{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T09:12:31Z","timestamp":1771233151041,"version":"3.50.1"},"reference-count":84,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2023,3,5]],"date-time":"2023-03-05T00:00:00Z","timestamp":1677974400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"national funds","award":["LA\/P\/0053\/2020"],"award-info":[{"award-number":["LA\/P\/0053\/2020"]}]},{"name":"national funds","award":["UIDB\/05704\/2020"],"award-info":[{"award-number":["UIDB\/05704\/2020"]}]},{"name":"national funds","award":["UIDP\/05704\/2020"],"award-info":[{"award-number":["UIDP\/05704\/2020"]}]},{"name":"national funds","award":["CEECINST\/00051\/2018"],"award-info":[{"award-number":["CEECINST\/00051\/2018"]}]},{"name":"Scientific Employment Stimulus-Institutional Call","award":["LA\/P\/0053\/2020"],"award-info":[{"award-number":["LA\/P\/0053\/2020"]}]},{"name":"Scientific Employment Stimulus-Institutional Call","award":["UIDB\/05704\/2020"],"award-info":[{"award-number":["UIDB\/05704\/2020"]}]},{"name":"Scientific Employment Stimulus-Institutional Call","award":["UIDP\/05704\/2020"],"award-info":[{"award-number":["UIDP\/05704\/2020"]}]},{"name":"Scientific Employment Stimulus-Institutional Call","award":["CEECINST\/00051\/2018"],"award-info":[{"award-number":["CEECINST\/00051\/2018"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Evidence highlights the need for professionals to be aware of their stigmatizing attitudes and discriminatory practices in order to minimize the negative impact on the people they take care of. However, nursing students\u2019 perceptions of these issues have been poorly studied. This study explores the perspective of senior undergraduate nursing students on mental health and the stigma around it, by considering a simulated case vignette of a person with a mental health problem. A descriptive qualitative approach was chosen and involved three online focus group discussions. The findings show various manifestations of stigma, both at an individual and collective level, which indicates that it is an obstacle to the wellbeing of people with mental illness. Individual manifestations of stigma concern its effect on the person with mental illness, while at the collective level they concern the family or society in general. Stigma is a multifactorial, multidimensional, and complex concept, in terms of identifying and fighting it. Thus, the strategies identified involve multiple approaches at the individual level, aimed at the patient and family, namely through education\/training, communication, and relationship strategies. At the collective level, to intervene with the general population and specific groups, such as groups of young people, strategies suggested include education\/training, use of the media, and contact with people with mental disorders as ways to fight stigma.<\/jats:p>","DOI":"10.3390\/ijerph20054601","type":"journal-article","created":{"date-parts":[[2023,3,6]],"date-time":"2023-03-06T03:49:08Z","timestamp":1678074548000},"page":"4601","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["\u201cLooking beyond Mental Health Stigma\u201d: An Online Focus Group Study among Senior Undergraduate Nursing Students"],"prefix":"10.3390","volume":"20","author":[{"given":"Olga","family":"Valentim","sequence":"first","affiliation":[{"name":"CINTESIS@RISE, Nursing School of Porto (ESEP), 4200-450 Porto, Portugal"},{"name":"Higher School of Nursing of Lisbon (ESEL), Av. Prof. Egas Moniz, 1600-096 Lisboa, Portugal"},{"name":"Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Av. Prof. Egas Moniz, 1600-096 Lisboa, Portugal"}]},{"given":"L\u00eddia","family":"Moutinho","sequence":"additional","affiliation":[{"name":"Higher School of Nursing of Lisbon (ESEL), Av. Prof. Egas Moniz, 1600-096 Lisboa, Portugal"},{"name":"Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Av. Prof. Egas Moniz, 1600-096 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1080-9535","authenticated-orcid":false,"given":"Carlos","family":"Laranjeira","sequence":"additional","affiliation":[{"name":"Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, Rua