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Pros and cons of therapeutic alliance
Therapeutic alliance pros and cons
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Psychiatric and mental health nursing is a unique specialty of nursing that strives to promote the mental health of clients. Psychiatric mental health nurses work in partnership with their clients to manage their mental illness. In Canada psychiatric mental health nursing is guided by seven standards of practice, which provide guidance for nursing practice to ensure that safe, competent, and ethical services are delivered to the clients (Canadian Federation of Mental Health Nurses [CFMHN], 2006). Of these standards, standard five, which addresses the nurse intervening through the teaching-coaching function, will be the focus of this paper. The purpose of this paper is to identify standard five from the Canadian Standards of Psychiatric and Mental Health Nursing (2006), describe five of the indicators within that standard, apply them to clinical practice and reflect on the importance of each indicator through literature.
The Teaching-Coaching Function Standard
The standards of psychiatric and mental health nursing were first developed in 1995 to create a document that would describe the expectations of a mental health nurse. The standards put forth behaviours expected of professional nurses by incorporating vital information and new trends in the field, and linking these to expected outcomes (CFMHN, 2006). The teaching-coaching function standard is of great importance to the mental health field as it promotes nurses to understand the client's individual needs, supports learning related to those needs, and promotes self-reliance in aiding clients and families to acquire greater ease in living with their mental illness and the accompanying effects (Lawlor, n.d.). Such teaching provides the nurses with a chance to make a difference ...
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Canadian Federation of Mental Health Nurses. (2006). Canadian Standards of Psychiatric and Mental Health Nursing. (3rd ed.). Toronto, ON: Author.
College of Registered Nurses of British Columbia. (2007). Nursing Documentation. Retrieved from https://bibliomed.bib.uniud.it/novita/nursing/nursing_documentation.pdf
Kelly, J., Dow, S., Yeterian, J., & Kahler, C. (2010). Can 12-step group participation strengthen and extend the benefits of adolescent addiction treatment? A prospective analysis. Drug & Alcohol Dependence, 110(1-2), 117-125. doi:10.1016/j.drugalcdep.2010.02.019
Knutson, M. B., Newberry, S. S., & Schaper, A. A. (2013). Recovery Education: a tool for psychiatric nurses. Journal Of Psychiatric & Mental Health Nursing, 20(10), 874-881. doi:10.1111/jpm.12043
Lawlor, S. (n.d.). Story of the Quilt. Retrieved from http://cfmhn.ca/content/story-quilt
Varcarolis, E. M., Carson, V. B., & Shoemaker, N. C. (2006). In Foundations of Psychiatric Mental Health Nursing (p. 283). St. Louis: Elsevier Inc.
It's also important to note how important group settings can be on the outside. Many people in recovery make significant process by going to 12-Step meetings. Again, these meetings offer much more than a forum for having coffee and discussing problems. These meetings offer people a chance to make new friends and develop lasting relationships. That's a very important attribute because most people in recovery have to say goodbye to the old friends they had while living life with an
Shultz, J.M. & Videbeck, S.L. (2009) Lippincott Manual of Psychiatric Nursing Care Plans. 8th ed. Philadelphia: Wolters Kluwer/ Lippincott Williams & Wilkins.
Rather than preparing graduates in education or consulting as previous graduate nursing programs had done, this program educated psychiatric-mental health nurses as therapists with the ability to assess and diagnose mental health issues as well as psychiatric disorders and treat them via individual, group, and family therapy (ANA, 2014). Thus, the Psychiatric Mental Health Clinical Nurse Specialist (PMH-CNS), one of the initial advanced practice nursing roles (Schmidt, 2013), was born. After Community Mental Health Centers Act of 1963 led to deinstitutionalization of individuals with mental illness, PMH-CNSs played a crucial role in reintegrating formerly institutionalized individuals back into community life (ANA, 2014). PMH-CNSs have been providing care in a wide range of setting and obtaining third-party reimbursement since the late 1960’s. In 1974 a national certification for PMH-CNSs was created (APNA, 2010). Subsequently, PMH-CNSs began to be granted prescriptive privileges in the Pacific Northwest in the late 1970s, that practice has now spread to 37 states and the District of Columbia (APNA,
The purpose of this assignment is to demonstrate my reflection and understanding in the Role of the Mental Health Nurse in an episode of care supporting and promoting the recovery of service users. According to the National institute for Mental Health (2004) recovery is a process to restore something or return to a state of wellness, is an achievement of quality of life that is acceptable to the person (Ryan 2012).
