Abstract:
:Sexuality, relationships, and intimacy are integral parts of many peoples' lives, not negated by mental distress and illness. Yet typically, these needs are not addressed adequately in mental health settings. In-depth interviews were conducted with mental health clinicians with an aim of exploring their perceptions and understandings of sexuality and sexual concerns within mental health settings. Participants were 22 mental health nurses, psychologists, and psychiatrists working with people across a range of settings in four Australian cities. Sexuality or aspects of this were often not addressed in clinical practice, and this was common across participants' accounts. A critical thematic analysis was conducted to explore how participants made sense of or explained this silence in relation to sexuality. Two key themes were 'Sexuality is hard to talk about' and 'Sexuality is a "peripheral issue"'. In positioning sexuality as a peripheral issue, participants drew on three key explanations (sub-themes): that sexuality rarely 'comes up', that it is not pragmatic to address sexuality, and that addressing sexuality is not part of participants' roles or skill sets. A third theme captured the contrasting perception that 'Sexuality could be better addressed' in mental health settings. This analysis indicates that, beyond anticipated embarrassment, mental health clinicians from three disciplines account for omissions of sexuality from clinical practice in similar ways. Moreover, these accounts serve to peripheralize sexuality in mental health settings. We consider these results within the context of espoused holistic and recovery-oriented principles in mental health settings.
journal_name
Int J Ment Health Nursjournal_title
International journal of mental health nursingauthors
Urry K,Chur-Hansen A,Khaw Cdoi
10.1111/inm.12633subject
Has Abstractpub_date
2019-12-01 00:00:00pages
1278-1287issue
6eissn
1445-8330issn
1447-0349journal_volume
28pub_type
杂志文章abstract::The routine use of standardized instruments to measure consumer outcomes is now part of mental health policy throughout Australia. However, it has been broadly criticized for (i) not involving consumer input into the design of instruments; and (ii) not reflecting the aspects of care and treatment considered beneficial...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1447-0349.2008.00519.x
更新日期:2008-04-01 00:00:00
abstract::This article is a review of the literature examining the sexuality of mental health consumers and the role of mental health nurses. A search identified 72 English articles on the topic. The evidence clearly indicates that sexuality is a critical aspect of who we are as individuals, and of how we view ourselves, but di...
journal_title:International journal of mental health nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1447-0349.2009.00598.x
更新日期:2009-06-01 00:00:00
abstract::An international nurse shortage, tightening fiscal constraints, and increased service demands have seen health systems increasingly turn to employing assistants in nursing (AIN) as a cost-effective means to meet demand. This paper describes social positioning from the perspective of 11 AIN who were employed to work in...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/inm.12137
更新日期:2015-10-01 00:00:00
abstract::The creative arts can be used to support stakeholders of mental health services to communicate and share their lived experience. Digital storytelling is one method that has been used to capture people's lived experience. In this scoping review, we were interested in mapping how digital storytelling has been used in me...
