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International Journal of Mental Health... Jun 2022Mental health nursing is a skilled profession, well positioned to support patients towards recovery with evidence-based therapeutic interventions. However, the...
Mental health nursing is a skilled profession, well positioned to support patients towards recovery with evidence-based therapeutic interventions. However, the profession continues to be challenged by tensions surrounding the delivery of restrictive interventions and concerns over tendencies towards defensive practices. This paper examines the ambiguity this creates within the mental health nursing role. Organizational cultures that overvalue metrics and administrative tasks create barriers for therapeutic engagement while contributing to role confusion and stress within nursing. We need to address such structural constraints on nurses as mental health nurses' well-being is crucial to service delivery and the realization of therapeutic goals. From the UK perspective, authors argue that there is a need to examine service structures that foster compassionate and transformational leadership to enable mental health nurses to exercise the agency to practice therapeutically. Education and quality nursing research have a pivotal role to play in enabling this shift.
Topics: Defensive Medicine; Humans; Leadership; Organizational Culture; Professionalism; Psychiatric Nursing
PubMed: 34564941
DOI: 10.1111/inm.12936 -
Soins. Psychiatrie 2022To work as a psychiatric sector nurse is to have built a know-how in the richness and multiplicity of the sectorization. Since the 1990s, this specificity has...
To work as a psychiatric sector nurse is to have built a know-how in the richness and multiplicity of the sectorization. Since the 1990s, this specificity has disappeared and with it the belonging to a common culture. Another conception of care is emerging, responding to general trends rather than to specific and territorial needs. Today, it is hoped that knowledge and know-how will be built and passed on as a reference in areas of exchange yet to be invented.
Topics: Humans; Psychiatric Nursing
PubMed: 36280312
DOI: 10.1016/j.spsy.2022.06.011 -
Issues in Mental Health Nursing Jan 2023
Topics: Humans; Psychiatric Nursing; Mental Health; Nurse's Role
PubMed: 36693055
DOI: 10.1080/01612840.2022.2149189 -
Archives of Psychiatric Nursing Jun 2024
Topics: Humans; Psychiatric Nursing; Mental Disorders
PubMed: 38789228
DOI: 10.1016/j.apnu.2024.04.001 -
Issues in Mental Health Nursing Apr 2020
Topics: Editorial Policies; Humans; Periodicals as Topic; Psychiatric Nursing
PubMed: 32223664
DOI: 10.1080/01612840.2020.1720448 -
Nursing Leadership (Toronto, Ont.) Mar 2020Clinical placements in correctional settings offer nursing students unique opportunities for learning mental health and community health concepts, including social... (Review)
Review
Clinical placements in correctional settings offer nursing students unique opportunities for learning mental health and community health concepts, including social justice, restorative justice and the impact of poverty and marginalization on health and life choices. Although there is some evidence to suggest that a small number of nursing programs use clinical placements in correctional settings, relatively little scholarly literature addresses nursing education in such settings, or the implications for nursing leadership when students do have an opportunity to learn in correctional settings. In this paper, we examine the literature that is available on this topic and present the findings of a secondary analysis of interviews with undergraduate nursing students at our nursing program in relation to their clinical placements in correctional settings. Drawing on the students' perspectives, we have found that these placements, in particular, have fostered learning about caring for marginalized populations; themes of hope and restorative justice featured prominently in their descriptions of their learning. Students also emphasized that they learned a great deal about the expanded role of nurses and about caring for marginalized populations. With strong administrative and faculty support, these settings offer students exposure to expert registered nurse mentors who work with clients in an expanded role to facilitate their achievement and stabilization of a broad range of health challenges. They are also role models for students, by showing students that nurses can be agents of hope when working with a diverse client population and their families. We offer recommendations on how to maximize student learning in correctional settings, including a reflection on how to support students' integration of their learning experiences in their nursing practice, with the long-term view that these transformative student experiences have the potential to shape our future nurse leaders.
Topics: Education, Nursing, Baccalaureate; HIV Infections; Hepatitis C; Humans; Leadership; Preceptorship; Prisons; Psychiatric Nursing; Qualitative Research; Social Determinants of Health; Students, Nursing
PubMed: 32437320
DOI: 10.12927/cjnl.2020.26193 -
Japan Journal of Nursing Science : JJNS Jan 2021To investigate the level of professional identity among psychiatric nurses and to explore what work-related factors may affect their professional identity.
OBJECTIVE
To investigate the level of professional identity among psychiatric nurses and to explore what work-related factors may affect their professional identity.
METHODS
Four hundred and twelve nurses were investigated. Two self-report questionnaires were used: (a) Nursing Professional Identity Scale (NPIS, range: 30 ~ 150); and (b) Practice Environment Scale of Nursing Work (PESNW, range: 0 ~ 100) with six dimensions: nursing-related hospital affairs, high-quality nursing care, ability of nursing manager, manpower and material resources, cooperation between nurses and doctors, and salary and social status. Higher scores indicated higher professional identities and better work environments.