The field of clinical mental health is one of great reward, but also one of grave responsibility. It is the duty of the counselor to provide the client with a safe environment and an open mind, in order to foster a healthy therapeutic relationship. The majority of mental health counselors would never intentionally harm their clients; however; good intentions are not enough to ensure that wrong will not occur. The ethical expectations and boundaries are regulated by both laws and professional codes. When discussing ethics, one must realize there are two categories, mandatory and aspirational. (Corey, Corey & Callanan, 2007)
Newell, R. Gournay, K (2000) Mental Health Nursing - An evidence based approach. London: Churchill Livingstone.
An important change that needs to happen within mental health services is for service users to be involved in all aspects of their care. This is called a working partnership where information is shared, choices are given and decisions are made together. The Department of Health (1999) states that service users should be involved in the planning and delivery of the care they receive. Drawing from course materials and external research this essay will discuss why developing this working relationship is important. It will look at past and current service provision, discuss what happens in practice, consider what change needs to take place for a working partnership to be achieved and how this relationship can benefit both service user and practitioner. The essay will also discuss whether there might be resistance to the idea of this working partnership and how these barriers might be addressed so that this change can be implemented in practice.
Psychiatric nursing has always been my passion and I am ready to put my experience and leadership skills to use and further my career as a Mental Health Nurse Practitioner. The psychiatric population is underserved and one of my goals is to continue working in fields others will not. I have always longed for the increased autonomy and decision making Nurse Practitioners use. Broken systems and burnt out mental health workers are a problem. For example, calling an on call physician in a patient crisis only to be given an order for something that is completely useless by a physician who does not care, has always bothered me. I look up to the Nurse Practitioners at work and have always noticed their kind, caring and responsive nature. I want
Challenges in the implementation of recovery-oriented mental health policies and services. International Journal of Mental Health, 42(2/3), 17-42.
The relationship between the person seeking help and the nurse/counsellor should be appropriate for producing therapeutic change, to ensure that the patient maximizes from the therapeutic relationship. The health care provider should ensure that they communicate effectively to the patient/client. The skills explained in the above essay are the relevant skills that nurses in the contemporary hospital environment should adhere to and respect.
MacNeela, P., Scott, A., Treacy, P., & Hyde, A. (2010). In the know: Cognitive and social factors in mental health nursing assessment. Journal of Clinical Nursing, 19, 1298–1306.
Since 1976, The American Mental Health Counselors Association has been committed to establishing and promoting vigorous standards for education and training, professional practice, and professional ethics for Clinical Mental Health Counselors. So far, this association have 7,000 clinical mental health counselors but its organization is continuously growing (AMHCA).” “The American Mental Health Counselors Association have licensures laws in all 50 states, and the association seeks to enhance the practice of clinical mental health counseling and to promote standards for clinical education and clinical practice that anticipate the future roles of Clinical Mental Health Counselors within the broader health care system. This association was ultimately put together to define and promote professional identity of mental health counselors (AMHCA).”
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.
... directed by the client’s changing status throughout the process. The nurse may collaborate with the client, family, significant others, and other members of the health care team in applying steps of the nursing process. The following standards shall be used by a registered nurse, using critical thinking and clinical judgment in applying the nursing process for each client under the registered nurses care: assessment, analysis and reporting, planning, implementation, and evaluation (“Ohio Board of Nursing,” 2008).