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Issues in Mental Health Nursing Nov 2019Since Nightingale implied that progress was inherent in good nursing, change has slowly but surely accelerated to a frenetic pace in health care and to a degree in... (Review)
Review
Since Nightingale implied that progress was inherent in good nursing, change has slowly but surely accelerated to a frenetic pace in health care and to a degree in nursing. However, the healthy progress and implications associated with change in the nursing profession are not as readily embraced as this pace may imply. Rather, embracing change at the core of nursing and health care is a challenge as this is a group who it is suggested are not only resistant but also adept at reinforcing the status quo. Using mental health nursing as an example this position paper addresses the concept of change management, explores the facilitators and inhibitors to explain why change is not effectively managed at times. Further, case studies provided exemplify how change in mental health nursing has occurred and demonstrate how the concept of change management effectively has been achieved. Key strategies for change management are outlined in this article, noting the need to be sensitive to the culture and specifics of that organisation, because change takes place within people rather than within the organisation itself. Part of the challenges and strategies faced in the profession are related to the movement of information and knowledge from the point of research to implementation of evidence-based best practice. Leaders, therefore, should adopt change management principles and strategies, to further drive the developments which have changed mental health nursing over a relatively short period.
Topics: Change Management; Humans; Psychiatric Nursing
PubMed: 31219727
DOI: 10.1080/01612840.2019.1609633 -
Revista Brasileira de Enfermagem 2021to know innovative pedagogical experiences developed by professors in the teaching of psychiatric nursing and mental health in undergraduate nursing courses at public...
OBJECTIVE
to know innovative pedagogical experiences developed by professors in the teaching of psychiatric nursing and mental health in undergraduate nursing courses at public universities in Rio de Janeiro State.
METHOD
based on an ethnomethodological approach, individual semi-structured interviews and document analysis were carried out according to content analysis.
RESULTS
despite the heterogeneity in the curriculum distribution of psychiatric nursing's and mental health's knowledge, the themes taught have similarities. The perceptions of innovation are mainly related to interdisciplinary practices and teaching, relational, and care technologies. Innovative teaching practices are focused on the use of active methodologies and collaborative activities.
FINAL CONSIDERATIONS
innovating teaching requires creating strategies to teach people how to care for people, valuing human uniqueness. Student participation in health services is the key to the dialogue between knowledge produced in academia and that mobilized in health services.
Topics: Brazil; Curriculum; Education, Nursing, Baccalaureate; Humans; Mental Health; Psychiatric Nursing; Students, Nursing; Teaching
PubMed: 34105696
DOI: 10.1590/0034-7167-2020-0525 -
Revista Brasileira de Enfermagem 2020to identify the applicability of the Phil Barker's Tidal Model in mental health nursing care. (Review)
Review
OBJECTIVES
to identify the applicability of the Phil Barker's Tidal Model in mental health nursing care.
METHODS
an integrative literature review carried out by LILACS, MEDLINE, Scopus and Web of Science. Data were collected from December 2017 to March 2018. After selecting the studies, the sample totaled 24 articles.
RESULTS
the articles are in English (91.7%), were published in nursing journals (87.5%), are reflective and/or theoretical (50%) and have level of evidence VII (79.2%). The model brings contributions to nursing science, enabling person-centered care, with an emphasis on interdisciplinary work, nurses' protagonism and the empowerment of subjects in mental suffering.
FINAL CONSIDERATIONS
the use of the Tidal Model enables changes in nurses practice working in the context of mental health. Its application by nurses who work in mental health services in Brazil is recommended.
Topics: Brazil; Humans; Mental Health Services; Models, Nursing; Nursing Care; Psychiatric Nursing
PubMed: 32236360
DOI: 10.1590/0034-7167-2018-0177 -
Archives of Psychiatric Nursing Feb 2019Schizophrenia is a chronic mental illness that affects the client, family, and community. Nurses are educated to use the nurse-patient relationship to provide health... (Review)
Review
BACKGROUND
Schizophrenia is a chronic mental illness that affects the client, family, and community. Nurses are educated to use the nurse-patient relationship to provide health education and collaborative health decision-making. However, challenges abound for nurses and clients with schizophrenia to effectively utilize the relationship to reach these goals.
