Issues in Mental Health Nursing (Issues Ment Health Nurs )

Publisher: Taylor & Francis


Issues in Mental Health Nursing is a refereed journal designed to expand psychiatric and mental health nursing knowledge. It deals with new, innovative approaches to client care, in-depth analysis of current issues, and empirical research. Because clinical research is the primary vehicle for the development of nursing science, the journal presents data-based articles on nursing care provision to clients of all ages in a variety of community and institutional settings. Additionally, the journal publishes theoretical papers and manuscripts addressing mental health promotion, public policy concerns, and educational preparation of mental health nurses. International contributions are welcomed.

  • Impact factor
  • 5-year impact
  • Cited half-life
  • Immediacy index
  • Eigenfactor
  • Article influence
  • Website
    Issues in Mental Health Nursing website
  • Other titles
    Issues in mental health nursing, Mental health nursing, Comprehensive psychiatric nursing
  • ISSN
  • OCLC
  • Material type
    Periodical, Internet resource
  • Document type
    Journal / Magazine / Newspaper, Internet Resource

Publisher details

Taylor & Francis

  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author cannot archive a post-print version
  • Restrictions
    • 12 month embargo for STM, Behavioural Science and Public Health Journals
    • 18 month embargo for SSH journals
  • Conditions
    • Some individual journals may have policies prohibiting pre-print archiving
    • Pre-print on authors own website, Institutional or Subject Repository
    • Post-print on authors own website, Institutional or Subject Repository
    • Publisher's version/PDF cannot be used
    • On a non-profit server
    • Published source must be acknowledged
    • Must link to publisher version
    • Set statements to accompany deposits (see policy)
    • Publisher will deposit to PMC on behalf of NIH authors.
    • STM: Science, Technology and Medicine
    • SSH: Social Science and Humanities
    • 'Taylor & Francis (Psychology Press)' is an imprint of 'Taylor & Francis'
  • Classification
    ​ yellow

