Evidence map›Paper›PMID 39118420›Full record

ArticleJournal of psychiatric and mental health nursing2025

Non-traditional mental health clinical placements: An effective means for reducing self-stigma in pre-registration nursing students.

Christopher Patterson, Michelle Roberts, Taylor Yousiph, Georgia Robson, Kelly Lewer, Elissa-Kate Jay, Lorna Moxham

Abstract read
In one paragraph

Article in Journal of psychiatric and mental health nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Christopher PattersonFaculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.ORCID https://orcid.org/0000-0002-2371-8811
Michelle RobertsFaculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.ORCID https://orcid.org/0000-0002-4287-3091
Taylor YousiphFaculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.ORCID https://orcid.org/0000-0001-6746-7914
Georgia RobsonFaculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.
Kelly LewerFaculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.
Elissa-Kate JayFaculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.ORCID https://orcid.org/0000-0002-1748-0077
Lorna MoxhamFaculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.ORCID https://orcid.org/0000-0002-4127-6383

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

what is known on the subjectPre-registration nursing students report high rates of stigma, leading to low help-seeking attitudes when seeking help for mental health issues. Traditional mental health clinical placements can improve stigma related to attitudes and social distance for pre-registration nursing students. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE: There are nil recorded clinical placement interventions that have decreased self-stigma for pre-registration nursing students, with this study highlighting a clinical placement model that is effective in significantly decreasing self-stigma. IMPLICATIONS FOR PRACTICE: The knowledge around the mental health struggles experienced by pre-registration nursing students, and the effect of a non-traditional mental health placement in decreasing self-stigmatizing attitudes in this population, is important for the future of retaining mental health nurses. There is an opportunity to use the clinical placement model presented, and design interventions for nursing students that aims to promote help-seeking behaviours. ABSTRACT:

introductionTraditional mental health clinical placements can improve pre-registration nurse stigma toward mental illness, particularly in measures of attitudes and social distance. However, they have not yet been shown to improve self-stigma, which affects mental health disclosure and help-seeking behaviour.

aimThe present study investigates nursing students' stigma following a non-traditional mental health placement immersed alongside people living with mental illness.

methodsThree stigma subtypes were measured using the Opening Minds Scale for Healthcare Providers: Attitudes, Social Distance, and Disclosure/Help-seeking.

resultsPre-registration nurses (N = 848) completed the instrument pre- and post-placement. A multivariate analysis of variance (MANOVA) identified a large effect of placement on stigma (p < .001, DISCUSSION: These findings emphasize that attending a non-traditional mental health clinical placement can effectively reduce multiple types of nursing student stigma. LIMITATIONS: Further research in this area could focus on which attributes of the clinical placement setting foster positive help-seeking. IMPLICATIONS: These results are noteworthy for stigma surrounding disclosure/help-seeking, as traditional (i.e. hospital-based) mental-health clinical placements have been found ineffective in reducing nursing student stigma in this domain. RECOMMENDATIONS: Further research into the effectiveness of non-traditional clinical placements in reducing nursing students' stigma regarding mental health disclosure and help-seeking, is required.

Indexed as

Psychiatric NursingSocial StigmaStudents, NursingAdultAttitude of Health PersonnelFemaleHumansMaleMental DisordersYoung Adultclinical placementmental healthnursing educationself‐stigmatizing attitudesstigma

Identifiers

PMID39118420
PMCPMC11704999

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.