{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T04:17:52Z","timestamp":1790309872928,"version":"4.1.0"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:00:00Z","timestamp":1761004800000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Approximately one\u2010third of patients who visit general hospitals have a mental disorder, which is associated with poorer outcomes and higher costs. Caring for these patients can be challenging for nurses, particularly when behaviours such as aggression, wandering, or lack of cooperation occur. To explore how nurses experience caring for patients with medical\u2010psychiatric comorbidities in general hospital wards a qualitative study using semi\u2010structured interviews was conducted. Sixteen registered nurses with varying experience from eight wards in a Dutch university medical centre participated. Data were analysed inductively using Braun and Clarke's thematic analysis. Nurses' experiences were captured in three themes:\n                    <jats:italic>managing emotions<\/jats:italic>\n                    ,\n                    <jats:italic>adapting to contextual factors<\/jats:italic>\n                    and\n                    <jats:italic>building competence<\/jats:italic>\n                    .\n                    <jats:italic>Managing emotions<\/jats:italic>\n                    reflected feelings ranging from frustration to compassion, and strategies such as peer support and rationalisation to cope.\n                    <jats:italic>Adapting to contextual factors<\/jats:italic>\n                    highlighted challenges including time pressures, competing demands and environments ill\u2010suited to mental health needs.\n                    <jats:italic>Building competence<\/jats:italic>\n                    involved learning through experience and emphasised the need for education and multidisciplinary collaboration. Nurses' challenges in caring for patients with medical\u2010psychiatric comorbidities stem less from the patient's behaviour itself than from limited training, organisational structures and systemic barriers. Caring for these patients requires more than individual coping strategies; organisational, educational and interprofessional support are essential to improve care delivery and nurse well\u2010being. Simulation\u2010based training, structured reflection and interprofessional collaboration may strengthen competence and confidence, while organisational adjustments could foster safer and more person\u2010centred care.\n                  <\/jats:p>","DOI":"10.1111\/inm.70156","type":"journal-article","created":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T18:20:34Z","timestamp":1761070834000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Exploring Nurses' Experiences in Caring for Medical\u2010Psychiatric Comorbid Patients: A Qualitative Interview Study"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6347-4558","authenticated-orcid":false,"given":"Ruth","family":"Jong","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Nursing Science Section Erasmus University Medical Center  Rotterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"van den Berg","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Erasmus MC, University Medical Center Rotterdam  Rotterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sigrid C. 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M.","family":"Vervoort","sequence":"additional","affiliation":[{"name":"Department of General Practice and Nursing Science, Julius Center for Health Sciences and Primary Care and Clinical Health Sciences University Medical Center Utrecht and Utrecht University  Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monique","family":"van Dijk","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Nursing Science Section Erasmus University Medical Center  Rotterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,21]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010021\u201003353\u20105"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2015.06.018"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.22605\/RRH4616"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732316654870"},{"key":"e_1_2_15_6_1","volume-title":"Successful Qualitative Research: A Practical Guide for Beginners","author":"Braun V.","year":"2013"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.53841\/bpsqmip.2022.1.33.46"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17228540"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.2307\/1519806"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2016.07.004"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/01612840.2022.2138653"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0969733017700238"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ecns.2016.12.004"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13104\u2010015\u20101264\u2010z"},{"key":"e_1_2_15_15_1","volume-title":"Fourth Generation Evaluation","author":"Guba E. 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