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Journal of Psychosocial Nursing and... Nov 2023It is important for psychiatric-mental health nurses and advanced practice nurses to be familiar with clinical presentations and recommended treatment for... (Review)
Review
It is important for psychiatric-mental health nurses and advanced practice nurses to be familiar with clinical presentations and recommended treatment for obsessive-compulsive disorder (OCD) in children and adolescents. The current article provides a brief overview of symptom presentation, diagnostic criteria, etiology, comorbidity, and prevalence in this population. Special attention is given to one of the lesser-known clinical presentations, scrupulosity. A scrupulosity theme entails intrusive thoughts that center around a religious, ethical, and/or moral framework. A vignette is provided to illustrate a scrupulosity presentation. Finally, empirically supported treatment is outlined, and nursing considerations are provided. [(11), 10-16.].
Topics: Adolescent; Child; Humans; Mental Health Services; Morals; Obsessive-Compulsive Disorder; Psychiatric Nursing
PubMed: 37909892
DOI: 10.3928/02793695-20231011-03 -
International Journal of Mental Health... Oct 2023Irritability is a term used to describe feelings of anger, annoyance and impatience, and is commonly experienced by individuals in daily life. However, there are diverse... (Review)
Review
Irritability is a term used to describe feelings of anger, annoyance and impatience, and is commonly experienced by individuals in daily life. However, there are diverse conceptualizations of irritability in public and clinical research, which often result in confusing irritability with anger and other overlapping concepts. This, in turn, leads to a lack of conceptual clarity. Accordingly, the purpose of this concept analysis was to explore the irritability concept, including its definitions, defining characteristics, antecedents, consequences and empirical referents. The findings showed that irritability is predominantly conceptualized as a psychophysiological concept in the literature. We demonstrated that irritability can be differentiated from overlapping concepts like anger by qualities, such as 'unpredictability and lowered emotion control', 'lowered threshold for negative emotional stimuli', 'being manifested in response to frustrative situations or physiological needs' and 'experience of disproportionate and unjustified emotional irritation'. Importantly, severe irritability prospectively predicts psychiatric disorders and greater impairments in health, financial, educational and social functioning in individuals. Taken together, our analysis showed that one should take into account the context, duration, intensity and importantly outcomes, when assessing irritability in an individual. Considering these findings and the presence of irritability in nursing practice, it is crucial for nurses to recognize and successfully identify this concept in the nursing care they provide within the diverse settings and patient populations.
Topics: Humans; Irritable Mood; Anger; Nursing Care; Attention Deficit and Disruptive Behavior Disorders
PubMed: 36929104
DOI: 10.1111/inm.13140 -
Frontiers in Psychology 2023
PubMed: 38054172
DOI: 10.3389/fpsyg.2023.1264438 -
Journal of the American Psychiatric... 2024The last national survey of psychiatric-mental health (PMH) nurses was conducted in 2016 and was limited to advanced practice registered nurses (APRNs). Data on the...
OBJECTIVE
The last national survey of psychiatric-mental health (PMH) nurses was conducted in 2016 and was limited to advanced practice registered nurses (APRNs). Data on the demographic and employment characteristics of the PMH workforce could inform how to optimize the PMH nursing workforce to address increasing demands for mental health services. The objective was to conduct a national survey of PMH registered nurses (RNs) and PMH-APRNs to gather data on their demographic, educational, and practice characteristics.
METHODS
An email survey was administered between October 2020 and February 2021 to all members of the American Psychiatric Nurses Association and to all PMH-APRNs certified by the American Nurses Credentialing Center. Separate surveys included 51 questions (RN) and 52 questions (APRN). Survey questions were informed by several sources including the Minimum Data Set for the Behavioral Health Workforce.
RESULTS
Surveys were completed by 4,088 PMH-RNs and 5,158 PMH-APRNs, with a combined response rate of 12.1%. Findings suggest that the workforce is aging but has increased slightly in diversity. In all, 62.4% of RNs reported a hospital as their primary employment setting, while the majority of APRNs (70.4%) practice in outpatient settings. Forty-four percent of the PMH-APRN respondents indicated that most of their patients receive federal insurance.
CONCLUSIONS
Nursing must plan for significant retirements in the PMH workforce in next 5 years. Hospital-based practice continues to dominate PMH-RN roles but might be expanded to community-based settings teaming with PMH-APRNs in outpatient sites. Increasing the diversity of the workforce should be prioritized.
Topics: Humans; Psychiatric Nursing; Surveys and Questionnaires; Female; Male; Adult; Middle Aged; United States; Advanced Practice Nursing
PubMed: 36582042
DOI: 10.1177/10783903221146190 -
The British Journal of Psychiatry : the... Nov 2023In this editorial we, as members of the 2022 NICE Guideline Committee, highlight and discuss what, in our view, are the key guideline recommendations (generated through...
In this editorial we, as members of the 2022 NICE Guideline Committee, highlight and discuss what, in our view, are the key guideline recommendations (generated through evidence synthesis and consensus) for mental health professionals when caring for people after self-harm, and we consider some of the implementation challenges.
Topics: Humans; Self-Injurious Behavior; Consensus
PubMed: 37642173
DOI: 10.1192/bjp.2023.113 -
Issues in Mental Health Nursing Oct 2023
Topics: Humans; Psychiatric Nursing
PubMed: 37966394
DOI: 10.1080/01612840.2023.2264164 -
International Journal of Mental Health... Apr 2024
Topics: Humans; Psychiatric Nursing
PubMed: 38308416
DOI: 10.1111/inm.13301 -
Journal of Psychosocial Nursing and... Sep 2023As rates of substance use and mental disorders continue to rise, individuals with mental health and substance use challenges and their supporters could benefit from...
As rates of substance use and mental disorders continue to rise, individuals with mental health and substance use challenges and their supporters could benefit from practical, accessible, cost-effective, wellness-focused tools outlining simple daily strategies to promote long-term recovery. The current article describes such a tool, the Journey to Wellness Guide, based on the Wellness Model, and developed through a co-production process. refers to a process of research, service design, and educational materials development where people with lived experience of mental health and/or substance use challenges share decision-making power throughout all stages of production, including the sharing of results. The co-production process resulted in a well-received wellness tool and tip guides for personal use, supporting others, and use in a group context. The value of this tool for psychosocial nursing and behavioral health care worker self-care and practice is outlined. [(9), 24-30.].
Topics: Humans; Mental Disorders; Mental Health; Mental Health Services; Self Care; Psychiatric Nursing
PubMed: 36989482
DOI: 10.3928/02793695-20230321-02 -
International Journal of Mental Health... Dec 2023
Topics: Humans; Psychiatric Nursing
PubMed: 37654181
DOI: 10.1111/inm.13215 -
Journal of Psychosocial Nursing and... Nov 2023Tobacco use disorder (TUD), the leading cause of preventable deaths in the United States, disproportionally impacts those with psychiatric disorders. There are multiple... (Review)
Review
Tobacco use disorder (TUD), the leading cause of preventable deaths in the United States, disproportionally impacts those with psychiatric disorders. There are multiple first-line, U.S. Food and Drug Administration-approved pharmacotherapy options for the treatment of TUD. The current review focuses on these medications, underlining practical tips to improve cessation rates, while emphasizing a harm reduction and patient-centered approach to treatment. [(11), 6-9.].
Topics: United States; Humans; Tobacco Use Disorder; Harm Reduction; Mental Health Services; Psychiatric Nursing; United States Food and Drug Administration
PubMed: 37909890
DOI: 10.3928/02793695-20231011-02