As of today, workplace violence (WPV) prevention and management in psychiatric settings remains unexplored, particularly within the nursing sector of Middle Eastern countries like Jordan.

This research investigates firsthand experiences among a sample of nurse managers and staff in Jordanian psychiatric hospitals regarding the prevention and management of WPV.

A qualitative descriptive design was implemented through semi-structured, single, in-person interviews with a purposive sample of 25 psychiatric nurses (9 nurse managers and 16 staff nurses). Having audible recordings of each interview, the narrative data were transcribed and analyzed using Braun and Clarke's (2006) six-step method.

A total of three major themes were identified: Nurse Managers' Leadership and Management Challenges with the Prevention and Management of WPV, Trying to Develop a Sense of Normality with WPV as Nurse Staff, and lastly, Nurse Managers' and Staff Nurses' Advice for New Nurses.

The findings indicate an urgent need to improve WPV prevention and management among psychiatric nurses. This may be executed by designing and implementing hands-on educational workshops among nurses in psychiatric settings, aimed at promoting a safe, healthy, and caring work environment. Further studies and prevention interventions are also recommended to reduce WPV and its severity in such environments. In addition, psychiatric nurses need encouragement to actively engage and participate in preventive measures and management interventions regarding WPV.

Suicide is the leading cause of death among Asian Americans aged 15-24 years, and Asian American populations experienced some of the highest increases in suicide rates from 2021 to 2022. Despite these trends, Asian Americans have the lowest rates of mental healthcare help-seeking and remain underrepresented in mental health research. Addressing mental health disparities requires awareness of the cultural, familial, and systemic factors that shape help-seeking behaviors.

Given the heterogeneity across more than 50 Asian American groups that speak over 100 languages, it is critical to examine the distinct needs of individual groups, including Karen refugees. Karen youth in North Carolina identified mental health as their top health concern. However, no research has examined parents' perspectives on mental health help-seeking in this population. This qualitative descriptive study was designed to address this gap.

The study used codebook thematic analysis. Through prolonged community engagement, the interview guide was developed to ensure cultural relevance, linguistic accessibility, and sensitivity to mental health stigma. Twelve Karen refugee parents in North Carolina completed individual semi-structured interviews; nine were conducted in Karen language and three in English.

Four major themes were identified: refugee camp experiences, post-refugee camp resettlement challenges, intergenerational conflict between parents and children, and resilience. Participants described barriers to mental health help-seeking at the personal, interpersonal, health-system, and societal levels.

Parents commonly describe parent-child disconnection as negatively affecting mental health. The findings underscore the importance of understanding culturally specific and structural barriers to mental health care.

Psychiatric hospitalizations can be highly stressful and may offer limited opportunities for meaningful, recovery-oriented interventions. Immersive virtual reality (VR) may provide accessible leisure and social experiences, but little is known about how hospitalized individuals and healthcare providers perceive its use in inpatient psychiatric care.

Semi-structured qualitative interviews were conducted with hospitalized individuals (n = 29) and online surveys were collected from healthcare providers (n = 7), following the implementation of Toujours Dimanche, an immersive virtual-nature travel application with a social component, on an inpatient unit for complex mood disorders. Thematic analyses were conducted.

Participants described the application as a temporary break from the experience of psychiatric hospitalization that provided stimulation, emotional respite, social connection, and opportunities to reconnect with life beyond the unit. Although hospitalized individuals and healthcare providers generally viewed the service positively, they identified several conditions affecting its sustained implementation, including perceptions of patient suitability, limited staffing and space, and uncertainty regarding the value of recovery-oriented benefits in the absence of demonstrated symptom improvement.

Virtual nature travel was perceived as a meaningful adjunct to inpatient psychiatric care. Its sustainable integration may depend on adequate institutional resources and greater recognition of well-being and recovery-oriented outcomes as legitimate aims of hospitalization.

This study was conducted to determine the effect of tele-nursing counseling on functioning and medication adherence among individuals with bipolar disorder.

The research was directed utilizing a randomized controlled experimental design with pretest and posttest control groups. The study included 70 individuals (experimental = 35, control = 35) who were followed at a Community Mental Health Center (CMHC). The experimental group received structured tele-nursing counseling consisting of weekly telephone interviews and supportive text messages for eight weeks. The control group continued to receive standard clinical care. Data were gathered utilizing the Introductory Information Form, the Functioning Assessment Short Test (FAST), and the Morisky Medication Adherence Scale (MMAS).

