Ensuring excellent mental health nurse staffing levels on inpatient psychiatric units is vital, given the increasing severity of illness of mental health patients and the mounting evidence that nurse staffing levels influences outcomes. ('APNA Position Statement: Staffing Inpatient Psychiatric Units,' 2012) An investigation took place in Metro North Mental Health-Royal Brisbane and Women’s Hospital to obtain data to answer the title question.Information was gathered in different ways from service users,carers and mental health nurses through the process of interviews.The interviews took on an informal approach that was centered on two questions:What makes a fantastic mental health nurse? and What can we do better?.In total,twenty interviews …show more content…
(Gunasekara et al., …show more content…
(Voogt et al., 2015)
During one of the observed events,the psychiatric nurse made clear to the patient why help was not imminent.The patient then stated:
"The nurse had to finish something for another patient first, before he was able to help me. That explanation was decent".(Voogt et al., 2015)
Throughout the interviews, the patients also described how to improve in mental health nursing.
Patients said that nurses need to take them more seriously,meaning that they should be permitted to take responsibility for ward routines and processes.One patient felt strengthened by this,he went on to say:
“Because we were made responsible for ward routines and ward rules, I felt useful for others and part of the group”. (Voogt et al., 2015)
Many patients mentioned
1)She directed and was the Lead facilitator for the completion of the Mental Health Nurse Practitioner Residency Proposal for MEDVAMC focused on nurse practitioners by completing and ongoing review of the process to ensure that MEDVAMC will have a nurse practitioner student training opportunities within our VA Mental health services. The outcome will provide a steady poll of qualified mental health NPs to hire from who are qualified to fill the vacant
Our nurses are being over worked and understaffed and no one is saying anything! There are mountains of evidence that show the adverse relationship between subpar nursing care and patient outcomes. Many people work overtime to make that overtime money because the hospital is usually understaffed. But because patient outcomes really depend on nurses to be in tip top shape, I think it is extremely important that hospitals eliminate working overtime. That is why I am asking policy makers to cosponsor the bill S. 1132: the Registered Nurse Safe Staffing Act of 2015.
c- Assume clinical responsibility, by seeking and using all the available learning opportunity. 2- To achieve these objectives, it is important to learn about advance practice skills such as appropriate diagnostic and therapeutic interventions and medication management across life span per ANA’s scope and standards of practice for Psychiatric mental health nurse practitioner(PMHNP). a-
Moreover, several studies have been conducted to examine the effects of low nurse staffing on patients hospitalization experiences, as well as its effect on nurse careers in the long run. A recent study by Frith, Anderson, Tseng, and Fong (2012) to explore the relationship between nurse staffing and medication errors, demonstrated that medication errors were higher in a cardiac care unit and non-cardiac care unit when staffing levels were lower. In addition, Frith et al. (2012) pointed out that medication errors increase by 18% for every 20% decrease in nurse staffing below the average due to failure to follow medication administration protocol As mentioned earlier, nurses perform the last and the most important step of medication administration. Thus, having adequate time to assess each patient efficiently and following the medication rights is critical to provide safe patient care and prevent errors.
As a mental health nurse at DBHDD under the new preceptorship program, nurses will be able to learn how to communicate and provide good service to our patients. Not to mention, communication skills are crucial components of being a mental health nurse. Under this preceptorship, DBHDD nurse will have a good foundation and knowledge of mental ill health theory and how to apply it in practice. Understand the risk of violence that is often associated with mental health, and the number of the skilled set that is needed to identify a buildup of tension and be able to defuse any issues in needed by observational, interpersonal communication and psychosocial. In addition to, learning communication techniques, the program will demonstration how to stay calm in situations that may cause some type of violence in the workplace with the patient, by establishing problem-solving, good judgment, and maybe offer advice skills.
Each morning patients came in for assessment and the treatment team developed or altered existing treatment protocols. I longed to be part of this team, working to stabilize each patient so they could return home to pursue their goals. The nurses stood out to me as the team members at ground zero in the unit, working directly with patients, and advocating for them in meetings. As a Nurse Practitioner, I will provide this same standard of holistic care to my patients, taking into consideration their biological, social, psychological and cultural needs while developing and implementing treatment decisions.
Psychiatric Nurse Practitioners in the Army are very important and vital to the world. Psychiatric Nurse Practitioners are important and vital because of the crucial task and activities, necessary training and skills needed, and the outlook for moving on. Psychiatric Nurse Practitioners in the Army handle patient counseling, Crisis intervention, Milieu and Group therapy along with Critical Incident debriefing. Without the help of them many soldiers would suffer from many mental and emotional problems like PTSD and many more.
W-7 – PROFESSIONAL BOUNDARIES 1. I chose these competences because as a nurse it is vital to maintain professional boundaries and still be able to provide the therapeutic care without personally getting attached to patients. 2. From the article I learned that it is ok to be present with your patient, and caring about what they might be going through as you provide necessary care and support, but not to excessively worrying about a patient in your personal life/home” (p. 407) 3.
Upon arriving to the unit this morning, I quickly realized today was going to be a chaotic day with the current patient census, and all of the new admissions. I was able to assist the night charge nurse with today’s assignments, while she helped with the code, and the day began. I informed my team that today was going to be a long day, and encouraged them to use each other and myself for help. I recommended they taking a few minutes to coordinate their work after receiving report. At 0745, when Jane informs me that the patient in 408 has fallen, I am quick to get into the room and do an assessment again.
The role of the nurse has always been that of the first point of contact for the patient to the clinical care team. As outlined by the Nursing and Midwifery Board of Australia (2016) the role of the nurse is to advocate, educate, liaise with, and provide adequate and appropriate clinical care to the patient. Additionally, the nurse represents the statistical majority of the Australian clinical team, outnumbering medical doctors at a ratio of almost 4:1 (Australian Bureau of Statistics, 2013) which is consistent throughout all sectors of healthcare. Therefore, the nurse has a powerful and tangible effect on policy and the outcomes for patients in the clinical setting.
PLoS ONE, 8(2): e55162. https://doi.org/10.1371/journal.pone.0055162 Romano et al. (2012).
11/23/2015 Florence Nightingale 1. Analyze the Applicability of the Theory a. Structure • This theory is based upon the concept of environment and 13 sub-concepts, which can be manipulated to prevent diseases. • The metaparadigms are well defined; however, the 13 canons/sub-concepts are not described that well. Hence lacking structure and clarity.