A systematic review was conducted. So, electronic database including CINAHL, Embase, MEDLINE, Pubmed, Scopus and Cochrane‐Central were explored in January 2017 and in October 2017. The aim of this systematic review is to identify, appraise and synthesize the best evidence for the effectiveness of programmes of positive mental health in adults. Mental health is regarded as an ideal functioning state of the human being, which emphasizes the relevance of promoting the person's qualities in the optimization of their potential. Mental health is not inert and definitive but a dynamic and variable state. Studies were reviewed and data extracted by two independent reviewers using Joanna Briggs Institute standardized critical appraisal and data extraction instruments. Six studies met the inclusion criteria for the analysis. However, a meta‐analysis could not be performed. The results suggest that positive mental health programmes improve adults’ mental condition, although there is neither evidence of content formalization nor of programme sessions criteria. The review findings indicate that interventions promoting positive mental health of young adults can be implemented effectively in community settings with various programmes and results.

Background: The relationship between the nurse and the patient with mental health disorder is crucial to the recovery process. Thus, patients with mental health disorders should be active subjects in this relationship by having autonomy and self-determination. Methods: This study aimed to explore the perspectives of adult patients with mental health disorders on the relationship with nurses. A qualitative, descriptive, and exploratory study was conducted in March 2023, using focus group meetings in an association to support patients with severe mental health disorders in the Northern region of Portugal. The study followed the Consolidated Criteria for Reporting Qualitative Research (COREQ). A total of 8 patients participated in the study. Two focus group meetings were conducted. The inductive method was used, and content analysis of the transcripts was performed. The QDA Miner Lite 4.0 and Microsoft Excel were used for content analysis. Results: Participants considered the relationship with nurses important for their recovery and expected nurses to provide support and help, being able to identify their needs, thus personalising their care. Attitudinal and communication aspects were also considered crucial for establishing a solid, trusting, and meaningful relationship. Conclusion: According to the findings nursing care is expected to focus on the patient, his/her preferences, expectations, and the uniqueness of each individual. The results of this study may be useful for the reflection and improvement of nurses in their relational and communication skills and the driving force for nursing students’ awareness of the perspective of the relationship with patients with mental health disorder and its relevance.

Accessible Summary: What is known on the subject?: The literature shows a clear relationship between a good therapeutic relationship (TR) and the efficacy of nursing interventions. For the implementation of nursing psychotherapeutic interventions, the initial establishment of a good TR is essential. Several instruments assess the relationship established between the therapist and the patient in psychotherapy. However, no tool has been found to assess the quality of the TR established between the nurse and the patient. What this paper adds to existing knowledge?: This study allowed the development and evaluation of the psychometric properties of a scale to assess the TR between the nurse and the patient in a sample of mental health nurses. The developed scale (Therapeutic Relationship Assessment Scale‐Nurse) has psychometric properties that attest its reliability (internal consistency and test–retest) and construct validity as an instrument to assess the quality of the TR established between the nurse and the patient from the nurse's perspective. What are the implications for practice?: As the TR is crucial for providing nursing care and, in particular, for implementing nursing psychotherapeutic interventions, the scale developed is a valid tool to assess the quality of the TR established between the nurse and the patient in the perspective of the mental health nurse. The use of instruments to assess the quality of the nurse–patient TR facilitates the identification of the relationship's gaps, which can serve as a basis for improving the relationship itself and the nursing care provision. Introduction: The therapeutic relationship (TR) is essential to providing psychiatric and mental health nursing care. Nevertheless, no assessment tools exclusive for assessing nursing TR were found in the literature.Aim: To describe and evaluate the psychometric properties (reliability and construct validity) of a scale that allows assessing the quality of TR established between the nurse and the patient.Method: A survey method was adopted, using a convenience sample of 356 mental health nurses. Internal consistency was assessed by Cronbach's alpha and Omega index.Results: A total of 221 mental health nurses participated in the study (response rate = 62.08%). The scale's final structure has 25 items. Cronbach's alpha was 0.93, ranging from 0.78 to 0.88 for each of the factors. The cumulative variance explained in a four‐factor structure was 71.12%.Discussion: The Therapeutic Relationship Assessment Scale (TRAS)‐Nurse presents good psychometric properties. In the light of Benner's theory, it can be an useful tool for novice nurses to better understand what aspects they should pay attention to for establishing a successful TR.Implications for Practice: Mental health nurses can use the TRAS‐Nurse, thus having a scale available that allows them to self‐assess the quality of TR they establish with their patients.

