Perspectives in Psychiatric Care

Purpose. This study aimed to (1) assess the levels and associations of workplace spirituality (WPS), compassion satisfaction (CS), burnout (BO), and secondary traumatic stress (STS) among Iranian nurses; and (2) identify the impact of WPS components on CS, BO, and STS while controlling for demographic variables. Design and Methods. In this descriptive, cross‐sectional, and correlational study, 295 nurses were selected via proportionate stratified sampling from five hospitals affiliated with the Arak University of Medical Sciences in Iran from June 2022 to December 2022. The scale of workplace spirituality and Professional Quality of Life version 5 (ProQOL-5) were used for data collection. Data were analyzed using SPSS24 and descriptive and inferential statistics (Pearson correlation coefficient and multiple regression). Findings. The mean scores of WPS, CS, BO, and STS were 63.27, 36.55, 27.31, and 29.58, respectively. The highest percentages of nurses reported moderate CS, BO, and STS levels, reaching rates of 76.3%, 80%, and 86.1%, respectively. The Pearson correlation coefficient showed that CS had a negative relationship with BO and STS. There was a direct correlation between BO and STS. Participants who reported higher levels of WPS had higher CS and lower BO scores. Results of multiple regression analyses indicate that the model of WPS components and control variables explains 42.7, 34, and 8.6 percent of the variance of CS, BO, and STS, respectively. Higher “meaningful work” is associated with higher CS and lower BO and STS among nurses. Participants higher in “sense of community” had higher CS scores. Higher “alignment with organizational values” is associated with higher STS. Practice Implications. According to the study results, it is possible to provide a suitable platform for improving nurses’ professional quality of life by strengthening workplace spirituality.

Objective. This study aims to explore the mediation role of perceived stress between nonrestorative sleep (NRS) and emotional distress, as well as the moderation role of resilience among NRS, perceived stress, and emotional distress in university students. Method. We recruited 851 students from the Be Resilient to Nursing Career program (BRNC, registration number: NFYKDX002) in June 2022. Nonrestorative sleep scale (NRSS), 10-item perceived stress scale (PSS-10), 10-item Kessler psychological distress scale (K10), and 10-item Connor–Davidson resilience scale (CD-RISC-10) were administered through a paper questionnaire. Latent profile analysis and moderated mediation analysis were performed. Results. Three profiles of perceived stress were identified: high ability-low stress (24.5%), middle ability-high stress (65.0%), and low ability-middle stress (10.5%). The mediation role of perceived stress between NRS and emotional distress was significant (SE = 0.025; 95% confidence interval = −0.369, −0.269). The moderation role of resilience among NRS, perceived stress, and emotional distress was not significant. Conclusion. Heterogeneity exists in freshmen students’ perceived stress. Perceived stress plays a significant mediating role between NRS and emotional distress, while resilience cannot significantly moderate the associations among NRS, perceived stress, and emotional distress. The trial is registered with ChiCTR2000038693.

Purpose. Individuals with attention deficit and hyperactivity disorder (ADHD) have experienced exacerbated symptoms and negative effects during the pandemic on both physical and mental health. However, the leading global news websites did not cover the vulnerabilities and special needs of individuals with ADHD in the context of the neurodiversity approach. I argue that both cnn.com and bbc.com did not incorporate the neurodiversity approach aiming to increase acceptance and inclusion of the differences without viewing them as deficits. Methods. The present study explores online news media portrayal of ADHD during the COVID-19 pandemic through content analysis between March 2020 and October 2022. The news articles mentioning ADHD (64 from bbc.com and 56 from cnn.com) were analyzed. Results. Findings show that ADHD was dominantly framed as a medical issue, far from the neurodiversity perspective. Only 13 news articles among 64 (approximately 20%) on bbc.com and 4 among 56 (less than 10%) on cnn.com incorporated the neurodiversity approach that would benefit both individuals with ADHD and the whole society during the pandemic. Practice Implications. The findings show a need for more awareness of neurodiversity in the news media and a broader coverage of ADHD-related neurodiversity during the pandemic.

Purpose. To explore the experiences of women diagnosed with borderline personality disorder (BPD) from a holistic perspective, incorporating their experiences in the social and health fields and their perception of motherhood, and to analyse the influence of the social construction of gender. Design and Methods. Qualitative study with a hermeneutic phenomenological design. Eight women with a diagnosis of borderline personality disorder participated in the in-depth interviews. Findings. The trauma, stigma, and difficulty associated with motherhood and being a woman are determinants in the experience of symptoms and the recovery from them. Practical Implications. The findings offer keys to improving the quality of women’s nursing care and the treatment they are provided according to gender factors.

Background. Because nightmares seem to be associated with depression in schizophrenia, detecting them early in therapeutic practice might be critical to ensuring effective avoidance of the development of depressive symptomatology. This helps promote well-being and improve the patient’s quality of life and illness prognosis. Therefore, the aim of this study was to examine the indirect effect of depression between nightmares and well-being in a Lebanese sample of patients with schizophrenia. Method. This monocentric cross-sectional study, conducted in July 2022, enrolled patients with chronic schizophrenia admitted to the Psychiatric Hospital of the Cross. Data were collected from a total of 148 participants through face-to-face interviews. The questionnaire included a nightmares measure, PSYRATS, Calgary depression scale for schizophrenia, PTSD checklist for DSM-5, the digit span subset, and WHO-5Well-Being Index. Results. The presence of nightmares was significantly associated with more depression, whereas higher depression was significantly associated with lower well-being. It is noteworthy that the presence of nightmares was not directly associated with well-being. Conclusion. Nightmares lead indirectly to lower well-being in schizophrenia patients, with depression serving as a mediating factor in this association. This suggests that interventions aiming at improving dream content may also have a beneficial effect in reducing depression in schizophrenia leading therefore to better well-being of the patients.

Introduction. Safety is an essential factor in patient recovery, occupational well-being, and a well-functioning care environment. To identify and understand potential safety risks, information from safety incidents is needed. Aim. To describe safety incidents that occurred on psychiatric inpatient wards. Method. A retrospective register study. The data were collected from a web-based incident reporting database (HaiPro) from six Finnish psychiatric inpatient wards. The incident reports (N = 76) were analysed with descriptive statistics and inductive content analyses. Results. The incidents were verbally or physically aggressive situations, rule violations, or challenges in the ward’s basic activities. The incidents resulted in consequences for patients, personnel, and the wards with varying severity. Some of the incidents could have possibly been prevented with simple, practical measures, such as sharing information, being prepared for safety practices, and having comprehensively planned care. Discussion. Safety incidents cause fear and challenges and could partly be prevented with multiprofessional and multilevel cooperation. Implications for Practice. Preventative actions include multidisciplinary and ward-specific education for safety practices, ensuring resources and not having too many patients on the ward. Multiprofessional communication and mutual understanding, including patient participation, are central. Wards should be designed or renovated so that safe environments can be guaranteed.