International Journal of Mental Health Nursing

doi: 10.1111/inm.13169pmid: N/A

O'Brien, Anthony John

doi: 10.1111/inm.13416pmid: 39238104

Jaeb, Michael A.; Pecanac, Kristen E.

doi: 10.1111/inm.13323pmid: 38500241

Shame can arise during patient‐health professional encounters when discussing traumatising and stigmatising topics and can contribute to negative patient outcomes. This review aims to summarise what is known regarding shame in patient‐health professional encounters. We conducted a scoping review using Levac and colleagues' approach and reported the findings using the PRISMA Extension for Scoping Reviews. We searched four databases (CINAHL, PsychINFO, PubMed and SocINDEX) for empirical studies that involved shame in patient‐health professional encounters contextualised by trauma or stigma and were published in English. We categorised what is known regarding shame in empirical studies using inductive content analysis. We also collected stakeholders' perspectives on the review findings through an online survey. Our initial search yielded 3658 articles, of which 37 were included. We summarised the literature into four categories: (1) What health professionals say they do in patient‐health professional encounters, (2) What health professionals think patients feel in patient‐health professional encounters, (3) Patients' descriptions of their own shame during patient‐health professional encounters and (4) Health professionals' descriptions of their own shame during patient‐health professional encounters. Shame can arise in a variety of circumstances during patient‐health professional encounters. More research is needed to identify what specific communication strategies used by health professionals during patient‐health professional encounters contribute to or avoid patient shame.

Hutto, April; Raynor, Phyllis; Baliko, Beverly

doi: 10.1111/inm.13326pmid: 38566466

Shared trauma (ST) is a term historically applied to social work experiences, but other healthcare professionals (HCP) also experience ST. With the occurrence of COVID‐19, ST has impacted HCP globally and has led to new discoveries and more questions regarding its scope, impact and duration. This article aims to explore the concept of ST applied to nurses in light of COVID‐19 using the Rogers and Knafl Evolutionary Model for Concept Analysis. Further examination and evolution of ‘shared trauma’, particularly during COVID‐19, has led to the development of an adapted model to explore the implications of ST on health‐related outcomes for nurses.

Han, Bingyue; Jia, Yong; Hu, Guannan; Bai, Linquan; Gains, Hayley; You, Simiao; He, Rendong; Jiao, Yongliang; Huang, Kexin; Cui, Lianzhi; Chen, Li

doi: 10.1111/inm.13331pmid: 38606659

Yang, Jiaxin; Chen, Yamin; Tian, Yusheng; Li, Xuting; Yu, Qiang; Huang, Chongmei; Chen, Zengyu; Ning, Meng; Li, Sini; He, Jiaqing; Du, Jie; Huang, Bingqin; Li, Yamin

doi: 10.1111/inm.13337pmid: 38622945

Mental health problems in nurses are prevalent and impairing. To date, no literature has comprehensively synthesised cohort evidence on mental health among nurses. This scoping review aimed to synthesise the existing literature on the risk factors and consequences of mental health problems in nurses. A systematic search was conducted on PubMed, EMBASE, Epistemonikos database, Web of Science, CINAHL, and PsycINFO from inception to March 2023. We identified 171 cohort studies from 16 countries, mostly (95.3%) from high‐income economies. This review indicated that nurses worldwide encountered significant mental health challenges, including depression, cognitive impairment, anxiety, trauma/post‐traumatic stress disorder, burnout, sleep disorder, and other negative mental health problems. These problems were closely related to various modifiable risk factors such as nurses' behaviours and lifestyles, social support, workplace bullying and violence, shift work, job demands, and job resources. Moreover, nurses' mental health problems have negative effects on their physical health, behaviour and lifestyle, occupation and organisation, and intrapersonal factors. These findings provided an enhanced understanding of mental health complexities among nurses, and shed light on policy enactment to alleviate the negative impact of mental health problems on nurses. Addressing mental health among nurses should be a top priority.

Yang, Yoosun; Song, Jun‐Ah

doi: 10.1111/inm.13338pmid: 38661362

This review examines factors associated with quality of life (QoL) in persons with young‐onset dementia (YOD). Studies investigating and analysing factors related to QoL in persons with YOD were included. Databases searched included PubMed, CINAHL, Web of Science, EMBASE, and SCOPUS. Due to inconsistent outcome variables across studies, synthesis without meta‐analysis was used for data integration. Methodological quality was assessed, and results were synthesised. Eleven studies were included in this review, identifying different factors influencing QoL in persons with YOD, which could be categorised into six groups. Behavioural and psychiatric factors showed the highest significant findings ratio (SFR), as determined by the ratio of ‘studies finding significance’ to the ‘total number of studies addressing the factor’. Following in terms of SFR were care‐related and physical factors. Demographic and dementia‐characteristic factors had the lowest SFR. Among single factors, depressive symptoms, and neuropsychiatric symptoms, both included in behavioural and psychiatric factors, had the highest SFR. This systematic review highlights the importance of behavioural and psychiatric elements in QoL in persons with young onset and points to depressive symptoms and neuropsychiatric symptoms as potential therapeutic targets. However, as research on QoL in persons with YOD continues to expand, the inclusion of methods such as meta‐analysis may be beneficial.

