{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T22:00:37Z","timestamp":1790373637745,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"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":["International Nursing Review"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To design the structure and content of a cognitive restructuring intervention for people with depressive symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Given the limited number of psychotherapeutic interventions currently available to mental health nurses, there is a pressing need to develop new evidence\u2010based approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A focus group methodology was used, informed by the findings of a previous scoping review. Data were collected from 11 experts during two focus group sessions and analyzed using content analysis. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was followed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Guidelines have been defined for theoretical conceptualization, inclusion and exclusion criteria, therapeutic objectives, diagnostic assessment tools, clinical practice context, number and duration of sessions, type of the intervention, and session content. The contents were defined and grouped into seven sessions and a prior evaluation session: (1) welcome; (2) exploration; (3) identification; (4) understanding; (5) change; (6) consolidation; and (7) follow\u2010up session.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The design of the intervention will allow it to be applied in a structured and uniform way, enabling the evaluation of its efficacy and contributing to the advancement of research in the field of mental health nursing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The focus group made it possible to design a structured cognitive restructuring intervention that could be applied by mental health nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nursing<\/jats:title>\n                    <jats:p>The developed intervention provides a structured framework that may support future nurse\u2010led psychotherapeutic care and inform the evolution of mental health nursing practice and education, pending validation through feasibility and effectiveness studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Health Policy<\/jats:title>\n                    <jats:p>If validated in future studies, the intervention may inform guidelines and policies supporting nurse\u2010led psychotherapeutic care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/inr.70220","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T08:59:43Z","timestamp":1788512383000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cognitive Restructuring for Depressive Symptoms Applied by Mental Health Nurses: Designing the Structure and Contents"],"prefix":"10.1111","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1524-8693","authenticated-orcid":false,"given":"Bruno","family":"Santos","sequence":"first","affiliation":[{"name":"Universitat Rovira i Virgili, Campus Catalunya  Tarragona Catalonia Spain"},{"name":"Escola Superior de Sa\u00fade da Cruz Vermelha Portuguesa, Alto T\u00e2mega  Chaves, Vila Real Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1174-0744","authenticated-orcid":false,"given":"Lara Guedes","family":"Pinho","sequence":"additional","affiliation":[{"name":"Escola Superior de Sa\u00fade, Universidade Polit\u00e9cnica de Viana do Castelo  Viana Do Castelo Portugal"},{"name":"Health Sciences Research Unit: Nursing (UICISA:E) Universidade Polit\u00e9cnica de Viana do Castelo  Viana do Castelo Portugal"},{"name":"Comprehensive Health Research Centre 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