Moxham Lorna, Roberts Michelle, Yousiph Taylor, Jay Elissa-Kate, Lewer Kelly, Robson Georgia, Drury Peta, Cordina Joanne, Villeneuve-Smith Suzi, Patterson Christopher
School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.
Faculty of the Arts, Social Science & Humanities, University of Wollongong, Wollongong, New South Wales, Australia.
Int J Ment Health Nurs. 2025 Feb;34(1):e13429. doi: 10.1111/inm.13429. Epub 2024 Sep 20.
Mental health conditions such as anxiety, depression and psychosis represent a global health challenge. Stigma surrounding mental health continues to hinder help-seeking behaviours for people with mental illness and as this study demonstrates, nursing students as well. However, if student nurses are reluctant to seek help for mental health issues, how can others be expected to do so? This reluctance poses challenges in mental health nursing, impacting both care provision and nursing education. The present study seeks to explore the influence of traditional versus non-traditional mental health clinical placements on second-year nursing students' stigmatising beliefs and intentions to seek help for mental health issues. Employing a prospective cohort design using the TREND checklist, the study sampled second-year nursing students assigned to either traditional hospital-based or non-traditional recovery-focused mental health clinical placements. Using validated scales, stigmatising beliefs and help-seeking intentions were measured before and after the placements. Statistical analyses were conducted to assess changes in these variables over time and across placement settings. A significant impact of placement setting on help-seeking intentions was observed, with students in non-traditional placements showing an increased willingness to seek help. Additionally, non-traditional placements were found to significantly reduce stigmatising beliefs in all measured domains, suggesting that these settings may provide a more conducive environment for fostering positive attitudes towards mental health. Recovery-focused placements appear to offer experiences that can diminish stigma and encourage more positive perceptions and intentions related to mental health support.
焦虑、抑郁和精神病等心理健康问题是一项全球性的健康挑战。围绕心理健康的污名化现象继续阻碍着精神疾病患者寻求帮助的行为，正如本研究所示，护理专业学生也是如此。然而，如果护理专业学生都不愿为心理健康问题寻求帮助，又怎能期望其他人这样做呢？这种不情愿给心理健康护理带来了挑战，对护理服务和护理教育都产生了影响。本研究旨在探讨传统与非传统心理健康临床实习对二年级护理专业学生污名化观念以及为心理健康问题寻求帮助的意愿的影响。该研究采用前瞻性队列设计，并使用TREND清单，对分配到传统医院式或非传统康复导向型心理健康临床实习的二年级护理专业学生进行了抽样。使用经过验证的量表，在实习前后测量污名化观念和寻求帮助的意愿。进行统计分析以评估这些变量随时间和实习环境的变化。研究观察到实习环境对寻求帮助的意愿有显著影响，非传统实习的学生寻求帮助的意愿有所增加。此外，研究发现非传统实习在所有测量领域都能显著减少污名化观念，这表明这些实习环境可能为培养对心理健康的积极态度提供更有利的环境。以康复为导向的实习似乎能提供一些经历，减少污名化，并鼓励对心理健康支持产生更积极的看法和意愿。
