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Psychiatric Mental Health Nursing

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Psychiatric Mental Health Nursing Overview of Psychiatric/Mental Health Nursing Outline Similarities & differences between psychiatric nursing and other fields of ... – PowerPoint PPT presentation

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Title: Psychiatric Mental Health Nursing


1
Psychiatric Mental Health
Nursing
2
Overview of Psychiatric/Mental Health Nursing
  • Outline
  • Similarities differences between psychiatric
    nursing and other fields of nursing
  • Skills knowledge of the psychiatric nurse

3
Overview of Psychiatric/mental Health Nursing
  • The importance of psychiatric nursing skills in
    all clinical settings
  • Career opportunities
  • Postgraduate study endorsement
  • Professional affiliation

4
The Psychiatric/mental Health Nurse
  • Mental Health Nursing is a specialised field of
    nursing which focuses on meeting the mental
    health needs of the consumer, in partnership with
    family, significant others and the community in
    any setting. It is a specialised interpersonal
    process embodying a concept of caring. (p. 3)
  • ANZCMHN (1995)

5
The Essence of Psychiatric/mental Health Nursing
  • Lies not in tasks performed or with the
    presenting illness but in the relationship that
    develops with clients and families and their
    responses to the illness, including the impact
    that the illness has on their lives.
  • The essence is in establishing a therapeutic
    partnership, a connectedness, between the nurse
    and client which is based on empathy and trust.
  • Elsom (2001)

6
Similarities Differences
  • SIMILARITIES
  • Work in close contact with people from a wide
    variety of backgrounds
  • Provide CARE for people with a wide variety of
    illnesses
  • Involved in health promotion and illness
    prevention
  • Nursing philosophy of benevolence

7
Similarities Differences
  • SIMILARITIES
  • Education must meet required level of knowledge
    and skills to attain registration/endorsement
  • Governed by the Nurses Codes
  • Professional Conduct Ethics
  • Structure of work hours, salary, benefits

8
Similarities Differences
  • DIFFERENCES
  • Core focus of Psychiatric Mental Health Nursing
  • Therapeutic relationship
  • Use of self as a therapeutic tool
  • People-centred approach, engaging clients in
    discourse, promoting change
  • Less task orientated
  • Less technical environment
  • Professional autonomy
  • Moir Abraham (1996)

9
Similarities Differences
  • DIFFERENCES
  • Clinical competence based on interpersonal
    techniques
  • Stuart Laraia (2001)
  • Less repetition in process procedures due to
    client individuality
  • Moir Abraham (1996)

10
Philosophy of the Profession
  • Each individual
  • Has intrinsic worth and dignity and each person
    is worthy of respect.
  • Has the potential to change.
  • Has common, basic human needs
  • Varies in their coping capacities

11
Philosophy of the profession
  • Each individual(s)
  • Behaviour is meaningful
  • Has a right to equal opportunity for adequate
    health care.
  • Has the right to participate in decision making
    regarding their care.
  • Has the right to self-determination

12
Philosophy of the profession
  • The fundamental premise is
  • The goal of nursing care is to promote wellness,
    maximise integrated functioning.nursing care is
    based on mutually determined needs and expected
    treatment outcomes..
  • An interpersonal relationship can produce change
    and growth within the individual.
  • Stuart Laraia (2001, p. 7)

13
The Knowledge, Skills Attitudes of the
Psychiatric/mental Health Nurse
  • The knowledge base of the psychiatric/mental
    health nurse is
  • grounded in the integration of the biological,
    psychological, spiritual, social and
    environmental realms of the human experience.
  • Stuart Laraia (2001)

14
The Knowledge, Skills Attitudes of the
Psychiatric/mental Health Nurse
  • Broad context of care
  • Requires purposeful use of self as a therapeutic
    tool
  • Knowing you, Knowing me (Awareness of self)
    Barker, Jackson Stevenson (1999)
  • Requires great sensitivity to the social
    environment advocacy needs of clients/families
  • Requires careful consideration of legal ethical
    issues

15
The Knowledge, Skills Attitudes of the
Psychiatric/mental Health Nurse
  • THERAPEUTIC NURSE-CLIENT RELATIONSHIP
  • Physical dimension
  • Safety dimension
  • Social dimension
  • Spiritual dimension
  • Provision of treatment modalities
  • Encouraging self-determination
  • Provision of information
  • Cowman, Farrelly Gilheany (2001)

