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Role of a family nurse practitioner
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Roles of nurses in family health nursing
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I have grown both personally and professionally throughout my nursing career. Nursing has given me the freedom to journey into unfamiliar territory and in turn, my nursing boundaries have expanded. I was and born and raised in South Carolina. I am a Family Nurse Practitioner and hold a MSN from Samford University. I am employed as a family nurse practitioner in a small primary care practice in Summerville South Carolina.
I have thoroughly enjoyed nursing to this date, and I see nursing as more of a purpose than a career choice and feel privileged to have been able to succeed in it. However, various events and situations in my career and life have strongly persuaded me that I would be most useful to the community if I were to become a specialist in psychiatric mental health nursing. Before my current practice I would of never considered adopting mental health as a speciality although I enjoyed my psychiatric rotation during training. However, since working in my current practice I have seen that the mental health community is underserved and this is heartbreaking to me. Many patients who need assistant and care
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Being exposed to so much distress and mental ill-health has crystallized my decision to specialize.
It is my ambition to become a Psychiatric Mental Health Nurse Practitioner in an inpatient unit, outpatient mental health clinic, alcohol/drug rehabilitation and/or health department in a underserve area. It is my hope to acquire the knowledge and skills to enable me to assist in this situation by participation in the Post Masters Certification for Psychiatric Mental Health Nurse Practitioner
As a result of state regulations, public awareness of the role and market forces, graduate psychiatric nursing programs began modifying training programs to meet the requirements for NP credentialing (ANA, 2014). The first PMHNP certification exams were created in the early 2000’s and the role of the PMHNP was clearly described and delineated by the creation of the Psychiatric-Mental Health Nurse Practitioner Competencies in 2003 by the NONPF (ANA, 2014; APNA 2010). Throughout the early 2000’s there were four advanced practice psychiatric mental health nursing credentials, the Adult Psychiatric-Mental Health CNS, the Child/Adolescent Psychiatric-Mental Health CNS, the Adult Psychiatric-Mental Health NP, and the Family Psychiatric-Mental Health NP. The availability of four credentials for PMH-APNs led to confusion amongst nurses, other health disciplines, employers and the
Thomas, B. Hardy, S. and Cutting, P. (1997) Mental health Nursing: Principles and Practice London: Mosby
I had known for years that I wanted to work in the health care field, but I always believed it would be as a doctor. I watched for the first few years of my brother’s life as he struggled with different health challenges such as being born premature, having croup and breathing difficulty, and speech impairment. Watching my brother struggle and then being able to overcome these difficulties, as well as seeing other children around him who were not as fortunate, really pushed me even at a young age to make a difference. My family, both immediate and extended, were very supportive, and I felt a real positive push towards working hard to achieve that goal of working in health care. In high school, I was fortunate enough to do a cooperative placement at the Peterborough Regional Health Center’s Intensive Care Unit. Through observing rounds and being in the medical setting, I truly knew this is where I wanted to
Thomas, B. Hardy, S. and Cutting, P. (1997) Mental health Nursing: Principles and Practice London: Mosby
In summary, all sectors of nursing are likely to come across a client who may have a range of psychotic or emotional difficulty. A person may come in with complaints with the principle reason concerning their mental health or with a physical complaint, having secondary complication to a mental health illness. The misconception is that the bulk of those who have mental health difficulty , even those showing the severest need, are not being treated in general practice with the intervention of specialized psychiatric services. This explains the importance of changes in approach to a more holistic intervention. _________ sums it up clearly , “Providing holistic nursing care requires that we understand that there can be no “health” without mental health”
My inspiration to study mental health nursing stems from the work my mum does as a mental health nurse. I have been in the ideal position to see the challenges she faces and the ultimate difference she makes to lives of people she cares for. Due to my caring nature, I would relish the opportunity to follow in her footsteps and I look forward to the combination of academic and practical work in this course to help me achieve my goal. I am keen to gain a comprehensive understanding of the factors that contribute to irrational behaviours for people with bipolar disorder.
My experience in mental health clinical was very different from any other clinical I had before. In a mental health clinical setting, I am not only treating client’s mental illnesses, I am also treating their medical problems such as COPD, diabetes, chronic renal failure, etc. Therefore, it is important to prepare for the unexpected events. In this mental health clinical, I learned that the importance of checking on my clients and making sure that they are doing fine by performing a quick head-to toes assessment at the beginning of my shift. I had also learned that client’s mental health illness had a huge impact on their current medical illness.
My conviction that nursing was my calling was affirmed daily in my work. Then, as now, I am ever amazed at the profound impact we, as nurses, have on the lives of our patients.By this time, I had been a nurse for three years and had developed a clear picture of what I wanted professionally. I knew that to achieve to my professional goals of practicing at the level I desired, while serving others in the community, I needed to become a Nurse Practitioner.
