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pros and cons of therapeutic alliance
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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
Walsh, A. & Clarke, V. (2009) Fundamentals of Mental health Nursing New York: Oxford University Press.
During the rehab process, patients receive much more than therapy and counselling. They learn a lot about addiction and what it takes to stay on the path of recovery. In many cases, they also learn the value of having one or more support groups. For many years now, counselors have placed a great deal of value on promoting the idea of "one addict helping another addict." In fact, who would know more about the recovery process than someone who has successfully lived it?
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,
Before attending Dharma & Recovery, I explored the principles, focus and meeting format of Buddhist recovery. While Dharma & Recovery does not present itself as a 12 step meditation meeting, it does welcome those in 12 step programs. However, it is not allied with any 12 step program. According to buddhistrecovery.com, Buddhist recovery advocates the beliefs that “Buddhist teachings, traditions and practices…help people recover from the suffering caused by addictive behaviors,” is “open to people of all backgrounds, and respectful of all recovery paths, the organization promotes mindfulness and meditation, and is grounded in Buddhist principles of non-harming, compassion and interdependence” and “seeks to serve an international audience through teaching, training, treatment, research, publication, advocacy and community-building initiatives” (Welcome, 2013). The focus of Buddhist recovery is meditation, during which “meditators observe and analyze the workings of their own mind” (Stephens, n.d.). The meeting format consists of a 20 minute meditation, a reading from a dharma teacher, a discussion of the reading, and a 10 minute ...
The Psychiatric Mental Health Nurse Practitioner (PMHNP), role and job description is providing primary mental health care services, to those with mental health problems, or psychiatric disorders. The PMHNP is required to assess, diagnose, provide treatment plans, prescribe medication therapy, and offer counsel across the lifespan. The PMHNP provides care in a wide range of settings to children, adolescents, adults, the elderly, and their families. This mental healthcare takes place in the primary care settings, emergency rooms, hospitals, outpatient mental health clinics, senior living communities and in private practices. Being culturally competent to care for the ever changing demographics of the United States is necessary. The PMHNP assess and treats in a holistic manor and utilizes evidenced based practice. Regardless of race, gender, age, religion, sexual orientation, political persuasion, or socio economic standing the PMHNP is there to treat. The PMHNP role also includes establishing a therapeutic relationship, being sensitive to many abnormal behaviors, and caring for those frequently distressed emotionally. Collaboration and the ability to make referrals are essential for the PMHNP. Patients present with undiagnosed problems and establishing the proper diagnosis by a qualified PMHNP begins with the initial assessment interview (Gilfedder, Barron, & Docherty, 2010).
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.
Newell, R. Gournay, K (2000) Mental Health Nursing - An evidence based approach. London: Churchill Livingstone.
This article was written by several well educated professionals in the nursing field. The article appears in a peer reviewed nursing journal that covers topics in psychiatric and mental health nursing that has a 37-year history. The sources history, along with the use of various references from other professional sources establish the journal entries
In the real world deciding on what you want to do for the rest of your life can be scary and most certainly confusing. There are over thousands of different careers and lifestyles that could suit you. How do you know if you have chosen the right one? The idea of patients with mental disorders being kept in institutions did not become popular until the 17th century (“Psychiatric Nurses” Volume 5 150). A career such as Psychiatric Nurse Partitioning has its pros and cons, but the journey to becoming one is something that will miraculously change your life.
Giving verbal instructions, guidance and reassurance to mental health patients is essential for nurses. Teaching patients how to cope with their mental disorders helps them feel more empowered and in control, in a situation where they have very little control over their
Stuart, G. W. (2009). Principles and Practice of Psychiatric Nursing (9th ed. pp 561). St. Louis, MO: Elsevier Mosby.
Walsh, A & Clarke, V. (2009) Fundamentals of Mental health Nursing New York: Oxford University Press.
Randeni, G. (2013). Core concepts of the BPN curriculum. Bachelor of Psychiatric Nursing Program: Learner resources manual (pp. 17). Langley, Canada: Kwantlen Polytechnic University.
Varcarolis, E. M., Carson, V. B., & Shoemaker, N. C. (2006). In Foundations of Psychiatric Mental Health Nursing (p. 283). St. Louis: Elsevier Inc.
Her educational background includes a diploma as a Registered Nurse from People’s Hospital School of Nursing in Ohio (1947), Bachelor of Science in Nursing, Major in Mental Health/Public Health, Minor in Psychology, from University of California-Los Angeles (UCLA) (1957), and Master of Science in Mental Health from UCLA (1966). She became engaged in a graduate work for UCLA in the Mental Health/Public Health Consultation where she gained interest in community mental health as an emerging avenue for nursing practice. She was eventually appointed as the chair for UCLA’s Mental Health/Public Health Program and began teaching and developing a course to help graduate students focus on specific nursing problem areas. The outcomes of her labor led to the development of Neuman Systems Model (NSM) which focused on the client-environment interaction. Furthermore, Neuman’s mental health consultant role was not specified as nursing role, thus, influenced NSM’s applicability to various health professions and other