SAGE Publications Inc STM: Journal of the American Psychiatric Nurses Association: Table of Contents Table of Contents for Journal of the American Psychiatric Nurses Association. List of articles from both the latest and ahead of print issues.
- Gaining Recovery in Addiction for Community Elders (GRACE) Project: The Impact of Age-Specific Care on Clinical Outcomes and Health Care Resource Utilization in Older Adults With Substance Use Disorder in an Interprofessional Addiction Clinicpor Kathleen A. Schachman el julio 25, 2024 a las 4:54 am
Journal of the American Psychiatric Nurses Association, Ahead of Print. <br/>Background:The prevalence of substance use disorders (SUDs) in older adults has been increasing, necessitating tailored and effective addiction care for this aging demographic.Aims:The purpose of this study was to assess the impact of age-specific, interprofessional addiction care on clinical outcomes and health care resource utilization in older adults with SUD.Methods:This quasi-experimental study directly compares patients enrolled in the Gaining Recovery in Addiction for Community Elders (GRACE) Project, an interprofessional age-specific addictions treatment program, with age-matched older adults who received conventional “treatment as usual” (TAU). Through retrospective comparative analysis, substance use outcomes, mental and physical health improvements, and inappropriate use of emergency services were examined among 78 older adults with SUD.Results:Clinical outcomes and health care resource utilization were superior for older adults who received age-specific addictions care through the GRACE Project, as compared to mixed-age conventional “TAU.” GRACE patients had improved treatment adherence, fewer relapses, and longer treatment engagement. While both groups exhibited significant reductions in depression and anxiety scores, GRACE patients showed greater improvements. This group demonstrated superior control of both hypertension and diabetes. Importantly, they had fewer inappropriate emergency department visits and avoidable hospitalizations than conventional “TAU.”Conclusions:Addiction treatment delivered by an interprofessional team to meet the unique strengths and needs of older adults has the potential to improve treatment adherence and more favorable long-term outcomes in substance use, mental health, and chronic medical conditions. Nurses are poised to lead interprofessional teams to meet the growing demand for specialized addiction treatment and integrated care for older adults.
- The Association Between Proneness to Smartphone Addiction and Social Anxiety Among School Students and the Mediating Role of Social Support: A Call to Advance Jordanian Adolescents’ Mental Healthpor Abdallah Abu Khait el julio 24, 2024 a las 5:28 am
Journal of the American Psychiatric Nurses Association, Ahead of Print. <br/>Background:Social anxiety is an emerging public health issue associated with significant impairment of social functioning during adolescence. Among many determinants of social anxiety, proneness to smartphone addiction may significantly contribute to the development of social anxiety. To cope with the consequential development of social anxiety, adolescent school students may rely on various forms of social support. Particularly in the Middle East, including Jordan, the relationship between proneness to smartphone addiction and adolescent social anxiety is understudied.Aim:To examine the mediating role of social support in the relationship between proneness to smartphone addiction and social anxiety in a sample of adolescent school students.Methods:In this cross-sectional study, 432 adolescents were recruited via a random cluster sample from public schools across three provinces in Jordan. The data were collected face-to-face using the Social Anxiety Scale for Adolescents, the Smartphone Addiction Proneness Scale, and the Multidimensional Scale of Perceived Social Support.Results:Significantly higher levels of social anxiety were associated with females of lower economic status who reported more gaming hours and higher levels of proneness to smartphone addiction. Familial social support significantly mediated the relationship between proneness to smartphone addiction and social anxiety, controlling for the other covariates in the social anxiety model.Conclusions:Familial social support reduced the impact of proneness to smartphone addiction on social anxiety. Nurses may supplement treatment for reducing social anxiety in adolescents suffering from proneness to smartphone addiction by fostering sources of familial social support.
- Facilitators of and Barriers to the Therapeutic Nurse–Patient Relationship: Perceptions From Psychiatric Mental Health Nursespor Mary-Jo Curran el junio 24, 2024 a las 7:21 am
Journal of the American Psychiatric Nurses Association, Ahead of Print. <br/>BACKGROUND:The therapeutic relationship serves as a cornerstone in psychiatric mental health nursing practice, providing a basis for implementing various interventions.AIMS:This study aimed to explore the perspectives of psychiatric mental health nurses regarding factors that facilitate and impede the therapeutic nurse–patient relationship.METHODS:A descriptive study was conducted among psychiatric mental health nurses employed at two community psychiatric hospitals in the northeast area of the United States. A list of facilitators and barriers was developed based on an extensive literature review and subsequently validated by three experts in the field of psychiatric mental health nursing. Participants rated these factors on a 10-point scale.RESULTS:The study included 74 registered nurses from two psychiatric hospitals, yielding a 24% response rate. The highest-ranked facilitator was awareness that the relationship enables collaborative goal setting with patients. The most significant barrier was insufficient time due to administrative tasks.CONCLUSIONS:This study highlights the importance of understanding facilitators and barriers in the therapeutic nurse–patient relationship. Replicating the study nationally on a larger scale among psychiatric mental health nurses is recommended.
- Saudi Arabian Nurses’ Motivations and Barriers to Employment in Inpatient Mental Health Facilities: A Qualitative Investigationpor Seham Mansour Alyousef el junio 21, 2024 a las 7:07 am
Journal of the American Psychiatric Nurses Association, Ahead of Print. <br/>Background:The shortage of inpatient psychiatric mental health care nurses in Saudi Arabia represents an important health care challenge.Aim:The aim of this study was to illuminate perspectives of psychiatric mental health nurses employed in psychiatric inpatient settings about their employment experiences.Method:This study adopted an exploratory qualitative approach using thematic content analysis. Ten professional nurses with psychiatric inpatient caring experience participated in two focus groups composed of Master of Nursing students.Results:Four main themes emerged: inadequate professional skills and knowledge for psychiatric mental health care practice, negative public attitudes toward psychiatric/mental health nurses, concerns for personal safety, and alternatives and advantages. The findings of this study suggest that nurses’ lack of interest in working in psychiatric units is not merely personal but also social and organizational.Conclusions:The study findings may encourage managers and authorities to develop measures to attract more mental health nurses to work in psychiatric units. Such strategies may include modification of nurses’ skills, training, and professional knowledge, collegial supervision, mentoring, and working conditions and environment.
- Board Column: The Remarkable Role Our Senses Play in Connectionpor Lora Peppard el junio 18, 2024 a las 5:48 am
Journal of the American Psychiatric Nurses Association, Ahead of Print. <br/>