• For many people in recovery the aim will not be to eliminate experiences associated with psychosis and it is often possible to reduce their negative impact and lead a satisfying life.• Further research is needed exploring links between timelines, concordance and recovery.AbstractThe value of timelines is discu... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4749813 Tue, 26 Apr 2011 17:37:32 +0100 4749813 http://www.medworm.com/index.php?rid=4749814&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01736.x Accessible summary• The hermeneutic approach is a way to develop a new practice in mental health nursing including a reflective way of being and acting in order to create a foundation for change and improvements.• Mental health nursing is dependent on the development of hermeneutic knowledge for understanding the deeper meaning of, for example, encountering a patient with emotional pain.• The hermeneutic approach can help nurses to understand how intuition and empathy is a way to empower patients, thus providing hope and future possibilities.• The implications for mental health nursing practice is to be open to change some of the negative images of past discussions in order to provide high‐quality care and support to the suffering patient.AbstractMental health nursing (MH... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4749814 Mon, 25 Apr 2011 23:00:00 +0100 4749814 http://www.medworm.com/index.php?rid=4749815&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01742.x This study examines psychometric validation of the Perception of Aggression Scale to gain an insight into aggression in different cultures.AbstractThe aim of this study was to investigate the psychometric properties of the Turkish version of the Perception of Aggression Scale. Cross‐sectional data were collected by the completion of questionnaires by 350 nursing students from two nursing schools in Istanbul, Turkey. The psychometric properties of the Turkish version of the scale were analysed by using factor analysis (principal component analysis), assessment of internal consistency and reliability, and Spearman's rank correlation coefficients. The two‐factor structure was confirmed by principal component analysis: the first factor treated aggression as functional and the second as dys... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4749815 Sat, 23 Apr 2011 23:00:00 +0100 4749815 http://www.medworm.com/index.php?rid=4737576&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01733.x This study set out to explore the nature and meaning of engagement for practitioners and service users within assertive outreach services. A qualitative approach, informed by philosophical hermeneutics, underpinned the study. Participants were recruited from a single assertive outreach team in the UK. To be eligible for the study, mental health practitioners needed to be employed within the assertive outreach team. All service users residing in the community and receiving care from the team were also eligible for inclusion. In total 14 interviews were conducted with mental health practitioners and 13 with service users. Data analysis was informed by Turner's method. Four themes emerged from the data; contact, dialogue, transformation and shared understanding. Meaningful engagement was foun... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4737576 Fri, 22 Apr 2011 20:38:12 +0100 4737576 http://www.medworm.com/index.php?rid=4711317&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01726.x This study explores staff perception of management of adolescent aggressive behaviour in forensic units in four European countries. For staff, adolescent aggressive behaviour poses a management challenge because of its frequent occurrence.• Staff preferred using verbal interventions to manage adolescent aggressive behaviour. They perceived the use of coercive measures as the last option to resolve challenging situations.• Differences between countries were reported in the use of restrictive methods. Countries with a longer history of treatment experience of the adolescents tended to use less physical restraints and less often. However, the principles of aggression management were fairly similar.• Awareness of aggression management practices would help to manage aggressive situa... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4711317 Thu, 14 Apr 2011 22:19:07 +0100 4711317 http://www.medworm.com/index.php?rid=4672646&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01728.x Accessible summary• This paper reports the use of personal budgets in three early intervention teams in the North West of England.• Person‐centred thinking tools, an essential component of personal budgets and self‐directed support, were helpful to staff enabling new insights about what is important to and for the service user.• The methodology demonstrated how personal budgets generated progressive narrative, enhancing recovery for service users.• Mental health practitioners need to work with service users creatively in partnership towards outcome‐focused interventions that may not fit traditional service responses.AbstractThis paper will report an innovation in the delivery of support in three early intervention teams in the North West of England. The paper will dra... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4672646 Mon, 04 Apr 2011 22:05:22 +0100 4672646 http://www.medworm.com/index.php?rid=4666343&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01732.x This study supports the belief that gender may influence male and female nurses' perceptions and tolerance towards honour crimes.AbstractThe purpose of this study was to evaluate perceptions of nursing students about honour crimes and examine their beliefs about inquiring information from the victims of honour crimes. A questionnaire including demographic data was administered to a sample of 225 male and female final‐year students in a nursing school. Among them, we found that significantly more male students than female students justify honour crimes. Although the majority of both male and female nursing students believed that asking for honour crimes is useful, significantly more male than female nursing students were against screening for honour crimes. This study supports the belief ... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4666343 Sat, 02 Apr 2011 00:28:24 +0100 4666343 http://www.medworm.com/index.php?rid=4666345&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01725.x Accessible summary• The transitional context of the service changing from medium to low secure status, in conjunction with a number of other factors, served to create circumstances of considerable uncertainty within the unit.• The implementation of change management often meets with strategies of resistance, although this is primarily motivated by complex motives such as a desire to retain the positive characteristics of the service.• The research discussed here identified three groups of staff working within one learning disability service in transition from medium to low secure, positive, negative and ‘toggle’, the latter of which varied in terms of resistance according to prevailing circumstances.AbstractThis paper reports the findings of a study into the management of c... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4666345 Thu, 31 Mar 2011 23:00:00 +0100 4666345 http://www.medworm.com/index.php?rid=4666344&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01729.x Accessible summary• Education on the care of aggressive and disturbed patients is fragmentary. eLearning could ensure the quality of such education, but data on its impact on professional competence of the staff are insufficient.• The aim of this study was to explore the impact of ePsychNurse.Net, an eLearning course, on psychiatric nurses' professional competence in seclusion and restraint and on their job satisfaction and general self‐efficacy.• The study showed that the ePsychNurse.Net, an affordable and easy‐to‐access learning instrument may, with certain reservations, be recommended for the continuing vocational education of nursing staff in psychiatric institutions. ePsychNurse.Net is worth further development with more flexible time schedules and individualization ... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4666344 Thu, 31 Mar 2011 23:00:00 +0100 4666344 http://www.medworm.com/index.php?rid=4628413&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2011.01709.x Accessible summary• Individuals with cognitive impairment may display a range of challenging behaviours such as agitation, aggression or inappropriate sexual behaviour (ISB).• ISB incorporates any verbal or physical action of a sexual nature displayed within an inappropriate social context.• Although ISB is less common than other forms of challenging behaviour, it may still have a range of deleterious effects on the victims health.• Nurses are at risk of being exposed to ISB and this article will provide a useful insight to the nursing profession of this phenomenon.AbstractPersons with progressive cognitive impairment such as dementia or Alzheimer's disease may display an array of challenging behaviours. For instance, levels of agitation and aggression have been reported as... Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4628413 Thu, 24 Mar 2011 20:17:33 +0100 4628413 http://www.medworm.com/index.php?rid=4618060&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2010.01655.x (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4618060 Tue, 22 Mar 2011 20:13:45 +0100 4618060 http://www.medworm.com/index.php?rid=4618059&cid=s_32350_27_f&fid=32350&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2850.2010.01651.x (Source: Journal of Psychiatric and Mental Health Nursing) Journal of Psychiatric and Mental Health Nursing journals http://www.medworm.com/rss/comments.php?id=4618059 Tue, 22 Mar 2011 20:13:45 +0100 4618059