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Psychiatric Mental Health Nursing Presentation

Psychiatric mental health nursing involves caring for people with mental health needs through developing therapeutic relationships. It requires skills such as effective communication, awareness of self, and sensitivity to social and environmental factors. These skills are important for all areas of nursing as about 1 in 5 people experience a mental illness. Career opportunities in psychiatric nursing are diverse and it offers attractive transferable skills. Postgraduate study can lead to endorsement and higher roles.

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452 views27 pages

Psychiatric Mental Health Nursing Presentation

Psychiatric mental health nursing involves caring for people with mental health needs through developing therapeutic relationships. It requires skills such as effective communication, awareness of self, and sensitivity to social and environmental factors. These skills are important for all areas of nursing as about 1 in 5 people experience a mental illness. Career opportunities in psychiatric nursing are diverse and it offers attractive transferable skills. Postgraduate study can lead to endorsement and higher roles.

Uploaded by

Ïtz Shãrî
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd
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Psychiatric Mental Health

Nursing
Overview of
Psychiatric/Mental Health
Nursing
Outline
 Similarities& differences between
psychiatric nursing and other fields of
nursing
 Skills & knowledge of the psychiatric nurse
Overview of
Psychiatric/mental Health
Nursing
 The importance of psychiatric nursing skills
in all clinical settings
 Career opportunities
 Postgraduate study & endorsement
 Professional affiliation
The Psychiatric/mental Health
Nursing
 “Mental Health Nursing is a specialised
field of nursing which focuses on meeting
the mental health needs of the client, 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)
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)
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
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
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)
Similarities & Differences
DIFFERENCES
 Clinical competence based on interpersonal
techniques
Stuart & Laraia (2001)

 Less repetition in process & procedures due to


client individuality
Moir & Abraham (1996)
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
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…
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)
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)
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
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)
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
The Importance of
Psychiatric/mental Health Nursing
Knowledge, Skills & Attitudes

In the Caribbean 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)
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
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
Career Opportunities
 Diversity within the profession
 Attractive transferable skills
 Consultation
 Management
 Education
 Independent Practitioner
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
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.
Career Opportunities
 Career structure
 Professional development
 Clinical supervision
 Scholarships
 Graduate nurse Programs
 Postgraduate Study
 Paid study leave
Postgraduate Study &
Endorsement
 Postgraduate studies in Psychiatric/Mental Health
Nursing
 Graduate Diploma
 Graduate Certificate
 Highly attractive to prospective employers
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)
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 Australia’s Mental Health Services under the National
Mental Health Strategy 1995-6. Canberra: Australian Government
Printing Services
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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