PROBLEM
There is a lack of evidence-based information to assist nurses to meet the challenges of building effective therapeutic relationships with clients for whom schizophrenia hinders health education and decision-making.
PURPOSE
To examine current research findings on factors that influence therapeutic relationships in psychiatric treatment settings as an initial effort to provide empirically based guidance for psychiatric nurses who seek to better use the relationship to work with the client toward health-related goals.
METHOD
This integrative review of the literature follows Whittemore and Knafl's (2015) method, analyzes 15 studies from multiple databases between the years 2006-2017, and assesses the rigor of each.
FINDINGS
Numerous methods are used to assess therapeutic relationships. Few studies included nurses. Provider perception of client symptoms can negatively affect provider assessment of quality of relationship; no such association was found on the part of clients. Providers and clients prioritize client needs differently, with providers influenced by treatment setting demands, but provider-training programs can have a beneficial effect on their relationships.
CONCLUSION
Nurses and nurse educators can use the findings to guide assessment of how perceptions and priorities influence relationships. Findings also provide the foundation for further study of nurses' perceptions of therapeutic relationship, in progress, to yield more detailed information on what nurses and educators need to strengthen therapeutic relationships.
Topics: Communication; Humans; Nurse-Patient Relations; Psychiatric Nursing; Schizophrenia; Therapeutic Alliance
PubMed: 30663612
DOI: 10.1016/j.apnu.2018.08.003 -
Journal of the American Psychiatric... 2018Dr. Hildegard Peplau, considered to be our first modern Nurse theorist and the Mother of Psychiatric Nursing, was a prolific writer, engaging in correspondence with...
BACKGROUND
Dr. Hildegard Peplau, considered to be our first modern Nurse theorist and the Mother of Psychiatric Nursing, was a prolific writer, engaging in correspondence with colleagues and students who sought her professional and theoretical expertise. Through these letters, she influenced psychiatric nursing while maintaining a broad international network of professional colleagues.
OBJECTIVES
An analysis of letters, written between 1990 and 1998, provides insights into Peplau's last decade of professional life and a model of how to support the next generation of nurse scholars.
DESIGN
Using content analysis, 24 letters received between 1990 and 1998 were read, reread, and coded. Recurring themes were identified.
RESULTS
Three themes were identified. These include Peplau, the Person: Living a Life of Professional Balance; Lighting a Spark: Investing in the Next Generation; and Work in the Vineyards of Nursing: Maintaining a Life of Scholarship. The letters depict Peplau's keen intellect, her wide professional network, her leisure time spent with family and friends, and her own work to assure that her theoretical legacy continued.
CONCLUSIONS
Peplau's insights continue to be relevant as psychiatric mental health nursing leaders engage in activities to support the next generation of scholars and leaders.
Topics: California; Correspondence as Topic; Female; History, 20th Century; Humans; Psychiatric Nursing
PubMed: 29529935
DOI: 10.1177/1078390318763943 -
Soins. Psychiatrie 2017
Topics: Chronic Disease; France; Humans; Mental Disorders; Patient Education as Topic; Patient Participation; Psychiatric Nursing
PubMed: 28476247
DOI: 10.1016/j.spsy.2017.03.001 -
The Nursing Clinics of North America Jun 2016Although trauma exposure is common, few people develop acute and chronic psychiatric disorders. Those who develop posttraumatic stress disorder likely have coexisting... (Review)
Review
Although trauma exposure is common, few people develop acute and chronic psychiatric disorders. Those who develop posttraumatic stress disorder likely have coexisting psychiatric and physical disorders. Psychiatric nurses must be knowledgeable about trauma responses, implement evidence-based approaches to conduct assessments, and create safe environments for patients. Most researchers assert that trauma-focused cognitive-behavioral approaches demonstrate the most efficacious treatment outcomes. Integrated approaches, offer promising treatment options. This article provides an overview of clinical factors necessary to help the trauma survivor begin the process of healing and recovery and attain an optimal level of functioning.
