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Table 2 Basic information on eligible studies

From: The integration and associated challenges of Mental Health Competencies in Undergraduate Nursing Education: a scoping review

Author & Publication Year (the years were not provided due to the citation style)

Title

Journal

Location

Design or method

Data Source

Data Analysis

Key Findings

Alexander et al. [52]

Mental health simulation with student nurses: A qualitative review.

Clinical Simulation in Nursing

Australia

A qualitative study

Semi-structured focus group

Thematic analysis

The study identified challenges in teaching mental health nursing, such as the need for nontraditional teaching methods and difficulty bridging theory and practice.

Atashzadeh-Shoorideh et al. [15]

Effectiveness of implementation of “mental health nursing students’ clinical competency model” on academic performance of nursing students

F1000Research

Iran

Quantitative study (Semi experimental research)

Pre and post-intervention using a Likert scale

SPSS software-version 21.

The study revealed a significant improvement in the nursing students’ clinical competency level when the “mental health nursing students’ clinical competence model” was implemented.

Benjenk et al. [26]

Overcoming the Dual Stigma of Mental Illness and Aging: Preparing New Nurses to Care for the Mental Health Needs of Older Adults

The American Journal of Geriatric Psychiatry

USA

A qualitative study

Semi-structured, in-depth interviews

A thematic analysis approach

The study highlighted persistent mental health prejudices among the challenges hindering the integration of mental health competence into undergraduate nursing education.

Choi et al. [53]

Clinical Education in Psychiatric Mental Health Nursing: Overcoming current challenges

Nurse Education Today

South Korea

Mixed-method study

Structured questionnaires and open-ended questions

Quantitative data were analysed with IBM SPSS 22, while open-ended questions were analysed qualitatively.

Mental health competencies are integrated into undergraduate nursing education by introducing a curriculum for an undergraduate mental health nursing clinical practicum.

Felton and Wright [54]

Simulation in mental health nurse education: The development, implementation, and evaluation of educational innovation.

Nurse Education in Practice

United Kingdom (UK)

A mixed-methods study

A questionnaire which includes included both open (free text response) and Likert scale questions was used

Descriptive statistics was used to analyse quantitative data, while the qualitative data was analysed thematically

Students perceived the simulation scenarios as reflective of real-life situations encountered in mental health settings

Graham, et al. [55]

Educating the Educators: Determining the Uniqueness of Psychiatric Nursing Practice to Inform Psychiatric Nurse Education

Issues in Mental Health Nursing

Canada

A mixed method Study (Quantitative Survey design incorporating focus group)

Survey and focus group

Statistical Package for the Social Sciences and Thematic analysis of narrative survey responses and focus group transcripts

The study highlights the importance of comprehensive knowledge of mental health, mental illness, and addictions in psychiatric nursing practice.

Harmon and Hills [56]

Transforming psychiatric mental health nursing education with team-based learning.

Archives of Psychiatric Nursing

United States of America (USA)

A quantitative (An uncontrolled before and after design)

Practice exit examination scores using student-reported Study Time

SPSS version 22.0

Mental health competencies are integrated into undergraduate nursing education through a Team-Based Learning (TBL) instructional approach in an undergraduate Psychiatric-Mental Health (PMH) course.

İnan et al. [57]

The Impact of Mental Health Nursing Module, Clinical Practice and an Anti-Stigma Program on Nursing Students’ Attitudes toward Mental Illness: A Quasi-Experimental Study

Journal of Professional Nursing

Turkey

Quantitative quasi-experimental design

Socio-demographic Information Form, the Beliefs Toward Mental Illness Scale (BMI) and the Social Distance Scale

Statistical Package for the Social Sciences (SPSS), Version 16.0

Mental health competencies are integrated into undergraduate nursing education through the mental health nursing module and the integration of an anti-stigma program in the module in clinical practice.

Jacobs and Venter [31]

Standardised patient-simulated practice learning: A rich pedagogical environment for psychiatric nursing education.

African Journal of Health Professions Education

South African

A qualitative study

An open-ended questionnaire

A qualitative inductive method of data analysis

Simulation helps to build confidence in undergraduate nursing students in mental health

Jacobs [58]

The benefits of experiential learning during a service-learning engagement in child psychiatric nursing education.

African Journal of Health Professions Education

South Africa

A qualitative study

Structured reflection reports

A thematic analysis approach

The study identified challenges such as intercultural communication and collaboration, suggesting areas where nursing students may face difficulties integrating mental health competencies into their education.

Lockertsen et al. [16]

Second-year undergraduate nursing students’ experiences with clinical simulation training in mental health clinical practice: A focus group study.

Nurse Education in Practice

Norway

A qualitative study

Focus group interviews

Systematic text condensation.

Mental health competencies are integrated into undergraduate nursing education through the use of simulations.

Marriott et al. [59]

Nurse Educators’ Pedagogical Approaches Addressing Student Nurses’ Mental Health Care Competence: A Qualitative Study.

Issues in Mental Health Nursing

Norway

A qualitative study

Individual interviews

Inductive qualitative content analysis

Educators actively encourage nursing students emotionally, ethically, and cognitively to influence their attitudes, perspectives, and empathy.

Rahmani et al. [60]

Nurses’ experiences of the causes of their lack of interest in working in psychiatric wards: a qualitative study.

BMC Nursing

Iran

A qualitative study

Unstructured interviews

Conventional content analysis approach

Stigmatisation negatively affects nurses’ morale.

Rodríguez-Almagro et al. [61]

Level of Stigma among Spanish Nursing Students toward Mental Illness and Associated Factors: A Mixed-Methods Study

International journal of environmental research and public health

Spain

A mixed-methods study

Questionnaires and interviews

An SPSS v. 24.0 was used for the quantitative analysis, while Atlas.ti programme was used for the qualitative analysis.

Mental health competencies are integrated into undergraduate nursing education through theoretical training in psychiatry and mental health.

Shen et al. [62]

Exploring the experience of undergraduate nursing students following placement at psychiatric units in China: A phenomenological study.

Nurse Education in Practice

China

A qualitative study

Semi-structured face-to-face, in-depth interviews

Data were analysed using Colaizzi’s seven-step analysis method.

Psychiatric placements served to reduce stigmatising attitudes among nursing students, emphasising the importance of direct engagement with individuals with mental illness in changing perceptions.

Şengün et al. [63]

The Effect of a Peer Education program on nursing students’ beliefs Toward mental illnesses and their Career Choices

Perspectives in Psychiatric Care

Turkey

A quantitative study (Quasi-experimental pre- and post-test follow-up design)

Pretest, postintervention (post-test 1), and 6 months after (post-test 2) the intervention. (Questionnaire)

Quantitative data analysis using the Kolmogorov–Smirnov test. The BMI subsection’s mean scores were compared using the Friedman test and further analysis using a paired Wilcoxon test with Bonferroni correction.

Interventions such as peer education (PE) programs effectively change negative beliefs and increase interest in psychiatric nursing as a career choice among nursing students.

Terry [49]

In the middle: A qualitative study of talk about mental health nursing roles and work.

International Journal of Mental Health Nursing,

United Kingdom (UK)

A qualitative study

Individual interview

A thematic analysis approach

Findings underscore the complexity of mental health nursing roles and the challenges in articulating these roles within the healthcare system.