16
The Knowledge, Skills Attitudes of the
Psychiatric/mental Health Nurse
  • Milieu management
  • Assessing, planning, implementing evaluating
    care
  • Pharmacological interventions
  • Documentation/Administration
  • Legal requirements
  • Educating/supervision
  • Coordination/Multidisciplinary team member

17
The Importance of Psychiatric/mental Health
Nursing Knowledge, Skills Attitudes
  • In Australia, one in five persons will at some
    stage in their lives, experience a major mental
    illness.
  • Commonwealth Department of Health and Aged Care
    Services (1997)

18
The Importance of Psychiatric/mental Health
Nursing Knowledge, Skills Attitudes
  • Exposure to clients with mental health problems
    or illness in any area of practice
  • Skills will assist the nurse to provide comfort
    to clients who may be experiencing a myriad of
    emotions. I.e. grief, anxiety, anger, cognitive
    deficits and subsequent behaviour, and diagnosed
    mental illness

19
The Importance of Psychiatric/mental Health
Nursing Knowledge, Skills Attitudes
  • Mental state assessment skills
  • Early intervention - reduced stays, improved
    recovery rates. Improved client outcomes
  • Nurse more comfortable, confident in working with
    clients with mental illness

20
Career Opportunities
  • Diversity within the profession
  • Attractive transferable skills
  • Consultation
  • Management
  • Education
  • Independent Practitioner

21
Career Opportunities
  • DIVERSITY
  • Public Private Mental Health Services
  • In-Patient Facilities
  • Out-patient or Day-patient Programs
  • Crisis Assessment Treatment Teams
  • Community Teams
  • Consultation-Liaison Mental Health Nurse

22
Career Opportunities
  • DIVERSITY
  • Adult Acute
  • Community
  • Adult Rehabilitation
  • Child Adolescent
  • Aged Mental Health
  • Forensic
  • Specialty Programs I.e. Eating Disorders,
    Substance Abuse Treatment, Cognitive Behavioural
    Programs, Parent-Infant.

23
Career Opportunities
  • Career structure
  • Professional development
  • Clinical supervision
  • Scholarships
  • Graduate nurse Programs
  • Postgraduate Study
  • Paid study leave

24
Postgraduate Study Endorsement
  • Postgraduate studies in Psychiatric/Mental Health
    Nursing
  • Graduate Diploma
  • Graduate Certificate
  • Endorsement by the NBV (Where relevant)
  • Highly attractive to prospective employers

25
Professional Affiliation
  • Australian Collage of Mental Health Nurses
    ACMHN.
  • Standards of Practice
  • Centre for Psychiatric Nursing (CPN)

26
Reflection
  • Nurses are traveling companions with patients,
    not travel agents the heart (of nursing) is
    the skills and values needed by nurses to
    establish and maintain human contact with
    patients.
  • Peck Norman (1999)

27
References
  • Australian and New Zealand Collage of Mental
    Health Nurses Inc. (ANZCMHN) (1995). Standards
    of Practice for Mental Health Nursing in
    Australia Adelaide ANZCMHN Inc.
  • Barker, P., Jackson, S. Stevenson, C. (1999).
    What are psychiatric nurses needed for?
    Developing a theory of essential nursing
    practice Journal of Psychiatric and Mental
    Health Nursing 6, 273-282.
  • Commonwealth Department of Health and Aged
    Care Services. (1997). National Mental Health
    Report 1996 Fourth Annual Report, Changes in
    Australias Mental Health Services under the
    National Mental Health Strategy 1995-6. Canberra
    Australian Government Printing Services

28
References
  • Cowman, S., Farrelly, M. Gilheany, P. (2001).
    An examination of the role and function of
    psychiatric nurses in clinical practice in
    Ireland Journal of Advanced Nursing 34(6),
    745-753.
  • Elsom, S. (2001). The active participants in
    Mental Health Services. In Meadows, G. Singh,
    B. (Ed.), Mental Health in Australia,
    Collaborative Community Practice (pp. 136-162).
    Melbourne Oxford University Press.
  • Grigg, M. (2001) The role of the psychiatric
    nurse. Australasian Psychiatry 9(2), 143-145.
  • Peck, E. Norman, I. (1999). Working together
    in adult community mental health services
    exploring inter-professional role relations.
    Journal of Mental Health 8, 231-242
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