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Is mental health nursing facing a slow death or clinical excellence and advancement? Future perspectives for the Flemish context (Belgium)

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Abstract
Aims: To critically and constructively explore the future of mental health nursing in Flanders (Belgium) by examining the historical evolution, current challenges, and potential strategies for clinical excellence and advancement. Design: This study used a historically informed and contextualised grounded analyses to envision future perspectives that support strategically targeted perspectives in compact regions such as Flanders (Belgium). Methods: A synthesis of published literature, policy documents, academic sources, and Flemish nursing research was conducted to identify key directions. Results: By addressing local challenges, particularly related to education and labor market scarcity, this paper proposes three key directions for progress: ‘Back to good basics’, ‘Reclaiming the driver's seat of clinical advancement’ and ‘Revitalizing clinical excellence from within clinical nursing practice’. Impact: These interlinked perspectives provide a framework for revitalising mental health nursing in Flanders, supporting clinical excellence and development while responding to the most pressing contemporary challenges. Although rooted in a compact regional context, the insights and proposed directions may inspire similar reflections and initiatives in international mental health nursing contexts.
Keywords
advance practice nursing, clinical nursing research, nurse–patient relationship, nursing education, psychiatric nursing, CARE, HISTORY, EXPERIENCE, NURSES, COMMUNITY, FRAMEWORK

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MLA
Desmet, Karel, et al. “Is Mental Health Nursing Facing a Slow Death or Clinical Excellence and Advancement? Future Perspectives for the Flemish Context (Belgium).” JOURNAL OF ADVANCED NURSING, 2026, doi:10.1111/jan.70551.
APA
Desmet, K., Luts, I., Antierens, A., Deproost, E., Vandecasteele, T., & Verhaeghe, S. (2026). Is mental health nursing facing a slow death or clinical excellence and advancement? Future perspectives for the Flemish context (Belgium). JOURNAL OF ADVANCED NURSING. https://doi.org/10.1111/jan.70551
Chicago author-date
Desmet, Karel, Inge Luts, Alain Antierens, Eddy Deproost, Tina Vandecasteele, and Sofie Verhaeghe. 2026. “Is Mental Health Nursing Facing a Slow Death or Clinical Excellence and Advancement? Future Perspectives for the Flemish Context (Belgium).” JOURNAL OF ADVANCED NURSING. https://doi.org/10.1111/jan.70551.
Chicago author-date (all authors)
Desmet, Karel, Inge Luts, Alain Antierens, Eddy Deproost, Tina Vandecasteele, and Sofie Verhaeghe. 2026. “Is Mental Health Nursing Facing a Slow Death or Clinical Excellence and Advancement? Future Perspectives for the Flemish Context (Belgium).” JOURNAL OF ADVANCED NURSING. doi:10.1111/jan.70551.
Vancouver
1.
Desmet K, Luts I, Antierens A, Deproost E, Vandecasteele T, Verhaeghe S. Is mental health nursing facing a slow death or clinical excellence and advancement? Future perspectives for the Flemish context (Belgium). JOURNAL OF ADVANCED NURSING. 2026;
IEEE
[1]
K. Desmet, I. Luts, A. Antierens, E. Deproost, T. Vandecasteele, and S. Verhaeghe, “Is mental health nursing facing a slow death or clinical excellence and advancement? Future perspectives for the Flemish context (Belgium),” JOURNAL OF ADVANCED NURSING, 2026.
@article{01KMMFBK2P7MYM5BQ2CKGZP24N,
  abstract     = {{Aims: To critically and constructively explore the future of mental health nursing in Flanders (Belgium) by examining the historical evolution, current challenges, and potential strategies for clinical excellence and advancement.
Design: This study used a historically informed and contextualised grounded analyses to envision future perspectives that support strategically targeted perspectives in compact regions such as Flanders (Belgium).
Methods: A synthesis of published literature, policy documents, academic sources, and Flemish nursing research was conducted to identify key directions.
Results: By addressing local challenges, particularly related to education and labor market scarcity, this paper proposes three key directions for progress: ‘Back to good basics’, ‘Reclaiming the driver's seat of clinical advancement’ and ‘Revitalizing clinical excellence from within clinical nursing practice’.
Impact: These interlinked perspectives provide a framework for revitalising mental health nursing in Flanders, supporting clinical excellence and development while responding to the most pressing contemporary challenges. Although rooted in a compact regional context, the insights and proposed directions may inspire similar reflections and initiatives in international mental health nursing contexts.}},
  author       = {{Desmet, Karel and Luts, Inge and Antierens, Alain and Deproost, Eddy and Vandecasteele, Tina and Verhaeghe, Sofie}},
  issn         = {{0309-2402}},
  journal      = {{JOURNAL OF ADVANCED NURSING}},
  keywords     = {{advance practice nursing,clinical nursing research,nurse–patient relationship,nursing education,psychiatric nursing,CARE,HISTORY,EXPERIENCE,NURSES,COMMUNITY,FRAMEWORK}},
  language     = {{eng}},
  pages        = {{12}},
  title        = {{Is mental health nursing facing a slow death or clinical excellence and advancement? Future perspectives for the Flemish context (Belgium)}},
  url          = {{http://doi.org/10.1111/jan.70551}},
  year         = {{2026}},
}

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