Archives of Psychiatric Nursing RSS feed: Articles in Press. Archives of Psychiatric Nursing disseminates original, peer-reviewed research that is of interest to psychiatric and mental health care nurses. The field is considered in its broadest perspective, including theory, practice and research applications related to all ages, special populations, settings, and interdisciplinary collaborations in both the public and private sectors. Through critical study, expositions, and review of practice, Archives of Psychiatric Nursing is a medium for clinical scholarship to provide theoretical linkages among diverse areas of practice. http://www.psychiatricnursing.org//inpress?rss=yesElsevier Inc.en © 2012 Elsevier Inc. All rights reserved. Archives of Psychiatric Nursing0883-94172012-05-17 © 2012 Elsevier Inc. All rights reserved. healthpermissions@elsevier.comhttp://www.psychiatricnursing.org/article/PIIS088394171200043X/abstract?rss=yesCaring for hospitalized patients in mental health settings is extremely complex. Most psychiatric hospitals employ mental health technicians (MHTs) to assist the RN in carrying out basic psychiatric nursing interventions. Recovery concepts must be integrated into the skill set of today's mental health workforce. However, in our experience, MHTs have little to no previous training in mental health concepts, how to care for people with serious mental and behavioral issues, or components of mental health recovery. In addition, when staff are challenged beyond their ability to manage people with complex behaviors, they become demoralized and hostile, which leads to punitive and controlling environments ().Teaching Recovery Concepts to Mental Health Technicians - Corrected Proof10.1016/j.apnu.2012.03.001Archives of Psychiatric Nursing (2012)2012-05-17Archives of Psychiatric Nursing2012-05-17CONSIDER THIS…http://www.psychiatricnursing.org/article/PIIS0883941712000337/abstract?rss=yesEffective engagement with people who experience mental health care services, as research participants and as research leads, is presented. A group of volunteer mental health survivors, called INFORM, worked for 6 years to develop and complete a research project, exploring service user experience of a home treatment and crisis resolution service. Within the article, discussion is given to the significance of service continuity, alongside personal accounts of the impact and consequences of health care staff's interpersonal interactions. Two contrasting messages arise from this study: first, the articulation of what services users want from services, and how that relates to what they actually receive, continues to be a necessary debate and issue for consideration at a time of considerable health care reform. The second message is that such articulation, although necessary, is not sufficient in itself to ensure that services are responsive to service user needs and preferences. Findings from the evaluation are consistent with other service user-led research. However, what is also evident is that more work is required in enabling health care consumers to provide feedback that can then be used to inform practice and service delivery improvement.The INFORM Project: A Service User-Led Research Endeavor - Corrected ProofSue Taylor, Stephen Abbott, Sally Hardy10.1016/j.apnu.2012.02.005Archives of Psychiatric Nursing (2012)2012-04-19Archives of Psychiatric Nursing2012-04-19http://www.psychiatricnursing.org/article/PIIS0883941712000143/abstract?rss=yesPatients with serious mental illnesses often struggle with persistent symptoms that interfere with daily functioning in the community. The first days and weeks following inpatient treatment for an acute episode may be a critical time for patients to connect with the recommended community follow-up. Residual symptoms may interfere with their ability to access and benefit from these services to meet their needs. A descriptive study was conducted to explore perceptions of patients and families of patients' needs, functioning, coping and social support in the first 4 weeks after inpatient treatment. Results suggested that these patients had residual symptoms after discharge that interfered with functioning despite the availability of follow-up services. Patients identified unmet needs related to their illness. Family members identified concerns related to the lack of improvement in their ill relatives over time. Patients expressed satisfaction with care and felt supported by their families. Both patients and families seemed to lack a thorough understanding of goals for follow-up care.Needs of Persons With Serious Mental Illness Following Discharge From Inpatient Treatment: Patient and Family Views - Corrected ProofLinda D. Gerson, Linda E. Rose10.1016/j.apnu.2012.02.002Archives of Psychiatric Nursing (2012)2012-04-13Archives of Psychiatric Nursing2012-04-13http://www.psychiatricnursing.org/article/PIIS0883941712000325/abstract?rss=yesThe aim of this study was to test whether nonverbal cognitive ability buffers the effect of life stress (number of adverse life events in the last year) on diatheses for depression. It was expected that, as problem-solving aptitude, nonverbal cognitive ability would moderate the effect of life stress on those diatheses (such as dysfunctional attitudes) that are depressogenic because they represent deficits in information-processing or problem-solving skills, but not on diatheses (such as hopelessness) that are depressogenic because they represent deficits in motivation or effort to apply problem-solving skills. The sample included 558 10- to 19-year-olds from a state secondary school in London. Nonverbal cognitive ability was negatively associated with both dysfunctional attitudes and hopelessness. As expected, nonverbal cognitive ability moderated the association between life adversity and dysfunctional attitudes. However, hopelessness was not related to life stress, and therefore, there was no life stress effect for nonverbal cognitive ability to moderate. This study adds to knowledge about the association between problem-solving ability and depressogenic diatheses. By identifying life stress as a risk factor for dysfunctional attitudes but not hopelessness, it highlights the importance of considering outcome specificity in models predicting adolescent outcomes from adverse life events. Importantly for practice, it suggests that an emphasis on recent life adversity will likely underestimate the true level of hopelessness among adolescents.The Role of Nonverbal Cognitive Ability in the Association of Adverse Life Events With Dysfunctional Attitudes and Hopelessness in Adolescence - Corrected ProofEirini Flouri, Constantina Panourgia10.1016/j.apnu.2012.02.004Archives of Psychiatric Nursing (2012)2012-04-13Archives of Psychiatric Nursing2012-04-13http://www.psychiatricnursing.org/article/PIIS0883941712000131/abstract?rss=yesIN THE SCIENCE of nursing, the discipline is developed by identifying research phenomena based in practice. Immersion in practice enables discovery. In the discovery process of building structures for research defined by , the phenomenon of balancing risk in pursuit of the familiar was developed. The phenomenon is observed in nurses' daily work as patients' express their goal to return to their own home and to familiar and everyday patterns. This pursuit is expressed in a variety of situations, such as nursing care of elderly persons, children in foster care, and those who attempt to return to their home after inpatient or transitional stays. Regardless of population, mental health is implicit in the phenomenon of balancing risk in pursuit of the familiar.Balancing Risk in Pursuit of the Familiar: A Research Phenomenon - Corrected ProofDeborah MacLean Strickland10.1016/j.apnu.2012.02.001Archives of Psychiatric Nursing (2012)2012-04-09Archives of Psychiatric Nursing2012-04-09http://www.psychiatricnursing.org/article/PIIS0883941712000106/abstract?rss=yesThis study explored the effectiveness of group narrative therapy for improving the school behavior of a small sample of girls with attention-deficit/hyperactivity disorder (ADHD). Fourteen clinics referred 9- to 11-year-old girls with a clinical diagnosis of ADHD were randomly assigned to treatment and wait-list control groups. Posttreatment ratings by teachers showed that narrative therapy had a significant effect on reducing ADHD symptoms 1 week after completion of treatment and sustained after 30 days.An Exploratory Study of the Effectiveness of Group Narrative Therapy on the School Behavior of Girls With Attention-Deficit/Hyperactivity Symptoms - Corrected ProofMajid Yoosefi Looyeh, Khosrow Kamali, Roya Shafieian10.1016/j.apnu.2012.01.001Archives of Psychiatric Nursing (2012)2012-03-29Archives of Psychiatric Nursing2012-03-29http://www.psychiatricnursing.org/article/PIIS0883941712000118/abstract?rss=yesThis study examined Japanese mothers with severe mental illness and their perspectives about disclosing their mental health status to their children. Seventy-four outpatients diagnosed with schizophrenia or mood disorders were recruited. We utilized a cross-sectional design and a self-report questionnaire. Approximately 72% of the participants disclosed their mental health status to their children. The reasons for disclosure and nondisclosure varied. Our findings indicate that although both the disclosing and nondisclosing groups held beliefs about disclosure, many mothers appeared to struggle with these issues. It is essential that clinicians are aware of this issue so they may appropriately help the mothers.Perspectives of