Current Issue : July-September Volume : 2026 Issue Number : 3 Articles : 5 Articles
Background: Management of Mental Health Care Users is a critical component of the overall health care system, yet it is not given the serious attention it deserves due to stigma and discrimination against those living with mental health challenges. These results in mental health care users being readmitted to the hospital frequently, despite the poor resources and overburdened health care system. Aim: The aim of this study was to explore and describe the experiences of Psychiatric Nurses regarding the care of Mental Health Care Users in the selected hospitals in Limpopo Province, South Africa. Methods: A qualitative study was followed, where explorative, descriptive, and contextual designs were used. The researcher purposefully selected thirty-four Psychiatric Nurses who have been working in mental health units. Data was collected through unstructured interviews. Thematic analysis was utilized to analyze the data. Results: The study revealed significant challenges, such as poor mental health structures or no mental health unit at all, and this forces Psychiatric Nurses to mix critically ill medical patients with psychotic patients. Furthermore, there is a shortage of staff and treatment to manage users. Conclusions: In conclusion, the study showed that psychiatric nurses face serious emotional and resource-related challenges in caring for mental health care users. This highlights the urgent need for support from institutions, ongoing training, and better working conditions to improve the quality of mental health care. The success of the care, treatment, and rehabilitation of mental health care users depends on the support of MHCUs by family and management....
Aims: This study aimed to investigate the current status of nursing intern students’ core competencies and their relationship with spiritual health. Background: Cultivating the core competencies of nursing intern students is a significant educational objective. As nursing intern students transition into clinical practice, they encounter heightened levels of stress, which can adversely impact both physical and mental health, potentially hindering the development of their competencies. In recent years, there has been an increasing interest in spiritual health, which can help individuals cope with stress, promoting positive physical and mental health outcomes. However, the relationship between spiritual health and the core competencies of nursing intern students remains unclear. Methods: Convenience sampling was used to recruit 312 nursing intern students from five tertiary hospitals in China. Data regarding sociodemographic characteristics, spiritual health, and core competencies were collected using online questionnaires from September 2022 to January 2023. Results: The overall average score of core competencies of nursing intern students (149.70 ± 19.09) was at a medium level, among which the score of critical thinking and reasoning ability was the lowest (11.28 ± 2.02). Univariate analysis shows that factors such as place of birth, reasons for choosing the nursing major, and employment intentions have an impact on the core competencies of nursing intern students. Correlation analysis indicated that the core competencies of nursing intern students were positively correlated with their spiritual health (r = 0.687, p<0.01). Hierarchical multiple regression analysis showed that spiritual health explained 42.9% of the total variance in core competencies (△R2 = 0.429, p<0.01). Conclusions: This study shows that the core abilities of nursing intern students need to be improved, especially in terms of critical thinking and reasoning skills. In addition, their spiritual health level will have an impact on the development of core competencies. Implications for Nursing Management: The results of this study suggest that nursing managers and educators should attach importance to the spiritual health level of nursing intern students, take timely intervention measures, and enhance the core competencies of nursing intern students. This is the key to promoting the professional development of clinical nursing and facilitating the high-quality development of nursing....
Background/Objectives: Peripheral venous cannulation is one of the most frequently performed invasive procedures in adult patients and is often associated with procedural pain. Despite the availability of various pain-reduction strategies, analgesia during cannulation is not consistently implemented in routine clinical practice. The aim of this review was to identify local pharmacological interventions recommended for reducing procedural pain during peripheral venous cannulation, to assess their clinical effectiveness, and to determine which interventions may be feasibly incorporated into everyday clinical practice. Methods: A literature review was conducted including randomized controlled trials, prospective studies, and meta-analyses involving adult patients undergoing peripheral venous cannulation. Outcomes of interest included procedural pain intensity, clinical effectiveness of pharmacological interventions, and their impact on additional outcomes such as patient satisfaction, anxiety, and safety. Results: Peripheral venous cannulation was most commonly associated with moderate-intensity pain. The use of local pharmacological interventions—particularly vapocoolant sprays and topical local anesthetics in cream or patch form—resulted in a significant reduction in pain intensity compared with placebo or no intervention. Several studies also reported improved patient satisfaction and a favorable safety profile of the analyzed interventions. Conclusions: Current evidence indicates that local pharmacological interventions are effective and safe in reducing pain associated with peripheral venous cannulation and may represent a valuable component of patient-centered clinical care. In addition to summarizing clinical effectiveness, this review highlights practical and organizational factors influencing the implementation of pharmacological pain-reducing interventions in routine nursing practice....
