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Journal of the American Psychiatric... 2019To describe the development of a data-driven policy platform for psychiatric nurses roles and outcomes to alleviate the current mental health crisis in the United States.
OBJECTIVE
To describe the development of a data-driven policy platform for psychiatric nurses roles and outcomes to alleviate the current mental health crisis in the United States.
METHOD
Drawing on census data, statistical reports, and analysis of the current psychiatric mental health nursing (PMHN) workforce, a data-driven policy platform is designed to recruit, train, and prepare psychiatric nurses for addressing the nation's mental health crises.
RESULTS
As noted by the Institute of Medicine's 2010 & 2016 reports on the future of nursing, the largest available health care workforce is not being used effectively, particularly to address the nation's mental health care needs. The development of a data-driven platform provides direction for psychiatric nurses in developing the workforce to meet the national mental health crisis.
CONCLUSIONS
From education through practice and research, psychiatric-mental health nursing must build and share a data-driven, relationship-to-care platform emphasizing how PMHN care affects patient outcomes. Using a data-based platform to grow supportive public opinion, psychiatric mental health nursing can build a workforce to modify national accreditation standards and laws supporting data-driven PMHN care. The specialty profession must also seek to modify the nursing profession's attitude toward embracing data-driven platform of care relationships to psychiatric mental health outcomes.
Topics: Education, Nursing; Health Policy; Humans; Nurse's Role; Personnel Selection; Psychiatric Nursing; United States; Workforce
PubMed: 30793645
DOI: 10.1177/1078390318808368 -
Perspectives in Psychiatric Care Oct 2022This study assessed the current knowledge and attitudes of psychiatric nurses toward electroconvulsive therapy (ECT).
PURPOSE
This study assessed the current knowledge and attitudes of psychiatric nurses toward electroconvulsive therapy (ECT).
DESIGN AND METHODS
A quantitative, nonexperimental study was conducted at a large psychiatric hospital in the United States. The Questionnaire on Attitudes and Knowledge (QuAKE) Scale was used to conduct the assessment among a convenient sample of 158 psychiatric nurses.
FINDINGS
Participants' responses to questions that elicited knowledge of ECT ranged from 45% to 99% and positive attitudes ranged from 21% to 96%, revealing increased levels when compared with the low to average knowledge and positive attitudes noted in previous studies.
PRACTICE IMPLICATIONS
Targeted ECT education is needed among psychiatric nurses with limited knowledge and negative attitudes toward ECT.
Topics: Humans; Electroconvulsive Therapy; Attitude of Health Personnel; Psychiatric Nursing; Surveys and Questionnaires; Hospitals, Psychiatric; Health Knowledge, Attitudes, Practice
PubMed: 34964509
DOI: 10.1111/ppc.13016 -
Journal of the American Psychiatric... 2017Simulations using standardized patients (SPs) are increasingly used to teach and assess competencies in psychiatric/mental health (PMH) nursing education. To advance the... (Review)
Review
BACKGROUND
Simulations using standardized patients (SPs) are increasingly used to teach and assess competencies in psychiatric/mental health (PMH) nursing education. To advance the field, it is important to identify current knowledge, practice, and evidence.
OBJECTIVE
To determine the current knowledge, evidence, and practice of using SPs in PMH nursing education by conducting an integrative review of the empirical research on the use of SPs in PMH nursing education, and by providing a supplementary descriptive review of non-research articles on PMH simulations using SPs.
DESIGN
A comprehensive search using electronic databases was conducted to identify both research and simulation description papers meeting inclusion criteria. The research literature was reviewed using an integrative review approach and a simple descriptive review of the non-research simulation literature was also conducted.
RESULTS
Six research studies and 18 simulation description articles were included in the review. Although there are several PMH SP simulation descriptions in the literature, and anecdotal indications that they are a valuable educational tool, there is insufficient research evidence regarding their effectiveness as a method in psychiatric nursing education due to few published studies and methodological limitations of existing studies.
CONCLUSIONS
Well-designed research studies are needed to develop an evidence base for this promising and increasingly employed teaching method.
Topics: Humans; Patient Simulation; Psychiatric Nursing
PubMed: 28569095
DOI: 10.1177/1078390317712697 -
Issues in Mental Health Nursing Jan 2015The purpose of this study was to describe Masters entry nursing students' attitudes about psychiatric mental health clinical experiences; preparedness to care for...
The purpose of this study was to describe Masters entry nursing students' attitudes about psychiatric mental health clinical experiences; preparedness to care for persons with mental illness; students' perceived stigmas and stereotypes; and plans to choose mental health nursing as a career. A 31-item survey was administered to pre-licensure graduate nursing students who were recruited from a Masters entry nursing program from a university in a large city in the Midwestern US. Results indicated that clinical experiences provide valuable experiences for nursing practice, however, fewer students think that these experiences prepare them to work as a psychiatric mental health nurse and none plan to pursue careers as psychiatric mental health nurses. The findings support conclusions from other studies that increasing the amount of time in the clinical setting and adding specific content to the curriculum, particularly content related to the importance of psychiatric mental health nursing and the effects of stigma, may assist the profession's efforts to recruit and retain psychiatric mental health nurses. Further research is needed to determine the effectiveness of these strategies and to identify the best ways to implement them.
Topics: Adult; Attitude of Health Personnel; Education, Nursing, Graduate; Female; Humans; Male; Psychiatric Nursing; Students, Nursing
PubMed: 25397970
DOI: 10.3109/01612840.2014.935901 -
Revista Brasileira de Enfermagem 2020To analyze the practices developed by nursing professionals in a Psychosocial Care Center (CAPS).
OBJECTIVE
To analyze the practices developed by nursing professionals in a Psychosocial Care Center (CAPS).