Japanese Mothers With Severe Mental Illness Regarding the Disclosure of Their Mental Health Status to Their Children - Corrected ProofRie Ueno, Kiyoko Kamibeppu10.1016/j.apnu.2012.01.002Archives of Psychiatric Nursing (2012)2012-03-29Archives of Psychiatric Nursing2012-03-29http://www.psychiatricnursing.org/article/PIIS088394171200012X/abstract?rss=yesThe purpose of this study was to clarify the sense of coherence (SOC) and quality of life (QOL) of caregivers of persons with schizoprenia. Thirty-four families were investigated using the SOC-13, the 26-item World Health Organization Quality of Life, and an interview guide. Family caregivers in their 50s, 60s, and 70s with higher SOC scores showed higher QOL scores; older groups showed higher mean SOC and QOL scores; and a significant difference in the scores for the environment domain was observed among the 3 groups. SOC was considered to be influenced by the family caregivers' age, educational level, duration of ilness, and whether they live with the patients.Sense of Coherence and Quality of Life in Family Caregivers of Persons With Schizophrenia Living in the Community - Corrected ProofEriko Mizuno, Misuzu Iwasaki, Ikue Sakai, Naotoshi Kamizawa10.1016/j.apnu.2012.01.003Archives of Psychiatric Nursing (2012)2012-03-22Archives of Psychiatric Nursing2012-03-22http://www.psychiatricnursing.org/article/PIIS0883941711001907/abstract?rss=yesPurpose: This study examined the association between children's emotion regulatory processes and parents' emotional problems.Design: A 5-year longitudinal study of families from Northwestern United States with data collected over 3 time points. Families were recruited in an effort to oversample for multiracial and African American families because these families have historically not been well represented in research studies.Method: Parental hostility characteristics and subclinical levels of depression were assessed in combination with teachers' reports of children's externalizing and internalizing behaviors. Ninety-one families with married parents and an elementary school-aged child participated in the study.Findings: There was a significant main effect for the association between fathers' self-reports of hostility and teacher reports of children's externalizing behaviors. Neither parental hostility nor depressive symptoms were significantly associated with the children's internalizing behaviors.Conclusion: The results suggest that children's externalizing behaviors are associated with their fathers' dysregulated expression of hostility.Clinical Relevance: Parent-child interactions are a key component of children's emotion regulation development. Our findings may guide health care professionals in identifying and intervening in parental behaviors, particularly fathers' behaviors, that may adversely affect the healthy emotional development of their children.Like Parent, Like Child: Parent and Child Emotion Dysregulation - Corrected ProofSybil Carrère, Bonnie H. Bowie10.1016/j.apnu.2011.12.008Archives of Psychiatric Nursing (2012)2012-03-15Archives of Psychiatric Nursing2012-03-15http://www.psychiatricnursing.org/article/PIIS0883941711001889/abstract?rss=yesAbout 10% of our nation's children have serious mental health needs that result in significant functional impairments. Although research has found that primary caregivers of children with mental health needs have high levels of depressive symptoms and distress, little is known about the challenges these caregivers face. Focus groups with 20 caregivers of children with mental health needs between 2 and 17 years of age revealed these themes: struggling with care systems, living in fear, being burdened and exhausted, worrying about the rest of the family, and having good things happen. Caregivers described extreme challenges and many unmet needs that are important to consider in efforts to improve both children's and caregivers' well-being.The Described Experience of Primary Caregivers of Children With Mental Health Needs - Corrected ProofUkamaka Marian Oruche, Janis Gerkensmeyer, Linda Stephan, Corrine A. Wheeler, Kathleen M. Hanna10.1016/j.apnu.2011.12.006Archives of Psychiatric Nursing (2012)2012-02-16Archives of Psychiatric Nursing2012-02-16http://www.psychiatricnursing.org/article/PIIS0883941711001890/abstract?rss=yesDepression and anxiety are mental health issues that disproportionately affect women. This study sought to capture perceptions of anxiety and depression in 3 urban, ethnically diverse, underserved, and impoverished neighborhoods. Using community-based participatory research, in the context of long-term partnerships between a department of nursing and these neighborhoods, the researchers recruited 61 women aged 18 to 69 years. Data were collected via 6 homogeneous focus groups composed