de Santo Andr\u00e9\u201466\u201368, Campus 5, 2410-541 Leiria, Portugal"},{"name":"School of Health Sciences, Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Comprehensive Health Research Centre (CHRC), University of \u00c9vora, 7000-801 \u00c9vora, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5021-773X","authenticated-orcid":false,"given":"Ana","family":"Querido","sequence":"additional","affiliation":[{"name":"CINTESIS@RISE, Nursing School of Porto (ESEP), 4200-450 Porto, Portugal"},{"name":"Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, Rua de Santo Andr\u00e9\u201466\u201368, Campus 5, 2410-541 Leiria, Portugal"},{"name":"School of Health Sciences, Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3713-3352","authenticated-orcid":false,"given":"Catarina","family":"Tom\u00e1s","sequence":"additional","affiliation":[{"name":"CINTESIS@RISE, Nursing School of Porto (ESEP), 4200-450 Porto, Portugal"},{"name":"Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, Rua de Santo Andr\u00e9\u201466\u201368, Campus 5, 2410-541 Leiria, Portugal"},{"name":"School of Health Sciences, Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"}]},{"given":"Jo\u00e3o","family":"Longo","sequence":"additional","affiliation":[{"name":"Ribeiro Sanches Higher School of Health (ERISA)\u2013IPLUSO, 1950-396 Lisboa, Portugal"},{"name":"Unidade de Investiga\u00e7\u00e3o e Desenvolvimento em Educa\u00e7\u00e3o e Forma\u00e7\u00e3o (UIDEF), Instituto de Educa\u00e7\u00e3o da Universidade de Lisboa, 1649-013 Lisboa, Portugal"},{"name":"N\u00facleo de Investiga\u00e7\u00e3o em Ci\u00eancias e Tecnologias da Sa\u00fade (NICITeS), Instituto Polit\u00e9cnico da Lusofonia, 1950-369 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5058-525X","authenticated-orcid":false,"given":"Daniel","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Centre for Innovative Care and Health Technology (ciTechCare), Polytechnic of Leiria, Rua de Santo Andr\u00e9\u201466\u201368, Campus 5, 2410-541 Leiria, Portugal"},{"name":"School of Health Sciences, Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Hospital Center of Leiria\u2013Hospital de Santo Andr\u00e9, R. de Santo Andr\u00e9, 2410-197 Leiria, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4459-4950","authenticated-orcid":false,"given":"Jo\u00e3o","family":"Gomes","sequence":"additional","affiliation":[{"name":"School of Health Sciences, Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Hospital Center of Leiria\u2013Hospital de Santo Andr\u00e9, R. de Santo Andr\u00e9, 2410-197 Leiria, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9867-6321","authenticated-orcid":false,"given":"T\u00e2nia","family":"Morgado","sequence":"additional","affiliation":[{"name":"CINTESIS@RISE, Nursing School of Porto (ESEP), 4200-450 Porto, Portugal"},{"name":"School of Health Sciences, Polytechnic of Leiria, Campus 2, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal"},{"name":"Pediatric Hospital, Coimbra Hospital and University Centre, R. Dr. Afonso Rom\u00e3o, 3000-602 Coimbra, Portugal"},{"name":"The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), 3004-011 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8160-5698","authenticated-orcid":false,"given":"T\u00e2nia","family":"Correia","sequence":"additional","affiliation":[{"name":"CINTESIS@RISE, Nursing School of Porto (ESEP), 4200-450 Porto, Portugal"},{"name":"Ribeiro Sanches Higher School of Health (ERISA)\u2013IPLUSO, 1950-396 Lisboa, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2023,3,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e26","DOI":"10.1017\/gmh.2016.20","article-title":"Sustainable development goals and mental health: Learnings from the contribution of the FundaMentalSDG global initiative","volume":"3","author":"Votruba","year":"2016","journal-title":"Glob. Ment. Health"},{"key":"ref_2","unstructured":"(2022, November 24). World Health Organization. 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