Evidence map›Paper›PMID 40159928›Full record

ReviewNursing in critical care2025

ICU nurses' perceptions of patients with co-morbid mental health disorders: An integrative review.

Angela Teece, John Baker

Abstract readReview
In one paragraph

Review in Nursing in critical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

2 authors.

Angela TeeceLecturer in Adult Nursing, University of Leeds, Leeds, UK.ORCID https://orcid.org/0000-0001-9001-2619
John BakerChair of Mental Health Nursing, University of Leeds, Leeds, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of patients with a mental health (MH) disorder in intensive care units (ICU) is roughly twice that of other secondary care areas. This patient group can struggle to access the health care system because of stigma. Nurses' perceptions of MH patients in the Emergency Department have been studied and were associated with avoidance, misconceptions and perceived lack of skills to manage this patient group; however, it was unclear if similar issues were present amongst ICU nurses.

aimThis review aimed to explore how nurses perceive ICU patients with a co-morbid MH disorder. STUDY

designAn integrative review was undertaken in March 2024 using CINAHL, Medline, Embase and PsychInfo to synthesize empirical and theoretical evidence from a range of different research approaches. A five-step approach (problem identification, literature search, data evaluation using the Mixed Methods Appraisal tool, data analysis and presentation) was followed. Papers were included if they focused on nurses' perceptions of adult ICU patients with a co-morbid MH disorder. Totally, 620 studies were identified following duplicate removal.

resultsEight studies were selected for inclusion. Four themes were identified: (1) 'Those types of patient', (2) Patients with MH disorders are all violent and aggressive, (3) 'They' don't belong in ICU and (4) 'They' need someone with special skills. The themes explored issues of preconceptions, stigma and 'othering'.

conclusionsThere was a paucity of research on this topic, and it was limited in geographical area. The findings suggest that stigma, misconceptions, a lack of support and a perceived lack of skills might lead nurses to deliver suboptimal care to this vulnerable patient group. RELEVANCE TO CLINICAL PRACTICE: Stigma against patients with MH disorders could lead ICU nurses to reduce their engagement with them, impacting negatively on the provision of holistic care. Education and ongoing support are required to reduce misconceptions and bias and increase nurses' confidence when managing patients with co-morbid MH disorders.

Indexed as

Attitude of Health PersonnelCritical Care NursingMental DisordersPerceptionAdultComorbidityHumansIntensive Care UnitsSocial Stigmabias and stigmaICU nursingmental health

Identifiers

PMID40159928
PMCPMC11955816

What OpenQuestion holds

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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.