Publications in this journal

  • Issues in Mental Health Nursing 04/2012; 33:272–279.
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    ABSTRACT: This grounded theory study was conducted to develop a conceptual framework of courage in the chronically ill elderly. Theoretical sampling was utilized, and 21 individuals who were 67 to 94 years of age were interviewed. The interviews were audio-recorded and transcribed verbatim. Data analysis was conducted using the constant comparative method. Based on the findings, becoming and being courageous is a lifelong process that includes a variety of learning experiences. Problem solving is involved, and it is thought to enable the transformation of struggles into challenges. Courageous behaviors are identifiable, and can be maintained with the help of nursing interventions. Outcomes of being courageous include a sense of equanimity and personal integrity.
    Issues in Mental Health Nursing 07/2009; 16(1):1-11.
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    ABSTRACT: Current research suggests that pubertal development is occurring earlier in African-American preteen girls in response to familial contextual factors, which may make them vulnerable to low self-image and self-esteem dissatisfaction. This lowering in self-image and self-esteem may contribute to the early initiation of sexual behaviors, putting these girls at risk for pregnancy and sexually transmitted diseases. These potential risks place these girls in need of prepubertal health promotion, yet preadolescents are not frequently a focus of nursing care delivery except when summer camp and back-to-school physicals are performed. This article presents an in-depth overview of selected literature on self-esteem, discusses findings on self-image and self-esteem from a pilot study on pubertal influences on accelerated sexual behavior, and proposes health promotion strategies for pre-and peripubertal girls to promote positive mental health outcomes. More focused attention is needed on health promotion targeting the developmental transition health needs of prepubertal girls. Targeted health promotion activities may foster healthier pre-and peripubertal girls' perceptions of the meaning of their pubertal physical changes and stronger self-image and self-esteem. The goal of these health promotion activities should be to foster continuity of positive self-image and self-esteem among preteen girls, which is essential to prevent initiation of premature for-age risk of problem behavior, such as early coitus.
    Issues in Mental Health Nursing 07/2009; 19(1):71-94.
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    ABSTRACT: Literature reports that cognitive understanding and social support can mitigate stress in both adults and adolescents. As a subcomponent of the Carolina Adolescent Health Project (CAHP), this research evaluated the efficacy of a Cognitive Social Support (CSS) group protocol designed to mitigate the disaster stress of adolescents who had been exposed seriously to Hurricane Hugo. A purposive sample of 259 students participated in and evaluated the CSS. This article reports the specific structure, content, process, rationale, and cost of the CSS. Evaluations indicated that 82% of the students evaluated the small-group component of the CSS as "very good" or "excellent," while 70% rated the large-group component as "very good" or "excellent."
    Issues in Mental Health Nursing 07/2009; 13(2):105-19.
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    ABSTRACT: This qualitative research report presents an illustration of Mishel's (1990) reconceptualization of uncertainty in illness theory applied to persons with schizophrenia. The researcher interviewed 6 persons with schizophrenia and 5 family members. The informants reported being uncertain about whether their medicine would keep working, whether they would be able to provide for their children, whether they could stay on their medicine, whether their symptoms would improve, when the next relapse would be, and even whether they would survive. They appeared to be experiencing differing degrees of uncertainty and a variety of manifestations of probabilistic thinking. For some, uncertainty provided the opportunity for hope. For others, the uncertainty was perceived as a danger. For all of them, their view of life had changed.
    Issues in Mental Health Nursing 07/2009; 16(3):201-12.
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    ABSTRACT: Uncertainty is an important part of the illness experience. Mishel elaborated a theory of uncertainty in acute illness and later expanded the framework to account for uncertainty in chronic illness. Researchers subsequently have investigated the causes and outcomes associated with the uncertainty in illness experience across a variety of medical conditions. The current study applies and extends Mishel's model within the context of HIV illness-related uncertainty. In this qualitative study, focus group methods were used to examine the nature of illness uncertainty experienced by persons living with HIV or AIDS. Findings confirm Mishel's contention that the causes of uncertainty extend beyond those of medical diagnosis, treatment, and recovery to personal and social aspects of daily life. Identified sources of uncertainty may have important mental health and quality of life implications.
    Issues in Mental Health Nursing 07/2009; 24(5):497-522.
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    ABSTRACT: This article describes the experience of two nurses who established and conducted concurrent support groups for homeless mothers and their preschool children. The group sessions were 75 minutes in length and occurred once a week for 10 weeks. Both mothers and children were depressed and felt hopeless. Mothers manifested signs of grief and made statements indicative of severely eroded self-concepts. This resulted in a diminished ability to provide for the basic needs of their children. Most of the children demonstrated social, motor, and language skills far below the levels appropriate for their ages. Poor health was a consistent finding, especially among the children. An incentive program used to promote attendance in parent's group is described. Other successful and unsuccessful interventions are reviewed and specific recommendations for successful intervention with homeless families are provided.