INTRODUÇÃO: O conceito de “relação de ajuda” é amplamente utilizado pelos profissionais de Enfermagem e, sobretudo, pelos enfermeiros de Saúde Mental e Psiquiatria. Porém, existem lacunas no que diz respeito à sua definição e às suas características, o que dificulta a sua implementação na prestação de cuidados. OBJETIVO: Mapear a literatura relativa à relação de ajuda como intervenção de Enfermagem. MÉTODOS: realizada pesquisa na MEDLINE with full text via EBSCOhost, CINAHL Plus with full text via EBSCO, Web of Science Core Collection via Web of Science, Scopus via B-on, ScienceDirect via B-on e consulta das referências bibliográficas dos artigos incluídos. O instrumento de extração de dados foi elaborado com base no modelo preconizado pelo Joanna Briggs Institute. RESULTADOS: Pela pesquisa direta em bases de dados resultaram 729 artigos. Foram 13 os registos adicionais identificados através de outras fontes. O enfermeiro pode executar a relação de ajuda e para tal deve primar pela capacidade de escuta, empatia, aceitação e respeito. As principais necessidades nas quais a relação de ajuda profissional pode ser útil são a ansiedade, a tristeza e o luto. A concretização da relação de ajuda deve incluir um conjunto de sessões nas quais são executadas técnicas, como a escuta ativa. CONCLUSÕES: A relação de ajuda, no domínio da Enfermagem, visa satisfazer uma necessidade da pessoa sendo ela, necessariamente, detentora de todos os recursos para a resolução da mesma. Implica que o enfermeiro reúna um conjunto de atitudes e desenvolva diferentes ações para levar a cabo a relação de ajuda como intervenção de Enfermagem.

Work is fundamental to an individual’s mental health; however, an unfavourable work environment can lead to mental health problems. Despite existing studies addressing workers’ mental health, it is essential to understand the reality of specific contexts to design effective tailored interventions. Thus, this study aimed to examine the influence of potential protective and vulnerability factors on municipal workers’ depressive symptoms, anxiety and stress levels, and burnout. A cross-sectional study was conducted with data collection performed between July and December 2021 using online self-report measures. The sample comprised 115 municipal workers. The findings revealed that psychological vulnerability is a significant vulnerability factor for the presence of mental health symptoms. In addition, job satisfaction was found to be a significant protective factor for depressive symptoms, anxiety, and burnout of the municipal workers. The results of this study enhance the understanding of factors that influence worker mental health, which may facilitate the proper planning of specific interventions to promote mental health in the workplace.

PURPOSE: Cultural adaptation and psychometric properties assessment of the Nursing Outcomes Classification (NOC) outcome “Cognition” in a sample of Portuguese adults with mental illness. METHODS: Methodological study. FINDINGS: The final European Portuguese version of the NOC outcome “Cognition”, consisting of 13 items, showed good psychometric properties. An exploratory factor analysis was performed from which only one factor was established. CONCLUSIONS: The European Portuguese version of the NOC outcome “Cognition” seems to gather very satisfactory psychometric properties for assessing cognition in the Portuguese population. IMPLICATIONS FOR NURSING PRACTICE: This study contributed to advance the nursing body of knowledge and to better assess cognition in a clinical context.