{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T09:23:49Z","timestamp":1787649829972,"version":"build-2736575974"},"reference-count":57,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Mental Health Nurs"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>To explore trainee Advanced Nurse Practitioners' clinical experience and professional preparedness in managing personality disorder presentations within primary care. A qualitative descriptive study using semi\u2010structured interviews and inductive thematic analysis. Between July and December 2024, 10 trainees enrolled at Ulster University completed online semi\u2010structured interviews. Data were analysed using Braun and Clarke's reflective thematic analysis framework, with rigour enhanced through triangulation. Four themes emerged: perceptions of patient attendance and engagement, workplace challenges, reflections on clinical experience and educational readiness. Participants described feeling underprepared for consultations, particularly around assessment, diagnosis and intervention. Limited training, time constraints, lack of clear pathways and systemic barriers were highlighted. Emotional strain and uncertainty often influenced clinical encounters. Participants emphasised the need for targeted continuing professional development, structured mentorship and crisis management training to build confidence and competence. Trainees face significant challenges in providing care for individuals with personality disorder in primary care. Missed opportunities in care were linked to limited training, systemic constraints and the emotional complexity of presentations. Strengthening psychiatric content in advanced practitioner curricula, alongside mentorship and organisational support, is essential for safe and effective practice. This study demonstrates the need for personality disorder\u2010specific education, access to interdisciplinary mentorship and policy\u2010level changes to support effective care in community settings. The study adhered to COREQ reporting guidelines. This study did not include patient or public involvement in its design, conduct or reporting.<\/jats:p>","DOI":"10.1111\/inm.70299","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T07:40:30Z","timestamp":1783323630000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Qualitative Exploration of Trainee Nurse Practitioners' Experiences and Readiness to Provide Care for Borderline Personality Disorder in Primary Care"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-8940-7697","authenticated-orcid":false,"given":"Lisa Marie","family":"Riddell","sequence":"first","affiliation":[{"name":"Institute of Nursing and Health Research Ulster University  Belfast UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9268-9032","authenticated-orcid":false,"given":"Sophie","family":"Scott","sequence":"additional","affiliation":[{"name":"Institute of Nursing and Health Research, School of Nursing &amp; Paramedic Sciences Ulster University  Derry\/Londonderry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8200-9732","authenticated-orcid":false,"given":"Felicity","family":"Hasson","sequence":"additional","affiliation":[{"name":"Institute of Nursing and Health Research, School of Nursing and Paramedic Science Ulster University  Belfast UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"key":"e_1_2_14_2_1","unstructured":"American Association of Nurse Practitioners.2022.\u201cWhat's a Nurse Practitioner (NP)?\u201dhttps:\/\/www.aanp.org\/about\/all\u2010about\u2010nps\/whats\u2010a\u2010nurse\u2010practitioner."},{"key":"e_1_2_14_3_1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_14_5_1","unstructured":"American Psychiatric Association.2022.\u201cPersonality Disorders\u201d[Online].https:\/\/www.psychiatry.org\/patients\u2010families\/personality\u2010disorders."},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1092852924000270"},{"key":"e_1_2_14_7_1","volume-title":"Qualitative Research\u2014A Practical Guide for Health and Social Care Researchers and Practitioners","author":"Ayton D.","year":"2023"},{"issue":"1","key":"e_1_2_14_8_1","first-page":"750","article-title":"The Potential Uses of Pilot Study in Qualitative Research","volume":"3","author":"Aziz A.","year":"2020","journal-title":"Journal of Research and Reviews in Social Sciences Pakistan"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.7748\/ns.29.46.36.e8830"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540260601109422"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.158.2.295"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-69909-7_3470-2"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744987120927206"},{"key":"e_1_2_14_14_1","volume-title":"Understanding the Experiences of Healthcare Professionals Regarding Personality Disorder SANE Australia","author":"Carotte E.","year":"2019"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2019.28.13.842"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1192\/pb.bp.116.055251"},{"key":"e_1_2_14_17_1","volume-title":"Mental Health Action Plan","author":"Department of Health","year":"2020"},{"key":"e_1_2_14_18_1","volume-title":"Mental Health Strategy 2021\u20132031, Northern Ireland","author":"Department of Health","year":"2021"},{"key":"e_1_2_14_19_1","volume-title":"Personality Disorder: A Diagnosis for Inclusion: The Northern Ireland Personality Disorder Strategy","author":"Department of Health, Social Services and Public Safety (DHSSPS)","year":"2010"},{"issue":"182","key":"e_1_2_14_20_1","first-page":"1","article-title":"Practice Pathways, Education, and Regulation Influencing Nurse Practitioners' Decision to Provide Primary Care: A Rapid Scoping Review","volume":"25","author":"Elvidge N.","year":"2024","journal-title":"BMC Primary Care"},{"issue":"1","key":"e_1_2_14_21_1","first-page":"1","article-title":"Nationwide Evaluation of the Advanced Clinical Practitioner Role in England: A Cross\u2010Sectional Survey","volume":"12","author":"Fothergill L. 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