The rise in ICU survival rates has introduced new challenges related to the long-term effects of intensive care, known as Post-Intensive Care Syndrome (PICS). Nurses play a key role in these clinics; however, the nature and outcomes of their interventions remain insu ciently understood. Objectives: This review aims to identify nursing interventions for PICS in follow-up clinics. Methods: Using the JBI scoping review methodology, we searched PubMed, Web of Science and CINAHL (via EBSCOhost) in March 2025, and examined grey literature in RCAAP and Open Dissertations (through B-ON). Inclusion criteria, based on JBI’s PCC (Population, Concept, Context), focused on nursing interventions for PICS for patients and families in follow-up. Studies involving children, adolescents, pregnant women, and those receiving end-of-life care were excluded. Results: Encompassing studies from 2005 to 2022 across multiple countries, this review highlights nursing interventions for post-ICU recovery. A total of 394 articles that met our search criteria were found, resulting from searches in the mentioned databases. These were initially exported to Rayyan, and 115 duplicates were removed. The 21 articles that met our inclusion criteria were fully analyzed, and those that eectively answered our questions and met our inclusion criteria were selected. In the end, 9 articles were selected, to which, after an individual analysis of their bibliographic references, 3 more were added, totaling 12 articles submied to the nal analysis. Conclusions: For patients, interventions ranged from debrieng, PICS symptom evaluation, ICU re-visits, health education, cognitive–behavioral therapy and support groups, complemented by home-based physical rehabilitation and virtual reality. Family-focused interventions centered on appointment involvement, educational sessions, patient diary review, and emotional support. These assessments and interventions address the consequences of ICU admission, with the goal of facilitating physical, mental, and emotional rehabilitation of ICU survivors. This review emphasizes the critical role of follow-up consultations in the recovery of both patients and families. A comprehensive assessment using PICS scales and the integration of families into care plans are crucial for optimizing intervention outcomes. Implications for Clinical Practice: The development of evidence-based guidelines for implementation of follow-up clinics for SPICI appointments is necessary....
Background: Nurses working in acute and critical care settings, including general wards, intensive care units and emergency departments, are exposed to high job demands that increase the risk of stress and burnout. Self- efficacy has been identified as an important psychological resource that may buffer these effects; yet limited evidence has explored its mediating role in clinical nursing practice. Aim: To examine the association relationships between perceived stress, self- efficacy, and burnout among hospital nurses and to test the mediating role of self- efficacy, with subgroup analysis across demographic and work- related factors. Study Design: A cross- sectional design was conducted through quota sampling to recruit registered nurses from a medical centre in Taiwan between July and October 2020. Data were collected using a self- report questionnaire including demographic and work- related characteristics, the Perceived Stress Scale, the General Self- Efficacy Scale and the Burnout Scale. Descriptive analyses and mediation with bootstrapping were used to test the indirect effect of self- efficacy, with stratified analyses for subgroups. Results: Of the 395 nurses invited, 380 completed the survey, yielding a response rate of 96.2%. Higher perceived stress was significantly associated with lower self- efficacy, which in turn increased burnout. Mediation analysis confirmed that self- efficacy played a significant indirect role in the stress–burnout pathway. The mediating effect was particularly evident among nurses aged over 40 years and those working day shifts, groups often holding leadership or supervisory responsibilities in acute and critical care environments. Conclusions: Self- efficacy is a key psychological mechanism linking stress to burnout among nurses in acute and critical care settings. This study adds evidence that reinforcing self- efficacy may reduce vulnerability to burnout, particularly among senior and supervisory nurses. Relevance to Clinical Practice: Interventions designed to reduce perceived stress while enhancing self- efficacy, such as resilience training, simulation- based education and mentorship programmes may help mitigate burnout, improve nurse retention and support well- being in high- intensity clinical settings....
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