Caring for women in compulsory psychiatric inpatient care entails having to make a number of different moral considerations. Using coercive measures leads to difficulties in creating a caring relationship and the care given to the women thus needs to be as ethical as possible. The aim was to describe healthcare staff’s experiences of caring for women in compulsory psychiatric inpatient care. Eleven healthcare staff were interviewed, and the material was analyzed with a Reflective Lifeworld Research approach. The results show that healthcare staff move between self-examination and examining their colleagues closely and are also careful about protecting the women’s privacy. An emotional rollercoaster is set in motion when the women’s life situation affects the healthcare staff. Bridges are built, both with the next of kin but also with other authorities. It can be challenging to include the next of kin in the care for women in compulsory care since they may have a different view to that of the healthcare staff. Providing the healthcare staff with professional support and a supportive care environment may enhance their ability to provide a personalized care for the women in compulsory care.

Purpose: The aim of the study was to describe how the care relationship in primary healthcare has contributed to the recovery of persons with stress-related disorders.

Methods: This study was based on the phenomenological approach, Reflective Lifeworld Research (RLR). Fifteen persons who had recovered from stress-related disorders and who had experience of being cared for in primary healthcare were included. Lifeworld interviews were conducted, and the data were analysed according to the RLR principles of openness, flexibility and bridling.

Results: The participants experienced that the care relationship in primary healthcare contributed to their recovery from stress-related disorder by enabling them to land and be embraced in a safe relationship. This opened up a space for rest and growth that included time, being listened to and a permitting space for existential reflection based on one’s life story. The results also showed that a sense of disharmony in the care encounter constitutes a threat to recovery and reinforces vulnerability.

Conclusions: Sensing security and hope is a crucial element in the care relationship in primary healthcare when recovering from stress-related disorders. This includes the importance of being treated with respect, being given space to tell one’s story, being listened to and being supported in an existential reflection of one’s life situation

Purpose: The redesigning of psychiatric care environments has been increasingly recognized as a factor that could influence therapeutic outcomes and staff experiences. This study aimed to describe nursing staff's experiences of caring for patients after moving to a new purpose-built forensic psychiatric clinic. Methods: Nine semi-structured interviews were conducted with the nursing staff. A thematic analysis following Braun and Clarke's approach was used, resulting in five themes describing nursing staff's experiences of caring for patients in this new setting. Results: The findings showed that the care environment was pleasant and provided possibilities for mental recovery for the patients; however, the design of the environment in combination with a lack of staff presence led to a decrease in interactions and connections with the nursing staff. Conclusion: The findings indicate that moving to the new purpose-built facility may benefit patients' well-being and autonomy through an improved physical care environment. The beneficial impact of a number of psychosocial factors in the care environment has been contemporaneously undermined, which affects the working environment and the possibility for the nursing staff to develop caring relationships. This study emphasizes the importance of continuous staff presence in ensuring goodand safe care.

Nurses in psychiatric and mental healthcare meet patients with varying backgrounds, including sexual and gender minorities. An essential part of nursing is the nurse-patient relationship, and previous research shows that LGBTQ patients desire a greater understanding of their needs, which can be illustrated in terms of a more inclusive linguistics usage, such as a gender-neutral language. There is, however, limited knowledge about nurses’ views on this subject. The aim of this study was thus to describe nurses’ perceptions and experiences on the use of gender-neutral language in psychiatric and mental healthcare. A qualitative, descriptive, and inductive approach was used, and 13 nurses working in psychiatric and mental healthcare were interviewed. The data were analysed with a qualitative content analysis, resulting in three themes; The nurses’ understanding is characterised by individual prerequisites, The caring encounter is complex and requires normative awareness and responsibility, and The reflecting nurses become self-aware. The results are discussed and compared with the findings from previous research. The study also concludes that self-awareness and reflection play an important part in creating a safe environment for patients within the LGBTQ spectrum, where gender-neutral language can be used as an important tool for nursing in psychiatric and mental healthcare.

Purpose: Prolonged stress leading to sick leave is a serious health problem, and it is crucial to find ways to support recovery. The aim of this review was to synthesize the results from qualitative research about what people with stress-related disorders experience as supportive for recovery. Methods: The systematic review was designed as a qualitative meta-synthesis following the recommendations by Walsh and Downe. Our search across PubMed, CINAHL, and PsycInfo identified 20 articles that met the inclusion criteria. These articles were subsequently assessed for quality and analysed. Results: Three themes were identified that describe what people with stress-related disorders experience as supportive for recovery: ´Engaging and authentic atmospheres—an essentiality for recovery`, ´Pursuing an empowered and hopeful self`, and ´Embracing the continuous demanding quest for personal growth`. Recovery from stress-related disorders can be supported by giving each person the opportunity to grow and pursue an empowered and hopeful self. This requires time and support in an engaging and authentic atmosphere. Having the possibility for existential reflection, learning and exploring through various activities is important. Conclusion: Our findings show the importance of formal support that patiently stimulates existential reflection and learning in a non-demanding environment. Implementing activities in clinical practice that stimulate such a process, and which can be adapted to each person’s needs and preferences could be beneficial.

