Issues in Mental Health Nursing

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<span class="mw-page-title-main">Registered nurse</span> Nurse who has graduated from a nursing program

A registered nurse (RN) is a nurse who has graduated or successfully passed a nursing program from a recognized nursing school and met the requirements outlined by a country, state, province or similar government-authorized licensing body to obtain a nursing license. An RN's scope of practice is determined by legislation, and is regulated by a professional body or council.

<span class="mw-page-title-main">Health economics</span> Branch of economics

Health economics is a branch of economics concerned with issues related to efficiency, effectiveness, value and behavior in the production and consumption of health and healthcare. Health economics is important in determining how to improve health outcomes and lifestyle patterns through interactions between individuals, healthcare providers and clinical settings. In broad terms, health economists study the functioning of healthcare systems and health-affecting behaviors such as smoking, diabetes, and obesity.

<span class="mw-page-title-main">Telenursing</span> Nursing care through telecoms

Telenursing refers to the use of information technology in the provision of nursing services whenever physical distance exists between patient and nurse, or between any number of nurses. As a field, it is part of telemedicine, and has many points of contacts with other medical and non-medical applications, such as telediagnosis, teleconsultation, and telemonitoring. The field, however, is still being developed as the information on telenursing isn't comprehensive enough.

Psychiatric nursing or mental health nursing is the appointed position of a nurse that specialises in mental health, and cares for people of all ages experiencing mental illnesses or distress. These include: neurodevelopmental disorders, schizophrenia, schizoaffective disorder, mood disorders, addiction, anxiety disorders, personality disorders, eating disorders, suicidal thoughts, psychosis, paranoia, and self-harm.

Nursing assessment is the gathering of information about a patient's physiological, psychological, sociological, and spiritual status by a licensed Registered Nurse. Nursing assessment is the first step in the nursing process. A section of the nursing assessment may be delegated to certified nurses aides. Vitals and EKG's may be delegated to certified nurses aides or nursing techs. It differs from a medical diagnosis. In some instances, the nursing assessment is very broad in scope and in other cases it may focus on one body system or mental health. Nursing assessment is used to identify current and future patient care needs. It incorporates the recognition of normal versus abnormal body physiology. Prompt recognition of pertinent changes along with the skill of critical thinking allows the nurse to identify and prioritize appropriate interventions. An assessment format may already be in place to be used at specific facilities and in specific circumstances.

In the United States, a psychiatric-mental health nurse practitioner (PMHNP) is an advanced practice registered nurse trained to provide a wide range of mental health services to patients and families in a variety of settings. PMHNPs diagnose, conduct therapy, and prescribe medications for patients who have psychiatric disorders, medical organic brain disorders or substance abuse problems. They are licensed to provide emergency psychiatric services, psychosocial and physical assessments of their patients, treatment plans, and manage patient care. They may also serve as consultants or as educators for families and staff. The PMHNP has a focus on psychiatric diagnosis, including the differential diagnosis of medical disorders with psychiatric symptoms, and on medication treatment for psychiatric disorders.

The American Nurses Credentialing Center (ANCC), a subsidiary of the American Nurses Association (ANA), is a certification body for nursing board certification and the largest certification body for advanced practice registered nurses in the United States, as of 2011 certifying over 75,000 APRNs, including nurse practitioners and clinical nurse specialists.

A registered psychiatric nurse (RPN) specialises in a field of nursing that focuses on the mental health of patients. Psychiatric nurses assist the interdisciplinary team in the assessment and treatment of the patient's psychiatric illness and symptoms. They treat a variety of mental health disorders such as bipolar, depression, schizophrenia, anxiety, substance abuse addiction and eating disorders such as bulimia and anorexia. However, they do not diagnose the patient, this is the responsibility of a qualified psychologist or a psychiatric doctor. Psychiatric nurses are in charge of dispensing medication and the overall care of patients. Registered psychiatric nurses work under the supervision of doctors’ and they practice within the health care industry, mostly in mental health clinics, outpatient facilities, mental health agencies, long-term care centres or hospitals.

Kevin Joseph Michael Gournay CBE FMedSci FRCN FRSM FRCPsych (Hon) PhD RN CSci Cert CBT is a registered psychologist, chartered scientist and a registered nurse by background. He is an emeritus professor at the Institute of Psychiatry, Psychology and Neuroscience; King's College London. He was a consultant psychologist at the Priory Hospital North London; retiring in December 2018. He then returned to clinical work as part of the national response to COVID19; retiring once more in 2023. He is currently an Honorary Professor at the Matilda Centre; University of Sydney. His work in Australia spans 30 years to the present and focusses on the combination of mental health problems and substance use. During the COVID19 pandemic he contributed to research on the impacts of COVID19 on mental health. He has been responsible over many years for a very wide range of research, policy and practice development in mental health care. He also works as an Expert Witness; he has provided reports on more than 300 suicides; 20 homicides and hundreds of reports on people who have suffered the consequences of traumatic events, including accidents, terrorist related incidents, natural disasters, war related events and stillbirth and perinatal death. He has also provided numerous reports on patients receiving care and treatment in high secure and Medium secure settings, including Broadmoor, Rampton and Ashworth hospitals

Annie Therese Altschul, CBE, BA, MSc, RGN, RMN, RNT, FRCN was Britain's first mental health nurse pioneer; a midwife, researcher, educator, author and a patient advocate, emeritus professor of nursing.

