{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T07:08:19Z","timestamp":1788851299099,"version":"build-2803163510"},"reference-count":48,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"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":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Adult acute mental health wards operate under sustained pressure, characterised by high patient acuity, workforce shortages and a focus on risk management that can limit opportunities for therapeutic engagement. Although physical activity is increasingly recognised as beneficial for mental and physical health, there remains limited evidence to guide its implementation within acute inpatient settings. The purpose of this study was to generate practice\u2010relevant insights to inform the design and implementation of feasible physical activity interventions in adult acute mental health wards. A qualitative study was conducted using focus groups across two National Health Service mental health trusts in England. Thirty participants took part, including mental health nurses, multidisciplinary staff and people with lived experience of acute ward care. Data were analysed using reflexive thematic analysis within a multidisciplinary and lived\u2010experience\u2010informed research team. Three interrelated themes were identified. Barriers to implementation reflected the interaction between patient acuity, medication effects, restrictive practices, workforce pressures and ward organisation. Enablers and opportunities included nursing leadership, flexible and relational delivery approaches, staff participation and active involvement of patients in the design of activities and care planning. Participants also highlighted the importance of evaluation approaches that balance feasibility with meaningful patient\u2010centred and ward\u2010level outcomes, including staff wellbeing and ward atmosphere. Physical activity was perceived as both desirable and achievable when adapted to the realities of acute ward environments. These findings address an important evidence gap and can inform the development of context\u2010sensitive, recovery\u2010oriented physical activity interventions aligned with acute inpatient mental health nursing practice.<\/jats:p>","DOI":"10.1111\/inm.70342","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T06:28:41Z","timestamp":1788848921000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cJust (Don't) do It?\u201d Stakeholder Perspectives on Physical Activity Interventions in Adult Acute Mental Health Wards: A Qualitative Thematic Analysis"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0259-8813","authenticated-orcid":false,"given":"Michelle","family":"Glascott","sequence":"first","affiliation":[{"name":"Cumbria, Northumberland, Tyne &amp; Wear NHS Foundation Trust  Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5764-5422","authenticated-orcid":false,"given":"Philip","family":"Hodgson","sequence":"additional","affiliation":[{"name":"Tees, Esk and Wear Valleys NHS Foundation Trust  York North Yorkshire UK"},{"name":"York St. John University  York North Yorkshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1682-9311","authenticated-orcid":false,"given":"Wendy","family":"Hope","sequence":"additional","affiliation":[{"name":"Cumbria, Northumberland, Tyne &amp; Wear NHS Foundation Trust  Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9047-6496","authenticated-orcid":false,"given":"Nicola","family":"Clibbens","sequence":"additional","affiliation":[{"name":"Cumbria, Northumberland, Tyne &amp; Wear NHS Foundation Trust  Tyne UK"},{"name":"Department of Nursing and Midwifery Northumbria University  Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke","family":"Aston","sequence":"additional","affiliation":[{"name":"Durham Recovery College  Durham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5473-3379","authenticated-orcid":false,"given":"Laura","family":"Fleming","sequence":"additional","affiliation":[{"name":"School of Health and Life Sciences Teesside University  Middlesbrough North Yorkshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5479-6652","authenticated-orcid":false,"given":"Alison","family":"Innerd","sequence":"additional","affiliation":[{"name":"School of Health and Life Sciences Teesside University  Middlesbrough North Yorkshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3178-3226","authenticated-orcid":false,"given":"Michael","family":"Graham","sequence":"additional","affiliation":[{"name":"School of Health and Life Sciences Teesside University  Middlesbrough North Yorkshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13384"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40279\u2010019\u201001187\u20106"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000526"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mhpa.2022.100452"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215\u20100366(17)30333\u20104"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12129"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jflm.2024.102709"},{"key":"e_1_2_12_11_1","unstructured":"Care Quality Commission.2017.\u201cThe State of Care in Mental Health Services 2014 to 2017: Findings from CQC's Programme of Comprehensive Inspections of Specialist Mental Health Services.\u201dhttps:\/\/www.cqc.org.uk\/sites\/default\/files\/20170720_stateofmh_report.pdf."},{"key":"e_1_2_12_12_1","unstructured":"Centre for Mental Health.2024.\u201cMental Health Services in the UK in 2023: What the Latest NHS Benchmarking Findings tell us.\u201dhttps:\/\/www.centreformentalhealth.org.uk\/mental\u2010health\u2010services\u2010in\u2010the\u2010uk\u2010in\u20102023\u2010what\u2010the\u2010latest\u2010nhs\u2010benchmarking\u2010findings\u2010tell\u2010us\/."},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/s43586\u2010023\u201000214\u20101"},{"key":"e_1_2_12_14_1","unstructured":"Davidson I.2021.\u201cMental Health \u2013 Adult Crisis and Acute Care; 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