    Issues in Mental Health Nursing 07/2009; 14(4):357-65.
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    ABSTRACT: Concerned about the status of both mental health services and the role of professional nursing in the delivery of those services, the Michigan Nurses' Association Psychiatric-Mental Health Nursing Practice Section initiated a survey of psychiatric nurses in the state. One hundred forty psychiatric nurses returned questionnaires that explored their professional characteristics and activities, the characteristics of their clients, their perceptions of major issues confronting mental health services and psychiatric nursing and recommended actions, the perceived strengths of psychiatric nursing, and the skills and knowledge they believed are necessary for the future. Respondents are working with a variety of patients in difficult circumstances. Responses indicate the need for specialized knowledge and skills to provide care to mentally ill clients with increasingly complex problems, additional nursing involvement in political and health care arenas, and more nursing leadership and support within nursing.
    Issues in Mental Health Nursing 07/2009; 16(5):419-32.
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    ABSTRACT: This integrative review of children's perceptions of stressors and coping strategies contained only 14 studies published from September 1979 to March 1989. Most of these descriptive studies were theory-based research using convenience samples of children (aged 8-12 years) in urban settings. Commonly identified stressful events were fear of negative evaluation (adult or peer), parental conflict or loss, and conflict with an adult. Categories of commonly identified coping strategies were social support, physical activities, and avoidance activities. Individual studies reported that more children tended to catastrophize than to cope; normal amounts of stress may enhance a familial tendency for migraines; increased information and age tended to increase the amount of active modes of coping while in the hospital; and children given frequent and complete information about their sibling's illness tended to be more positive about their own development. Recommendations for further research are included.
    Issues in Mental Health Nursing 07/2009; 12(2):171-8.
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    ABSTRACT: Theoretical and empirical work on adolescent stress and coping indicates that adolescence is an inherently stressful developmental stage and that adolescents who use active, problem-solving, cognitive coping strategies appear healthier than those who do not. Moreover, coping style, more man the nature of stressors, determines adolescent health. Offer et al. (1981) described healthy adolescents as good copers who are reasonably self-satisfied and comfortable in relationships with parents, peers, and others. Although Lazarus provided the theoretical model for much stress and coping research, few researchers have examined adolescents' self-reported stressors or coping strategies. Coping in all of its forms (i.e., problem-solving coping, emotion-focused coping, and defense mechanisms) is one type of mediator of catastrophic or disaster stressors (Solomon, 1989; Weinrich, Hardin, & Johnson, 1990). No one has yet described healthy coping among adolescents who have faced a catastrophe such as a natural disaster.
    Issues in Mental Health Nursing 07/2009; 13(3):191-205.
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    ABSTRACT: This study compares the viewpoints of psychiatric hospital employees and patients as to situational and interactional factors that are related to patient assaults on staff. Sixty-nine patients from eight high-assault wards in two state psychiatric hospitals were interviewed to identify hospital practices and aspects of the physical environment that they believed to be related to assaultive behavior. One hundred thirty-seven nursing staff members on the same wards were surveyed. Patients and staff had many concerns in common, including restrictions on patient smoking and access to the outdoors, staff clinical skills and patients' being treated with respect, and the use of seclusion and restraint on the wards. Additionally, patients were concerned about rules not being explained. Staff believed that the single most important issue was an adequate number of personnel. A considerable portion of assaults may relate to circumstances that are amenable to intervention, and assaults may be reduced in severity or number by changes in hospital practices.
    Issues in Mental Health Nursing 07/2009; 16(5):433-446.
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    ABSTRACT: Bulimia nervosa (BN) is a significant mental health problem for women. Both children and adolescents develop risk factors for BN that are identifiable. An important role for psychiatric-mental health nurses is the prevention of psychiatric disorders through risk factor identification and intervention for early symptoms. The purpose of this study was to extend recent research on the sequencing of risk factors and symptoms in the development of bulimia nervosa. Symptom history was collected on 71 women who agreed to participate in research on eating disorders (EDs). Women were divided into two groups based on whether their first symptom manifested was bingeing (BF) or dieting (DF). The groups were compared on age of symptom onset, weight history, and history of diagnosis. There were significant differences between the groups, and the present findings contradict some of the important conclusions from three previous studies. The results are discussed and implications for strategies for early detection and prevention are presented.