of Black, Hispanic, and White women, respectively. The women identified themes pertaining to the manifestations and effects of anxiety and depression as well as unique coping strategies.Clinging to Any Bit of Joy: Urban, Ethnically Diverse, Impoverished Women's Descriptions of Anxiety and Depression - Corrected ProofMary Molewyk Doornbos, Gail Landheer Zandee, Joleen DeGroot10.1016/j.apnu.2011.12.007Archives of Psychiatric Nursing (2012)2012-02-16Archives of Psychiatric Nursing2012-02-16http://www.psychiatricnursing.org/article/PIIS0883941711001671/abstract?rss=yesEven when primary care provider relationships exist, persons with severe and persistent mental illness (SPMI) are more likely to be undertreated and seek care from emergency room settings. The purpose of this study was to describe the social process of engagement in primary care treatment from the perspective of persons with SPMI. Using grounded theory and semistructured interviews, 32 adults were interviewed. The process of engagement includes mattering, being perceived as credible and capable, and working together. Clinical, education, and research implications are discussed. Future studies should explore engagement in primary care with this population from the perspective of providers.Engagement in Primary Care Treatment by Persons With Severe and Persistent Mental Illness - Corrected ProofPatricia Galon, Christine Heifner Graor10.1016/j.apnu.2011.12.001Archives of Psychiatric Nursing (2012)2012-01-20Archives of Psychiatric Nursing2012-01-20http://www.psychiatricnursing.org/article/PIIS0883941711001695/abstract?rss=yesA 3-stage qualitative study conducted in 2008 aimed to explore the issues to inform a mental health education program to deliver to nurses. This article presents the findings of Stage 1. Data were collected from semistructured interviews conducted with 14 Australian nurses. The interviews explored nurses' knowledge and understanding of mental health problems and their workplace experiences of working with nurses with mental health problems. The interviews were audiotaped, transcribed, and analyzed for the main themes: textbook knowledge, day-to-day support, and workplace considerations. These nurses' narratives guided the implementation of a mental health education workshop targeting nurses (Stage 2).The Experiences of Nurses With Mental Health Problems: Colleagues' Perspectives - Corrected ProofTerry Joyce, Isabel Higgins, Parker Magin, Susan Goode, Dimity Pond, Teresa Stone, Stephen Elsom, Kerry O'Neill10.1016/j.apnu.2011.12.003Archives of Psychiatric Nursing (2012)2012-01-20Archives of Psychiatric Nursing2012-01-20http://www.psychiatricnursing.org/article/PIIS088394171100152X/abstract?rss=yesObjective: Depression is a common mental disorder and a leading contributor to the global burden of disease. In Australia, depression is reportedly the leading cause of morbidity for young women. In addition to conventional treatments, there is also some evidence that there is common use of complementary and alternative medicine (CAM) among people with depressive symptoms. However, there has been little research focus upon broad health care and practitioner use (including consumption of both conventional and CAM practitioners as well as self-prescribed care) among young adults with depression. This article aims specifically to address this knowledge gap by providing the first longitudinal analysis of the use of health service among women with self-reported depression.Methods: Data from a longitudinal cohort study (Australian Longitudinal Study on Women's Health) conducted over a 3-year period on 7,164 young Australian women were analyzed. Information on health status, health service use, and self-prescribed treatments was obtained from two questionnaires mailed to study participants in 2003 and 2006.Results: The study identified that only a small proportion of the women had sought professional assistance for their self-reported depression. It also shows that many women who reported depression used CAM alongside or as a complement to conventional health care services. In particular, young women who did not seek help for their depression were more likely to self-prescribe CAM than were women without depression.Conclusion: The frequent use of a range of conventional providers and practitioner-based CAM and self-prescribed CAM among women with self-reported depression warrants further investigation.Health Service Use Among Persons With Self-Reported Depression: A Longitudinal Analysis of 7,164 Women - Corrected ProofJon Adams, David Sibbritt, Chi-Wai Lui10.1016/j.apnu.2011.10.002Archives of Psychiatric Nursing (2012)2012-01-13Archives of Psychiatric Nursing2012-01-13http://www.psychiatricnursing.org/article/PIIS0883941711001531/abstract?rss=yesSensory experiences