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Purpose: The aim of this paper is to report the specific views and experiences of lesbians and identify their distinct mental health issues and concerns. Design and methods: A mixed-methods design with surveys and individual interviews was utilized. The data were thematically analyzed. Findings: The key themes were (a) enabling service access, (b) person-centered support, (c) models of care, (d) community presence and participation, and (e) future aspirations for mental health services. Practice implications: The study results inform and develops the understanding of the issues that impact upon the mental health and well-being of lesbians. The implications for mental health practice are discussed. [ABSTRACT FROM AUTHOR]

Purpose: Academic positions for consumers of mental health services remain rare despite positive evaluation. This paper considers the benefits and challenges of a consumer academician position, from perspectives of stakeholders involved in the implementation. Design and Methods: Qualitative, exploratory involving in‐depth interviews with academicians. Thematic analysis identified the main benefits and challenges. Findings: Benefits identified included lived experience perspective and facilitates interaction and reflection; demonstrating recovery and promoting person centered care. Challenges identified included process, too close to home, and too little too late. Practice Implications: Enhanced understanding of consumer academician positions could increase effectiveness and maximize educational opportunity. [ABSTRACT FROM AUTHOR]

Background: This paper has attempted to explore views of patients with severe mental illness and their care providers about sharing sexual problems with care providers in these patients within the context of Iran. Method: A total of 17 in‐depth semi‐structured interviews were conducted in one of the psychiatric hospital in Tehran: 4 with patients, 2 with patient's family, and 11 with health providers who had been employed for 5 years in psychiatric wards at least. All participants were selected by purposive sampling. Using conventional qualitative content analysis data reduction was done. Findings: A total of 89 codes about the reasons for lack of communication between clinician and patients, about sexuality were extracted. These are classified in two categories. The first is "Clinicians avoidance from addressing sexual issues" and second is "Patients avoidance from expressing their sexual problems." Conclusion: Despite having sexual needs, severe mental illnesses patients do not disclose it due to poor communication between clinician and patients, about sexuality. So, physician had to be pioneer in communicating with them. Therefore, to enhance clinicians' sexual knowledge and effective communication skills with patients, especially those with severe mental illnesses, training is completely necessary. [ABSTRACT FROM AUTHOR]

Abstract: Background: Healthy spousal communication of marital and sexual expectations is one of the most important factors to improve the quality of sexual relations in marriage. Objectives: This paper has attempted to explore women's expectations of men for having pleasurable sex in a monogamous and steady sexual relationship within the context of Iran. Methods: In this qualitative study, 20 interviews were conducted in Tehran from December 2013 to May 2014. Participants were recruited using purposive sampling, face‐to‐face, in‐depth, and semistructured interviews. The collected data were analyzed using qualitative conventional content analysis. The research was designed with regard to Lincoln and Guba's four major rigor criteria in qualitative investigation. Results: Women's expectations for having enjoyable sex were classified in two areas: (1) marital components and (2) sexual components. Marital components included romantic relationships, attention, respect and admiration, appreciation, man's loyalty, and having compatibility. Sexual components included enough sexual skills, good sexual function, and commitment to equity in sex. Conclusions: This research helps to identify women's expectations for having a gratifying sexual relationship and thus contributes to enhanced sexual satisfaction, as well as marital stability and continuity. [ABSTRACT FROM AUTHOR]

PURPOSE To explore the experiences of mental health workers and perceptions of their role and the scope of their work. DESIGN AND METHODS Qualitative design. Twenty interviews were conducted with mental health workers. Interviews were analyzed using thematic analysis. FINDINGS Three overarching themes were identified. In this paper the overarching theme of 'dimensions of my role' is discussed. Subthemes were (a) information and education, (b) person-centered care, and (c) networking and partnerships. PRACTICE IMPLICATIONS Professional development, networking, and partnerships underpin the provision of coordinated services and ultimately person-centered care. Enhancing staff capacity building may also enable sustainability of appropriate quality services. [ABSTRACT FROM AUTHOR]

Purpose: To explore perceptions of nurses and patients regarding sexual intimacy in a long‐term mental health unit. Design and Methods: Qualitative exploratory design including in‐depth semi‐structured individual interviews with 12 registered nurses and 10 long‐term patients of a forensic mental health hospital. Findings: The theme of supporting sexual intimacy was identified and described in this paper and included the following subthemes for nurses: It depends on the setting, need for guidelines and consent, and for patients—it depends on the setting; and need for support. Practice Implications: The findings suggest that current guidelines regarding sexual intimacy in acute inpatient settings may not be appropriate in long‐term facilities, with a need for guidelines to specifically address this setting. Furthermore, support for sexual intimacy needs of patients was identified as a strong need for patients and they believed not currently met. Nurses have an important role to play as part of their holistic approach to care and barriers to providing this aspect of care must be overcome to ensure patients' rights are respected. [ABSTRACT FROM AUTHOR]

Purpose: This paper examines the findings from an exit interview with a cardiometabolic health nurse (CHN) following a 26‐week trial. Design and Methods: The CHN participated in a semi‐structured exit interview following completion of the 26‐week trial. Applied thematic analysis was used to identify themes contained in the resultant transcript. Findings: Contrary to the literature, the CHN did not consider additional training necessary to undertake the role. The CHN felt additional information regarding the research implications of the trial and greater organizational support would contribute to better consumer and health service outcomes. Practice Implications: While personally rewarding, more can be done to help the CHN role reach its potential. [ABSTRACT FROM AUTHOR]

Purpose The purposes of this paper are to (a) identify theoretical underpinnings of malingering, (b) to discuss interview and intervention techniques based on pertinent literature, and (c) to offer an organized mnemonic to help clinicians easily identify possible malingered psychosis presentations. Conclusion Detecting the malingering of psychotic symptoms is a challenging task for Advanced Practice Psychiatric Nurses. Diagnosing a patient of malingering requires caution on the clinician's part. Practice Implications A thorough understanding of potential signs of malingering vs. genuine psychosis is needed as well as knowledge of legal ramifications. [ABSTRACT FROM AUTHOR]

PURPOSE: This paper addresses the conceptual wrangle that occurred during the initial stages of a grounded theory doctoral study into the nature of moral distress within multidisciplinary teams (MDTs) working within the acute mental health services in the Republic of Ireland. DESIGN AND METHODS: While grounded theory methodology directs that face sheet data (biographical details) are not collected unless they emerge as significant events within the data, practitioners within this study were asked to describe the structure, formulation, and practice of their team prior to interview, in order to establish the field of study. FINDINGS: Early analysis of the responses revealed that of 32 multidisciplinary members interviewed, none agreed on structure, formulation, and practice of their MDT. PRACTICE IMPLICATIONS: This finding suggests that caution needs to be taken in assuming a common understanding of the concept of MDT in research, policy formation, and team development. [ABSTRACT FROM AUTHOR]