Scope and Standards
History of Psychiatric-Mental Health Practice
The history of psychiatric-mental health practice is unfortunately one in which some rather unethical practices appear to have been accepted by and large by communities at one time or another. However, after reflecting on the evolution of psychiatric-mental health nursing, the deinstitutionalization movement stands out to me as a significant turning point. This shift from large-scale mental institutions to community-based care models is one that I view as helpful overall. At the same time, I recognize that there are challenges that remain as a result. For instance, this change does permit patients to live in less restrictive environments and encourages patient autonomybut it has also exposed the lack of adequate community resources for mental health in some cases, particularly where support networks are needed. If we can really understand the best way to support mental health practice, we can keep this positive change going in the right direction, but we cannot rest on our laurels so to speak. Understanding this transition in history can help us to appreciate the current practice context and the necessity for continuing to improve community mental health services.
Levels of Psychiatric Mental Health Nursing Practice
In my view, the delineation between...
…Overall, this issue shows the need for mental health nursing to extend beyond direct care and influence broader societal attitudes and policy.Settings and Roles
Given the diverse range of mental health needs, the variety of settings in which psychiatric-mental health nursing occurs is particularly significant. From inpatient psychiatric units and community mental health centers to schools, prisons, and homes, these different environments demand a broad skill set and the ability to adapt and respond to unique challenges. The evolving roles of psychiatric-mental health nurses, particularly in telepsychiatry and collaborative care models, also highlights the importance of continued professional development and adaptability in…
References
Psychiatric-Mental Health Nursing: Scope & Standards of Practice (2022). APNA.
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