in Asperger syndrome (AS) or high-functioning autism (HFA) were explored by qualitative content analysis of autobiographical texts by persons with AS/HFA. Predetermined categories of hyper- and hyposensitivity were applied to texts. Hypersensitivity consists of strong reactions and heightened apprehension in reaction to external stimuli, sometimes together with overfocused or unselective attention. It was common in vision, hearing, and touch. In contrast, hyposensitivity was frequent in reaction to internal and body stimuli such as interoception, proprioception, and pain. It consists of less registration, discrimination, and recognition of stimuli as well as cravings for specific stimuli. Awareness of the strong impact of sensitivity is essential for creating good environments and encounters in the context of psychiatric and other health care.Autobiographical Accounts of Sensing in Asperger Syndrome and High-Functioning Autism - Corrected ProofMarie Elwin, Lena Ek, Agneta Schröder, Lars Kjellin10.1016/j.apnu.2011.10.003Archives of Psychiatric Nursing (2012)2012-01-13Archives of Psychiatric Nursing2012-01-13RESEARCH PAPERhttp://www.psychiatricnursing.org/article/PIIS0883941711001543/abstract?rss=yesSome aggressive incidents in psychiatric wards result in seclusion, whereas others do not. We used the Staff Observation Aggression Scale–Revised and the mental health trust's database to identify determinants that predicted seclusion after aggression. These consisted of demographic, diagnostic, contextual, and aggression characteristics and were analyzed in a multilevel logistic regression. This showed associations between seclusion and aggression for the following: younger age, involuntary status, history of previous aggression, physical or dangerous violence, aggression being directed against objects, and a more severe incident. Thus, seclusion after aggression appears to be mainly predicted by aggression itself.Determinants of Seclusion After Aggression in Psychiatric Inpatients - Corrected ProofFleur J. Vruwink, Eric O. Noorthoorn, Henk L.I. Nijman, Joanneke E.L. VanDerNagel, Joop J. Hox, Cornelis L. Mulder10.1016/j.apnu.2011.10.004Archives of Psychiatric Nursing (2012)2012-01-13Archives of Psychiatric Nursing2012-01-13RESEARCH PAPERhttp://www.psychiatricnursing.org/article/PIIS0883941711001555/abstract?rss=yesThe practice, theory, and preparation associated with nursing people with mental health issues has changed in profound ways in recent decades. This has in part been reflected by a shift in nurses identifying as being mental health rather than psychiatric nurses. Context, theory, and values shape what it means to be a mental health nurse. Thirty experienced mental health nurses in Ireland completed a survey on what good mental health nursing is and a definition induced from their responses. Mental health nursing is a professional, client-centered, goal-directed activity based on sound evidence, focused on the growth, development, and recovery of people with complex mental health needs. It involves caring, empathic, insightful, and respectful nurses using interpersonal skills to draw upon and develop the personal resources of individuals and to facilitate change in partnership with the individual and in collaboration with friends, family, and the health care team. This appears to encapsulate the best of what it meant to be a psychiatric nurse, but challenges remain regarding how to reconcile or whether to discard coercive practices incompatible with mental health nursing.What is Good Mental Health Nursing? A Survey of Irish Nurses - Corrected ProofRichard Lakeman10.1016/j.apnu.2011.10.005Archives of Psychiatric Nursing (2012)2012-01-13Archives of Psychiatric Nursing2012-01-13RESEARCH PAPERhttp://www.psychiatricnursing.org/article/PIIS0883941711001567/abstract?rss=yesPurpose: This retrospective quality improvement study was to evaluate if Suboxone therapy reduced the risk of terminating treatment against medical advice compared with the use clonidine in men aged 18–-55 years.Methods: Data were collected through chart review for all opioid-addicted male clients admitted voluntarily to a community-based treatment center between July 1, 2009, and December 30, 2009.Findings: The chi-square test of independence between treatment completion and treatment noncompletion was found to be significant at the 5% critical level (P = .027) for Suboxone therapy.Conclusions: Suboxone treatment decreased premature termination of opioid detoxification completion when compared with clonidine.A Comparison of Suboxone and Clonidine Treatment Outcomes in Opiate Detoxification - Corrected ProofAnthony Steele, Patricia Cunningham10.1016/j.apnu.2011.10.006Archives of Psychiatric Nursing (2012)2012-01-13Archives of Psychiatric Nursing2012-01-13RESEARCH