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"Psychiatric nursing"
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Filmed v. live social contact interventions to reduce stigma: randomised controlled trial
Direct social contact interventions are known to reduce mental health stigma. Filmed social contact may be equally effective and have practical and cost advantages.
To compare the effectiveness of a DVD, a live intervention and a lecture control, in reducing stigma, testing the hypotheses that: (a) DVD and live interventions will be equally effective; and (b) the interventions with social contact (DVD/live) will be more effective than the lecture. Cost-effectiveness, process and acceptability are also assessed.
Student nurses were randomised to: (a) watch a DVD of service users/informal carers talking about their experiences, (b) watch a similar live presentation, or (c) attend a lecture. Primary outcomes were changes in attitudes (using the Mental Illness: Clinicians Attitudes Scale, MICA), emotional reactions (using the Emotional Reactions to Mental Illness Scale, ERMIS), intended proximity (using the Reported and Intended Behaviour Scale, RIBS), and knowledge (using the Social Contact Intended Learning Outcomes, SCILO), immediately after the intervention and at 4-month follow-up.
For the 216 participants, there were no differences between the DVD and live groups on MICA, ERMIS or RIBS scores. The DVD group had higher SCILO (knowledge) scores. The combined social contact group (DVD/live) had better MICA and RIBS scores than the lecture group, the latter difference maintained at 4 months. The DVD was the most cost-effective of the interventions, and the live session the most popular.
Our hypotheses were confirmed. This study supports the wider use of filmed social contact interventions to reduce stigma about mental illness.
Journal Article
Davis advantage for Townsend's psychiatric mental health nursing
\"The impact of the COVID-19 global pandemic put a spotlight on psychiatric and mental health concerns in ways we could not even imagine just a few short years ago. The need for confident nurses -well-versed in assessment and intervention across a broad spectrum of mental health disorders -remains higher than ever. As it has been with each new edition of Psychiatric Mental Health Nursing, the goal of this eleventh edition is to bring to practicing nurses and nursing students the most up-to-date information related to neurobiology, psychopharmacology, and evidence-based nursing interventions. This edition includes changes associated with the latest (fifth) edition, text revision of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR)\"-- Provided by publisher.
BOOK
The Impact of Resilience on Workplace Violence Experienced by Mental Health Nurses: A Cross-Sectional Survey
Background. Violence at work against healthcare professionals is a frequent and pervasive problem. There are growing data that indicate nurses are especially susceptible to experiencing violent acts at work. Resilience helps strengthen nursing competency in the proper management of stressful circumstances, like being exposed to workplace violence. Aim. The aim of the study is to assess the impact of resilience on workplace violence among mental health nurses. Method. A cross-sectional research design was used to conduct this study with a convenience sample of 361 nurses recruited from a governmental psychiatric hospital in Saudi Arabia. Tools. Data were collected using two tools: the first tool was the workplace violence questionnaire, which collected nurses’ demographic, job, and workplace violence data, and the second was the resilience at work scale to assess nurses’ resilience. Results. This survey found that 70.4% of nurses experienced workplace violence in the last year, and fewer than half were resilient at work. Close to one-third (33.5%) of nurses were terrified and confused after workplace violence. The most violent repercussions were psychological (46.8%): dread, tension, and worry. Additionally, 48.8% of nurses exhibited high work resilience. Conclusion. A considerable percentage of mental health nurses encountered instances of violence during the provision of care inside mental health hospital settings. The variables of nationality (non-Saudi nurses), rotating work shift, educational levels, and exhibiting a lower level of resilience were found to have a statistically significant correlation with instances of workplace violence. Recommendation. Training programs and educational initiatives should be developed and implemented to equip nurses with the necessary knowledge and skills to effectively respond to and prevent workplace violence incidents. By providing comprehensive training, healthcare organizations can empower nurses to address and mitigate workplace violence, ultimately creating a safer and more supportive work environment.
Journal Article
Perceptions and Enhancement Needs of Psychiatric Nurses on Patient Safety Competency: A Phenomenological Study
Patient safety competency among nurses is increasingly emphasized, yet research on patient safety competency among psychiatric nurses remains scarce.
To deeply explore the cognition of psychiatric nurses on patient safety competency and explore the demands of nurses for enhancing patient safety competency.
The study was conducted from June to July 2025 with 16 psychiatric nurses. Data were collected through in-depth personal interviews and thematic analyzed using Colaizzi's seven-step phenomenological analysis method.
Three main themes and 13 subthemes are formed: (1) The connotation of patient safety competency, including \"protecting one's own safety is the prerequisite for ensuring patient safety,\" \"understanding patients,\" \"observation,\" \"nurse-patient communication,\" \"nurse-patient relationship,\" and \"handling adverse events;\" (2) influencing factors of patient safety competency, including \"manpower resources,\" \"leadership,\" \"teamwork,\" and \"adverse event management system;\" and (3) the demand for improvement of patient safety competency, such as \"emphasize theory over practice,\" \"outdated training content and monotonous formats,\" and \"desire for more experience sharing.\"
This study conducted an in-depth investigation into the connotation, influencing factors and improvement demands of patient safety competency among nurses in the field of mental health, revealing the specificity of psychiatric nurses' perceptions of patient safety competency.
This provides a basis for health administration departments and hospital managers to develop relevant on-the-job training programs and intervention strategies to enhance the patient safety competency of psychiatric nurses, thereby improving the quality of nursing care and delivering superior services to patients. It holds practical significance for the optimization of specialized psychiatric nursing and even the broader healthcare field.