At the end of the eight-week intervention, there was a statistically significant difference between the experimental and control groups in terms of functional levels (adjusted between-group difference [experimental minus control] = -6.8, 95% CI: -9.8 to -3.7; p < 0.001) and medication adherence (adjusted between-group difference = -2.11, 95% CI: -2.4 to -1.8; p < 0.001), adjusting for baseline scores.

The findings suggest that tele-nursing counseling may be an influential supportive intervention for cultivating functioning and medication adherence among individuals with bipolar disorder.

ClinicalTrials.gov, Identifier: NCT07404943 (Retrospectively registered, February 2026).

To examine the effect of resilience training on pregnancy-related anxiety and maternal-fetal attachment among women with unplanned pregnancy.

Quasi-experimental pretest-posttest nonequivalent control group study, reported in line with Transparent Reporting of Evaluations with Nonrandomized Designs (TREND) checklists.

A total of 164 women were initially conveniencly enrolled; four intervention-group participants discontinued because of incomplete session attendance. The final analysis included 160 women, with 80 in each group.

Structured interviewing questionnaire, Connor-Davidson Resilience Scale-10 (CD-RISC-10), Pregnancy-Related Anxiety Questionnaire-Revised 2 (PRAQ-R2), and Cranley's Maternal-Fetal Attachment Scale (CMFAS).

Four group-based resilience training sessions delivered weekly; post-test conducted by phone one month after the intervention. The control group received routine antenatal care. Baseline characteristics were compared using independent t-tests and chi-square tests. Intervention effects were assessed using two-way mixed repeated-measures ANOVA, with effect sizes reported as partial eta squared (η²) and Cramer's V., with statistical significance established at p < 0.05.

Post-intervention, the intervention group had lower pregnancy-related anxiety than controls (18.80 ± 6.79 vs. 40.03 ± 7.06; p < 0.001), higher maternal-fetal attachment (64.97 ± 10.41 vs. 33.98 ± 8.96; p < 0.001), and higher resilience (31.41 ± 5.64 vs. 10.89 ± 4.58; p < 0.001).

Resilience training significantly reduced pregnancy-related anxiety and improved maternal-fetal attachment and resilience in women with unplanned pregnancy; it should be integrated into antenatal education programs.

The current study aimed to examine the relationship between spirituality, locus of control, and bereavement experience in older adults.

A descriptive correlational cross-sectional survey design was adopted.

The study included 308 older adults recruited from four post offices affiliated with the Ministry of Communications and Information Technology in Damanhour, Beheira Governorate, Egypt between February and May 2025. Data were collected using four instruments: a demographic and clinical information questionnaire, the Bereavement Experience Questionnaire-Short Form (BEQ-24), Levenson's Multidimensional Locus of Control Scales (MLCS), and the Spiritual Well-Being Scale (SWBS).

The findings revealed small but statistically significant negative correlations between bereavement experience and locus of control dimensions among the studied older adults (r = -0.274 for total locus of control, p < 0.001; r = -0.212 for internal control, p < 0.001; r = -0.151 for powerful others, p = 0.008; r = -0.187 for chance, p = 0.001). Spiritual well-being was not significantly correlated with bereavement experience (r = 0.014, p = 0.923) and did not emerge as a significant predictor in the regression analysis.

Understanding the relationship between locus of control and bereavement experience may help gerontological and psychiatric nurses develop supportive interventions that strengthen older adults' sense of personal control and adaptive coping during grief. Spiritual aspects may also be considered as part of holistic bereavement care.

The study findings suggest that locus of control, particularly internal control, may play a role in older adults' adjustment to bereavement. In contrast, spiritual well-being was not identified as a significant predictor of bereavement experience in the current sample.

These findings may assist gerontological nurses, mental health professionals, and caregivers in planning individualized bereavement care for older adults. Approaches that address perceived personal control may be considered when supporting emotional adjustment during bereavement.

To examine the coexistence of depressive symptoms, internet addiction, and sleep disturbance in adolescents using network analysis, and to derive actionable implications for psychiatric nursing practice.

A total of 882 adolescents, comprising 474 with depressive disorders and 408 healthy controls, participated in the study. Participants completed the Children's Depression Inventory, Young's Internet Addiction Test, and the Pittsburgh Sleep Quality Index. Network analysis was used to identify key symptoms and bridge symptoms in a combined network of depressive symptoms, internet addiction, and sleep disturbance. A network comparison was conducted to analyze differences between adolescents with depressive disorders and healthy controls.

The network analysis identified anhedonia and negative mood as key symptoms, while sleep disturbance emerged as a bridge between depressive symptoms and internet addiction. The network of adolescents with depressive disorders showed distinct patterns of symptom connectivity compared to the network of healthy controls; this structural difference remained after propensity score matching, whereas the initial difference in overall connectivity strength did not.