PAPERhttp://www.psychiatricnursing.org/article/PIIS0883941711001579/abstract?rss=yesThis article presents an extension of Ball's midrange theory of crisis for individuals with severe, persistent mental illnesses (SPMI) by placing Balls' model in the specific situation of the individual seeking help in an emergency setting, creating the situation-specific theory of crisis emergencies for individuals with SPMI. There is a large and growing presence of clients with SPMI in crisis engaging nurses in emergency departments. Through application of an integrative approach, a situation-specific theory for nurses in emergency departments to distinguish between a need for mental health crisis intervention and mental health emergency intervention has been developed, with implications for nursing practice, policy, and research.Crisis Emergencies for Individuals With Severe, Persistent Mental Illnesses: A Situation-Specific Theory - Corrected ProofLaura Brennaman10.1016/j.apnu.2011.11.001Archives of Psychiatric Nursing (2012)2012-01-13Archives of Psychiatric Nursing2012-01-13http://www.psychiatricnursing.org/article/PIIS0883941711001683/abstract?rss=yesBackground: The challenge of facilitating knowledge translation in clinical practice includes enabling practitioners and agencies to implement a common set of best practices, such as the Transitional Relationship Model (TRM). In 1992, a participatory action project implemented the TRM on a long-term psychiatric hospital ward in Ontario, Canada. All participants were successfully “bridged” to the community. Despite positive outcomes associated with the TRM, implementation of any best practice is difficult because it involves changing processes. Objective: It was hypothesized that using multiple implementation strategies developed by wards that had already implemented the model would result in improved TRM implementation. Method: This study compared three groups of hospital wards; Group A wards had already adopted the TRM, Group B wards implemented the TRM in Year 1, and Group C wards implemented the TRM in Year 2. An iterative process was used in which strategies suggested by the A wards were used to enhance implementation on the B and C wards, respectively. These included enhancing staff participation, creating/maintaining supportive ward milieus, meeting specific educational needs, and supporting managers throughout the implementation process. The degree of actual implementation on each ward served as the primary outcome measure. Results: Group C implemented the TRM model significantly quicker than the other groups. Sustainability in the initial A wards required the implementation of additional strategies used by the later wards.Integrating the Transitional Relationship Model into Clinical Practice - Corrected ProofCheryl Forchuk, Mary-Lou Martin, Elsabeth Jensen, Susan Ouseley, Patricia Sealy, Georgiana Beal, William Reynolds, Siobhan Sharkey10.1016/j.apnu.2011.12.002Archives of Psychiatric Nursing (2012)2012-01-11Archives of Psychiatric Nursing2012-01-11http://www.psychiatricnursing.org/article/PIIS0883941711000884/abstract?rss=yesCritics of outpatient commitment (OPC) suggest that African Americans with severe and persistent mental illness may be more frequently subjected to coercive treatment. This study examines the frequency of use of OPC and assertive community treatment and compares their influence on the perceptions of procedural justice/choice and coercion/negative pressure on African Americans and Whites. No significant differences were found in the rate at which OPC was applied to African Americans or in the use of assertive community treatment. Although procedural justice/choice does contribute significantly to the perception of coercion/negative pressure in both groups, its influence is diminished in African Americans.Influence of Race on Outpatient Commitment and Assertive Community Treatment for Persons With Severe and Persistent Mental Illness - Corrected ProofPatricia A. Galon, N. Margaret Wineman, Thomas Grande10.1016/j.apnu.2011.07.001Archives of Psychiatric Nursing (2011)2011-12-15Archives of Psychiatric Nursing2011-12-15http://www.psychiatricnursing.org/article/PIIS088394171100118X/abstract?rss=yesWhen a girl is abused during childhood, she may not experience anger, only helplessness or numbness. Only later may the emotion of anger surface. Little is known about anger cognitions or behaviors as they occur across the years of the healing trajectory from childhood maltreatment. Data for the present secondary analysis were derived from a large narrative study of women thriving in adulthood despite childhood abuse. The purpose of this analysis was to examine the phenomenon of anger and its role in the recovery process of 6 midlife women. The 6 cases were purposefully selected because