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The lonely swipe: Psychiatric nurses' experiences with technology-mediated social isolation in older adults with depression.

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Titel: The lonely swipe: Psychiatric nurses' experiences with technology-mediated social isolation in older adults with depression.
Autoren: Badawy W; Clinical Psychology, College of Education, King Khalid University, Abha, Saudi Arabia. Electronic address: Wbadwe@kku.edu.sa., Shaban M; Geriatric Nursing Department, Faculty of Nursing, Cairo University, Cairo, Egypt. Electronic address: mostafa.shaban2020@cu.edu.eg.
Quelle: Archives of psychiatric nursing [Arch Psychiatr Nurs] 2025 Dec; Vol. 59, pp. 151987. Date of Electronic Publication: 2025 Oct 31.
Publikationsart: Journal Article
Sprache: English
Info zur Zeitschrift: Publisher: W.B. Saunders Country of Publication: United States NLM ID: 8708534 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8228 (Electronic) Linking ISSN: 08839417 NLM ISO Abbreviation: Arch Psychiatr Nurs Subsets: MEDLINE
Imprint Name(s): Publication: Philadelphia, PA : W.B. Saunders
Original Publication: Orlando, FL : Grune & Stratton, c1987-
MeSH-Schlagworte: Social Isolation*/psychology , Psychiatric Nursing* , Depression*/psychology , Depression*/nursing , Loneliness*/psychology , Attitude of Health Personnel*, Humans ; Qualitative Research ; Female ; Male ; Saudi Arabia ; Aged ; Adult ; Middle Aged
Abstract: Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
Background: Technology-mediated communication has become increasingly prevalent in mental health care, especially among older adults. However, the role of digital platforms in either mitigating or exacerbating social isolation among depressed older adults remains poorly understood from the perspective of frontline psychiatric-mental-health nurses.
Aim: To explore how psychiatric-mental-health nurses experience and navigate technology-facilitated social isolation in older adults with depression.
Methods: A qualitative phenomenological approach was employed to capture the lived experiences of 18 psychiatric-mental-health nurses working in the Abha region of Saudi Arabia. Participants were recruited through purposive sampling and interviewed using semi-structured guides. Data were analysed thematically using Braun and Clarke's six-phase framework, supported by NVivo software.
Findings: Four interrelated themes were identified: (1) Paradox of Virtual Connection-nurses observed digital tools both bridging and deepening isolation; (2) Negotiating Professional Agency-nurses navigated family control, ethical tensions, and surveillance dynamics; (3) Adaptive Care Strategies-nurses developed culturally responsive, hybrid interventions to maintain connection; and (4) Emotional Labour and Reflective Growth-digital fatigue spurred reflective practice and policy advocacy. These themes formed a cyclical relationship, illustrating the complexity of digital care delivery.
Conclusion: Technology offers new pathways for connection but introduces emotional, ethical, and operational challenges in geriatric mental health nursing. Nurses play a crucial role in humanising digital care and advocating for balanced, inclusive, and policy-guided systems. Targeted training, clear telehealth protocols, and emotional support for nurses are critical to ensure equitable and person-centred care in the digital age.
(Copyright © 2025 Elsevier Inc. All rights reserved.)
Contributed Indexing: Keywords: Depression; Digital health; Older adults; Psychiatric nursing; Qualitative research; Social isolation; Tele-mental-health
Entry Date(s): Date Created: 20251119 Date Completed: 20251119 Latest Revision: 20251119
Update Code: 20251121
DOI: 10.1016/j.apnu.2025.151987
PMID: 41260844
Datenbank: MEDLINE
Beschreibung
Abstract:Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.<br />Background: Technology-mediated communication has become increasingly prevalent in mental health care, especially among older adults. However, the role of digital platforms in either mitigating or exacerbating social isolation among depressed older adults remains poorly understood from the perspective of frontline psychiatric-mental-health nurses.<br />Aim: To explore how psychiatric-mental-health nurses experience and navigate technology-facilitated social isolation in older adults with depression.<br />Methods: A qualitative phenomenological approach was employed to capture the lived experiences of 18 psychiatric-mental-health nurses working in the Abha region of Saudi Arabia. Participants were recruited through purposive sampling and interviewed using semi-structured guides. Data were analysed thematically using Braun and Clarke's six-phase framework, supported by NVivo software.<br />Findings: Four interrelated themes were identified: (1) Paradox of Virtual Connection-nurses observed digital tools both bridging and deepening isolation; (2) Negotiating Professional Agency-nurses navigated family control, ethical tensions, and surveillance dynamics; (3) Adaptive Care Strategies-nurses developed culturally responsive, hybrid interventions to maintain connection; and (4) Emotional Labour and Reflective Growth-digital fatigue spurred reflective practice and policy advocacy. These themes formed a cyclical relationship, illustrating the complexity of digital care delivery.<br />Conclusion: Technology offers new pathways for connection but introduces emotional, ethical, and operational challenges in geriatric mental health nursing. Nurses play a crucial role in humanising digital care and advocating for balanced, inclusive, and policy-guided systems. Targeted training, clear telehealth protocols, and emotional support for nurses are critical to ensure equitable and person-centred care in the digital age.<br /> (Copyright © 2025 Elsevier Inc. All rights reserved.)
ISSN:1532-8228
DOI:10.1016/j.apnu.2025.151987