Similarly, healing myself through alternative methods, I learned to respect an integrative way to treatment. Thus my experiences guided me to pursue my DNP as a psychiatric mental-health nurse practitioner. Needless to say, to counsel people with mental health disorders, I could become a psychologist, a social worker or even a counselor; yet what separates these fields from an advanced practice role in nursing is nursing’s fundamental moral commitment of caring along with the commitment to the welfare of the 'whole' person. It is the ultimate pledge that transcends the standard clinician role in order to form a genuine relationship with one’s patient through empathy which allows for greater awareness of the individual as a whole and allows the nurse to go beyond their uniform and become a real person. It is connections like these that make the vocation
The therapeutic nurse-client relationship is the basis, the very core, of all psychiatric nursing treatment ap- proaches regardless of the specific aim. The very first process between nurse and client is to establish an un- derstanding in the client that the nurse is entering into a relationship with the client that essentially is safe, confidential, reliable, and consistent with appropriate and clear boundaries (LaRowe, 2004). It is true that disorders that have strong biochemical and genetic components such as schizophrenia and major affective disorders cannot be healed through therapeutic means. However, many of the accompanying emo- tional problems such as poor self-image and low self- esteem can be significantly improved through a thera-
Mental health has been an important issue to me for the majority of my life. My mother owns and operates a vocational center for individuals with mental disabilities, and through her program I was able to discover my passion for helping those who can not always help themselves. While I am spending time with the individuals at the program, I become inspired by the kindness, compassion, and strength that radiates from within them. Living with a mental illness can be very challenging and comes with many difficulties, and to alleviate some of their struggle by simply listening and caring brings me immense joy.
Mental health nurses accomplish many tasks from helping others to planning duties out on the daily. Although it may be stressful the satisfaction of potentially changing one’s life is enough to love this career. The source Human Services “Mental Health Nurses” states “A Mental Health Nurse’s duty is Diagnoses of Mental and Emotional Health disorders, Planning of Mental Health interventions, Careful implementation of Mental Health plans and interventions, and Thoughtful review of implemented plans and interventions to measure effectiveness.” Performing these actions daily can be tiring but by the end of the day accomplishment can be felt. In this career, sites of working range anywhere from hospitals to general facilities. Working as a psychiatric nurse can cause tension on
47% of individuals in New Zealand are predicted to experience a mental health disorder some time in their life. Maori and Pacific Islander ethnic groups are nearly twice more likely to be in this 47% than any other ethnicity (Taylor, 2015). When an individual with or without a mental health disorder is not coping with caring for themselves, a mental health crisis may occur. A mental health crisis is an opportunity to help promote change as the individual is not coping with their current situation and therefore help and support is needed. Working with individuals during a mental health crisis is becoming a lot more common and therefore nurses need to improve their evidence-based practice. This is why nurses need selected knowledge, skills and
I have been restlessly questioning if our team has done everything possible to produce a long-lasting outcome for our patient population. I have been making many positive impacts on individual levels but how can I expand my spheres of influences to a population level? I find this question is intellectually challenging and pursuing the Psychiatric Mental Health Nurse Practitioner (PMHNP) will be the pragmatic solution. As PMHNP, I will be equipped to bring a more holistic approach to prove the best comprehensive care rather than addressing a " current primary complaint" of a more complex problem. On a personal and professional level, I fiercely believed that mental illness and addiction are family's disease. One suffers, the rest suffer and I am motivated to cultivate a better understanding of mental health and to embrace a culture of kindness and empathy for those who suffer and their loved ones. The autonomy, prescriptive authority, diagnostic ability and psychotherapy skills that I gain from Maryville's Psychiatric Nurse Practitioner program will empower me to bring compassion and empathy back to the art of
My reasons for selecting a career in nursing stem directly from my desire to help our prospering population and community. This career appeals to me because it embodies what I strive to become, a person of influence, a guide, a respected adult, a mentor, and a person that can be trusted and looked up to with great passion. Another reason for selecting a career in nursing has a lot to do with my current job position at Generations Elder Care. Working with the elderly community at this personal care home has enriched my life in many ways, including one for my passion of learning more about the nursing field. As I shadowed the nurses entering the facility I watched them do their assessments on the residents which has peaked my curiosity. I believe being a nurse presents daily challenges which are unique, interesting, and rewarding and that is another reason why I want to become a nurse. Knowing that I have helped someone in some way possible gives me a feeling of fulfillment and enjoyment that I never understood or had before. And this career offers just that, and that is exactly why I...