METHOD
A qualitative and evaluative research based on the Fourth Generation Assessment and conducted in a CAPS II of Santa Catarina State in 2014. For data collection, semi-structured interviews, field observation, and data recycling group were used with workers. Constant Comparative Method was used for data analysis.
RESULTS
Practices aimed at the subject and their clinical, social, prevention, treatment and articulation with the health network were identified. Medication care is a specificity of nursing that aims to promote autonomy and social reintegration. There is a need for greater articulation between the nursing and pharmacy staff, as well as creating spaces for users to talk about medication.
CONCLUSION
Nursing practices are focused on biopsychosocial care, aiming to deconstruct care models focused on the disease and symptoms.
Topics: Brazil; Hospitals, Psychiatric; Humans; Interviews as Topic; Nursing Process; Psychiatric Nursing; Qualitative Research
PubMed: 32049233
DOI: 10.1590/0034-7167-2018-0175 -
Perspectives in Psychiatric Care Jul 2022Psychotherapy is the essence of the Psychiatric-Mental Health Nurse Practitioner (PMHNP) role. Yet much debate exists within programs as to the best way to include...
PURPOSE
Psychotherapy is the essence of the Psychiatric-Mental Health Nurse Practitioner (PMHNP) role. Yet much debate exists within programs as to the best way to include psychotherapy in an already loaded curriculum.
CONCLUSION
Two large midwestern universities review their approaches to psychotherapy education; student evaluations measure the quality and effectiveness. Data revealed a high level of student satisfaction.
PRACTICE IMPLICATIONS
Programs will vary on how to teach psychotherapy skills, but the use of psychotherapy within the PMHNP role is crucial and informs the entire practice. Examples of how others teach psychotherapy can inform educators of innovative ways to prepare PMHNP students to practice psychotherapy.
Topics: Clinical Competence; Curriculum; Education, Nursing, Graduate; Humans; Nurse Practitioners; Psychiatric Nursing; Psychotherapy
PubMed: 34212394
DOI: 10.1111/ppc.12904 -
Journal of the American Psychiatric... 2016Psychiatric advance directives (PADs) represent a shift from more coercive to more recovery-oriented care and hold the promise of empowering patients while helping fill... (Review)
Review
BACKGROUND
Psychiatric advance directives (PADs) represent a shift from more coercive to more recovery-oriented care and hold the promise of empowering patients while helping fill the gap in treatment of non-dangerous patients lacking decision-making capacity. Advance directives for end-of-life and psychiatric care share an underlying rationale of extending respect for patient autonomy and preventing the harm of unwanted treatment for patients lacking the decision-making capacity to participate meaningfully in planning their care.
OBJECTIVE
Ethically relevant differences in applying advance directives to end-of-life and psychiatric care are discussed.
DESIGN
These differences fall into three categories: (1) patient factors, including decision-making capacity, ability to communicate, and prior experience; (2) decisional factors, including expected outcome and the nature of the decisions; and (3) historical-legal precedent.
RESULTS
Specific recommendations are offered.
CONCLUSIONS
Clinicians need to appreciate the ethical implications of these differences to effectively invoke PADs or assist patients in creating PADs.
Topics: Advance Directives; Decision Making; Humans; Mental Competency; Practice Guidelines as Topic; Psychiatric Nursing; Terminal Care
PubMed: 26929232
DOI: 10.1177/1078390316629958 -
Journal of Psychosocial Nursing and... May 2017Adolescence should be a time of healthy growth and development. Indeed, it is a critical period with significant physical, emotional, and mental changes. Despite robust...
Adolescence should be a time of healthy growth and development. Indeed, it is a critical period with significant physical, emotional, and mental changes. Despite robust physical health, adolescent risky behaviors may result in lifelong consequences as well as increased morbidity and mortality. The HEEADSSS review of systems is a tool to understand adolescent behavior and assess risk-taking behaviors to provide appropriate interventions. Using the HEEADSSS review of systems is an effective way to engage in dialogue with teens and address many of the challenges faced by this age group. [Journal of Psychosocial Nursing and Mental Health Services, 55(5), 24-27.].
Topics: Adolescent; Adolescent Behavior; Humans; Psychiatric Nursing; Risk-Taking; Surveys and Questionnaires
PubMed: 28460146
DOI: 10.3928/02793695-20170420-03 -
Archives of Psychiatric Nursing Apr 2017Individuals with serious mental illnesses (SMI) who are incarcerated pose major treatment challenges for both correctional personnel and healthcare providers, yet... (Review)
Review
Individuals with serious mental illnesses (SMI) who are incarcerated pose major treatment challenges for both correctional personnel and healthcare providers, yet deserve the same high standards of care as those in traditional mental health facilities. The literature references these challenges as types of mental health treatment disparities, and calls for improvement measures from clinicians, researchers, policy-makers, and advocates. From the standpoint of psychiatric-mental health (PMH) nursing, this paper explores, examines, and offers some contemporary clinical and practice perspectives for providing best-practice psychiatric care for SMI individuals who are in jails. The diverse roles of PMH nursing can contribute meaningfully to tackling quality improvement initiatives on mental health treatment agendas for SMI inmates.
Topics: Health Services Accessibility; Humans; Mental Disorders; Mental Health Services; Mentally Ill Persons; Prisoners; Prisons; Psychiatric Nursing; Quality of Health Care
PubMed: 28359436
DOI: 10.1016/j.apnu.2016.09.013 -
Journal of Child and Adolescent... Feb 2020
Topics: Adolescent; Adolescent Health Services; Child; Child Health Services; Humans; Mental Health Services; Pediatric Nursing; Psychiatric Nursing
PubMed: 32011758
DOI: 10.1111/jcap.12264