Nurses' attitudes to mental illness: A comparison of a sample of nurses from five European countries

Mary Chambers, Veslemøy Guise, Maritta Anneli Vaelimaeki, Maria Antónia Rebelo Botelho, Anne Scott, Vida Staniuliené, Renzo Zanotti

Research output: Journal article publicationJournal articleAcademic researchpeer-review

91 Citations (Scopus)


Background: Mental health problems are of serious concern across Europe. A major barrier to the realisation of good mental health and well-being is stigma and discrimination. To date there is limited knowledge or understanding of mental health nurses' attitudes towards mental illness and individuals experiencing mental health problems. Objectives: To describe and compare attitudes towards mental illness and those experiencing mental health problems across a sample of registered nurses working in mental health settings from five European countries and the factors associated with these attitudes. Design: A questionnaire survey. Settings: A total of 72 inpatient wards and units and five community facilities in Finland, Lithuania, Ireland, Italy and Portugal. Participants: 810 registered nurses working in mental health settings. Methods: The data were collected using The Community Attitudes towards the Mentally Ill (CAMI) scale, which is a 40-item self-report questionnaire. The data were analysed using quantitative methods. Results: Nurses' attitudes were mainly positive. Attitudes differed across countries, with Portuguese nurses' attitudes being significantly more positive and Lithuanian nurses' attitudes being significantly more negative than others'. Positive attitudes were associated with being female and having a senior position. Conclusions: Though European mental health nurses' attitudes to mental illness and people with mental health problems differ significantly across some countries, they are largely similar. The differences observed could be related to wider social, cultural and organisational circumstances of nursing practice.
Original languageEnglish
Pages (from-to)350-362
Number of pages13
JournalInternational Journal of Nursing Studies
Issue number3
Publication statusPublished - 1 Mar 2010
Externally publishedYes


  • Attitudes to mental illness
  • Cross-cultural research
  • European nursing
  • International comparison
  • Mental health
  • Stigma

ASJC Scopus subject areas

  • Nursing(all)

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