Background Venous leg ulcers take time to heal. It is advocated that physical activity plays a role in healing, and so does the patient’s nutritional status. Additionally, malnutrition influences the inflammatory processes, which extends the healing time. Therefore, the staff’s advising role is important for patient outcomes. Thus, this study aimed to investigate the associations between given self-care advice and healing time in patients with venous leg ulcers while controlling for demographic and ulcer-related factors.

Methods The sample consisted of patients registered in the Registry of Ulcer Treatment (RUT) which includes patient and ulcer-related and healing variables. The data was analyzed with descriptive statistics. Logistic regression models were performed to investigate the influence of self-care advice on healing time.

Results No associations between shorter healing time (less than 70 days) and the staff´s self-care advice on physical activity was identified, whilst pain (OR 1.90, CI 1.32–2.42, p < 0.001) and giving of nutrition advice (OR 1.55, CI 1.12–2.15, p = 0.009) showed an association with longer healing time.

Conclusions Neither self-care advice on nutrition and/or physical activity indicated to have a positive association with shorter healing time. However, information and counseling might not be enough. We emphasize the importance of continuously and systematically following up given advice throughout ulcer management, not only when having complicated ulcers.

This systematic review aims to synthesise the research on children's perceptions and experiences of their involvement in a parent's mental health care. After an extensive search and quality appraisal, 22 articles remained and were included in the review. The results show that children-although resourceful and with good intentions-frequently felt excluded. They hungered for information and felt their questions were abandoned. They also felt caught in a tumultuous life situation and struggled for support. Finally, they expressed the need to be seen and ultimately did not feel involved in their parent's mental health care.

Background: The use of non-pharmacological therapies is important in reducing the complications and consequences of diabetes. Objectives: This study aimed to determine the effect of group reality therapy on adherence to treatment regimens and health indicators in patients with type 2 diabetes. Methods: This randomized controlled trial was performed on 60 patients with diabetes who were referred to Amir Al-Momenin Hospital in Ahvaz. Patients were randomly assigned to either the intervention group (N = 30) or the control group (N = 30). Both groups completed health indicator tests, questionnaires on demographic and clinical information, perceived adherence to the treatment regimen, and the Perceived Stress Scale. The intervention group received reality therapy training, which consisted of 10 sessions of 45 minutes each (one session per week) over 2 months, delivered through lectures and face-to-face training sessions. The control group received only routine hospital interventions. The collected data were then analyzed using a one-way t-test and one-way analysis of variance (ANOVA). Results: Twenty-seven patients in the intervention group and 27 in the control group completed the study. After analyzing the data, it was revealed that the mean age of the patients in the control group was 55.30 ± 7.95, while it was 51.96 ± 10.55 in the intervention group. Findings showed that scores for the dimensions of adherence to the treatment regimen in the intervention group significantly increased compared to the control group (P _ 0.001). Additionally, the mean health indicators in the intervention group showed a significant decrease compared to the control group (P _ 0.001). Moreover, the mean blood sugar level of patients in the intervention group decreased from 229.63 ± 98.76 to 123.59 ± 42.03. Likewise, the level of glycosylated hemoglobin and blood cholesterol significantly decreased from 8.19 ± 2.09 to 6.11 ± 1.86 and from 176.52 ± 51.53 to 146.22 ± 34.68, respectively. Conclusions: A reality therapy training program can be effectively used to increase treatment adherence and improve health indicators in patients with type 2 diabetes.

Background: Since the beginning of mobile phone addiction, alexithymia, depression, anxiety, and stress have been mentioned as complications of Internet addiction in various studies; however, the relationship between these variables has not been well investigated. Objectives: This study was conducted to investigate the relationship between alexithymia and mobile phone addiction, emphasizing the mediating role of anxiety, stress, and depression. Methods: In this descriptive-analytical study, 412 students of Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran, were included using an available sampling method in 2019. Data collection tools were the demographic questionnaire, Toronto Alexithymia Scale (TAS-20), Depression, Anxiety, Stress Scale (DASS-21), and Mobile Phone Addiction Index (MPAI). Statistical analysis was carried out using SPSS software (version 22) and Amos software (version 16). A significance level of less than 0.05 was considered. Results: Alexithymia was a predictive factor for mobile phone addiction. Additionally, it had a direct and significant effect on depression (β = 0.540, P < 0.001), anxiety (β = 0.500, P < 0.001), and stress (β = 0.53, P < 0.001). Depression (β = 0.452, P < 0.001), anxiety (β = 0.408, P < 0.001), and stress (β = 0.460, P < 0.001) had a positive and significant effect on cell phone addiction. Conclusions: In this study, alexithymia was a predictive factor for mobile phone addiction. Moreover, the variables of depression, anxiety, and stress play the role of a relative mediating variable between alexithymia and mobile addiction.