Journal Article
Doing CBT : a comprehensive guide to working with behaviors, thoughts, and emotions
\"This accessible text and practitioner resource provides a complete introduction to the art and science of cognitive-behavioral therapy (CBT). In a witty, straight-talking style, David F. Tolin explains core concepts and presents effective techniques for addressing the behavioral, cognitive, and emotional elements of psychological problems. Vivid examples of several clients are followed throughout the book, which concludes with three chapter-length case illustrations. Readers gain essential skills for conceptualizing a case, planning treatment, and conducting therapy, from intake to termination. Reproducible forms and worksheets are included; purchasers get access to a Web page where they can download and print all 38 reproducible tools in a convenient 8 1/2\" x 11\" size. Pedagogical Features: *Numerous engaging sidebars: Try This, The Science Behind It, Adapting the Process, and more. *End-of-chapter Personal Target Worksheets that enable self-practice of core CBT skills. *Quick-reference definitions of key terms\"-- Provided by publisher.
Book
What’s wrong with John? a randomised controlled trial of Mental Health First Aid (MHFA) training with nursing students
Background
The prevalence of mental health problems have been found to be higher among university students compared to their non-student peers. Nursing students in particular face a range of additional stressors which may impact their undergraduate performance and their careers. Mental Health First Aid (MHFA) aims to increase mental health literacy and to reduce stigma and may positively impact on the student population. This paper describes a MHFA randomised controlled trial targeting nursing students at a large Australian university. This study aimed to measure the impact of the MHFA course on mental health literacy, mental health first aid intentions, confidence in helping someone with a mental health problem and stigmatising attitudes including social distance.
Methods
Participants were first year nursing students (
n
= 181) randomly allocated to the intervention (
n
= 92) or control (
n
= 89) group. Intervention group participants received the standardised MHFA course for nursing students. Online self-report questionnaires were completed at three time intervals: baseline (one week prior to the intervention: T
1
) (
n
= 140), post intervention (T
2
) (
n
= 120), and two months post intervention (T
3
) (
n
= 109). Measures included demographics, mental health knowledge, recognition of depression, confidence in helping, mental health first aid intentions and stigmatising attitudes including social distance. Repeated measures ANOVA was computed to measure if the impact of time (T
1
, T
2
, T
3
) and group (intervention and control) on the outcome variables.
Results
There was a significant improvement among intervention compared to control group participants across the three time periods for knowledge scores (
p
< 0.001), confidence in helping (
p
< 0.001), mental health first aid intentions (
p
< 0.001), total personal stigma (
p
< 0.05), personal dangerous/unpredictable stigma (
p
< 0.05) and social distance (
p
< 0.05) scores.
Conclusion
MHFA is useful training to embed in university courses and has the potential to enhance mental health literacy and reduce stigmatising attitudes and social distance. While this course has particular salience for nursing and other health science students, there are broader benefits to the general university population that should be considered and opportunities accordingly explored for all students to complete the course.
Trial registration
Australian New Zealand Clinical Trials Registry
ACTRN12614000861651
. Retrospectively registered 11 August 2014.
Journal Article
Trauma systems therapy for children and teens
\"For too many traumatized children and their families, chronic stressors such as poverty, substance abuse, and family or community violence--coupled with an overburdened care system/m-/pose seemingly insurmountable barriers to treatment. This empowering book provides a user-friendly blueprint for making the most of limited resources to help those considered the \"toughest cases.\" Evidence-based strategies are presented for effectively integrating individualized treatment with services at the home, school, and community levels. Written in an accessible, modular format with reproducible forms and step-by-step guidelines for assessment and intervention, the approach is grounded in the latest knowledge about child traumatic stress. It has been recognized as a treatment of choice by state mental health agencies nationwide\"-- Provided by publisher.
Book
Psychological Capital and Work Engagement Among Mental Health Nurses in Saudi Arabia: The Mediation Role of Motivation at Work
Mental health nurses (MHNs) often work in challenging work environments that can affect their emotional well-being and job performance. The high work demands, stress, and limited resources could influence MHNs' psychological capital (PsyCap), motivation, and engagement. Therefore, this study aims to explore the relationship between PsyCap and work engagement (WE), with a focus on the mediating role of motivation at work (MAW) among MHNs.
This study used a descriptive multivariate correlational design. A convenience sample was used to recruit 210 MHNs from a psychiatric hospital in Saudi Arabia in western region. MHNs completed three validated online questionnaires: the Psychological Capital Questionnaire-Short Version (PCQ-12), the Utrecht Work Engagement Scale (UWES-9), and the Motivation at Work Scale (MAWS). Data were analyzed using R software, performing descriptive and inferential tests and structural equation modeling (SEM).
PsyCap showed a positive relationship with MAW (r = 0.67, p < 0.001) and WE (r = 0.67, p < 0.001). MAW was strongly associated with WE (r = 0.87, p < 0.001). SEM revealed that the influence of PsyCap on WE was fully mediated by MAW (direct path ß = 0.00. p = 0.938; indirect ß = 0.74, p < 0.001). The result showed that professional title predicts MAW and WE; age and educational level were predictors of PsyCap.
PsyCap contributes to higher levels of WE among MHNs, with MAW playing a central mediating role. These findings highlight the importance of motivation in enabling psychological resources to be translated into WE. Therefore, targeted interventions that focus on enhancing MAW may improve WE, enhance nurse retention, and improve patient outcomes.
Journal Article