Topics: Evidence-Based Nursing; Female; Humans; Internal-External Control; Male; Nurse's Role; Nursing Assessment; Psychiatric Nursing; Stress Disorders, Post-Traumatic; Survivors
PubMed: 27229285
DOI: 10.1016/j.cnur.2016.01.014 -
Revista Brasileira de Enfermagem 2018Gather the concepts, theories and interventions about spirituality, its nature and functions in mental health and psychiatric nursing. (Review)
Review
OBJECTIVE
Gather the concepts, theories and interventions about spirituality, its nature and functions in mental health and psychiatric nursing.
METHOD
A literature review proceeded on February 2016. It has integrated 214 studies published until December 2015 by crossing Spirituality and Psychiatric Nursing mesh terms in databases.
RESULTS
Conceptualization about spirituality and religion, their complexity in nursing research, education, and clinical approach; their functions to human being correlated to the purpose of life, transcendental connections, and support in mental health; the professional boundaries in address to spirituality in mental health scenery, and a descriptive literature recommendations and a instruments catalog.
CONCLUSIONS
Spirituality in nursing mental health and psychiatry remains a theoretical problem, and has a clinical mischaracterized approach; recently publications try to promote a human and holistic trend in the practice, as a challenge to lead the current circumstances to valid nursing bases.
Topics: Humans; Mental Health Services; Psychiatric Nursing; Spirituality
PubMed: 30365801
DOI: 10.1590/0034-7167-2016-0429 -
Journal of the American Psychiatric... 2024The last national survey of psychiatric-mental health (PMH) nurses was conducted in 2016 and was limited to advanced practice registered nurses (APRNs). Data on the...
OBJECTIVE
The last national survey of psychiatric-mental health (PMH) nurses was conducted in 2016 and was limited to advanced practice registered nurses (APRNs). Data on the demographic and employment characteristics of the PMH workforce could inform how to optimize the PMH nursing workforce to address increasing demands for mental health services. The objective was to conduct a national survey of PMH registered nurses (RNs) and PMH-APRNs to gather data on their demographic, educational, and practice characteristics.
METHODS
An email survey was administered between October 2020 and February 2021 to all members of the American Psychiatric Nurses Association and to all PMH-APRNs certified by the American Nurses Credentialing Center. Separate surveys included 51 questions (RN) and 52 questions (APRN). Survey questions were informed by several sources including the Minimum Data Set for the Behavioral Health Workforce.
RESULTS
Surveys were completed by 4,088 PMH-RNs and 5,158 PMH-APRNs, with a combined response rate of 12.1%. Findings suggest that the workforce is aging but has increased slightly in diversity. In all, 62.4% of RNs reported a hospital as their primary employment setting, while the majority of APRNs (70.4%) practice in outpatient settings. Forty-four percent of the PMH-APRN respondents indicated that most of their patients receive federal insurance.
CONCLUSIONS
Nursing must plan for significant retirements in the PMH workforce in next 5 years. Hospital-based practice continues to dominate PMH-RN roles but might be expanded to community-based settings teaming with PMH-APRNs in outpatient sites. Increasing the diversity of the workforce should be prioritized.
Topics: Humans; Psychiatric Nursing; Surveys and Questionnaires; Female; Male; Adult; Middle Aged; United States; Advanced Practice Nursing
PubMed: 36582042
DOI: 10.1177/10783903221146190 -
Journal of the American Psychiatric... 2019
Topics: Health Services Needs and Demand; Health Workforce; Humans; Nurses; Psychiatric Nursing; United States
PubMed: 30793649
DOI: 10.1177/1078390318816331