RESULTS
Three hundred and ninety-one of the participants completed the questionnaires and were analyzed. The mean age of the participants was 32.53 years, and 93.3% of them were female. The mean score of NPIS was 100.03 (SD: 17.44). Multiple linear regression showed that professional identity was significantly and positively associated with two dimensions of PESNW: salary and social status and ability of nursing manager.
CONCLUSIONS
Professional identity among psychiatric nurses was at a moderate level. Salary and social status and ability of nursing manager positively contributed to their professional identity. These results may indicate the directors to construct better work environments for psychiatric nursing to improve professional identity.
Topics: Adult; Cross-Sectional Studies; Female; Humans; Nursing Staff, Hospital; Psychiatric Nursing; Surveys and Questionnaires
PubMed: 33140548
DOI: 10.1111/jjns.12380 -
Issues in Mental Health Nursing Apr 2024Defining psychiatric and mental health nursing has been a challenge for decades, and it is still difficult to find a comprehensive definition. We have identified a... (Review)
Review
Defining psychiatric and mental health nursing has been a challenge for decades, and it is still difficult to find a comprehensive definition. We have identified a possibility to clarify psychiatric and mental health nursing based on humanistic philosophy in a general psychiatric care context. The aim was therefore to identify and synthesize the theoretical frameworks from which psychiatric and mental health nursing models are developed. We systematically collected and evaluated articles based on Grounded Theory (GT) methodology regarding psychiatric or mental health nursing. The PRISMA statement for systematic reviews was used and the formal process of synthesis, as a three-step process of identifying first -, second - and third-order themes following the examples of Howell Major and Savin-Baden. The synthesis resulted in a model describing five core elements of psychiatric and mental health nursing: 'professional nursing', 'therapeutic relationships' and 'honest engagement', with time as the all-encompassing theme, including the patients' 'lifetime perspective'. Psychiatric and mental health nursing is a caring support towards recovery, where the patient's lifetime perspective must be in focus during the caring process with a relationship built on an honest engagement. Time is therefore essential for psychiatric and mental health nursing.
Topics: Humans; Psychiatric Nursing; Nurse-Patient Relations
PubMed: 38363803
DOI: 10.1080/01612840.2024.2305934 -
International Journal of Mental Health... Feb 2021Mental health nursing is largely invisible within public discourse. When mentioned at all in news media, it is usually a signifier of an occupation connoting where a... (Review)
Review
Mental health nursing is largely invisible within public discourse. When mentioned at all in news media, it is usually a signifier of an occupation connoting where a nurse works. There is rarely a presumption of expertise in any sphere or articulation of a unique skill set or defining features which differentiate the mental health nurse from other nurses. This paper sought to examine the professional discourse around mental health nursing as inferred from a review of papers published in the International Journal of Mental Health Nursing in 2019. A discourse analysis of full-text papers (n = 117) was undertaken exploring references to mental health nurses or nursing and what this communicated about the field. The discourse clustered around three themes: The invisible or absent mental health nurse, ambiguous and blended identities, and a group of low attributed value and sophistication. There were few examples of authors presenting mental health nurses in a way which counters stereotypes of the dominant discourse about mental health nurses as a lesser skilled occupational group. Academics, editors, authors, and practitioners are urged to contribute to the construction of discourse around mental health nursing expertise which differentiates it from other branches of nursing and other distinctive disciplines.
Topics: Humans; Mental Health; Nurses; Psychiatric Nursing
PubMed: 32808439
DOI: 10.1111/inm.12778 -
Journal of Psychosocial Nursing and... Jan 2021From the outside looking in, it may appear that nurse practitioner practice in mental health care is relatively easy compared to other nurse practitioner population... (Review)
Review
From the outside looking in, it may appear that nurse practitioner practice in mental health care is relatively easy compared to other nurse practitioner population care. The current article presents a brief overview of recent theories on the etiology of mental disorders, specifically major depressive disorder, bipolar disorder, and schizophrenia, with implications for practice. Pharmacological treatments targeting important stress response and immune and inflammatory targets lag behind the science. A practical framework for psychiatric evaluation, formulation, and treatment planning that combines four distinctive ways of viewing patients' concerns is presented as a useful method for providing person-centered mental health care. [Journal of Psychosocial Nursing and Mental Health Services, 59(1), 9-13.].
Topics: Bipolar Disorder; Depressive Disorder, Major; Humans; Mental Disorders; Mental Health Services; Psychiatric Nursing
PubMed: 33382435
DOI: 10.3928/02793695-20201210-03