journal_title:International journal of mental health nursing
pub_type: 杂志文章,评审
doi:10.1111/inm.12206
更新日期:2016-06-01 00:00:00
abstract::Self-harm is a significant health issue, a leading cause of serious injury and is an indicator of psychological distress. Nurses play an important role in providing therapeutic care to people who self-harm. The aim of this study was to explore mental health nurses' (MHNs) experience of working with people who self-har...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/inm.12814
更新日期:2021-02-01 00:00:00
abstract::Absconding, where patients under an involuntary mental health order leave hospital without permission, can result in patient harm and emotional and professional implications for nursing staff. However, Australian data to drive nursing interventions remain sparse. The purpose of this retrospective study was to investig...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/inm.12100
更新日期:2015-02-01 00:00:00
abstract::When nurses practise recovery-focused care, they contribute positively to the consumer's mental health recovery journey and empower the person to be actively engaged in the management of their illness. While using recovery-focused care is endorsed in mental health policy, many health professionals remain uncertain abo...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/inm.12802
更新日期:2020-10-20 00:00:00
abstract::In this paper, we propose that mental health nursing has become a zombie category, at least in the Australian context. Mental health nursing is a concept that has lost any real explanatory or conceptual power, yet nevertheless persists in public discourse and the collective imagination. In recent decades, powerful for...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/inm.12408
更新日期:2018-06-01 00:00:00
abstract::Preceptorship is a valuable strategy largely underestimated in its ability to influence nursing students' attitudes and beliefs about mental health nursing. As a model, it has the potential to influence nursing practice, enhance clinical learning, promote recruitment and retention, and generate a more collaborative ap...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1440-0979.2004.00338.x
更新日期:2004-12-01 00:00:00
abstract::Mental health nurses have historically been pessimistic about and often unsympathetic towards clients diagnosed with borderline personality disorder. By the time these clients reach adult mental health services their behaviours are often difficult to manage and they often suffer significant re-victimization by health ...
journal_title:International journal of mental health nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1440-0979.2004.0327.x
更新日期:2004-09-01 00:00:00
abstract::The reduction and, where possible, elimination of seclusion has been recognized as a national safety priority for mental health services in Australia, with significant attention devoted to strategies to achieve this goal. The aim of this study was to compare specific demographic characteristics between consumers who h...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1447-0349.2010.00670.x
更新日期:2010-06-01 00:00:00
abstract::Psychiatric research and practice involves the colonization of the personal experience of problems of human living. From a Western perspective, this process shares many similarities with the subjugation of women, people of colour and people embracing non-Christian faiths and cultures. The Tidal Model is a mental healt...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1046/j.1440-0979.2003.00275.x
更新日期:2003-06-01 00:00:00
abstract::Culture plays a vital role in shaping public and professional attitudes towards mental illness. In Arab cultures negative attitudes toward patients experiencing mental illnesses are common. There is a lack of studies that investigate the attitudes of professionals towards patients in inpatient mental health settings. ...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1447-0349.2010.00674.x
更新日期:2010-10-01 00:00:00
abstract::Nursing handover occurs between shifts and is an important means of communication and information exchange around consumer care. The involvement of consumers in nursing handover, known as 'bedside handover', is well established within general health settings and promotes a patient-centred approach to care. Bedside han...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/inm.12756
更新日期:2020-12-01 00:00:00
abstract::The next of kin play a decisive role in the care provided for patients. This and their unique experience of psychiatric care make it important to include them when defining quality of care. The aim of the present study was to describe how next of kin perceive the concept of quality of care in the case of psychiatric c...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1447-0349.2007.00481.x
更新日期:2007-10-01 00:00:00
abstract::To understand the experience and perceptions of people diagnosed with generalized anxiety disorder, along the whole process and their role through the decision-making process for their treatment. A qualitative study through focus groups composed of people diagnosed with generalized anxiety disorder was carried out. Co...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/inm.12690
更新日期:2020-06-01 00:00:00
abstract::This qualitative study sought to explore conceptual models employed by community mental health team (CMHT) staff in the care of their clients and how CMHT clinicians communicated with one another, particularly in relation to complex clinical work. The qualitative method of interpretive phenomenological analysis was us...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1447-0349.2009.00620.x
更新日期:2009-10-01 00:00:00
abstract::The Kennedy Axis V is a routine outcome measurement instrument which can assist the assessment of the short-term risk for violence and other adverse patient outcomes. The purpose of this study was to evaluate the interrater reliability and clinical utility of the instrument when used by mental health nurses in daily c...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1447-0349.2012.00887.x
更新日期:2013-10-01 00:00:00
abstract::Nurses, especially those in academia, feel the pressure to publish but have a limited time to write. One of the more time-consuming and frustrating tasks of research, and subsequent publications, is the collection and organization of accurate citations of sources of information. The purpose of this article is to discu...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1447-0349.2007.00462.x
更新日期:2007-06-01 00:00:00
abstract::Immigrant and refugee populations experience life stressors due to difficult migration journeys and challenges in leaving one country and adapting to another. These life stressors result in adverse mental health outcomes when coupled with a lack of adequate support-enhancing resources. One area of support is access to...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/inm.12512
更新日期:2019-02-01 00:00:00
abstract::The present position paper provides an account of the life of Martha Entwistle, the earliest recorded convict nurse who worked within the Castle Hill Asylum. In our review of primary historical sources, Australia's first convict mental health nurse was found to be a resilient woman who endured several traumatic life e...