    Issues in Mental Health Nursing 07/2009; 21(7):671-90.
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    ABSTRACT: The United States has one of the highest per capita fire death rates in the world. Death rates alone, however, fail to reflect the breadth of loss experienced by residential fire survivors. Despite the frequency of home fires and the potential for loss, little is known about this vulnerable population. Interviews were conducted with 440 fire survivors 14 weeks after fires. Demographic characteristics of residential fire survivors, survivors' fire experiences, psychological distress after fires and the interrelationships among these variables were examined. This sample of urban fire survivors largely comprised poor, middle-aged African American women. Psychological distress was measured by the General Severity Index of the Brief Symptom Inventory, and the results showed that survivors were highly distressed, even in the absence of fire-related death or physical injury.
    Issues in Mental Health Nursing 07/2009; 17(5):487-501.
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    ABSTRACT: Interviews were conducted with 21 pregnant or recently pregnant African American and Caucasian low-income women living in a rural southeastern community to elicit perceived barriers to seeking help for depressive symptoms in pregnancy and ways to overcome these barriers, as well as intervention suggestions. Participants identified themes regarding barriers to seeking help. These were: (1) lack of trust, (2) judgment/stigma, (3) dissatisfaction with the health care system, and (4) not wanting help. Themes identified regarding overcoming barriers were: (1) facilitating trust and (2) offering support and help. These and other findings point to the importance of integrating women's ideas into culturally sensitive interventions for women with depressive symptoms or depression in pregnancy that can be provided by a psychiatric nurse-practitioner or other mental health provider.
    Issues in Mental Health Nursing 02/2008; 29(1):3-19.
  • Issues in Mental Health Nursing 02/2008; 29(1):89-93.
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    ABSTRACT: Approximately 343,680 individuals in Thailand suffering from schizophrenia are cared for at home by relatives, most of whom have a little knowledge of the disease; therefore they're left to develop their own strategies of care. Data were collected by in-depth interviews and observation involving 17 caregivers of relatives diagnosed with schizophrenia. Data were analyzed using the constant-comparative method of grounded theory. Caregivers' chief concern was avoiding psychotic episodes. They do this through a process we call "tactful monitoring," which includes the co-variables "unobtrusive observation" and strategies for calming. Caregivers follow a trajectory that leads them to a state of exhaustion, tired and sad, and fearful about the future care of their loved one. Findings from this study led the authors to conclude that in Thailand, caregivers were able to develop creative ways of tending to their relatives with schizophrenia at home, but not without significant cost to themselves. Limited provision for caregiver education and respite exists. If education and increased respite care were instituted, caregivers could benefit, and patients might avoid expensive inpatient visits.
    Issues in Mental Health Nursing 02/2008; 29(1):37-50.
  • Issues in Mental Health Nursing 02/2008; 29(1):1-2.
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    ABSTRACT: Even though the concept of health and its importance has been widely discussed in health care during recent decades, mental health services have been criticised for adopting a biomedical perspective, which does not sufficiently consider the concept of health. The aim of the present study was to investigate the psychometric properties of the Health Questionnaire, a newly developed questionnaire to measure patients' subjective experience of health in mental health services. A cross sectional study was performed using a sample of 139 outpatients in mental health services. A principal component analysis with varimax rotation was used to test the factor structure of the questionnaire. Cronbach's alpha was employed to test internal consistency and Cohen's Kappa assessed test-retest reliability. The final scale, which contained 22 items, derived from three factors (autonomy, social involvement, and comprehensibility) and showed a good reliability in terms of internal consistency. Test-retest reliability was moderate or better for 17 out of 22 items. The Health Questionnaire may enable further empirical studies on subjectively experienced health in mental health services and serve as a measure of outcome and to monitor quality of care.
    Issues in Mental Health Nursing 02/2008; 29(1):51-62.
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    ABSTRACT: Women in abusive relationships have recognized the silence of religious institutions and clergy in addressing intimate partner violence. The old message, that women are to blame when family dysfunction occurs, remains evident in society. The objective of this qualitative study was to describe the experience of abused women attempting to decrease their spiritual distress and obtain spiritual guidance from their religious leaders. The findings revealed that clergy were not helpful in alleviating the women's spiritual distress or intervening in the violence. Four themes that epitomized the negative outcomes of the help-seeking behavior were spiritual suffering, devaluation, loss, and powerlessness.
    Issues in Mental Health Nursing 02/2008; 29(2):115-30.

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