Sleep disturbance bridges internet addiction and depressive affect, while anhedonia and negative mood are the most central symptoms. Group differences should be interpreted primarily in terms of symptom connectivity patterns rather than stronger overall network connectivity. These data support integrated screening and multi-domain interventions that nurses can deliver in practice to address mood, sleep, and internet addiction symptoms, aiming to improve adolescents' psychosocial well-being.

Rural postpartum women face substantial barriers to evidence-based treatment for postpartum depression (PPD). The purpose of this study was to evaluate recruitment, retention, intervention delivery, and acceptability of a four-session, group-based pilot intervention adapted for rural Indiana. An open pilot feasibility study was conducted at two rural health systems. Feasibility outcomes were compared with prespecified recruitment and retention thresholds; acceptability and participant symptom scores were summarized descriptively. Among 52 eligible women, five enrolled (9.6%) and two initiated and completed all four sessions, yielding 40.0% retention among enrollees. Prespecified recruitment (25%) and retention (60%) thresholds were not met. Among the two completers, intervention fidelity and session attendance were 100%, and participant and facilitator acceptability ratings were high. Depression scores decreased for both participants over time; however, the sample was insufficient to evaluate intervention efficacy. The tested recruitment and group-delivery model was not feasible in these settings. Findings identify barriers and design modifications needed before a larger trial, including earlier and repeated recruitment, flexible delivery options, and stronger linkage between screening and treatment initiation.

Large language models are increasingly used in nursing documentation and education, but their value for child and adolescent psychiatric-mental health nursing care planning remains uncertain. This cross-sectional comparative text-analysis study evaluated care-plan texts generated by ChatGPT, Gemini, and DeepSeek. Thirty child and adolescent psychiatric-mental health nursing diagnoses were entered using a standardized prompt, producing 90 care plans. Text characteristics, reference accessibility, seven readability formulas from two calculators, DISCERN scores, and reliability indicators were summarized. Because each diagnosis was evaluated across all models, between-model comparisons used Friedman tests and Bonferroni-adjusted Wilcoxon signed-rank tests. Gemini had the highest DISCERN total score (63.8 ± 4.3), followed by ChatGPT (61.2 ± 3.8) and DeepSeek (59.7 ± 4.5; Q = 12.07, P = 0.002). ChatGPT produced the easiest texts by averaged Flesch Reading Ease score (53.9 (43.4-66.0)), whereas DeepSeek produced the most complex texts (42.1 (26.7-55.6); Q = 30.87, P < 0.001). All models exceeded recommended sixth-grade readability levels across grade-level formulas. Accessible references were most consistently associated with higher DISCERN total scores. Findings support task-specific model selection, source checking, readability revision, and psychiatric-mental health nurse review before AI-generated care plans are used in clinical or educational settings.

Postpartum women frequently experience depression, anxiety, stress, and infant care-related obsessive-compulsive behaviours, adversely affecting maternal psychological adjustment and well-being. Nonattachment is a potentially protective psychological construct associated with lower psychological distress and greater well-being, however; evidence on its relationship with postpartum psychological symptoms is limited.

This study aimed to examine the associations between nonattachment and infant care-related obsessive-compulsive behaviours, depression, anxiety, and stress among postpartum women.

This cross-sectional descriptive-correlational study included 220 women between the second and eighth postpartum weeks. Data were collected using a sociodemographic and obstetric form, the Nonattachment Scale-Short Form, the Postpartum Obsessive-Compulsive Behaviours Toward Infant Care Scale, and the Depression Anxiety Stress Scale. Data were analysed using descriptive statistics, t-tests, ANOVA, Pearson correlation, and linear regression.

Nonattachment was negatively correlated with stress, anxiety, depression, and infant care-related obsessive-compulsive behaviours. Higher stress, depression, and obsessive-compulsive behaviour scores were independently associated with lower nonattachment. The model explained 30.5% of the variance in nonattachment. Lower nonattachment was observed among women with previous mental health symptoms, poor economic status, and poorer spousal relationships.

Lower nonattachment was associated with greater postpartum psychological distress and higher infant care-related obsessive-compulsive behaviours, suggesting that nonattachment may be a clinically relevant psychological construct for understanding maternal cognitive-emotional adjustment during the postpartum period.

Assessment of nonattachment may complement postpartum mental health screening for women at increased risk of psychological distress. Future studies should evaluate whether mindfulness- or acceptance-based approaches that enhance nonattachment improve postpartum mental health outcomes.