their interviews contained rich descriptions of anger experiences. Because each woman was interviewed 3 times over a 6- to 12-month period, 18 transcripts were available for in-depth examination. A typology was constructed, depicting 5 types of anger. Anger ranged from nonproductive, self-castigating behavior to empowering, righteous anger that enabled women to protect themselves from further abuse and to advocate for abused children. Study findings are relevant to extant theories of women's anger and feminist therapies.Anger in the Trajectory of Healing From Childhood Maltreatment - Corrected ProofSandra P. Thomas, Sarah C. Bannister, Joanne M. Hall10.1016/j.apnu.2011.09.003Archives of Psychiatric Nursing (2011)2011-12-15Archives of Psychiatric Nursing2011-12-15http://www.psychiatricnursing.org/article/PIIS0883941711001270/abstract?rss=yesLittle is known about HIV disclosure among perinatal women, although we do know that disclosure can facilitate timely initiation of appropriate interventions for infected individuals and their families. This study, therefore, examined predictors of HIV disclosure among perinatal Thai women. Data (N = 207) were extracted from two larger studies of depressive symptoms in HIV-positive pregnant or postpartum women in Thailand in which participants completed questionnaires. Most participants had low socioeconomic status. Logistic regression indicated that significant predictors of disclosure included older age, employment, and high family support. Psychiatric mental health nursing interventions to promote family support are critical during this time.HIV Disclosure by Perinatal Women in Thailand - Corrected ProofRatchneewan Ross, Andrea W. Stidham, Barbara L. Drew10.1016/j.apnu.2011.09.005Archives of Psychiatric Nursing (2011)2011-12-15Archives of Psychiatric Nursing2011-12-15http://www.psychiatricnursing.org/article/PIIS0883941711001282/abstract?rss=yesThis article discusses theoretical underpinnings, teaching strategies, and preliminary evaluation relative to the development of a reflective curriculum used in our distance-accessible graduate psychiatric nursing program. Influenced by the collective ideas of J. Dewey (1993), J. Reed and S. Proctor (1993), D. A. Kolbe (1984), J. Mezirow (1981), C. Johns (2006), D. Schön (1983), D. Freshwater (2008), and others who have promoted reflection as a transformative teaching and learning process, we sought to develop a curriculum that balanced knowledge and skill acquisition with critical reflective practices that would instill habits of lifelong learning. We began with traditional approaches to psychiatric nursing education, including case study analysis and modified lectures that we call mini lectures. We then added principles and practices of reflection to allow for merging these traditional approaches with contemporary reflection-focused approaches. Specific ways to use reflection in a graduate psychiatric nursing curriculum are described to demonstrate how we have taken our curriculum beyond traditional ways of teaching and learning toward one that emphasizes building knowledge and skill through reflective practice.Developing a Reflection-Centered Curriculum for Graduate Psychiatric Nursing Education - Corrected ProofSara Horton-Deutsch, Angela M. McNelis, Pamela O'Haver Day10.1016/j.apnu.2011.09.006Archives of Psychiatric Nursing (2011)2011-12-12Archives of Psychiatric Nursing2011-12-12http://www.psychiatricnursing.org/article/PIIS0883941711001294/abstract?rss=yesLoneliness is often manifested by intense feelings of emptiness and abandonment and can lead to depression and suicide. The prevalence of loneliness in older adults is estimated to be 40%. This secondary analysis examined differences between elders reporting and elders not reporting loneliness and the effect of gender on resourcefulness and measures of physical and mental health within the context of L. C. Hawkley and J. T. Cacioppo's (2010) theoretical model of loneliness. A descriptive, comparative design was used to examine gender differences and associations among loneliness and indicators of physical and mental health. Results indicated that for overall health, and indicators of physical health (functional status and number chronic conditions), no significant differences were found between those who reported loneliness and those who reported no loneliness. There were significant differences, however, between lonely elders and nonlonely elders on indicators of mental health, including both anxiety and depressive symptoms. Differences between lonely elders and nonlonely elders on measures of resourcefulness approached significance. The findings from this study suggest that intervention programs designed to prevent or reduce loneliness in older adults may be beneficial for preserving their