Ahlstrand, Anita; Mishina, Kaisa; Elomaa‐Krapu, Minna; Joronen, Katja

doi: 10.1111/inm.13343pmid: 38706160

Perspectives of healthcare have, in past decades, focused more on active citizenship, human rights and empowerment. Healthcare consumer involvement as a concept is still unstructured and consumers have no apparent opportunities to participate in their care processes. The focus is often on the expertise of professionals, even if mental health consumers are willing to become involved and have sufficient decisional capacity. The aim of this integrative literature review was to construct an understanding of consumer perceptions and guiding frameworks of consumer involvement. There was no previous synthesis of mental health consumer perceptions combined with guiding frameworks. An integrative review methodology was employed, following Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines. The quality of the 18 studies included was analysed with the Whittemore and Knafl approach. By following Braun and Clarke's guidelines, an inductive thematic analysis was conducted to collate the themes from the selected papers. Mental health consumers' perceptions of involvement included expectations of person‐centred care, such as respect, dignity, equal interaction, supportive environments and being part of a community. This research did not find any single established framework to give clear guidelines for consumer involvement in mental healthcare, but similar determinants describing various frameworks were uncovered. This review also shows how the terminology has changed throughout the years. The perceptions of mental health consumers need to be considered to enable the implementation of person‐centredness from guidelines through to practice. Paying more attention to the education of professional mental health caregivers and the involvement of mental health consumers in their care provides better opportunities to co‐develop successful mental health services and recovery processes.

Ward‐Stockham, Kristel; Daniel, Catherine; Bujalka, Helena; Jarden, Rebecca J.; Yap, Celene Y. L.; Cochrane, Lindy; Gerdtz, Marie Frances

doi: 10.1111/inm.13345pmid: 38706140

Safewards is a multi‐intervention mental health nursing model of practice improvement aimed at preventing and reducing conflict and containment. The use of Safewards has now extended beyond mental health settings. Implementation of Safewards has been reported to be challenging and therefore requires an evidence‐informed and structured approach. This review's objectives were to: (i) Comprehensively map approaches used to implement Safewards interventions; (ii) Characterise the outcomes measured in Safewards implementation studies; and (iii) Identify the facilitators and barriers to Safewards training and its implementation in practice. All quantitative, qualitative and mixed‐methods publications of Safewards, the interventions, evaluations, barriers and facilitators from all healthcare services internationally were included. The Joanna Briggs Institute scoping review and Preferred Reporting Items for Systematic Reviews and Meta‐Analysis extension for Scoping Reviews were used to guide methodology. Data were reported according to the 12 items of the TIDieR. Twenty‐seven publications reported the implementation of Safewards. Descriptions were limited for reporting items such as intervention descriptions, materials, resources, specific procedures and processes, modifications made to interventions and delivery of interventions and training. No consistent theoretical implementation framework was reported. Collaboration, leadership, feedback and co‐design were strong drivers for staff buy‐in, engagement and success for implementation in mental health and acute settings. Transparency, replicability and generalisation require a detailed description of all elements of an intervention being implemented. Without adequate information, only assumptions can be drawn about the clinical governance and process of the implementation and training, and it is difficult to conclude when attempting to replicate the interventions.

Hmwe, Nant Thin Thin; Chan, Chong Mei; Shayamalie, Thalwaththe Gedara Nadeeka

doi: 10.1111/inm.13350pmid: 38717012

This systematic review aimed to synthesise the qualitative evidence of mindfulness‐based interventions and focused on the perceptions and experience of older people. A literature search was conducted using electronic databases including CINAHL, EMBASE, EMCare, and MEDLINE. The inclusion criteria for the review were an original study that includes qualitative data on experience and perceptions of mindfulness interventions, a study population involving older people aged 60 years and above, and articles published in English. Eleven articles are included in this review. Four major descriptive themes were generated from the data synthesis: benefits on physical health, improved psychosocial well‐being, development of new perspectives, and motivators and challenges of mindfulness practice. Mindfulness practice provided health benefits for pain management, promoting sleep quality, psychosocial well‐being, and development of positive strategies such as a new way of coping in negative situations, acceptance, and a sense of freedom. Health benefits and positive reinforcement were reported as motivators, whereas time commitment and an easily distracted mind were barriers to continued mindfulness practice. In addition to the descriptive themes, two analytical themes were derived: inner peace and well‐being through mindfulness and development of acceptance‐based coping. The positive outcomes indicated in this review suggest that mindfulness‐based interventions could be an effective therapeutic tool for the well‐being of older people.