journal_title:International journal of mental health nursing
pub_type: 传,历史文章,杂志文章
doi:10.1111/inm.12356
更新日期:2018-02-01 00:00:00
abstract::The study reported here is taken from a wider investigation into stress among preregistration nursing students, undertaken in the nursing department of a large university in northern England. British nursing is divided into four specialties or 'branches': adult, mental health, children's, and learning disability nursi...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1447-0349.2007.00494.x
更新日期:2007-12-01 00:00:00
abstract::In Australia and internationally, Peer Workers are increasingly being incorporated into the mental health workforce. Underpinning this trend is the conviction that the inclusion of workers with lived experience in overcoming mental health challenges is central to transforming service delivery. Given there are few iden...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/inm.12308
更新日期:2018-02-01 00:00:00
abstract::Approximately 1% of the population is diagnosed with schizophrenia, and despite longstanding critiques of the (bio)medical model, understanding of the disorder still arises primarily through (bio)medical explanations. In turn, causation, symptoms and treatments are increasingly sophisticated and well known while under...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1440-0979.2005.00349.x
更新日期:2005-03-01 00:00:00
abstract::Patient aggressive behaviour remains a significant public health concern worldwide. The use of restraint and seclusion remains a last resort but not an uncommon practice in clinical psychiatry in the management of aggressive events. There seems to be a paucity of evidenced-based research examining the policy framework...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/inm.12742
更新日期:2020-12-01 00:00:00
abstract::The new paradigm that the brain is able change itself (neuroplasticity) is acknowledged and teased out in terms of the ramifications for mental illnesses. Parallel studies in pain (central sensitization) and mirror neurones are examined to conceptually clarify these ramifications in relation to mental health, and to e...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1447-0349.2011.00780.x
更新日期:2012-04-01 00:00:00
abstract::Approximately 210 patients are admitted each year to the Western Australian State Forensic Mental Health Service, and most present with psychotic illness, along with other physical and mental comorbidities. In 2010, a healthy lifestyle programme, which included a formal exercise programme coordinated by an exercise ph...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/j.1447-0349.2011.00787.x
更新日期:2012-06-01 00:00:00
abstract::Psychiatric nurses are familiar with the concept of personality disorder because of their contact with persons with the most common personality disorder in clinical settings - borderline type, who frequently engage mental health services. Perhaps it is this familiarity that has focused research and clinical attention ...
journal_title:International journal of mental health nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1447-0349.2006.00439.x
更新日期:2007-02-01 00:00:00
abstract::This paper explores what is known about adherence to antipsychotic medications in general and the possible reasons for non-adherence in Samoan New Zealanders. Samoan New Zealanders are either Samoan-born immigrants or their descendents born in New Zealand. Clinicians recognize a high prevalence of non-adherence among ...
journal_title:International journal of mental health nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1447-0349.2011.00801.x
更新日期:2012-08-01 00:00:00
abstract::Handover, or the communication of patient information between clinicians, is a fundamental component of health care. Psychiatric settings are dynamic environments relying on timely and accurate communication to plan care and manage risk. Crisis assessment and treatment teams are the primary interface between community...
journal_title:International journal of mental health nursing
pub_type: 杂志文章
doi:10.1111/inm.12102
更新日期:2015-06-01 00:00:00