{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T08:10:00Z","timestamp":1773130200758,"version":"3.50.1"},"reference-count":60,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Home-based psychiatric nursing involves distinct challenges compared to inpatient care, including unpredictable care environments, complex family dynamics, and heightened emotional demands. Understanding nurses\u2019 lived experiences is essential for strengthening workforce readiness, resilience, and professional development, particularly in Saudi Arabia where community mental health services are expanding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study explored the lived experiences of home psychiatric nurses in Jeddah, Saudi Arabia, focusing on perceived challenges, coping strategies, emotional resilience, and professional identity development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative interpretive phenomenological design, guided by Van Manen\u2019s phenomenology, was employed to examine nurses\u2019 lived experiences. Resilience Theory informed the exploration of coping mechanisms and emotional adaptation, while Meleis\u2019 Transition Theory provided a conceptual lens for understanding nurses\u2019 professional role transitions from hospital-based to home-based psychiatric care. Semi-structured interviews were conducted with 20 home psychiatric nurses, and data were thematically analyzed to identify patterns of meaning across participants\u2019 narratives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five interrelated themes emerged: (1) Entering Home Psychiatric Care: Preparedness, Training Gaps, and Developing Autonomy; (2) Navigating the Complexity of Home Environments and Workload Demands; (3) Emotional Labor, Compassion Fatigue, and Coping Strategies; (4) Ethical Dilemmas, Safety Risks, and Limited Institutional Support; and (5) Professional Growth, Identity Transformation, and Meaningful Engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Home psychiatric nursing requires competencies beyond traditional hospital-based training, particularly in resilience, ethical decision-making, and adaptive professional practice. Organizational support, targeted training, and clear safety frameworks are critical for sustaining nurses\u2019 well-being and optimizing patient care. These findings offer theoretically informed insights to guide policy, education, and service development in community mental health care in Saudi Arabia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1775451","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T18:37:59Z","timestamp":1773081479000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Understanding home psychiatric nursing: a phenomenological study on nurses\u2019 challenges, emotional resilience, and professional growth in Jeddah, Saudi Arabia"],"prefix":"10.3389","volume":"14","author":[{"given":"Amal I.","family":"Khalil","sequence":"first","affiliation":[{"name":"King Abdullah International Medical Research Center","place":["Jeddah, Saudi Arabia"]},{"name":"College of Nursing, King Saud bin Abdulaziz University for Health Sciences","place":["Jeddah, Saudi Arabia"]},{"name":"Ministry of National Guard Health Affairs (MNGHA)","place":["Jeddah, Saudi Arabia"]},{"name":"Faculty of Nursing, Menoufia University","place":["Shibin El-Kom, Egypt"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sawsan K.","family":"Elgalad","sequence":"additional","affiliation":[{"name":"King Abdullah International Medical Research Center","place":["Jeddah, Saudi Arabia"]},{"name":"College of Nursing, King Saud bin Abdulaziz University for Health Sciences","place":["Jeddah, Saudi Arabia"]},{"name":"Ministry of National Guard Health Affairs (MNGHA)","place":["Jeddah, Saudi Arabia"]},{"name":"Faculty of Nursing, Alexandria University","place":["Alexandria, Egypt"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abeer S.","family":"Esawi","sequence":"additional","affiliation":[{"name":"King Abdullah International Medical Research Center","place":["Jeddah, Saudi Arabia"]},{"name":"College of Nursing, King Saud bin Abdulaziz University for Health Sciences","place":["Jeddah, Saudi Arabia"]},{"name":"Ministry of National Guard Health Affairs (MNGHA)","place":["Jeddah, Saudi Arabia"]},{"name":"Faculty of Nursing, Cairo University","place":["Cairo, Egypt"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1186\/s12912-025-02802-w","article-title":"Exploring the relationship between compassion fatigue, stigma, and moral distress among psychiatric nurses: a structural equation modeling study","volume":"24","author":"Abo Shereda","year":"2025","journal-title":"BMC Nurs"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"839","DOI":"10.1111\/inm.13125","article-title":"Emotional exhaustion and turnover intention among mental health nurses: a cross-sectional study","volume":"32","author":"Alanizi","year":"2024","journal-title":"Int J Ment Health 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