The American Psychiatric Nurses Association (APNA) is a professional association of psychiatric-mental health nurses. Founded in 1986, it provides continuing education and a range of professional services to a membership of more than 9000 nurses. It publishes position papers on mental health issues and the care of persons with psychiatric disorders.

<span class="mw-page-title-main">Unlicensed assistive personnel</span> Paraprofessionals who assist with bedside care

Unlicensed assistive personnel (UAP) are paraprofessionals who assist individuals with physical disabilities, mental impairments, and other health care needs with their activities of daily living (ADLs). UAPs also provide bedside care—including basic nursing procedures—all under the supervision of a registered nurse, licensed practical nurse or other health care professional. UAPs must demonstrate their ability and competence before gaining any expanded responsibilities in a clinical setting. While providing this care, UAPs offer compassion and patience and are part of the patient's healthcare support system. Communication between UAPs and registered nurses (RNs) is key as they are working together in their patients' best interests. The scope of care UAPs are responsible for is delegated by RNs or other clinical licensed professionals.

The nursing organization workplace has been identified as one in which workplace bullying occurs quite frequently. It is thought that relational aggression are relevant. Relational aggression has been studied amongst girls but rarely amongst adult women. According to a finding, 74% of the nurses, 100% of the anesthetists, and 80% of surgical technologists have experienced or witnessed uncivil behaviors like bullying by nursing faculty. There have been many incidents that have occurred throughout the past couple of years. OSHA, which stands for "Occupational Safety and Health Administration" stated that from 2011 to 2013, the United States healthcare workers experienced 15,000 to 20,000 significant injuries while in the workplace.

<span class="mw-page-title-main">Ian Norman</span> British nursing researcher and author

Ian James Norman is a British nursing researcher and author, based in Surrey, UK. His research and writing is focused primarily in the fields of psychiatric and mental health nursing, and psychological treatments for people with mental health difficulties. Norman is Emeritus Professor of Mental Health in the Faculty of Nursing, Midwifery & Palliative Care at King's College London. He is a former Executive Dean of Faculty and Assistant Principal (Academic Performance) at King's. He is the Editor-in-Chief of the International Journal of Nursing Studies and a practising cognitive behavioural psychotherapist.

A mental health nurse (MHN) refers to a nurse in the UK, who specializes in the care of patients with mental health issues. The practice of MHNs is called mental health nursing.

<span class="mw-page-title-main">Correctional nursing</span> Nursing for prisoners

Correctional nursing or forensic nursing is nursing as it relates to prisoners. Nurses are required in prisons, jails, and detention centers; their job is to provide physical and mental healthcare for detainees and inmates. In these correctional settings, nurses are the primary healthcare providers. These nurses also work with crime victims and assist in expert witness testimonies, and are involved in a variety of legal cases, including paternity disputes and workplace injuries.

<i>Journal of Psychosocial Nursing and Mental Health Services</i> Academic journal

The Journal of Psychosocial Nursing and Mental Health Services is a monthly peer-reviewed nursing journal for psychosocial and mental health nurses. It includes sections on psychopharmacology, mental health care of older adults, addictive behaviors and diagnoses, and child/adolescent disorders and issues. The editor-in-chief is Mona Shattell. The journal was established in 1963 and published bimonthly. In 1978, the publication frequency increased to monthly.

<i>International Journal of Mental Health Nursing</i> Academic journal

The International Journal of Mental Health Nursing (IJMHN) is a bimonthly peer-reviewed medical journal covering psychiatric and mental health nursing. It is published by Wiley and is the official journal of the Australian College of Mental Health Nurses.

<span class="mw-page-title-main">Impact of the COVID-19 pandemic on healthcare workers</span>

The COVID-19 pandemic has impacted healthcare workers physically and psychologically. Healthcare workers are more vulnerable to COVID-19 infection than the general population due to frequent contact with positive COVID-19 patients. Healthcare workers have been required to work under stressful conditions without proper protective equipment, and make difficult decisions involving ethical implications. Health and social systems across the globe are struggling to cope. The situation is especially challenging in humanitarian, fragile and low-income country contexts, where health and social systems are already weak. Services to provide sexual and reproductive health care risk being sidelined, which will lead to higher maternal mortality and morbidity.