mental health.Mental Health of Elders in Retirement Communities: Is Loneliness a Key Factor? - Corrected ProofAbir K. Bekhet, Jaclene A. Zauszniewski10.1016/j.apnu.2011.09.007Archives of Psychiatric Nursing (2011)2011-12-12Archives of Psychiatric Nursing2011-12-12RESEARCH PAPERhttp://www.psychiatricnursing.org/article/PIIS0883941711001178/abstract?rss=yesIndividuals living with serious mental illness (SMI) have increased mortality chiefly because of a higher prevalence of chronic disorders, including some cancers and infectious diseases. Although increased prevalence of these disorders may be attributable to lifestyle and risk behaviors, there is evidence that they may not be appropriately addressed by health professionals. We conducted a review of the literature describing preventive services for cancer and infectious diseases provided to individuals with SMI. Most studies demonstrated a 20%–30% reduced likelihood of breast, cervical, and colorectal cancer screening, or immunizations for influenza and pneumonia, in patients with SMI compared with those without SMI. This is most common in those with the most severe forms of SMI. HIV and hepatitis were more commonly screened for in people with SMI than the general population, likely because of the increased risk for these disorders within this group, but there were still substantial proportions of individuals with SMI who had never received a screening, or had not received a recent screening, for these disorders. The mental health nursing profession has an opportunity to address the disparity in care for cancer and infectious diseases, as well as other physical disorders, experienced by mental health consumers. With systemic support and ongoing education, mental health nurses may be capable of conducting or recommending screening for disorders and providing lifestyle advice. These practices may help to reduce the increased prevalence of chronic disease in SMI populations.Provision of Preventive Services for Cancer and Infectious Diseases Among Individuals with Serious Mental Illness - Corrected ProofBrenda Happell, David Scott, Chris Platania-Phung10.1016/j.apnu.2011.09.002Archives of Psychiatric Nursing (2011)2011-11-14Archives of Psychiatric Nursing2011-11-14http://www.psychiatricnursing.org/article/PIIS0883941711001191/abstract?rss=yesPromoting social participation is consistent with the principles of psychiatric rehabilitation of people with severe mental illness, but lack of self-efficacy in social participation is a major barrier to the community integration of these people. The purpose of this study was to develop an instrument in the form of a mental illness scale (self-efficacy for social participation [SESP]) to measure self-efficacy in social participation among Japanese people and to evaluate the scale's reliability and validity. Devised from a content analysis of interviews with 12 patients regarding their participation in socialization programs, the scale consisted of 37 items. The scale's validity and reliability were tested in a total of 340 community-dwelling individuals with severe mental illness. The final scale consisted of four dimensions with 27 items. Internal consistency of the overall SESP-27 was excellent (α = .96). The scale demonstrated adequate criterion and construct validity and was psychometrically sound. The scale may offer clinicians a tool for planning how to help individuals with mental illness boost their self-efficacy in social participation and community integration.Development of an Instrument to Measure Self-Efficacy for Social Participation of People With Mental Illness - Corrected ProofManami Amagai, Mayo Suzuki, Fumie Shibata, Jack Tsai10.1016/j.apnu.2011.09.004Archives of Psychiatric Nursing (2011)2011-11-14Archives of Psychiatric Nursing2011-11-14http://www.psychiatricnursing.org/article/PIIS0883941710000701/abstract?rss=yesThe Publisher regrets that this article is an accidental duplication of an article that has already been published, doi:10.1016/j/apnu.2010.05.002. The duplicate article has therefore been withdrawn.WITHDRAWN: SERPN News - Corrected ProofLinda Rose10.1016/j.apnu.2010.06.003Archives of Psychiatric Nursing (2010)2010-08-05Archives of Psychiatric Nursing2010-08-05http://www.psychiatricnursing.org/article/PIIS0883941708001726/abstract?rss=yesThe Publisher regrets that this article is an accidental duplication of an article that has already been published, 10.1016/j.apnu.2008.10.001. The duplicate article has therefore been withdrawn.The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy.WITHDRAWN: Consider This...Nurses Need to Debate Involuntary Outpatient Treatment - Corrected ProofAnthony John O'Brien10.1016/j.apnu.2008.10.001Archives of Psychiatric Nursing (2009)2009-01-16Archives of Psychiatric Nursing2009-01-16